Containment and Reciprocity: Integrating Psychoanalytic Theory and Child Development Research for Work with Children

Youngleson, Annemarie

doi:10.2989/jcamh.2008.20.1.9.494

Cited by 2 publications

(2 citation statements)

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“…While there are many excellent ways of working with children who have experienced developmental trauma (Douglas, 2007;Golding and Hughes, 2012;Norris, 2020;…”

Section: Discussionmentioning

confidence: 99%

An innovative approach to working with children who have experienced developmental trauma: An introduction to the Building Underdeveloped Sensorimotor Systems (BUSS®) model

Lloyd¹

2023

Adoption & Fostering

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BUSS® (Building Underdeveloped Sensorimotor Systems) is an innovative treatment model for children who have experienced developmental trauma. It is based on an understanding that just as a baby needs responsive, attuned and empathic relationships to grow and develop psychologically, attention needs to be given to the impact of the absence of these kinds of relationships on a child’s bodily development and regulation. The premise underpinning BUSS® is that these two processes – the need for an attuned caregiver and the progression through predictable stages of motor development – are inextricably linked; one cannot happen without the other. A case study is used to illustrate this innovation in practice, its frame of reference, methods and evaluation. Improvements were seen in physical development, parent–child relationships, cognitive functioning, self-esteem and confidence in parenting capacity. Consideration is given to how this model fits alongside therapies for children who have experienced developmental trauma and their families. This early evidence suggests that BUSS® is a clinically effective and cost-effective intervention that has positive benefits on physical and psychological development for children who have been impacted by early trauma. Further research will be required to establish both the consistency of outcomes and the mechanisms underlying its efficacy, especially in relation to psychological changes.

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“…While there are many excellent ways of working with children who have experienced developmental trauma (Douglas, 2007;Golding and Hughes, 2012;Norris, 2020;…”

Section: Discussionmentioning

confidence: 99%

An innovative approach to working with children who have experienced developmental trauma: An introduction to the Building Underdeveloped Sensorimotor Systems (BUSS®) model

Lloyd¹

2023

Adoption & Fostering

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“…Participants could identify a minority of cases where individuals may have experienced a quicker, safer and less-traumatic episode of care within a specialist inpatient setting than they received in the community. This is where individuals in crisis may temporarily require more restrictions or "containment" (Douglas, 2007;p33) than community placements could provide to reduce associated risks. This means community assessments and support often take place alongside much more "uncontained" and chaotic presentations than might present in settings of greater environmental and relational security (while acknowledging the potential therapeutic drawbacks of involuntary inpatient care).…”

Section: Qualitative Componentmentioning

confidence: 99%

A pragmatic mixed-methods review of changing “case-complexity” of referrals to an intensive support service

Clifford

Kemp

2020

AMHID

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Purpose “Case-complexity” is a widely used but under-explored concept across health and social care. A region’s Intensive Support Teams (ISTs) had been reporting an increase in “case-complexity”, but had not tested this hypothesis against data. This study aims to investigate this question through a pragmatic mixed-methods approach as part of a wider service evaluation. Design/methodology/approach Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD) scores were used (n = 1,766) to estimate average “case-complexity” of referrals over an eight-year sample period. Two focus groups for IST staff (n = 18) explored why “case-complexity” appears to be increasing. Participant perspectives were subjected to thematic analysis. Findings Average HoNOS-LD scores have steadily increased over the sample period, suggestive of increasing “case-complexity”. Focus groups identified three broad themes to potentially explain the increased complexity: effects of Transforming Care; people’s changing and unchanging support systems; and issues related to mild and borderline intellectual disability. Many perspectives are grounded in or supported by evidence. Research limitations/implications Implications and limitations of findings are discussed, including areas for further consideration and research. The well-designed “short-cut” is promoted as a strategy for busy professionals in need of practice-based evidence but with limited research time and resources. Originality/value The findings and discussion will be of value to anyone involved in the design, commissioning and delivery of mental health and challenging behaviour services to people with intellectual and developmental disabilities (IDD) under Transforming Care. Study methodology is easily replicable to build broader picture about “case-complexity” among UK’s IDD population.

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Containment and Reciprocity: Integrating Psychoanalytic Theory and Child Development Research for Work with Children

Cited by 2 publications

References 0 publications

An innovative approach to working with children who have experienced developmental trauma: An introduction to the Building Underdeveloped Sensorimotor Systems (BUSS®) model

An innovative approach to working with children who have experienced developmental trauma: An introduction to the Building Underdeveloped Sensorimotor Systems (BUSS®) model

A pragmatic mixed-methods review of changing “case-complexity” of referrals to an intensive support service

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