Treating traumatic stress in children and adolescents: How to foster resilience through attachment, self-regulation, and competency.

Margaret E. Blaustein · Kristine M. Kinniburgh

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

Abstract

Introduction. Part I: Overview. The Developmental Impact of Trauma. Child Development, the Human Danger Response, and Adaptation: A Three-part Model for Understanding Child Behaviors. The Attachment, Self-regulation, and Competency (ARC) Treatment Framework. Part II: Attachment. Caregiver Management of Affect. Attunement. Consistent Caregiver Response. Building Routines and Rituals. Beyond Attachment: The Role of the Caregiving System in Building and Supporting Regulation and Competency. Part III: Self-regulation. Affect Identification. Modulation. Affect Expression. Part IV: Competency. Strengthening Executive Functions. Self-development and Identity. Part V: Integration. Trauma Experience Integration. A Postscript. Appendix A: Provider Materials. Appendix B: Caregiver Educational Materials and Worksheets. Appendix C: Group Activities. Appendix D: Youth Educational Handouts and Worksheets. Appendix E: Milieu-systems Materials. Additional Resources.

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