Saturday, September 11, 2010

More on attachment

Attachment is one of the fundamental biological processes necessary in most animals for survival of the species like reproduction, care-giving, care-taking, feeding, and environmental awareness. Attachment has been described as operating unnoticed much like the physiological regulators that control our blood pressure and body temperature. The attachment process begins to develop in the first few months of a child's life. In developing the parent-child bond, the attachment process for the infant is the reciprocal behavior to the adult's (primarily but not always the mother figure) care-giving process. Simply stated, it is a process that operates to enhance the safety and security of the infant and to aid the infant in getting his or her needs met in humans: touch, eye contact, smiles, motion, and food.

Currently many people still believe that babies and children can recover from just about anything and that not much affects or influences them. This fallacy has helped to create many harmful beliefs and behaviors toward babies and children. How well the infant is able to get its needs met in the first year of life has much to do with the child's development not only physically but also psychologically. The process of meeting the child's needs influences whether the child develops feeling angry or happy; hopeless, helpless or hopeful; dissatisfied or satisfied; and distrustful or trustful about his or her care-givers. The child begins to understand whether his or her world is a safe place or not. It has been estimated that by the end of the first year of life the child has learned 50% and by the end of the second year 75% of everything he or she will learn in their life. Among the many things learned are how to have relationships with people, how he or she fits into the world, and methods of controlling external and internal influences over his or her life.

Children begin to develop attachment behaviors that are described as either secure or insecure. Insecure attachment behavior is further described as ambivalent, avoidant, or disoriented-disorganized depending on a behavior pattern. The pattern of attachment behavior can be influenced greatly by what happens in the child's environment. Children have the ability to attach on any level, even a traumatic one. Traumatic events can damage a secure base or therapeutic intervention can aid in reducing the damage of an insecure base. While the behaviors must be thought of as operating on a continuum, it is clear that many insecurely attached children have behaviors that can be very destructive to themselves and others. These behavior are not always apparent at first without the proper knowledge. You may want to adopt a special needs child but you need to have enough appropriate information to make your decision and to prepare for the future.

An issue that is not apparent, for example, is called the "fantasy bond." "This can occurs when children who have no conscious memory of their birth parents continue to have a longing to find their birth parents with the hope, dream, or fantasy that if their birth mother or father knew where they were, they would come for them. Out of this sense of longing, they develop a belief that they must save their love for their real' momma, the mom who gave birth to them. This tendency of children to withhold their love. . .can increase their chances of continuing to disrupt (fail) in their adoptive or foster placements, exhtmlerating feelings of abandonment and reaffirming their belief that only their birth parents could really love them. Even children who have memories of severe abuse and neglect, when in the care of their birth parents will often, later, deny this experience and fantasize a feeling of close connectedness with their birth parents. . . .they have deeply internalized their experiences of abuse, neglect, and abandonment as being their fault because there was something wrong with them. They fantasize that, if they can go back and act differently, they can then elicit the love from their birth parents that they feel is there for them" (Attachment Center at Evergreen, 1995, p. 56).

To improve your chances for a successful adoption, you need to be as fully informed and prepared as possible. Do not assume people in the adoption business "must know what they are doing." Read all you can on the subject, ask every question you have, and use every resource available to you. This is a major decision not only for you but also the child you are going to bring home. Below are suggested questions to ask yourself and others, checklists, and suggested resources. This is not everything but it is a place to start.

Questions to ask yourself

* Do we thoroughly understand the process of attachment or parent-child bonding and the consequences of children experiencing insecure attachment or broken attachments_

* Do we have the necessary commitment to make an investment in parenthood that raising a child requires_

* Do we know what kind of child we would consider bringing into our home_

* Do we have sufficient knowledge to ask the right questions about a child_

* Do we know how to establish resources before we adopt that we may need after the adoption_

* Do we have the patience to participate in pre- and post-adoption placement counseling to be prepared for the problems that will arise_

* Do we have the financial resources including adoption subsidies to raise this child_

* Does the adoption subsidy include appropriate psychotherapy and residential treatment if these become necessary_

Questions to ask agencies and caseworkers

* Is the agency willing to provide full disclosure of all records prior to adoption finalization_

* What were the circumstances that placed this child in foster care and for adoption_

* What is the history of this child_

* What kind of abuse (physical, emotional, and/or sexual) has this child endured_

* How long has this child been in foster care and what kinds_

* How many times has this child been moved since birth_

* What are the existing or potential problems for this child_

* What post-adoption intervention resources are available should problems arise_

To get more ideas about what adoptive parents need to know before adopting, read Keck and Kupecky's book Adopting The Hurt Child, especially chapter six "Dreams and Realities."

Signs of Attachment Difficulties (Birth-one)

* Failure to respond with recognition to face of primary caretaker in first six months.

* Infrequent vocalizations,babbling, crying.

* Delayed milestones,creeping, crawling, sitting.

* Resistant to physical contact or appears stressed by it,rigid and unyielding.

* Excessive fussiness and irritability.

* Passive or withdrawn.

* Poor muscle tone,flaccid

Signs of Attachment Difficulties (Ages 1-5)

* Excessively clingy and whiny.

* Persistent, frequent tantrums, sometimes escalating apparently beyond the child's control.

* High threshold of discomfort,seemingly oblivious to temperature discomfort; picks sores and scabs until bloody without manifesting pain.

* Unable to occupy self in a positive way without involving others.

* Resistant to being held.

* Demands affection in a controlling way on the child's terms.

* Intolerant of separation from primary caretakers except on the child's terms.

* Indiscriminate display of affection, sometimes to strangers.

* Problems of speech development q,Problems of motor coordination,considered accident prone.

* Hyperactivity evident

* Feeding problems

* By five, may be manipulative, devious, destructive, hurtful to pets, frequently lying.

Symptoms of Attachment Disorder (Ages 5-14)

* Superficially engaging and "charming": uses "cuteness" to get others to do what he or she wants.

* Lack of eye contact on parental terms: difficulty making eye contact with others while talking with them.

* Indiscriminate affection with strangers: goes up to strangers and becomes overly affectionate with them or asks to go home with them.

* Not affectionate on parents' terms (not cuddly): refuses affection and pushes parents away unless child is in control of how and when it is received.

* Destructive to self, others, and material things; accident prone: seems to enjoy hurting others and deliberately breaks or ruins things.

* Cruelty to animals: May included incessant teasing, physical assault, torture, or ritualistic killing.

* Stealing: steals from their home, parents, and siblings and in ways that almost guarantees getting caught.

* Lying about the obvious: lies for no apparent reason when it would have been just as easy to tell the truth.

* No impulse controls (frequently acts hyperactive): extremely defiant and angry; needs to be in control of events in his or her life; tends to boss others; responds with prolonged arguing when asked to do something.

* Learning lags: often underachieves in school.

* Lack of cause and effect thinking: surprised when others are upset by his or her actions.

* Lack of conscience: unconcerned about hurting others or destroying things.

* Hoarding or gorging food: hoards or sneaks food or has other unusual eating habits (eats paper, glue, paints, flour, garbage, etc.).

* Poor peer relationships: difficulty making friends or keeping friends more than a week; bossy in his or her play with others.

* Preoccupation with fire or gore: fascinated with or preoccupied by fire, blood, or morbid activities.

* Persistent questions and chatter: asks repeated nonsensical questions or chatters non-stop.

* Inappropriately demanding and clingy: tries to get attention by demanding things instead of asking for them; clingy or affectionate only when wanting something.

* Abnormal speech patterns: along with other more serious symptoms, may develop unusual speech patterns.

Factors that contribute to a successful adoption
McKelvey and Stevens, Adoption Crisis (1993, p. xviii)

* Youth (older children have a harder time adjusting to an adoptive home)

* A minimum number of moves and foster placements (frequent moves traumatize children)

* A permanency plan developed immediately after the child enter the system

* Preplacement services to assess the family strengths and skill, and to ease the transition

* A correct temperament match between parents and child

* Full disclosure of the child's history and a realistic appraisal of the disruption risk

* Postplacement intervention before problems become crises

* Ongoing training and support for parents, lasting through adolescence in "special-needs" adoptions.

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