Family Separation and Other Attachment Disruptions What Can

Family Separation and Other Attachment Disruptions: What Can We Do to Help Children and Families Recover PANELISTS: DYLAN GEE, PHD JODY TODD MANLY, PHD ALICE NADELMAN, PHD

ATTACHMENT* ‣PROXIMITY MAINTENANCE ‣SAFE HAVEN ‣SEPARATION DISTRESS ‣SECURE BASE * From Bowlby, J. 1982 Attachment and Loss: Vol. I, Attachment (2 nd ed. ) New York: Basic Books.

SYMPTOMS OF IMPAIRED ATTACHMENT Interpersonal ‣ Superficially engaging and charming ‣ Indiscriminately affectionate strangers ‣ Poor eye contact ‣ Uses affection to manipulate ‣ Demanding and clingy ‣ Controlling Behavioral/Emotional ‣ Poor self regulation ‣ Poor cause and effect thinking ‣ Destructive to self, others, animals and property ‣ Lies, denies, deceives

IMPACT of ABUSE, NEGLECT, SEPARATION, LOSS on CHILDREN ‣ Trauma ‣ Stigmatization ‣ Betrayal ‣ Powerlessness Adapted from Finkelhor, D. and Browne, A. "Assessing the long term impact of Child Sexual Abuse: A Review and Conceptualization" 1988.

REDUCE THE HARM OF SEPARATION AND LOSS ‣ Good quality of care by new caregiver(s) ‣ Acceptance of child's pain and loss ‣ Acceptance of child's love for past attachment figures ‣ Culturally sensitive rituals to honor lost attachment figures ‣ Therapeutic Services

Q&A

Thank You! ‣ Dylan Gee – dylan. gee@yale. edu ‣ Jody Todd Manly - Jody_Manly@urmc. rochester. edu ‣ Alice Nadelman – andelman@hotmail. com