scholarly journals From the Shadow to the Light: Navigating Life as a Mother with a History of Substance Use and Parenting a Child Healing from Early Childhood Trauma

2020 ◽  
Author(s):  
Linda M. Perez ◽  
Suzi E. Desmond ◽  
Cheryl J. Sundheim

We report on an innovative in-patient residential recovery program that serves as a model for those who treat low-income women with substance use and psychiatric problems and their children. The case discussed details the psychotherapeutic treatment of a mother and child that was carried out within the protection of the program’s seeking safety, trauma informed model of care. The treatment demonstrates the sensitive care that is needed when working with a young child with a history of early childhood trauma and the favorable ways that holding the mother in mind freed her to be emotionally available to her son. In this situation, the therapist provided an emotionally-attuned interpersonal therapeutic relationship and created features of safety in the environment that helped the child develop an emerging reorganized protective structure to safely explore his fears. The mother and child can follow a course of recovery from traumatic experiences within the context of favorable conditions, thereby interrupting the intergenerational dynamics of early relational trauma.

2019 ◽  
Vol 35 (1) ◽  
pp. 37-50
Author(s):  
Paulina Jaworska-Andryszewska ◽  
Janusz Rybakowski

The current pathogenic paradigm of mood disorders proposes a model of gene-environment interaction, linking genetic predisposition, epigenetic regulation and effects of the environment. Among multiple environmental factors, the experience of childhood trauma can be connected with the pathogenesis and course of bipolar disorder (BD) as well as play a role in its pharmacological and psychotherapeutic treatment. Genetic predisposition and epigenetic factors are significant factors that shape the mechanisms of the influence of childhood trauma on the occurrence and course of BD in adulthood. By examining the influence of a number of genes on genetic predisposition, evidence was obtained that the most important genes in this respect are the serotonin transporter gene and the FKBP5 gene. Neurobiological effects can also involve epigenetic mechanisms such as DNA methylation, which can exert an effect on brain function over long-term periods. Moreover, the paper discusses the significance of early childhood trauma in therapeutic management of bipolar disorder. Negative childhood experiences can be connected with difficulties in pharmacological treatment, such as resistance to treatment with antidepressants and mood-stabilisers. Psychotherapeutic methods that directly or indirectly address early childhood trauma play an important role in the treatment of patients suffering from bipolar disorder, who have experienced such events. Among these methods, the most promising data were obtained for psychoeducation and cognitive-behavioural therapy. It appears that psychotherapy should be considered in every patient with the experience of early childhood trauma. Psychotherapeutic management combined with pharmacotherapy significantly improves the results of pharmacological treatment.


2019 ◽  
Vol 9 (2) ◽  
pp. 132-144 ◽  
Author(s):  
Áurea M Vericat Rocha ◽  
Claudia W Ruitenberg

While it should be obvious on moral grounds that abusing children in any shape or form is wrong, biological, medical and economic arguments have been necessary to bring attention to the long-standing impact of early childhood trauma. In particular, stemming from the mental health field, a trauma-informed approach seems to have become a privileged way to understand and attend to children exposed to an array of traumatic experiences. However, the introduction of such an approach is relatively recent and its implementation still needs to be explored. In this article, the authors describe some of the possible contributions and limitations of a trauma-informed approach to early childhood educators’ practice. They highlight the risks involved in privileging children’s socialization to the detriment of their subjectification and underscore the need to broaden dominant approaches to early childhood trauma by assuming an ethical responsibility towards children. To guide educators in the necessary endeavour of encountering each child as an infinite Other, the authors found inspiration in the work of Lithuanian-French philosopher Emmanuel Levinas.


2017 ◽  
Vol 8 (1) ◽  
pp. 1322892 ◽  
Author(s):  
Mia Scheffers ◽  
Maike Hoek ◽  
Ruud J. Bosscher ◽  
Marijtje A. J. van Duijn ◽  
Robert A. Schoevers ◽  
...  

2013 ◽  
Vol 47 (5) ◽  
pp. 664-669 ◽  
Author(s):  
Stefan Kempke ◽  
Patrick Luyten ◽  
Stephan Claes ◽  
Peter Van Wambeke ◽  
Patrick Bekaert ◽  
...  

2017 ◽  
Vol 21 (1) ◽  
pp. 83-96 ◽  
Author(s):  
Christy Owen

There are two competing schools of thoughts involving children who have experienced early childhood trauma. One posture’s nosology focuses on the post-traumatic stress responses; the other focuses on the deviant behaviors that ensue from pathogenic care in early childhood. This author sought to review the literature from a holistic perspective, embracing both diagnostic positions. Seventy-three articles addressing childhood trauma and the ensuing emotional or behavioral disturbances were evaluated, mostly empirical—including 16 that specified posttraumatic stress disorder (PTSD), 21 that specified attachment disorders, and 37 that included potential overlaps between both trauma derivatives. An additional 138 studies were reviewed but not included herein because those focused on broader issues. Statistical data, financial and emotional impacts, and the effects of disrupted attachments were addressed—including both children with secure attachments and those with compromised attachments. The critical effect of both positive and negative parental responses was evaluated, as well as correlations or overlaps in the diagnostic criteria and symptom manifestations of the children and any apparent gaps in the current research. The literature details that the prognosis and course of treatment vary significantly between the two etiologies—apparently at least in part due to possible clinician bias in conceptualizations of the two populations. There are clear overlaps in the diagnostic criteria that strongly suggest comorbidity between the disorders, however, which is especially critical to analyze in the future, since there are solid, empirical, evidence-based treatment protocols for PTSD, but not for attachment disorders resulting from pathogenic caregiver maltreatment.


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