As I read Dr. Perry’s book, I can’t help but think of how extraordinary
it is that Dr.Perry has gotten to work with such diverse clientele. I can’t
imagine most people in the helping professions, receiving these opportunities
nearly as much. For a boy who had been kept in a cage for so long, I was
surprised that Justin’s caregiver did not seem to be in much trouble. It also
is very shocking to me that despite the Justin’s behavior, no doctor asked
about how he was being raised. Furthermore if his caregiver had been of lower
intelligence, it surprises me that he was deemed a fit guardian after the Justins’
grandmother passed away.
The
neurosequential model makes a lot of sense to me. It makes sense that certain
experiences must be had or completed in order for the most basic parts of the
brain to form correctly, and for the rest to develop in the proper manner. Kind
of like a game of Tetris. I value so much the considerations Dr.Perry had for
both Connor and Justin. Creating the air of safety, enabled him to bring in so
much work. When comparing Justin, Connor, and Leon I tried very hard to pick out
the differences. Justin and Connor despite their neglect both had positive
immediate experiences as a baby with caregivers. Leon started off with his
mother not knowing quite what to do, and very well could’ve been left alone as
soon as his mother had recovered.
I would
have never thought of rhythm as such an important aspect. Sure some people are
better at dancing or at musical instruments than others, and I usually
attributed that to a natural inclination rather than a flourishing portion of
something developmentally required. While some of us may just have rhythm down
enough to walk without an awkward gait. The dancing rhythm also offered the repetitive
movement in a safe environment, which Perry claims has a great impact. As
someone who has worked with traumatized children, many with developmental
delays, repetition and safety are very key.
Massage
therapy isn’t really something I had considered. I understood that back
scratches, hair brushing, or skin brushing were all sensory inputs that helped
children soothe. I had never considered them being something more like massage
therapy. The idea of using this therapy I feel could have its pros and cons.
While it worked in Connor’s case, and proved to be very helpful, I wonder how
effective this would have been had he actually had Autism? I know many
individuals that have Autism are adverse to touch, and I’m curious if parents
would still want to try massage therapy to try to gain back some physically
affectionate behavior. It’s also a curiosity of whether the brain stem in
someone who has Autism would be less or more developed than someone like
Connors’ and still show the aversion to touch and rhythm?
I think
it is amazing that Mama P’s lesson has stuck with Dr. Perry all this way, and
that her believing in making up what the child had lost and did not have, made
such an impact on how he treated his clients. It reminds me of when I worked at
a residential treatment facility for those struggling with addictions and
disordered eating (majority of the clients having experienced trauma) , how
some of them would engage in therapy that required them to embrace their inner
child. This usually involved having stuffed animal and coloring books. I am
curious if an appropriate adult simulation of rocking could’ve helped in that
case as well.
I love how all of the chapters in the book build on one another, and Perry's neurosequential model continues to develop and become refined. It also makes a lot of sense to me. It's a puzzle - figuring out what pieces of the brain were damaged or underdeveloped and intervening in ways that target those areas of the brain. It sounds easy, although I know there are so many other factors to consider in treating someone who experienced severe neglect or abuse. For children and adolescents who experienced early neglect and abuse when their brains were in the height of development treatment may be a long road. It sometimes seems daunting to try and mend the brain’s developmental concerns, but luckily brains are malleable.
ReplyDeleteI was pretty amused with some of the treatment modalities evident in this chapter - getting Connor a massage therapist and enrolling him in a rhythmic music class was not anticipated. I would love to see a music therapy class in action. I think it can work really well for some kids although I have yet to work with a client who has had an experience with those experiential treatments. I feel the same way about dance and movement therapy. I know it is an emerging field but my knowledge of its practice is very limited. Rhythm and massage seemed to work well for Connor, but yes, I would be hesitant to intervene in this way with other types of children. Because each child is vastly different, he/she/them will respond in completely different ways.
Hi Sam,
ReplyDeleteI agree- Dr. Perry has encountered such interesting patients and cases that most of us will never encounter! I've been pretty interested in learning whether any of the people in these cases faced legal repercussions. Does it make a difference if it happened a long time ago or if they have an IDD? What about Conner's mother cousin who deliberately withheld information in order to receive more money? I know that this information isn't the novel's main purpose but as a social worker, I'd really like to know! I was pretty disappointed in CPS in not following up with Justin. Although, it makes some sense since Justin appeared to be in a safe home and they probably prioritize those who have no options.
I had never heard of the neurosequential model and it was amazing to see how Perry incorporated its tenets into treatment. I loved and now accept how rhythm is a major component of development and treatment. Ever since reading the chapter, I've thought about it more and more. For example, patients who have high anxiety and trauma experiences often fidget and tap their foot rapidly. One patient said that it's how they self-soothe and now I can't help but wonder if it's because of the need for rhythm as well as how as babies, our caregiver's heartbeats provides comfort! It's all so incredible. I'm glad that Perry kept Mama P's advice with him far long after he had met her.
You used to work at the treatment center I'm at now, so I definitely know about the sensory inputs that they stress there. And I completely agree with you about how although it might certainly might be beneficial to some, there are also others that are adverse to touch and prefer to be left alone. I also believe that jumping into the massages and sensory inputs is not the best idea. The relationship between the two individuals has to be established first and a sense of trust has to be present in order for something like sensory brushing to work. There are kiddos on the home right now that allow me to give them head scratches, compressions, and sensory brushing. But months ago, some of those kids would have been quick to tell me to get away if I suggested or offered them the support. Time passed and our relationship grew, and some of those kids that once said no are now the ones that ask me for the sensory input support. Furthermore, we have to be aware and sensitive to their backgrounds and history. Like you said, some kids might have Autism and likely won't want to be touched. Others might have been victims of some form of sexual abuse, so that's something to keep in mind as well as we interact with children.
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