Developing self‐regulation in a dysregulating world: Attachment and Biobehavioral Catch‐up for a toddler in foster care

Imrisek, Steven D.; Castaño, Katerina; Bernard, Kristin

doi:10.1002/jclp.22642

Cited by 6 publications

(3 citation statements)

References 21 publications

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“…Three main parenting targets are addressed during the intervention, namely nurturing the child when distressed, following the child’s lead (synchronous behavior), and behaving in nonfrightening ways ( Dozier and Bernard, 2017 ). In ABC-T for toddlers the third target is replaced by helping the caregivers to serve as co-regulators when toddlers show signs of dysregulation as, e.g., anger or frustration or aggressive behavior ( Lind et al, 2017 ; Imrisek et al, 2018 ). It could be shown that the ABC intervention led to enhanced caregivers’ synchronous behaviors and improved attachment behavior, cortisol production, and executive functioning in the child ( Dozier et al, 2013 ).…”

Section: Resultsmentioning

confidence: 99%

Interpersonal neural synchrony and mental disorders: unlocking potential pathways for clinical interventions

Konrad,

Gerloff,

Kohl

et al. 2024

Front. Neurosci.

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IntroductionInterpersonal synchronization involves the alignment of behavioral, affective, physiological, and brain states during social interactions. It facilitates empathy, emotion regulation, and prosocial commitment. Mental disorders characterized by social interaction dysfunction, such as Autism Spectrum Disorder (ASD), Reactive Attachment Disorder (RAD), and Social Anxiety Disorder (SAD), often exhibit atypical synchronization with others across multiple levels. With the introduction of the “second-person” neuroscience perspective, our understanding of interpersonal neural synchronization (INS) has improved, however, so far, it has hardly impacted the development of novel therapeutic interventions.MethodsTo evaluate the potential of INS-based treatments for mental disorders, we performed two systematic literature searches identifying studies that directly target INS through neurofeedback (12 publications; 9 independent studies) or brain stimulation techniques (7 studies), following PRISMA guidelines. In addition, we narratively review indirect INS manipulations through behavioral, biofeedback, or hormonal interventions. We discuss the potential of such treatments for ASD, RAD, and SAD and using a systematic database search assess the acceptability of neurofeedback (4 studies) and neurostimulation (4 studies) in patients with social dysfunction.ResultsAlthough behavioral approaches, such as engaging in eye contact or cooperative actions, have been shown to be associated with increased INS, little is known about potential long-term consequences of such interventions. Few proof-of-concept studies have utilized brain stimulation techniques, like transcranial direct current stimulation or INS-based neurofeedback, showing feasibility and preliminary evidence that such interventions can boost behavioral synchrony and social connectedness. Yet, optimal brain stimulation protocols and neurofeedback parameters are still undefined. For ASD, RAD, or SAD, so far no randomized controlled trial has proven the efficacy of direct INS-based intervention techniques, although in general brain stimulation and neurofeedback methods seem to be well accepted in these patient groups.DiscussionSignificant work remains to translate INS-based manipulations into effective treatments for social interaction disorders. Future research should focus on mechanistic insights into INS, technological advancements, and rigorous design standards. Furthermore, it will be key to compare interventions directly targeting INS to those targeting other modalities of synchrony as well as to define optimal target dyads and target synchrony states in clinical interventions.

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Section: Resultsmentioning

confidence: 99%

Interpersonal neural synchrony and mental disorders: unlocking potential pathways for clinical interventions

Konrad,

Gerloff,

Kohl

et al. 2024

Front. Neurosci.

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show abstract

“…Three main parenting targets are addressed during the intervention, namely nurturing the child when distressed, following the child's lead (synchronous behavior), and behaving in nonfrightening ways (Dozier and Bernard, 2017). In ABC-T for toddlers the third target is replaced by helping the caregivers to serve as coregulators when toddlers show signs of dysregulation as e.g., anger or frustration or aggressive behavior (Lind et al, 2017;Imrisek et al, 2018). It could be shown that the ABC intervention led to enhanced caregivers' synchronous behaviors and improved attachment behavior, cortisol production, and executive functioning in the child (Dozier et al, 2013).…”

Section: Reactive Attachment Disorder (Rad)mentioning

confidence: 99%

Interpersonal Neural Synchrony and Mental Disorders: Unlocking Potential Pathways for Clinical Interventions

Konrad,

Gerloff,

Kohl

et al. 2023

Preprint

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“…Throughout the 10‐week intervention, coaches provide “in the moment” comments to highlight examples of responsive caregiving, connect parent behaviors with intervention targets and child outcomes, and suggest appropriate parent responses to child behaviors (Dozier et al, 2018; Hoye, and Dozier, 2018). Although originally developed for infants in foster care, more recent adaptations of ABC target neglected children who are not in foster care, international adoptees, toddlers in foster care, and neglected toddlers (Dozier et al, 2018; Imrisek et al, 2018).…”

Section: Interventions To Address Behavioral and Neurobiological Funcmentioning

confidence: 99%

Early adversity, child neglect, and stress neurobiology: From observations of impact to empirical evaluations of mechanisms

Blaisdell

Imhof

Fisher

2019

Intl J of Devlp Neuroscience

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Research on the effects of early life adversity, and in particular on the absence of responsive caregiving, has shown long‐term impacts on well‐being and development. These investigations have been conducted both in human populations and in animal models. The work has demonstrated that neglect experienced in the early years can affect not only behavior but also neurobiological functioning. In particular, studies of children in the foster care system show convergence with research on children adopted following institutional rearing in terms of dysregulation of the hypothalamic‐pituitary‐adrenal (HPA) axis, which produces the neuroendocrine hormone cortisol. The characteristic pattern that has been most commonly observed involves diminished diurnal cortisol production, particularly in terms of low levels of cortisol upon awakening. Notably, however, a number of evidence‐based interventions for infant, toddler, and preschool‐aged foster children have been shown to produce more typical patterns of cortisol production, in combination with improved behavioral, socioemotional, and foster care placement outcomes. In this paper, we review the literature on the effects of early disruptions in care on biobehavioral development, and summarize the results of the interventions for young foster children.

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Developing self‐regulation in a dysregulating world: Attachment and Biobehavioral Catch‐up for a toddler in foster care

Cited by 6 publications

References 21 publications

Interpersonal neural synchrony and mental disorders: unlocking potential pathways for clinical interventions

Interpersonal neural synchrony and mental disorders: unlocking potential pathways for clinical interventions

Interpersonal Neural Synchrony and Mental Disorders: Unlocking Potential Pathways for Clinical Interventions

Early adversity, child neglect, and stress neurobiology: From observations of impact to empirical evaluations of mechanisms

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