Close Caregiving Attachment Issues Essay

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Resolving attachment issues is an ongoing task. While there are several different tactics that can be taken to reverse the negative attachment issues, therapeutic interventions are a tactic that has a positive effective on attachment issues. Therapeutic intervention includes attachment therapy. Attachment-based interventions base its evidence strongly on the recognition of close caregiving relationships that have the tendency to go wrong and in essence a close caregiving relationship can correct the attachment issue (Howe & Fearnley, 1999). While close relationships is the target goal for restoring attachment issues, close relationships are what children with attachment issues avoid due to their wanting to control the situation and not engage with people. Often times the relationship that the child encounters with their irresponsible caregiver is intense and in turn their therapeutic intervention has to be intense in order to counteract the child’s commitment to that first attachment relationship (Howe & Fearnley, 1999). …show more content…
When beginning this intervention there is a thorough and comprehensive evaluation completed to determine the early developmental history and notate the risk factors that caused the child to have attachment issues to begin with. In this particular intervention the children are scored on a scale of 1-108, if the child scores less than 60 they are not considered to be eligible for attachment therapy (Howe & Fearnley, 1999). This intervention includes many different elements, but two elements that are beneficial to the treatment are the cognitive restructuring of emotional experiences and therapeutic holding. Therapeutic holding is when the child experiences close, strong, compassionate, and stable physical and emotional relationship (Howe & Fearnley, 1999). While this intervention is realistic and manageable, there are some advantages, disadvantages, cost, benefits, and challenges that are encountered when trying to implement this intervention. Therapy with children with an attachment disorder can cost a lot of time and implementation. Often times the therapy needs to be close, extreme, invasive, nurturing, and highly attentive. This requirement can ultimately cost time for the child, the therapist, and the new caregiver (Howe & Fearnley, 1999). While the time is intensive, the child will benefit from the intensity of the therapy and ultimately reverse their attachment issues. Therapeutic holding is beneficial to include in the solution process because it strives to establish a significant, extreme, fully-open relationship with the irate, but hurt child. One advantage of this solution is that the therapeutic goals aim to contain and reduce acting-out behavior, identifies and express emotions verbally, and ensures that the child experience safe, caring, and nurturing relationships with significant adults (Howe & Fearnley, 1999). This advantage ensures that the children encountering this therapy are receiving the proper therapy that will increase the likelihood of a positive change in reference to attachment issues. One disadvantage of this intervention is that some children will not benefit from the therapy and will remain with attachment issues. This intervention can also be a challenge due to the intensiveness of the treatment. This can be a very costly intervention session and is often followed by long-term continued less intensive treatment to ensure the success of the intervention (Howe& Fearnley, 1999). Ultimately this intervention can be a successful, but costly intervention. The cost of money and time are the two biggest factors, but the

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