Why Tokens Aren't Working

					"If you finish your chores today, you'll earn 5 more tokens and that will help you get to your goal of 25 by the weekend, Billy!" And Billy turns to his mother and says, "It's your damn house, you do the f***ing chores!", slams his door, and remains in his room the rest of the day. Using tokens as rewards or motivators for our adopted or foster children not only does not work, it often makes it worse. There are several reasons for this, all of which stem from one word: Trauma.
Trauma. Any child who has lost his biological family, either temporarily or permanently, has experienced trauma. The event or events that led to this trauma were experiences that rendered the child to feel powerless, hopeless, and/or helpless. The result of such vulnerable feelings shifts a child from a state of love to a state of fear. The child then lives from a belief system that says, "The world is unsafe. I must protect myself. No one can be trusted. I am in charge in order to protect myself. No one, and I mean no one, will tell me what to do!"When a parent is raising a child filled with fear already, adding more fear to a child through the threat of not earning tokens, can be completely ineffective and even disastrous. Brain science is showing that when children are in a state of fear, they are not operating out of their rational brains, the neocortex. Instead, they are operating from the limbic system, the emotional brain. Their decisions reflect their emotional state (fear in this example with Billy). Their interpretation of what you say to them will not be processed from a logical, sequential, or reasonable perspective. It will be processed from a perspective of fear and negativity. Thus, what Billy hears from the parent is this, "If you don't finish your chores, you won't get 5 more tokens and that means you are a failure and nobody loves you." Billy thinks in the negative, always. That's what trauma does to children. Additionally, Billy's ability to think sequentially has been compromised by trauma. Trauma happens by surprise, so children like Billy live in a hyper-vigilant place, where they have to live moment by moment. Life happens in the next 15 seconds! There is no future. They are too consumed protecting themselves in the now. They dedicate all their resources to ensuring their survival in this moment. Thus, when a parent says, "...and that will help you get to your goal of 25 by the weekend, Billy!", Billy cannot comprehend this type of sequential logic. In his world, the weekend does not even exist...there is no future. Logical and sequential language becomes confusing and irritating to him. The result is that Billy becomes more unsettled and his negative behaviors intensify. Children with histories of severe trauma literally do not have the wiring for sequential thinking in their brains because when the traumatic event(s) happened, they experienced chaos and overwhelm. Their worlds became scattered and disorganized. Nothing made sense. All stability was gone. Because this all happens during the developmental years of a child's life, the developing brain becomes wired in a haphazard and fragmented way. Additionally, the memory of the traumatic event gets stored in fragments. Billy's understanding of the world is not sequentially based and the result is that he has difficulties understanding "how the world works." This leaves Billy in a disorganized and dysregulated state until the trauma can be processed and released and until he can learn to understand the world in reality. Using tokens, point charts, stickers, or any other type of behavioral intervention does not address these deeper issues. These behaviorally based techniques are surface solutions. It's like putting a Band-Aid on a patient who is bleeding internally. Solution. What children like Billy need first is understanding. As parents, we have to start by understanding why Billy does what he does...why he reacts the way he reacts. We have to begin to trust that what our children do is perfectly logical--logical to them. When Billy says, "It's your damn house, you do the f***ing chores!", we need to get past the attitude, the cursing, and the defiance in order to get to the heart of the matter. We all agree this is inappropriate and needs to be changed, however if you try to correct Billy in the moment, you will find yourself getting sucked back into an all too familiar vortex of negativity and resistance. Read the meaning behind the words. What Billy really is saying is, "I lost my home. Nothing will ever substitute this lose, not even this home. I don't really belong here and I don't want to even try to belong here because then I would be at risk of losing again. I can't take any responsibility because that would mean I am placing myself in a position of being vulnerable again. And I can't afford to do that. It is too painful. It's much safer to argue and resist." Billy needs to experience what it feels like to be in a safe and loving relationship, above all other lessons he needs to learn. People in his past did not take responsibility for him, so he is naturally going to be resistant to taking responsibility in return. Focus on getting Billy back into a place of safety and back into a place of security before expecting him to pleasantly adhere to the requirements of your household. Use chores as an opportunity to build relationship and focus on the process of getting the chores complete. Offer to do the chores with him in order to create time with him. If he is still resistant, offer to do it for him, while he hangs out with you. Use this time just to connect, even if it means he is not helping. That will come later. Trust that if you focus on the relationship, Billy will eventually shift back to a place of helping when he gets more secure and more settled. Additionally, Billy needs to go back developmentally and learn how to think logically and sequentially. He most likely is not "just going to pick it up." It needs to learn to think in reality and rewire his brain to understand the logical flow of how the world operates. Billy needs instruction on learning that "if A happens, then B will follow, and that will result in C happening." This instruction cannot happen in the moment like in the beginning example; he is too tied to it emotionally. Billy has to be an observer in the instruction, not in the lead role where his fear will create resistance. There are various children's learning tools to teach sequential thinking and problem solving skills by reading stories or using picture cards. Using tools like these removes Billy from his own story and his own fears. They create needed distance (safety). Continual repetition of these teachings can help Billy to eventually learn how to integrate this thinking back into his own life. Yes, the "real" world does work on more of a token/reward system, but Billy is not ready for this real world...yet. Shifting your focus and your interpretation of Billy's negative behaviors will, ironically, better prepare him for the real-world in the years to come rather than what was shown with the opening example. Billy needs emotional safety, patience, and understanding to help him heal and to help him redefine his perspective of how the world works. In short, Billy needs your full abiding love instead of tokens of your love.
Heather T. Forbes, LCSW Parent and Author of Beyond Consequences, Logic & Control: Volume 1 & Volume 2, Dare to Love, and Help for Billy.

National Adoption Month Article #1

Every November, a Presidential Proclamation launches activities and celebrations to help build awareness of adoption throughout the nation. Thousands of community organizations arrange and host programs, events, and activities to share positive adoption stories, challenge the myths, and draw attention to the thousands of children in foster care who are waiting for permanent families. For the whole month of November I will be sharing some of my most popular articles along with various specials. Giving parents the resources they need to become a successful parent is something we are passionate about at Beyond Consequences Institute.

Reactive Attachment Disorder: A New Understanding

Reactive attachment disorder (RAD) is a mental health diagnosis listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IVTR) under disorders usually first diagnosed in infancy, childhood, or adolescence. RAD was initially introduced to the mental health community some 20 years ago. Since that time, much of the information regarding this disorder has painted a dismal and often dangerous picture of these children. Books and articles have compared children with RAD to serial killers, rapists, and hard-core criminals. Intensive and often physically aggressive therapies have been developed to treat these children. Additionally, unconventional parenting techniques have been taught to parents in order to control these children—children referred to as “disturbed” or “unattached.”

The main premise of RAD is that the child cannot socially connect or attach to others in interpersonal relationships. Behaviors inhibiting attachment to caretakers are often demonstrated by children diagnosed with RAD. Some of the behavioral symptoms published in literature include the following: oppositional; frequent and intense anger outbursts, manipulative or controlling; little or no conscience; destructive to self, others, and property; cruelty to animals or killing animals; gorging or hoarding food; and preoccupation with fire, blood, or violence.

Wow! Read that list again. Many of these behaviors sound downright frightening. It is hard to imagine that a child can do these things. Yet, while these behaviors certainly appear abnormal for anyone, especially a child, they are actually quite reasonable reactions to the experiences these children have endured. Read on….

There are many life events that can cause attachment trauma between the primary caretaker (usually the mother) and the child. These include an unwanted pregnancy, separation from the birthmother due to adoption, death of a parent, premature birth, inconsistent caretakers, abuse, neglect, chronic pain, long-term hospitalizations with separations from the mother, and parental depression. Such life events interrupt a child’s ability to learn to self-regulate through the relationship with the parent.

Typically, when a baby or small child is in a state of stress, he cries and the parent attends to the child’s needs, whether by feeding, rocking, or simply holding him. Each and every one of these interactions with the parent plays a critical part in assisting the development of the child’s neuro-physiological control system—the system that allows the child to return back to a calm state. It is truly through this parent-child relationship that we as humans learn how to self-regulate in order to stay balanced and easily shift from a state of stress back to a state of calm. This regulatory mechanism within us is not “online” at birth, and brain research has shown that it takes up to thirty months before this part of the brain is fully developed. Within this thirty-month timeframe, a well-attuned parent has connected with this child to calm his stress response system thousands, if not millions, of

--> times. How critical these first thirty months are to a baby! It is through the parent-child relationship that a child’s self-regulatory ability becomes engaged. This internal regulatory system then sets the foundation for the child’s neurological, physical, emotional, behavioral, cognitive, and social development.

When a child does not receive loving, nurturing care, the child’s ability to develop a sufficient regulatory system is severely compromised. In cases of severe neglect and abuse, the child’s life is literally at risk. For these children, their internal survival mechanisms become activated, dedicating all the body’s resources to remain alert in “survival mode.” These children perceive the world as threatening from a neurological, physical, emotional, cognitive, and social perspective. These children operate from a paradigm of fear to ensure their safety and security. Hence, we see an overly stressed-out child who has difficulty interacting in relationships, who struggles to behave in a loving way, who quite often cannot think clearly, and who swings back and forth in his emotional states due to an underdeveloped regulatory system. While perceived by most professionals as dangerous, a child with RAD is essentially a scared and stressed child living out of a primal survival mode in order to maintain his existence. 

With this understanding, the term “attachment-challenged” becomes more appropriate to use with children instead of the traditional label of “RAD child.”  In times of stress, this child is challenged to connect and his ability to make connection is restricted.  In fact, we all become attachment-challenged to some degree when we’re stressed.  Reflect for a moment on the last time you were overly stressed: How did you react when someone tried to interact with you? Be honest! Perhaps you had difficulty interacting appropriately. Stress causes confused and distorted thinking, and it constricts us emotionally, leaving little room for relationships. Thus, a child with a traumatic history who is living in a stressful, fear-based state, simply is not capable of nor equipped to be in a relationship. From a behavioral standpoint, a child living in a state of fear simply cannot act in a loving way. The frightening behaviors listed above are only external reflections of the internal fear and chaos within these children. They are simply behaviors that are intended for survival.

Treatment for the attachment-challenged  child needs to address this internal fear. When the child’s stress state can be soothed, and the deep wounds driving the fearful behaviors can be acknowledged, the child has an opportunity for healing. Yes, healing is possible, but it takes intense work and many, many repetitions of positive experiences to recondition the body’s reactions. It is also essential that the therapeutic attachment techniques and parenting paradigms enlisted for these children be grounded in neurological research and based in love and compassion. Such techniques can offer ways to create peaceful environments within the home that work to recreate safety and security in the insecure foundations set within these children.

A word of caution from the author: Some therapists specializing in attachment therapy work from a fear-based platform and recommend techniques that are confrontational, aggressive, child-centered instead of family-centered, and fear-based. While these techniques sometimes offer short-term results, families using them are often faced with more severe long-term pain and challenges. Many of these therapies and therapists have separated themselves from dangerous techniques that have resulted in the tragic death of children in the past; however, they continue to lack compassion and are grounded in fear. Some examples of these techniques include instructing parents to force eye contact with their children; have children do excessive chores to feel a part of the family system; send children to respite care out of the home for making poor choices; give up their need to communicate love to their children; and put locks on the outside of children’s doors to keep them “safe.” When looking for appropriate interventions for families, be alert to these specific techniques.

Be aware, as well, of techniques that talk in general about gaining control of a child and viewing the child as manipulative. These techniques are child-blaming, parent-controlling, and devoid of scientific research. It is counterproductive to feed more fear into an already scared child. When seeking help, it is highly recommended that you have a thorough understanding of the basis for each therapy being considered.

When parents first begin realizing that they are dealing with an attachment-challenged child, they have likely already experienced many severe and disruptive behaviors in their homes. In these experiences, they themselves often begin to slip into their own fear and see the child as a threat (at times so threatening that they simply want the child out of their home, forever). Because the behaviors can be so intense, it is easy to lose sight of the child’s reality—that of a young person living in a world of pain, fear, and isolation.

As a therapist specializing in working with attachment-challenged children, I am overwhelmed by great sadness every time I initially speak with a parent seeking help for their family. This sadness stems from the realization that all of these wounds and pain could have been avoided. Babies are born in a spirit of love, but it is life’s circumstances that shift them into a spirit of fear. All it takes to maintain this spirit of love is high quality care giving; it takes an emotionally available parent to create a secure and loving base for a child. Attachment Parenting in the formative years, from conception to three years old, sets the foundation for all future relationships, and it gives the child’s body’s own internal regulatory system the opportunity to develop to its fullest. The old adage, “an ounce of prevention is worth a pound of cure” says everything in the context of Attachment Parenting.

If you’re currently struggling with a child(ren) exhibiting symptoms of RAD who’s early beginnings were far from nurturing and secure, I want to encourage you to have hope.  

 

Several years ago, I found myself in the same situation, waking up every morning wondering how I was going to make it through the day.  In learning more about my children and understanding that their behaviors were driven from a deeply wounded place, I was able to parent them in a way that allowed healing to begin.  Yes, it is hard work and it takes endurance and faith, but creating a peaceful home is possible!

Heather T. Forbes, LCSW

heather@beyondconsequences.com

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Dinnertime Tantrums

				Q: My four-year-old sits down to dinner and says, "I don't like that." He either won't eat at all or won't eat his vegetables. He then gets annoyed, trying to leave the table, whining and refusing to eat. This happens five out of seven nights. How do I respond without consequences?
A: Meal times are clearly a stressful time for not only your child, but for you as well. I'm certain that for you at this point, even the thought of dinnertime creates a stress reaction in you. Create new experiences around food for you and your child (and your entire family). Have your child sit in your lap to eat. Feed him as you would feed a young toddler. Emotionally your child is probably much younger than four years old. Expecting him to be able to sit down at the table during mealtime is probably well beyond his developmental capabilities. You might even consider feeding him from a bottle during mealtimes. He may need you to allow him to regress all the way back to infancy in order to create a fresh start. Children with trauma around food missed some critical experiences that we need to recreate for them. It will give him a stronger foundation from which to grow and reach his full potential. Recognize that his behavior is being driven from fear and that it isn't about him rejecting your efforts as a mother to feed him and nurture him. When he says, "I don't like that!" what he is really saying is, "I'm too stressed out to eat this food right now!" We also need to recognize that we shouldn't eat when we are stressed anyway. Our bodies can't digest the food properly and it can become toxic in our bodies. More importantly, forcing children to eat during this time or giving consequences around food only creates negative food related issues as adults. The refusal to eat vegetables has a direct link to being stressed out. As a human species, we gravitate towards sweets, salts, and fats when we are stressed. What is your regulatory food? Chocolate or broccoli? When we are stressed, we have a difficult time eating vegetables. Think about the last time you were physically sick (where your body was stressed due to illness). Even the thought of eating a salad was enough to make you nauseous. Try feeding your child outside of mealtimes. Small snacks of carrots and celery during the day can provide nutricious intake for your child. Children are more apt to "graze" than they are to sit and eat an entire meal. While dinnertime is an important time for the entire family to come together, realize that expecting your four-year-old to be engaged at this point in his development is only creating a negative experience for everyone. As you gain a deeper understanding of the stress driving your child's behavior, you will find more solutions that work for your family. Stay focused on your child's needs and "listen" to his behavior and there you will find the answers. Keep focused on calming your child's environment around mealtime. This will in turn help your son settle his nervous system which will naturally bring back his appetite and desire to eat. -------------------------------------------------- Q: In many of your articles, you mention that the parent should calm a child down by creating security for the child. I understand that much of a child's stress and fear comes from the threat of being moved to another home. Yet as a foster mom, I can never honestly say, "You are safe. You aren't going anywhere." A: You're absolutely right. You would never want to say this to a foster child because the reality is that they probably would be moving on to another home in the future. Congratulations for being sensitive to giving your child only the truth! What you have working for you is the present moment. The only moment we have guaranteed to us is the moment we are in. Capture this moment with your child. Say to her, "You are safe, honey. You are right here with me now." You can give security and nurturing at that moment. Help your child learn how to stay present with you in this precious space in time. I recently had a foster mother relate a story to me that will help you understand the power of even short term loving relationships. This foster mother had a teenage foster child in her home for a period of only one month. Eight years later, after the child had aged out of the system and was on her own as an adult, she and the foster mother reconnected. The former foster child told this foster mother that the turning point in her life was when she was at her home. The love, safety, security, and acceptance that she was given by this foster mother changed her life and gave this former foster child the ability to move forward. She relayed how this placement, only one month in length, was the best placement she had EVER had. You are an important part of your foster child's journey. Never underestimate the importance of your time with her, whether it is short or long term, and your ability to create safety and security in each moment, despite an uncertain future. Press on,
Heather T. Forbes, LCSW Parent and Author of Beyond Consequences, Logic & Control: Volume 1 & Volume 2, and Dare to Love

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Perception Is Everything

						I have recently had several phone consults with therapists and case workers seeking advice on how to help children exhibiting difficult behaviors. Listening to their descriptions of these children has painfully reinforced to me how one's perception of a child is paramount. It directly influences whether the child has a chance for healing or whether he will be targeted as the "problem" before he even enters the starting gates. Traditionally, when a child misbehaves, he is viewed as the "Identified Patient" in therapy. The approach is to describe the child's behaviors and then determine how to "fix" or "change" the behaviors.
While this traditional approach is designed to be accomplished from a strictly objective perspective, the reality is that the perspective taken is the adult's. Herein lies the problem. The behaviors are viewed through the lenses of the adult, not the child. The behaviors are viewed as acts against the adults, against the rules, and against what is age appropriate. When these behaviors do include the emotional context of the child, the interpretation of how the child is feeling is again viewed from the perspective of the adult, not the child. Let us take an example of a description of a 10-year-old boy to give more definition to the idea that perception is everything: Traditional View
		This is a 10-year-old boy who is out of control. He lives with his mother and stepfather. He demonstrates defiant and aggressive behaviors towards his stepfather. The child works hard to divide and conquer his mother and stepfather. This child is demanding all of the time. He sabotages everything that his mother tries to do to make things better for her son. He is dangerously manipulative at home and at school. His history includes abuse by his biological father. His mother left him with his father who physically and sexually abused him. However, this was years ago and his father's parental rights have been terminated. This child has been in a safe environment with his mother for the past five years, yet he continues to be destructive and his mother is exhausted. The family is looking at placing this child in a residential treatment center. Would this be the best course of action?
New View The description above is not an objective description of this child. It is judgmental. It is saying in short, "This child is acting badly and he needs to change." Some would even go so far as to say, "This is a bad child and he needs to be shape up or ship out." Instead, from the child's perspective, a more comprehensive and accurate description would be as follows:
		This is a 10-year-old boy in need of healing. He is communicating his level of fear and pain through his behaviors. Due to a past trauma history that has not been processed, heard, or understood, he is insecure, scared, and does not feel safe in his world. His behaviors towards his mother and stepfather are showing that he is scared of his mother abandoning him to another father. He is working to separate the mother from the stepfather in order to ensure his connection to his mother. He is scared she loves his stepfather more than she loves him. From this child's perspective, his mother left him to the abusive hands of his biological father. His mother did not keep him safe and he is trying to voice this to his mother through his behaviors. Additionally, he feels very unsafe with his stepfather (because of his history of being abused by his biological father). While his stepfather may be a loving and kind person, the child's perception from his past tells him differently. His aggressive behaviors towards the stepfather are reflective of this fear of being hurt by him. The child's philosophy is, "I will hurt you before you hurt me. I will NEVER be vulnerable or helpless ever again." The mother has been raising a child with challenging behaviors for several years now, doing the best she can but without much success. She is tired, frustrated, and worn down. She is more than likely not even wanting this child in her home because she is feeling unsafe and scared his behavior will split up her new marriage.
With the correct perception, the answers about what to do and what not to do become clear. Sending this child away to a residential treatment center would only create more of what he is already fearing--abandonment. It would confirm his fear that his mother would choose his stepfather over him (as he would be the one sent away, not the stepfather). In short, this course of action would recreate the child's original trauma. This is an issue within the dynamics of the family, not with the child alone. First course of treatment would be to work with the mother to help her get back to a place of recapturing her desire to be a mother to this child, flushing out her guilt for what happened in the past, and allowing her space to acknowledge her feeling like an unsuccessful parent. She needs support, love, and validation, as well as education to understand what is driving her child's behaviors. This child needs help in processing the past trauma with his father. He needs to be able to express the helplessness, powerlessness, and hopelessness that occurred during that time. He also needs to have a voice about his current fears and have these received by his mother in order to create more security in their relationship. He needs empathy instead of blame. One of my favorite quotes of all time is from Dr. Wayne Dyer: "When you change the way you look at things, the things you look at change." For this little boy, when we change the way we look at his behaviors, it changes everything. His acting out begins to make perfect sense. Perception is truly EVERYTHING. If we are going to effectively help our children, we must first see and feel things from their perspective. Once we understand what is driving the child's behavior, the "what to do" will unfold with clarity. Press on,
Heather T. Forbes, LCSW Parent and Author of Beyond Consequences, Logic & Control: Volume 1 & Volume 2, and Dare to Love P.S. Check out my Ask the Expert Interview with Sherrie Eldridge, as she speaks out adoption, adopted children and how their parents are drawn closer. http://www.asktheexpertinterviews.com

Celebrate and Stop the Crazy Loop

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 Q: I have a 15-year-old son who has established a pattern of running away. I've been advised to call the police when this occurs. What do you suggest?

 A:  Running away is indicative of a child who has entered a fear state. When we, and all animals in the animals become threatened, we go into a primitive response called the "Fight or Flight" response. It is an inborn genetic response, which helps to protect us; it is a survival response.

With this understanding, it perplexes me to think that calling the police on a child in this survival response pattern would ever be recommended. Why would you call out the police to address a child who is simply acting from his body's primitive, automatic, inborn response? Your child is acting from an unconscious level. It isn't a conscious response. It is an unconscious reaction. Addressing it from an authoritarian and fear based approach will only keep your child in this pattern; hence, you described it as an "established pattern."

We have somehow come to believe that we can force change by provoking fear and threat. This is completely unnatural. Have you ever seen nature force a seedling to grow? This is a choice that has to come from an internal place from within that person.

To give such advice about sending the police is an example of doing the same thing over and over again, expecting a different result (this of course, is the definition of insanity). Statistics reveal that more than one in 100 adults in the United States have been in jail or prison. This is an all time high. When are we going to realize that this isn't working?

Our own fear keeps us in a constricted place, locked in from seeing other alternatives. Fear keeps us in a loop of trying harder, "upping the ante," and driving more consequences in order to get our children to behave and to be compliant.

Here is the traditional parenting crazy loop: 

-       For young children, we start by picking them up and putting them in the time-out chair.

-       When they get too old to sit in time out, we began removing privileges in order to get them to comply.

-       When this becomes ineffective with a "whatever" response from them, we increase the stakes and ground them for a week.

-       Finally, as teenagers, they realized they had the ability to just leave and run away.

-       Then we call in the big guns and call the police.

None of the craziness above is effective in the long-term, and only limited in the short-term.

This problem is, love has not been a part of the solution…that is why the cycle has continued. If you want to end the cyclical turmoil in a family, put love into action. Unfortunately, many of us have no blueprint for what this looks like, so it challenges us at a deep level to consider that it would actually work.

The next time your son runs away (and I also suggest looking closely at the circumstances that led up to this event and determine how much fear from both you and him contributed to the situation), I want you to plan a celebration for his return. Instead of calling the police, call the caterer! Seriously, bake a cake or some cookies. Make a banner that says, "Welcome home, son. We missed you."

When a child returns, what we typically do is dump our fear onto the child. Instead of saying, "I was scared for you," we say, "How dare you leave this house and not tell us where you were going!" We need to realize that it took a tremendous amount of courage for the child to walk back into that door, knowing the parent was going to lecture him about everything he had done wrong.

Put love into action when he walks in the next time. "Son, I'm so glad you're home. We missed you." It takes putting your fear aside and getting down to your core feelings. You did miss him. You are glad he is home. Let him know how special he is in your life. If you've lost these loving feelings towards your child due to the intense dysregulation going on, revisit pictures of when he was younger and when times were calmer and more pleasant. Get yourself back into a loving place with him.

Later in the day, take the time to be with your child and listen to him. Talk about what it is that drives him to leave. Really listen to him. Give him space to voice himself. Stay out of being defensive. Know that when he feels heard, he will be able to hear you. When you give him the gift of being understood, you then can take the opportunity to express your fear. "I just get so scared when you leave. When I don't know where you are, I can't do anything to help you at that point.  I also can’t do my ultimate job for you as a parent, and that is to keep you safe."

Be courageous enough to try something different. You have the capacity to interrupt the negative loop and to change this established pattern with your child. It takes trusting that love never fails.

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Bridging the Gap

At the beginning of this month, I attended a conference in Las Vegas where Dr. Allan Shore was the keynote speaker. His information was amazing! "Thick," but amazing. By thick I mean it was in-depth, profound, intellectually stimulating, and heavily documented by scientific research.

The premise of his talk was that the repair of the self, or healing, from early childhood experiences happens in the right hemisphere. The right hemisphere is our unconscious processor and our emotional self. He discussed how a child's brain needs meaningful human interaction to drive the brain's development and maturity. When these experiences are missed between the child and his caretaker, the neurological pathways are misaligned.

The great news is that repair and realignment of these neurological pathways is possible due to the plasticity of the brain. However, this repair does not come through intellectual or cognitive processing. The primary component of healing is the emotional bond. It has to happen through emotional communication and emotional connection. It is the right-brain-to-right-brain emotional communication that heals. The relationship is the key. In essence, and these are my words, it has to come through love.

Then at the end of this month, I attended the ATTACh conference in Charlotte, NC. I presented to a room of almost 100 parents. The energy in the room was so different from the conference in Las Vegas. At the ATTACh conference, the room was filled with parents struggling everyday just to get the basics of life accomplished, each desiring more information to be able to go back home and move out of a place of survival into a place of living. Yet, in Las Vegas, the atmosphere was more relaxed. The day was about informational learning and listening to the latest in scientific research. It was a day off work to earn continuing education credits then a night out in Vegas catching a show and having a nice dinner.

As I type this blog, I realize that we need to focus on bridging the gap between the intellectual and scientific understanding of trauma and the "real-life" parenting of trauma. The two need to come together in a more coherent way in order to put neurological science into action. Showing slides and talking about current neuroscience literature doesn't necessarily mean that the quality of life in families is being improved.

As I look back and realize the incredible contrast between these two trainings, I realize more than ever my mission in life. This is the essence of my work at the Beyond Consequences Institute -- to bridge the gap between neuroscience and parenting. Wow! This gets me fired up and rejuvenated to create more resources and ways to support you and other families.

If you have any ideas of how to I can help you or other families bridge this gap, post a note here. What more is needed to learn how to create these "right-brain-to-right-brain" interactions in your home? I welcome your feedback!