Children With Attachment Disorders -
Healing the Paper Cut!
Abandoned children
often compare their abandonment or attachment issues to a paper cut in their heart, an injury
that simply never heals. For parents of such children the pain of trying to heal
the paper cut can be a life-long journey. Although there will be brief moments of
recovery and/or a belief that the child will someday move beyond the painful
memory of abandonment, the paper cut is always hanging over the child and
family like some dark cloud. The problem is that there will mostly be lows and
very few highs, which causes the parent and/or caregivers to constantly search
for a cure to heal the paper cut.
For most
parents, the search for the magic cure is ongoing, often beginning with family
therapy, which comes in the form of a trained therapist who has a specialty in
dealing with attachment disorders. The parents feel a sense of relief that maybe they will learn how to deal with
the child’s inability to trust, the child’s unpredictable moods and the child’s
intense cycles of rage. The psychotherapy, which is mostly verbal, relies on
the child’s verbal ability to trust the therapist in order to communicate his/her
unpredictable emotions arising from mistrust. An experienced therapist will
attempt to tap into the child’s brain or limbic (emotional) system via the
hippocampus, seat of trusting relationships. The purpose of trying to stimulate
the hippocampus is that the child will hopefully begin to experience a sense of
trust that was lost during the critical period of infancy, the early months
when the child bonds with his caregivers. Further, unless the child can learn a
semblance of trust, the paper cut can only get worse as the child’s social
world moves into play groups and school situations in which rudimentary social
skills are developed and required.
The opposite
brain area of the child’s hippocampus is the brain’s amygdala, which represents
the human’s survival mechanism, or a fight or
flight response so prevalent with attachment disordered children. In
other words, when placed in a constant state of survival, the child can never
bond or establish secure emotional relationships, hence the term attachment
disorder. Moreover, the more the amygdala comes into play, the more the brain’s
higher centers are short-circuited
(empathy) and learning potential and intelligence are compromised. In
addition, the chemical cortisol is secreted into the brain to further
accentuate the child’s fight or flight mechanism. Therefore, like a metronome
echoing the words: they don’t like me; they will never accept me;
they will abandon me if I fail -- the child’s never ending cycle for
emotional survival is the paper cut or black cloud that is always lurking. (This
is precisely why so many children suffering from attachment disorder have so
much difficulty in school, particularly during adolescence when identity and
social relationships dominate).
Moreover, when
one’s interpretation of social relationships is associated with fight or flight,
another problem can develop and associated with the right or non-verbal side of
their brain. This problem can be a serious detriment to such children’s
learning potential and intelligence, especially when placed in traditional
school environments where learning is predominantly a left-brain, logical,
linear and mathematical endeavor. Not surprising, many children of this ilk
often have weak focusing skills (the right side of the brain is associated with
spatial intelligence), which is why they are often misdiagnosed as bi-polar,
ADD or ADHD?
As a result,
some parents will intelligently choose to turn to art therapy to heal the paper
cut. The art therapist will address the child’s mistrust and let the child draw
his/her emotions out on paper as a strategy to talk about their drawings. For
the child, the drawings serve as spokesperson to mistrust and their non-verbal
personality. For younger children the therapist can use sand tray as another strategy toward
stimulating trust and communication. With sand tray the therapist provides the
child with miniature figures to use in a sandbox-like environment as a strategy
to connect the child’s feelings with play. Finally, sand tray as art therapy is
an excellent avenue to stimulate the child’s visual and kinesthetic intelligences (see Montessori and Steiner school curriculi).
Another group of
parents turn to neurofeedback, a successful method that
helps the child learn how to self regulate
his brain by viewing videos of nature etc.
(Neurofeedback has been supported by the American
Association of Pediatrics as having Level 1
efficacy (top ranking) in application to ADHD). The success of neurofeedack is that it
rewards the child’s brain when it is focused and inhibits or reminds the child
when they are distracted or unfocused. After a series of 30 to 45 minute
sessions the child’s brain begins to change (plasticity) from being unfocused,
overly aroused and fearful, to one associated with less arousal and control.
The ability to experience control, especially with attachment-disordered
children, is a powerful experience for such children. Now it is the hippocamus
rather than the amygdala that is stimulated, allowing the child to form
positive attachments (bonding) and a connection to the higher centers of the brain
associated with empathy and executive thinking.
The above therapies
represent the journey most parents of children with attachment disorders often
follow for a cure to the paper cut and a persistent sentence of mistrust.
The bottom line is for parents to look for long-term solutions, rather
than temporary solutions in order to heal the child’s paper cut.
Dr. David Sortino, a psychologist and
current Director of Educational Consulting and Testing, a private
consulting company catering to teachers, parents, students.