Скачать книгу

Model (ECTM). It has changed and morphed since co-author Jeff Merkert began using storytelling to illustrate the impact of trauma on developing infant brains and internal beliefs working with client families. Over the years, Jeff has perfected the presentation and provides it to families and their support systems. We struggled with naming it. Faye gravitates to emotional work and Jeff to cognitive work; thus the name. The story links neurology, the impact of trauma on the brain and the damage created with attachment disruptions.

      In this chapter, keys to success and goals are clearly defined and parents are instructed in interactive skills with their children. These are the foundations to navigate healing, without which treatment will not be successful. Please remember this is relational and emotional work, not behavioral.

       Keys to Success

       1. Parents explore their own emotional and cognitive world. Some of our most successful families are those who have explored their own history. They’ve done or, even better, are still doing, the hard work of examining their own fears and changing their response to them. These parents have empathy for their child and can be an encouragement as the child is challenged to do the same. Parents with a trauma history that is not explored or integrated into their narrative tend to be punitive and demeaning. Some have stated that “I got over it, why can’t they?” This lack of empathy prevents co-regulation between parent and child.

       3. Parents model for their children ways to explore their emotional and cognitive world. Parents know that their children follow the parents’ model much more than their words. Children with early trauma are always watching their parents to maintain a sense of safety. This hyper-vigilance drives the child to learn from the parent’s behavior, on a deep, experiential level, much more than the many lectures parents tend to give.

       4. Parents use interactive repair. Parents are the adults in the relationship. They should model appropriate behaviors for their children. Interactive repair demonstrates how to repair relationships. Parents have to demonstrate for their children the skills they want them to use. These skills are not gained by lectures or demands. Sometimes, parents state their child was wrong and the relationship cannot be healed until the child “takes responsibility and apologizes.” This stance assumes the child is reflective, evaluates the behavior as wrong and desires to repair the relationship, all of which are higher-level thinking skills and require a healthier internal working model.

       5. Parents build the environment to support the child’s development of healthier affect regulation and healthier views of self, others and the world. The environment will either support or hinder healing. The essence of parenting is simply the agreement to supply the growing environment for our children. Chapter 16 has suggestions for environment interventions.

       6. Parents recognize and label their child’s fear level. Parents learn to read their infants’ internal states. Now, the task is reading a child’s internal state that has grown to avoid even the perception of fear. Hurt children often take great care in keeping others from knowing their thoughts and emotions. For healing to begin, parents must recognize their child’s fears and label the emotions for the child. These skills will be new to the child and may initially create more fear.

       8. Parents reduce the use of cognitive interventions during emotional responses. As parents use the ECTM, they will understand the neurological impact of trauma and the brain’s response to triggers. When a child has an emotional response, the brain has less ability to process or respond to cognitions.

       9. Parents label emotional states and notice the increased cognition. As parents read and label their child’s emotions and offer comfort, the child’s brain may become less emotionally flooded and be freed up to have increased cognition. The goal is for the child to notice how his or her body changes with/without stress. Complex early trauma causes children to avoid feelings of fear and sadness. In the early stages of life, the baby’s brain was dependent upon the caregiver’s brain to facilitate moving out of “fear.” If the relationship with the caregiver did not prompt this change of state, children will lack a dependable means of regulating emotions. They feel as if any small fear could wind up being overwhelming! Since they have no experience with modulating and changing emotions, they default to avoidance. Consequently, such children grow to have just two “emotions,” mad and more mad! We as parents must demonstrate that first we and then they can feel fear and sadness and then stop feeling it. We all have a wide variety of tools we use to accomplish this for ourselves. It is very hard to teach these skills to little brains that have already learned to avoid those feelings as a survival skill.

       10. Parents explain what their child experiences without shame or blame. Parent self-regulation is important with this intervention. The parent’s task is to relay what is going on with the child, separate from their frustration about the problematic behaviors that may have occurred. They can use storytelling or just describe the events as if they were talking to a younger child.

       11. Parents use “helpful statements” to assist their child in internalizing a healthier sense of self. Interventions are provided in chapters 16 and 17.

       13. Parents accept, enjoy and parent their child at his or her developmental level. These children

Скачать книгу