Examining Child Maltreatment Through a Neurodevelopmental Lens: Clinical Applications of the Neurosequential Model of Therapeutics

Bruce D. Perry

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Child Abuse and Trauma Psychoanalysis and Psychopathology Research Child Therapy and Development

Abstract

This article provides the theoretical rationale and overview of a neurodevelopmentally-informed approach to therapeutic work with maltreated and traumatized children and youth. Rather than focusing on any specific therapeutic technique, the Neurosequential Model of Therapeutics (NMT) allows identification of the key systems and areas in the brain which have been impacted by adverse developmental experiences and helps target the selection and sequence of therapeutic, enrichment, and educational activities. In the preliminary applications of this approach in a variety of clinical settings, the outcomes have been positive. More in depth evaluation of this approach is warranted, and is underway.

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References

2005The enduring effects of abuse and related adverse experiences in childhood 2008Dynamic spread of happiness in a large social network: longitudinal analysis over 20 years in the Framingham Heart Study 2000The Effects of Family and Community Violence on Children 1993Long-term consequences of childhood physical abuse.1993The Prevalence and Consequences of Exposure to Violence among African-American Youth 1994Poverty, Social Support, and Parental Behavior

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