Handout 4: Phases of Child Development in Foster Children Reducing Separation Trauma 3/23/06 Age Caregiver’s Behavior First few weeks Responds to infant’s needs/ signals.. Child’s Behavior If moved During Stage: Cries when in need, stops Usually no adjustment when satiated. problems. Later Consequences if Stage does not go well Difficulty distinguishing internal from external and self-soothing. Poor personal hygiene and bladder/bowel control. Over/under response to injury 2 - 5 months If child shows selfsoothing, participate with child to associate you with satiation. Cuddling, cooing. Stares at faces. Eye contact, smiles, coos. Usually no adjustment problems. Child exhibits an inability to experience a satiated state, which is required for bonding and trust to develop Returns to look at parent if distracted. Eye contact. 5 - 12 months 12 – 18 months Maintain child’s routine Peek-a-boo Encourages toddler’s emerging independence and exploratory behaviors. If attached, child will move away and check back. < 6 months: usually Rocking, frantic sucking, and no adjustment other self-soothing Initiate positive Stranger & separation problems. May be behaviors. interactions: play games anxiety (8 months). some temporary Pseudo-independence. Hold & feed in “nursing” Checks with parent when regression or delay. position; long gazing. strangers present. Lack of consistent identity. > 6 months and with stranger/separation Grandiosity anxiety: Grief reaction inhibits attachment to new caregivers. Exhibits joy at accomplishments. May not attach to new Lack of joy in exploration and caregivers. learning May regress to earlier phase. Low tolerance for frustration & aggressive behaviors. Use of transitional objects. 18 - 36 months Responds to child’s needs without overreaction to wooing/coercion. Encourages independent accomplishments. Wooing & coercion, shadowing & darting. Increased range of emotions. Increased use of language and symbolic play. Increased ability to tolerate frustration and Continued stranger and separation anxiety. Significant Difficulty developing new attachments. Difficulty in school. Increased clingy behavior. Continued wooing, coercing, and clinging. (differential diagnostic behavior ADHD v. RAD). Mistrust results in use of defenses: aggressiveness, Increased aggression hyperactivity, withdrawal. Basic mistrust. Reducing Separation Trauma. 3/23/06. Kathleen Brundage, University at Buffalo. kw36@buffalo.edu © 2005- 2006 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation delay gratification. Age Caregiver’s Behavior Child’s Behavior Preschool Bonding & attachment behaviors can help with the transition (wooing, cuddling, holding, gazing, feeding). Magical thinking. Elementary School Adolescence If moved During Stage: Later Consequences if Stage does not go well Belief that child Difficulty/inability to play. caused the move by Learning problems in school. being bad. Shame based identity and Regressive behaviors. magical thinking. Pervasive sense of guilt and shame. Identify current and past Development of concrete Except in the case of Social skills deficits. positive relationships. operational thinking. parental death, Poor peer relationships. separation is usually Support child’s Empathy develops. caused by neglect or Acting out during achievements. abuse. Peers become more adolescence. Build on logical skills and important. Multiple foster home Somatization. use these to help child Adaptive Grief Reaction placements can cause cognitively understand Dysthmia and depression. difficulties with: experienced by most past and present. children. Eating disorders. * Trust * Identity formation * Sense of selfvalue * Safety of relationships and reliability of people * Anxiety and hyperactivity * Depression * Somatic symptoms Creating a holding environment. Developing an independent sense of identity. Very difficult since the Anti-social behaviors. task of this phase is to Poor relationships. separate from Facilitating independence parents. Difficulty finding and keeping & responsibility. Separation & employment. individuation issues. Watch for usual signs Friend, coach, and of teen problems: Depression. mentor. Development of abstract drug use, physical thinking (formal abuse, self-mutilation, operations). delinquency, truancy, poor choice of peers, suicidal ideation, depression, etc. Reducing Separation Trauma. 3/23/06. Kathleen Brundage, University at Buffalo. kw36@buffalo.edu © 2005- 2006 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation