Clinical Child Psychology and Psychiatry · 2008 · 161 citations · 31 references
Social SciencesCounselingPsychologyCounseling PsychologyPsychotherapyTrauma-related DisordersChild AbuseChild MaltreatmentChild NeglectChild PsychotherapyChildhood AbusePlay TherapyAttachment DisturbancesAttachment-based TherapyParent-child Attachment SecuritySevere Neglect
Children who have suffered severe abuse or neglect develop insecure attachment and maladaptive internal working models that increase their likelihood of becoming abusive or neglecting parents. The study aims to halt the intergenerational transmission of abuse by employing animal‑assisted therapy to help children with insecure attachment. Animal‑assisted therapy offers a play‑therapy framework that bypasses distrust and trauma‑related symbolization barriers, enabling access to the child’s inner world. The authors present a rationale for AAT and illustrate its effectiveness through several clinical case examples with abused and neglected children.
Children suffering from insecure attachment due to severe abuse and/or neglect are often characterized by internal working models which, although perhaps adaptive within the original family situation, are inappropriate and maladaptive in other relationships and situations. Such children have a higher probability than the general population of becoming abusing or neglecting parents. Besides the usual goals of psychotherapy, an overall goal is to stop the cycle of abuse in which abused children may grow up to be abusing parents. Therapy with these children is complicated by their distrust in adults as well as difficulties in symbolization due to trauma during the preverbal stage. Animal-Assisted Therapy (AAT) provides avenues for circumventing these difficulties, as well as providing additional tools for reaching the inner world of the client. This article gives a brief background of the connection between insecure attachment and intergenerational transmission of abuse and neglect as well as a brief overview of the principles of AAT in a play therapy setting. A rationale for the use of AAT as a unique therapy technique for children having suffered from abuse and neglect is followed by a number of clinical examples illustrating AAT.
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