1. Attachment and the Secure Base System

2. Secure Base Self-Confidence/Exploration Perceived Threat Felt security Attachment System Signaling Proximity Seeking Safe Haven Caregiver’s Signal detection

3. The Effects of Secure Base Repeated Secure-base interactions create internalized models of relationships that are carried forward to new relationship experience experiences What to expect How to behave

4. Secure Base Effects Powerful influence on Neurobiology Emotion-Regulation and Sensory Integration Language Development Executive skills— Shifting Monitoring Labeling Problem-solving

5. Healthy Neurobiology Three interrelated systems Thinking Feeling Relating/communicating Working together in an integrated, goal-directed, collaborative fashion

6. Attachment Problems Attachment Problems—failures in the secure base system result: Defensive, maladaptive relationship models Neurobiological failure Neurocognitive deficits—lagging skills in: Thinking Feeling Relating/communicating

7. Copy Right: /Sibcy, 2005 gsibcy@Liberty.edu Most commonly referral to community mental health centers Includes: Attention Deficit Hyperactivity Disorder Oppositional Defiant Disorder Conduct Disorder

8. Oppositional Defiant Disorder Symptoms Temper tantrums Arguing with adults Questioning rules Active defiance and refusal to comply with rule Deliberate attempts to annoy Touch and easily annoyed Anger and resentment Mean and hateful when upset Spiteful attitude and revenge seeking

9. Complex Oppositional Defiant Disorder Define the problem: Meets criteria for ODD, Plus Executive skill dysfunction Emotion dysregulation—anger plus other emotions Relationship disturbances, which includes attachment system Highly resistant to traditional parenting practices

10. The Pyramid Self-Control Self Control Problem Solving Cognitive Flexibility Language Processing/Mindsight Social Skills Emotion Regulation

11. Motivation and Skills MotivationSkills

12. Adaptive Maladaptive Skills Motivation Yes No Yes No

13. Preventing explosions while enhancing secure-base and neuro-cognitive skill development

14. Goals: 1. Take parent concerns seriously 2. Take child concerns seriosly 3. Reduce Challenging Behaviors, especially Reduce Melt-Downs Destructive child’s nervous system CER’s Reinforces insecure relationship models 4. Work on Neuro-Cognitive Skills 5. Improve Secure Base

15. Secure Base Effects Powerful influence on Neurobiology Emotion-Regulation and Sensory Integration Language Development Executive skills— Shifting Monitoring Labeling Problem-solving

16. Three Pathways Compliance Interaction Pathway A Pathway C Pathway B

17. Three Pathways Compliance Interactions Pathway A—Force Adult Concern Advantages Disadvantages Pathway B—Collaborative Problem Solving Advantages Disadvantages Pathway C—Temporarily Dropping Concern Advantages Disadvantages

18. Collaborative Problem Solving: E—empathy— A—Assert— R—Respect— ----------------------------- I—Invite-- C—Collaboration—

19. Empathy Listening and understanding child concerns Helping child articulate concerns what the concern Taking concerns seriously Empathy is a reciprocal process, so you may try to empathize but if the child does not believe you understand then you have not empathized

20. Assert-- Define Problem, expressing concern or expectation Don’t mistake your solutions for concerns or expectation Appeal to rules as important principles to follow

21. Respect Work at monitoring and managing your own emotion regulation—if too upset, go to pathway C Non-contingent respect Never use disrespect as a form of punishment Avoid global, negative attributions Remain warm—avoid triggering CER’s

22. Invite asking child to generate possible solutions Avoid forcing solutions Think out loud

23. Collaboration Working with child to come up with workable solutions Help child use forsight and hindsight Model flexibility Model regulation Model respect Maintain warmth

24. Qualities of Good Solutions Mutually satisfactory Do-able Durable

25. Back to the pathways When to use A When to use C Different kinds of C’s, some are better than others Two kinds of B’s Emergence Proactive—timing is everything

26. Engaging the Repair Cycle Turning conflict into learning

27. Parenting and Mentalization