Attachment-Focused Family Play Therapy: An Intervention for Children and Adolescents after Trauma
I: Neurobiology of Trauma, Attachment, Behaviors, and Emotion RegulationRationale for an Attachment-based Family Play Therapy Approach Integrating Play and Expressive ArtsThree Decades of Research on Trauma and Attachment Neurobiology: An OverviewFamily Systems Theory and Attachment TheoryAttachment and the Development of an Integrated SelfRationale for Integrating Play and Family into the Treatment ProcessIntegrating Play and Expressive Therapies with FamiliesIntegrating Attachment-based Treatment and Expressive TherapiesOverview of the Treatment ModelReferencesThe Neurobiology of Trauma, Behavior, and Co-RegulationReptilian or Primitive BrainLimbic SystemCortex: The Master MapmakerFrontal CortexLeft/Right BrainThe Social BrainEmpathyNeurobiology of Emotions and Affect RegulationThe Attachment and Affect Regulation ConnectionReferencesTrauma and RelationshipsRelationships and MemoryImplicit and Explicit MemoryRight Brain Processing, Affect Regulation, and TraumaDissociationDissociation as AdaptationReferencesThe Nuts and Bolts of RelationshipsAttachment Styles in ChildrenAttachment Styles in AdultsNitty Gritty of Attachment RelationshipsIntersubjectivity, Affect Attunement, Shared Attention and Shared IntentionMentalizing: Our Internal Stories of Self and OthersReferencesRepairing Ruptures in the Attachment RelationshipGood EnoughRelationship Skills Needed for Attachment RepairEmpathic AttunementReading Cues Effectively and Seeing the ChildEmpathic Responding and Recognizing Parent TriggersStructuringFlexibilityPlayfulnessReferencesII: Attachment-based Family Play Therapy: The ModelFramework of Attachment-based Family Play TherapyAttachment-based Parenting SkillsWhere to Begin“How” Skills for Creating Family SPACE“What” Skills to Use Family SPACE: The Three Rs of RelationshipGetting StartedGathering Multigenerational InformationThings to Consider When Getting StartedOverview of the Treatment FrameworkOverview of the Observational Assessment PhaseOverview of the Safety and Engagement PhaseOverview of the Realignment PhaseThe Final Phase of Treatment Is the Attunement PhaseUse of VideotapingTherapist Role and ModelingReferencesGuiding Principles of the Model for ImplementationCore Principles of Attachment-based Family Play TherapyFamilies Are Generationally ComplexChildren Innately Desire to Have a Positive Relationship with Their Parents and Feel Connected to Their Siblings to Have a Sense of BelongingChildren Thrive When They Have a Positive Loving Relationship with Parents That Is Balanced with Structure and Limit Setting by ParentsParents Provide the Foundation for Developing a Healthy Sense of Self and Developing a Sense of SecurityAn Effective Parent Is a Self-aware ParentParents Provide the Foundation for Learning to Regulate EmotionsOur Biology Directs Our Behavior and Is Heavily Influenced by EnvironmentReferencesObservational Assessment PhasePurpose of the Observational Assessment PhaseObjectives Achieved during This PhaseRole of Therapist during Observational Assessment PhasePurpose of the InterventionsChoosing Play and Expressive Therapy InterventionsIdentifying Relationship PatternsParent Coaching SessionReferencesSafety and Engagement PhasePurpose of the Safety and Engagement PhaseTasks to Accomplish during This Phase and Choosing InterventionsCase Illustration with Bubbles for Deep BreathingTherapist’s Role during Engagement and Safety PhaseParent Coaching SessionReferencesRealignment PhasePurpose of the Realignment PhaseRole of TherapistsTasks to Accomplish in This Phase of TreatmentChoosing InterventionsParent Coaching SessionsReferencesAttunement Phase and TerminationPurpose of the Attunement PhaseTasks to AccomplishHelping Families Terminate TreatmentTherapist’s RoleChoosing Interventions in the Attunement PhaseParent Coaching SessionsReferencesClinical Considerations When Working with Traumatized FamiliesWorking with Challenging FamiliesWhen Additional Services Are NeededCultural ConsiderationsReferencesResources for Play and Expressive Arts Family Play Therapy Interventions