By John W. Pearce PhD, Terry Dianne Pezzot-Pearce PhD
Now in a revised and up to date moment variation, this universal guidebook and textual content combines idea, examine, and functional scientific concepts. supplied is a considerate framework for figuring out the developmental impression of maltreatment; assessing the original wishes of every baby and relations; construction a robust healing dating; and imposing various potent interventions. Reflecting major fresh advances that experience happened in baby treatment, the second one variation provides better emphasis to empirically supported remedies. It additionally beneficial properties many new scientific illustrations; the newest wisdom on attachment issues, posttraumatic pressure ailment, and sexual habit difficulties; extended insurance of culturally delicate evaluate, and extra.
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Extra info for Psychotherapy of Abused and Neglected Children, Second Edition
Clinicians may have to modify their interventions to accommodate children with receptive or expressive language difficulties. INTERNALIZING PROBLEMS Internalizing problems, including PTSD, other anxiety-related symptoms, and depression, are further manifestations of disturbances in self-regulation and are associated with various types of maltreatment. PTSD and Other Anxiety Problems The characteristics and etiology of PTSD have received considerable attention in the literature. Although initial work focused on adult survivors of traumatic events, there is now a significant body of work examining children with PTSD, including those who were maltreated.
A typology of this sample revealed that the sexual abuse of those youngsters who exhibited planned, coercive, interpersonal sexual behavior was marked by discomfort, self-stimulation and arousal, and a high degree of participation by the child (Hall, Mathews, & Pearce, 2002). Although Silovsky and Niec (2002) found that a majority of preschoolers with SBPs did not have a history of sexual abuse, a substantial number of children in their sample had been physically abused (47%) and/ or had witnessed interparental violence (58%).
The child’s experience of caretaking and subsequent development of attachment patterns have particular relevance for the emergence of the self. The young child who receives good care 32 PSYCHOTHERAPY OF ABUSED AND NEGLECTED CHILDREN internalizes these experiences and develops a sense of self as worthy, lovable, and deserving of this care and love (Bowlby, 1973). Caregiving that is sensitive to the child’s idiosyncratic needs reinforces a greater awareness of self. Furthermore, the young child who is securely attached to a caregiver can use that person as a secure base from which to explore the environment.