Brain Development and Functioning Life After 18 Steven J. Choy, Ph.D. Clinical Psychologist (c) 2012 Steven J. Choy, Ph.D. All Rights Reserved. Early Understanding of Brain Development Limited by Technology – Structure, Functioning and Amount of Resources Used-Brain Activity Believed that most connections and structure of the brain was to be developed by age 5 years of age Structure and composition of the brain was thought to be fully developed by age 16 years There was little you could do to improve damaged/injured neurons and there was minimal increases in neurons after 16 years old Brain is Hardwired and Fixed Brain Functioning & Development The Brain is Capable of: Repairing Injured Neurons Producing New Neurons Establishing New Synapses Current Research (within the Last Decade) Although most rapid brain development occurs from 0-5 years and by 6 years the brain is about 90% of the adult size, new research have found that substantial structural, functional, and chemical changes occur during adolescence More importantly research have found that there continues to be substantial maturational development of the brain well into early to mid-twenties in woman and even up to 30 years in men New Period of Development Between Adolescents and Adulthood Emerging Adult Substantial changes found in youth as they entered Freshman year of college – Living away from home Changes noted in the cingulate cortex, caudate nucleus, and the insula cortex (Bennett & Baird 2006) Executive Functioning – Judgment & Decision Making Learning and Memory Emotional Formation and Feedback Behavioral Regulation Bennett, C and Baird, A. Anatomical Change in the Emerging Adult Brain: A Voxel-Based Morphometry Study. Human Brain Mapping, 27:777-777 (2006). Bennett, C and Baird, A. Anatomical Change in the Emerging Adult Brain: A Voxel-Based Morphometry Study. Human Brain Mapping, 27:777-777 (2006). During the Emerging Adult Period the brain has not yet developed the full capacity for judgment, decision making, and emotional and behavioral regulation Dopamine levels that change during adolescence continue into the mid 20s. Dopamine affects the association between action and pleasure and can result in increase in risky behaviors in youth Statistics indicate that increase in various risky behaviors starts in adolescence but continue well into the mid-twenties One of the highest number of DUI offenses occur between the ages of 16-25 years (National Drunk Driving Accident Statistics, 2010) Increase in Risky Sexual behaviors (STD associated risk behaviors) between the ages of 18-20 (Sales, J., et. al. 2012) The brain demonstrates neuroplasticity – the ability of the brain to alter its structure in response to experiences after age 18 years Pruning can still occur (eliminating underused synapses) Reducing the effects of negative associations New Synapses can form after age 18 years – positive associations Trauma, especially complex trauma, disrupts and slows brain development Trauma also affects brain functioning and the synapses and pruning process BRAIN FUNCTIONING Amount of Brain Activity Area of Functioning Cortical Abstract Thoughts Judgment Learning Limbic Attachment Emotional Reactivity Sexual Behaviors Midbrain Arousal/Vigilance Appetite/Satiety Sleep Brainstem Heart Rate Blood Pressure Body Temperature Marcellus, John, Neurodevelopmental Sequelae of Child Maltreatment, 1997 13 Trauma and Brain Activity Normal Traumatized Cortical Cortical Limbic Limbic Midbrain Midbrain Brainstem Brainstem Kent, Sullivan and Rauch. “The Neurobiology of Fear”. Psychiatric Annals. Volume 310, No 12, 2000. 14 Can We Help Children Recover From Abusive Trauma ? Normal Brain Traumatized Brain Re-Wired Brain Marcellus, John, Neurodevelopmental Sequelae of Child Maltreatment, 1997 15 16 THE BRAIN…… IS AN ASSOCIATIVE ORGAN (RELATED REPRESENTATIONS) 17 Trauma and Associative Memory Continued Exposure to Traumatic Experience involving Significant Others Reinforces Associative Memory to Negative Experience to People in General Perry, Bruce. Violence and Trauma: Understanding and Responding to the Effects of Violence on Young Children. 1996. 18 Trauma and Associative Memory The Brain can be Re-Wired to Develop more Positive Associations “The exciting lesson from a range of sciences is that while experience shapes who we are, we are NOT destined to repeat the traumas of our past IF we make sense of their impact on our lives.” -Siegel 20 Mirror Neurons Found in Left and Right Hemispheres Involves a temporo-parietofrontal circuit Bridges Perceptual part of brain with Motor part of the brain It becomes activated with connections to others It is related to Trust, Attachment and Empathy Secured Relationships A SECURE ATTACHMENT PROMOTES GROWTH OF NEURAL INTEGRATIVE FIBERS (ESPECIALLY ORBITOFRONTAL CORTEX) 21 22 ORBITOFRONTAL CORTEX Senior Executive of the Emotional Brain Regulates Interpersonal and Social Behavior Directly Connects to All Areas of the Brain Brainstem Limbic System Cerebral Cortex: Right Hemisphere Specializes in Inhibitory Control Perry, Bruce.”Neurodevelopmental Factors In The ‘Cycle Of Violence.” In Child, Youth and Violence: The Search For Solutions. J Osofsky, Ed. Guilford Press, New York, pp124-148, 1997. 23 Brain Development & Foster Care to 21 Judgment, Decision-making, and Emotional and Behavioral Regulation is still developing after 18 years. Youth need to participate in the decision making process regarding all aspects of their life with supportive assistance Because there will still be mistakes and there needs to be an extended safety net to help youth recover from these experiences Need to work through the developmental need for independence and the need for a safe and supportive environment The effects of trauma may impact the development of trust, attachment, and empathy Need a longer time to work through family issues, especially if there was minimal contact with family – supportive environment to work out issues Need a longer time to establish social capital Need extra time to develop and maintain long term secure relationships