From the founder of DDP, this updated and comprehensive guide is the authoritative text on DDP. DDP is an attachment-focused treatment for children and adolescents who experience abuse and neglect and who are now living in stable foster and adoptive families. Its central interventions are influenced by enhanced knowledge about the structure and functions of the brain, as well as the latest findings regarding developmental trauma and the related attachment problems it brings.

From the founder of DDP, this updated and comprehensive guide is the authoritative text on DDP. DDP is an attachment-focused treatment for children and adolescents who experience abuse and neglect and who are now living in stable foster and adoptive families. Its central interventions are influenced by enhanced knowledge about the structure and functions of the brain, as well as the latest findings regarding developmental trauma and the related attachment problems it brings.

Over fifty years ago, John Bowlby and Mary Ainsworth’s research on the developmental psychology of children formed the basic tenets of attachment theory. And for years, following these tenets, the theory’s focus has been on how children develop vis-a-vis the attachments—whether secure or insecure—they form with their caregivers. In the therapy room, this has meant working with individuals one-on-one, with the therapist assuming the role of the attachment figure in order to provide a secure base for treating clients’ problems that arose from troubled interpersonal relationships in childhood. Here, Daniel A. Hughes, an eminent clinician and attachment specialist, is the first to expand this traditional model, applying attachment theory to a family therapy setting. Drawing on more than 20 years of clinical experience, Hughes presents his comprehensive, effective, and accessible treatment model for working with all members of a family—not simply the individual in question—to recognize, resolve, and heal personal and family problems using principles from theories of attachment and intersubjectivity. Beginning with an overview of attachment and intersubjectivity—the twin theories from which he forms his treatment plan—Hughes carefully outlines, chapter by chapter, the core principles and strategies of his family-based approach. He elaborates on the need to develop and maintain PACE (playfulness, acceptance, curiosity, and empathy)—the central therapeutic stance of attachment-focused family therapy—and supplies tips and sample dialogues for implementing this position. The importance of fostering affective/reflective (a/r) dialogue is covered in detail, as well as helping families to manage shame, understand and embrace the break-and-repair cycle of their interactions, and explore and resolve childhood trauma. Also discussed are the more procedural issues of how to incorporate parents into therapeutic conversations, when and how to question them on their own attachment histories, and how to “be” with children. Grounded in the fundamental principle of parents facilitating the healthy emotional development of their children, Attachment-Focused Family Therapy is the first book of its kind to offer therapists a complete manual for using attachment therapy with families. Extensive case studies, vignettes, and sample dialogues throughout clearly demonstrate how Hughes’s model plays out in the therapy room. By showing therapists how to create a bond of psychological safety and intersubjective discovery with parents and caregivers, Hughes reveals how they, in turn, can bring about similar experiences of safety and discovery for their children.

This book will be of use to social workers, therapists and parents striving to assist poorly attached children. It is a narrative, composite case study of the developmental course of one child. The author blends attachment theory, research and trauma with general principles of parenting and family therapy to develop a solid model for intervention. It will prove a practical guide for all adults trying to help high-risk youth.

Troubled children need special parenting to build attachments and heal from trauma. This book provides a parenting model that parents and carers can follow to incorporate love, play, acceptance, curiosity and empathy into their parenting. These elements are vital to a child's development and will help children to feel confident, secure and happy.

An expert clinician brings attachment theory into the realm of parenting skills. Attachment security and affect regulation have long been buzzwords in therapy circles, but many of these ideas—so integral to successful therapeutic work with kids and adolescents— have yet to be effectively translated to parenting practice itself. Moreover, as neuroscience reveals how the human brain is designed to work in good relationships, and how such relationships are central to healthy human development, the practical implications for the parent-child attachment relationship become even more apparent. Here, a leading attachment specialist with over 30 years of clinical experience brings the rich and comprehensive field of attachment theory and research from inside the therapy room to the outside, equipping therapists and caregivers with practical parenting skills and techniques rooted in proven therapeutic principles. A guide for all parents and a resource for all mental health clinicians and parent-educators who are searching for ways to effectively love, discipline, and communicate with children, this book presents the techniques and practices that are fundamental to optimal child development and family functioning—how to set limits, provide guidance, and manage the responsibilities and difficulties of daily life, while at the same time communicating safety, fun, joy, and love. Filled with valuable clinical vignettes and sample dialogues, Hughes shows how attachment-focused research can guide all those who care for children in their efforts to better raise them.

The call for trauma-informed education is growing as the profound impact trauma has for the children’s ability to learn in traditional classrooms is recognized. For children who have experienced abuse and neglect their behavior is often highly reactive, aggressive, withdrawn or unmotivated. They struggle to learn, to make positive relationships or be influenced positively by teachers and school staff. Students become more and more at risk for mental health difficulties. Teachers become more and more frustrated and discouraged as they attempt to teach this vulnerable group of students. Even though it is relationships that have hurt students with developmental trauma, it is known that they must find safe relationships to learn and heal. Forming those relationships with children who have been hurt and no longer trust adults is not easy. This book focuses on three important and comprehensive areas of theory and research that provide a theoretical, clinical, and integrated intervention model for developing the relationships and felt sense of safety children with developmental trauma need. Using what is known from attachment theory, intersubjectivity theory, and interpersonal neurobiology, the reader is helped to understand why children behave in the challenging ways they do. This book offers successes and ongoing challenges as a means to continue the conversation about how best to support some of our most at-risk youth.

Nurturing Attachments combines the experience and wisdom of parents and carers with that of professionals to provide support and practical guidance for foster and adoptive parents looking after children with insecure attachment relationships. It gives an overview of attachment theory and a step-by-step model of parenting which provides the reader with a tried-and-tested framework for developing resilience and emotional growth. Featuring throughout are the stories of Catherine, Zoe, Marcus and Luke, four fictional children in foster care or adoptive homes, who are used to illustrate the ideas and strategies described. The book offers sound advice and provides exercises for parents and their children, as well as useful tools that supervising social workers can use both in individual support of carers as well as in training exercises. This is an essential guide for adoptive and foster parents, professionals including health and social care practitioners, clinical psychologists, child care professionals, and lecturers and students in this field.

What potential does psychotherapy have for mediating the impact of childhood developmental trauma on adult life? Combining knowledge from trauma-focused work, understandings of the developmental brain and the neurodynamics of psychotherapy, the authors explain how good care and poor care in childhood influence adulthood. They provide scientific background to deepen understanding of childhood developmental trauma. They introduce principles of therapeutic change and how and why mind-body and brain-based approaches are so effective in the treatment of developmental trauma. The book focuses in particular on Pesso Boyden System Psychotherapy (PBSP) which uniquely combines and integrates key processes of mind-body work that can facilitate positive change in adult survivors of childhood maltreatment. Through client stories Petra Winnette and Jonathan Baylin describe the clinical application of PBSP and the underlying neuropsychological concepts upon which it is based. Working with Traumatic Memories to Heal Adults with Unresolved Childhood Trauma has applications relevant to psychotherapists, psychologists and psychiatrists working with clients who have experienced trauma.

A practical guide to implementing the rich theory of attachment for treating mental health challenges in children. This book both explains and illustrates how the practice of child mental health professionals can be enhanced, whatever their treatment approach, to encourage engagement, resilience, and development in children with mental health problems. Alongside practical recommendations, Daniel Hughes and Ben Gurney-Smith use dialogue from clinical work to illustrate applications of these principles from Dyadic Developmental Psychotherapy as well as other attachment-based practices with parents and children. This “little book” will demystify how attachment theory—one of today’s most in-demand approaches—can actually be brought into clinical work. Topics include regulating emotional states; repairing ongoing relationships; establishing an attachment-based therapeutic relationship; accepting a child’s inner life; assessing the caregiver’s need for safety, regulation, and reflection; the importance of nonverbal and verbal conversations in facilitating secure attachment; and strengthening the mind of the child.