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Building the Bonds of Attachment

A highly accessible resource for students and professionals as well as parents, Building the Bonds of Attachment presents a composite case study of one child's developmental course following years of abuse and neglect. Weaving theory and research into a powerful narrative, Hughes offers effective methods for facilitating attachment in children who have experienced serious trauma. The text emphasizes both the specialized psychotherapy and parenting strategies often necessary in facilitating a child's psychological development and attachment security. Hughes steps through an integrated intervention model that blends attachment and trauma theories with the most current research as well as general principles of both parenting and child and family therapy. Thoughtful and practical, the third edition provides an invaluable guide for therapists and social workers, students in training, and parents. Updates to the Third Edition include: *Coverage of the greater preparation given to both the therapist and parent before the onset of the treatment and placement based on our understanding of how the attachment histories of both the parents and therapists impact their engagement with the child *Introduction of the concept of blocked care to better understand the challenges of raising a traumatized child with attachment difficulties *Introduction of the classification of developmental trauma that is now commonly used to describe the challenges faced by children such as Katie *Expanded coverage of intersubjectivity with demonstrations throughout the book as to its impact on the development of the child *Stronger development of the therapeutic and parenting stance of PACE (playful, accepting, curious, empathic) since this has become a strong organizing principle for training both therapists and parents using the dyadic developmental psychotherapy (DDP) model *Updated examples of the components of DDP (affective-reflective dialogue, follow-lead-follow, interactive repair, deepening the narrative) and a discussion of the ties between DDP and new research in interpersonal neurobiology
Product Details

Table of Contents

1. General Principles of Parenting and Therapy 2. The Abuse and Neglect of Katie 3. Ruth Daley, Foster Home #1 4. Karen Miller, Foster Home #2 5. Susan Cummings, Foster Home #3 6. What Can Be Done? 7. Choosing a New Approach 8. Jackie Keller, Foster Home #4 9. Life with Jackie 10. The Quilt 11. Saying No to Jackie 12. Thanksgiving Dinner 13. Jackie and Her Mother, Ruth 14. Winter in Maine 15. Maine District Court 16. The Coming of Spring 17. A New Summer 18. Fear and Joy

About the Author

Daniel A. Hughes, PhD, is a clinical psychologist who specializes in child abuse and neglect, attachment, foster care, and adoption. He actively trains other therapists in the model of treatment known as Dyadic Developmental Psychotherapy, both within the United States and in other countries.


"I use this book for a course I teach on Child Treatment in our MSW program. I also recommend the book to all of my master students in their advanced practice course with individuals and groups. One of the tremendous strengths of the book is its underlying ability to help guide the reader through the critical thinking process. What constitutes abuse and neglect? What are the far-reaching consequences of profound emotional and physical neglect? How does one evaluate attachment therapy? Is this working? The use of the storytelling places the critical thinking within a unique context and helps guide developing practitioners to a better understanding of very difficult principles. No matter the expertise of the reader, there is something to learn in this text, which makes the book highly valuable over time. I encourage my students to read the book at different stages of their career to maximize their understanding of attachment and the dyadic developmental psychotherapy." -- Victoria A. Fitton, Michigan State University "Katie's story triggers strong emotions from graduate students. My students cannot wait for the next chapter and often read ahead." -- Mark Beischel, Peru State College "The 'Katie book', as it is fondly called by those who have read it over the years, has captured the hearts of many people. Dan masterfully uses the story of Katie to explain and illustrate the DDP model and how it is applied both in parenting and therapy. Now, in this 3rd edition, Dan has brought the story up-to-date with new thinking and discoveries he has made in the intervening time. The ideas of blocked trust and blocked care are here illustrated in a way which conveys understanding and compassion for the children and parents affected by these difficulties. Many of us, who have known our own 'Katie's' and struggled with the challenges that they present, will draw hope and inspiration from this updated edition of Building the Bonds of Attachment.'" -- Kim S. Golding, author of Nurturing Attachments: Supporting Children Who Are Fostered or Adopted -- Kim Golding

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