Family Attachment Narrative Therapy Renewing the mind of a child Denise Lacher, MA, LP Todd Nichols,...
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Transcript of Family Attachment Narrative Therapy Renewing the mind of a child Denise Lacher, MA, LP Todd Nichols,...
Family Attachment Narrative Therapy Renewing the mind of a child
Denise Lacher, MA, LPTodd Nichols, MA, MPAff Maren Harris, MA, LMFTJan Norman, PsyD, LP
ATTACh 2002 Preconference Institute October 16, 2002 Costa Mesa, California
2002
Model and Meaning
Attachment Relationships Meaning
2002
Attachment Patterns of Behavior
Organized Secure Insecure-avoidant Insecure-resistant or
ambivalent
Disorganized/Disoriented
2002
Model and Meaning
Life EventsTrauma
Attachment Relationships
Meaning
2002
Trauma Effects
Affect regulationAttention-
ImpulsivityAggressionDissociation
2002
Model and Meaning
Development
Life EventsTrauma
Attachment Relationships
Meaning
2002
Developmental Issues
EmotionalCognitiveSocialNeurological disorders
2002
Discovering the Model
Gathering informationStandardized testingObservational methods
2002
Attachment-Promoting Interactions
StructuringChallengingEngagingNurturing
From The Theraplay Model, Jernberg & Booth
2002
Other Essential Interactions
EmpathyStress ReductionPlayfulness
From The Theraplay Model, Jernberg & Booth
2002
Discovering the Model
Gathering informationStandardized testingObservational methodsWhat parents knowPutting the pieces together
2002
Parental Attunement
2002
Attunement
Enhances emotional Supports healthy development of
representation of self and othersSupports language developmentBecomes cooperative partnershipSupports development of coherent
narrative
2002
Lack of Attunement
Easily overwhelmed with emotionNegative mental representation of
self and othersImpaired language developmentInsecure relationship with
caregiverIncoherent narrative
2002
Role of Professional
SupportNew way of looking at childNew toolsAssess parentsRelationship with child
2002
Constructing Stories
SettingPropsPerspectiveHeroMessage
2002
Shifting Inner Working
Model with Narratives
2002
Claiming Narratives
Strengthens emotional bondFacilitates trustEstablishes birth orderExtended familyPasses on traditions, history,
rituals
2002
Trauma Narratives
Heals pain of traumaCreates empathyFosters understanding
2002
Developmental Narratives
Facilitates cognitive development
Enhances emotional regulationBuilds relationshipsRemedial skill building
2002
Successful Child Narratives
Teaches valuesReinforces cause and effect thinkingPresents alternative behaviorsExplains basics of “How To Do” life
2002
Narrative Themes
From the first, you were a child that deserved to be loved and cared for by parents you could
trust.
2002
Narrative Themes
Even though you experienced abuse,
abandonment, neglect, you deserved to be loved
and cared for by responsible parents.
2002
Narrative Themes
Your problem behavior does not define your value and we will be there to love
and support you as you make changes.
2002
Program Outcomes
2002
Data Collection Plan
Prior toStart ofProgram
30 DaysAfter
Starting
90 DaysAfter
Starting
6 MonthsAfter
Starting
12 MonthsAfter
Starting
Child Behavior Rating Scale
Achenbach Child BehaviorChecklist
Vineland
Parent Stress Index
Satisfaction Survey
2002
Child Behavior Rating Scale
Examines four diagnoses Conduct Disorder Oppositional Defiant Disorder Attachment Disorder Attention Deficit Hyperactivity Disorder
Compares parent report of child behavior to diagnostic criteria from DSM IV
2002
Pre Treatment and 30 Days After
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
CD ODD RAD ADHD
Diagnosis
Pe
rce
nt
Pre Treatment 30 Days After
Pre Post CBRS
Pre Treatment and 12 Months After
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
CD ODD RAD ADHD
Diagnosis
Per
cen
t Q
ual
ifyi
ng
Pre Treatment 12 Months After
2002
Achenbach CBCL
Total Score2 Broadband Measures-
Internalizing and Externalizing
8 Syndromes-Withdrawn, Somatic, Anxious/Depressed, Social, Thought, Attention, Delinquent, Aggressive
2002
Significant Change CBCL
Pre-Post CBCL Scores
67.3
72.974.4
58.3
64.2 65.3
50.0
60.0
70.0
80.0
Internal External Total
Scale
CB
CL
T s
co
re
Pre
Post
N=69All differences significant at 99% level.
2002
Client Satisfaction
98% Believe program helped parent child better
98% Would recommend program to others
94% Believe program helped them parent child better
N=60
2002
Additional Resources
Parenting with Stories: Creating a foundation of attachment for parenting your child available at conference bookstore and website
Forthcoming book for professionals and parents
Speaking and trainingWebsite: www.familyattachment.com
2002
Family Attachment Center18322C Minnetonka BlvdDeephaven, MN 55391
952-475-2818
www.familyattachment.com