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Attachment, Emotional Well-being
and the Developing Brain
Louise Gilbert 26 November 2013 catherine.gilbert10@bathspa.ac.uk
Course Lead: Dr. Janet Rose
Turn to your neighbour…
• tell them your name and a little about your
working life
• What inspired you to want to take this module?
• ‘1 worry and 2hopes’ you have about
starting/taking the module
26 November 2013 Masters BSU
This session will focus on:
• Brain development - experience,
environment & genetics
• Trauma – Physical, Social, Psychological
• Factors that can influence the attachment
process and relationships.
Political Influence
Economic
Policy
Health
Policy
WelfarePolicy
SocialPolicy
Technology
N
ational
W
ealth
Political
Stability
Community Facilities
Physical
Environm
ent
Em
ploym
ent
O
pportunities
Housing
Cultural
Identity
Biological Microsystem
Behavioural
Microsystem
Psychosocial
Microsystem
Leisure
Work
Lifestyle
cultural
Genetics
Physiological Process
Health Status
Age Relationships
Social
Support
Temperament
Mesosystem: Immediate Environment
Exosystem: Local Environment
Macrosystem: National Environment
Chronosystem: Changes through time
Action
Reaction
Interaction
The Approach - the Assumptions
26 November 2013
Masters BSU
What informs understanding of mental
health & well -being?
• Neuroscientific evidence
• The Physiology of the physicality
• Social Constructivism
26 November 2013 Masters BSU
Why bother?
National Institute for Health and Clinical
Excellence (NICE) Public health guidance 40, 2012
Guidance for social and emotional well-being for LA’s, NHS,
community, voluntary & private sectors
Allen Report, 2011
The significance of social and emotional intelligence
Marmot Review, 2010
The significance of nurturant environments
Field Report, 2010
The significance of responsive relationships
Confident Communities/Brighter Futures, 2010
Life course approach which include positive social relationships
Research informing Government Policy:
Critical Factors in Early Years
Click on the ‘evidence’ box in the section ‘what research tells us’
http://www.education.gov.uk/childrenandyoungpeople/earlylearningandchildcare/early/b0077836/introduction
Three approaches to mental health
and well-being
• Prevention and health Promotion
• Early intervention
• Targeted support services around the
child and family
26 November 2013 Masters BSU
What’s today all about?
Clip: Shonkoff 4.00min
http://www.youtube.com/watch?v=tLiP4b-TPCA26 November 2013 Masters BSU
The Anatomy, Physiology and
biochemistry of our Brains
26 November 2013 Masters BSU
Brain Game
Which way?
clip
•http://www.youtube.com/watch?v=iZMJeQ4yPPk&feature=relate
Solution:
clip
•http://www.youtube.com/watch?v=9CEr2GfGilw&feature=related
26 November 2013 Masters BSU
Exploring the brain through…
• Dissection, experimentation & observation
of behaviour:
• Imaging including:
• fMRI- Functional magnetic resonance imaging
• CT- Computed tomography
• PET- Positron Emission Tomography
• EEG- Electroencephalography
• MEG- Magnetoencephalography
• NRIS- Near infrared spectroscopy
Great free resource:
http://www.wellcome.ac.uk/Education-resources/Education-and-learning/Big-Picture/All-issues/Inside-26 November 2013 Masters BSU
Brain Facts
You are born with 100
billion brain cells,
neurons, but these are
largely unconnected
and not networked
Synapses are
produced at the rate of
1.8 million per second
between 2 months and
2 years! Each neuron forms
about 1,500 synapses
You have more
than 2 million miles
of neuronal fibres
By the age of 2 a child has as
many synapses as an adult but
this has doubled by the age of 3
By late adolescence half the
synapses in the brain have
been discarded
Stress induced
neurochemicals lead to
cell death in a tender brainNeglect may cause
unused regions to
atrophy - apopsis
When signal transmission reaches a
certain threshold the synapses
involved become exempt from future
elimination
Myelination begins in the brain
stem and cortex and progresses
to higher order regions of
thought, memories &feelings
By the age of 3, the brain
has reached 90% of adult
size
The brain continues to
grow & develop until mid
20’s but remember
plasticity
Our Brains
26 November 2013 Masters BSU
Our Brains
Your hand-held
model
(Siegel 2012)
26 November 2013 Masters BSU
• During the first few years of life the brain
becomes organised i.e. the brain changes in
response to stimulation.
• Neurons which were unconnected at birth
become connected
• Neurons which are not stimulated are lost
• Lack of stimulation and profound neglect alters
and reduces the brain’s functioning
• Assaults and toxins can damage brains cells,
resulting in difficulties associated with the area
affected.
26 November 2013 Masters BSU
Brain Functions by Region.
Brain Region
Age of Greatest
Developmental
activity
Age of
Functional
Maturity
key Functions
Neocortex
(Forebrain)
Childhood
.
Adult.
Reasoning, problem-
solving, abstraction,
secondary sensory
integration.
Limbic
(Forebrain)
Early
childhood
Puberty.
Memory, emotional
regulation, attachment,
affect regulation, primary
sensory integration.
Diencephalon
(Forebrain)
Infancy Childhood. Motor control, secondary
sensory processing.
Brainstem.
(Mid and
Hindbrain)
In utero Infancy.
Core physiological
reflexes and state
regulation, primary
sensory processing.
BRAIN AND
DEVELOPMENT
Daniel Hughes & Jonathan Baylin 2013
STAGE ONE: VERTICAL INTEGRATION
FRONTO-LIMBIC CIRCUIT
0-18 MONTHS
STAGE TWO:
HORIZONTAL
INTEGRATION
LEFT AND RIGHT
INTERACTION
STAGE THREE: LATERAL INTEGRATION
FRONTAL ORCHESTRATION &
MATURATION
17-28 YEARS
ESSENTIAL FOR SELF-
REGULATION
AND ADAPTIVE FLEXIBILITY
26 November 2013 Masters BSU
Pre –Frontal Lobes: Functions
• Planning ahead
• Monitoring
• Sustained attention
• Goal directional
behaviour
• Working memory
• Problem solving
26 November 2013 Masters BSU
Limbic System: Functions
• It operates by influencing the
endocrine system and the
autonomic nervous system
• It stimulates or halts the release
of neurotransmitters and
hormones
• http://www.psychologytoday.com/blog/the-athletes-way/201309/the-love-h
(Oxytocin link)
• Ability to process
emotions
• Encode, store, and
retrieve memories
• Has a role in:
- arousal
- memory,
- emotions,
- feeding,
- sexual behaviours,
- Motivation
The Double Act
 Amygdala is for regulating movement, memory,
emotions, immune system etc.
 Frontal lobes for regulating impulses, planning,
judgement, goal-setting etc.
 More connections between amygdala and frontal
lobes than any other part of brain
Motivation = Emotion in motion
http://www.youtube.com/watch?v=K9BErDQF3CU&feature=related (1min)
Limbic System
26 November 2013 Masters BSU
Complex Problem Solving Machine
COMPETENT
LEARNER
EFFECTIVE
COMMUNICATOR
BORN
SURVIVOR
ADAPTABLE
Survival by Adoption, Adaption and
Maturation
Clips:
http://developingchild.harvard.edu/resources/multimedia/videos/three_core_concepts/brain_architecture/ (2min)
http://www.youtube.com/watch?v=Ux_Dr5rvH3Y&feature=related ( basic anatomy clip :3.30min)
Direction of
impulse
AxonDendrites
Axon
Dendrite of
receiving
neuron
Neurotransmitters
‘Neurons that fire together wire together’
A Neuron
26 November 2013 Masters BSU
Increased effectiveness – dendrites &synapses
More effective transmission - myelinated axon
26 November 2013 Masters BSU
Synaptogenesis & Apoptosis-
developing, tuning and pruning our neuronal
networks
• We are born with many more neurons
than we will ever need
• Genes, environment & experience effect
the density of the neuronal networks
• As we develop and grow some networks
are pruned
e.g. babies are tuned into every human sound but
gradually “prune” out the ones not needed or
used for their “mother tongue”
‘Use it or loose it’, ‘Neurons that fire together
wire together’
What’s New in Neuroscience?
26 November 2013 Masters BSU
The Connectome- neuronal network
linking up the areas of brain
Denser network = quicker, faster, more reliable
connections because ‘the sum of the parts is better
than the parts alone’
Plasticity –the ability to adopt and
adapt to stimulus
Neuronal networks are continuously shaped by
genetic, environmental and experiential stimulus and
strengthened through repetition. Brain plasticity
reduces as we age
Mirror Neurones- encode information about
the external world and goal-directed behaviour
They enable humans to emulate others and thereby
empathise & understand intent– essential for the
socialization of children
Mirror neurons cont.
• i.e. they help us to process information about the
intentionality of others’ actions and minds
• 1 year olds are able to distinguish between goal-directed
behaviour and non-goal directed behaviour by humans
i.e. they don’t just copy mindlessly, they can infer people’s
goal-directed actions and will selectively imitate others’
actions
26 November 2013 Masters BSU
http://www.youtube.com/watch?v=fiitEyfka00 (3min) 2013
clip : http://www.youtube.com/watch?v=Sv1qUj3MuEc (4min) 2009
http://www.youtube.com/watch?feature=player_detailpage&v=oqU-MHTQjuY (3min) 2013
More clips - http://www.youtube.com/watch?v=BOd3N20XNC4&feature=endscreen&NR=1. -
http://www.youtube.com/watch?v=w7lXYwcRppI&feature=related -
26 November 2013 Masters BSU
The Brain :
“You get out what you put in”…
The more a pathway is used .. the more
established it becomes .. the easier it is the
use .. and the more it will become the
chosen route26 November 2013 Masters BSU
The Early Years- Windows of
opportunity
26 November 2013 Masters BSU
26 November 2013 Masters BSU
Development arises from the
interplay- over a lifetime- of:
Genetic make up & maturation processes
Autonomic nervous system response
Learnt response
Experiences
Environments
Attachments
Knowledge and understanding
26 November 2013 Masters BSU
Gene-
environment
interaction
Environment of
relationships
Physical, chemical
and built
environments
Nutrition
Cumulative effects
over time
Biological embedding
during sensitive periods
Physiological
adaptations &
disruptions*
Health related
behaviours
Educational
achievement &
economic
productivity
Physical and
mental health
Adult outcomes
Lifelong outcomes
Foundations for healthy
development & sources of
early adversity
Biodevelopmental Framework: How early experiences get into our
Body:, Shonkoff, 2010,pg.358
+
-
+
-
-
+
Activity: What do you think we
need to develop and grow?
• Time
• Teaching
• Opportunity
• Knowledge and
understanding
• Security
Birth to 12 months old
Brain growth is unmatched.
The most critical windows during this
stage are:
emotional development
as the foundations for governing
emotions are established through
attachments
vision,
Vocabulary
26 November 2013 Masters BSU
12 to 24 months old
 At no other time is the brain so receptive
and responsive.
 Many of the neurological connections that
govern a lifetime of skill and potential are
beginning to take shape.
 Children in this stage are gaining more
control of their bodies, and their motor skills
are developing.
 They are becoming more aware of other
people’s feelings and beginning to
learn to share.
 Language and vocabulary remain
important. Attention should be given to
maths and logic skills as well-holistic
26 November 2013 Masters BSU
2 to 5 years old
By the age of three, much of a child’s brain
growth and density is almost complete-physical.
The brain connections that will guide a child’s
development are already well established.
There appears to be a connection between the
brain patterns stimulated by music and the part of
the brain used to understand spatial concepts in
maths.
26 November 2013 Masters BSU
5-10 years
Learning from parents, peers and
educational settings- cultural
influences
Gender awareness established
Development of friendship group
Recognition of rules
Development of social skills to
accommodate difference and
diversity
Development and articulation of logic
Ability to combine knowledge sources
to create new
26 November 2013 Masters BSU
11 to late teens
• Moral maturation- Nb of changes
in frontal lobes
• Selective/exclusive in friendships
• Peer influence/ parental control
balance
• Recognition of roles and rights
• Puberty- hormonal fluctuations
• Emotionally labile & exploration
• Personal/group identity issues
• Conform/ individuality
26 November 2013 Masters BSU
Reflective Activity
• Share with your neighbour one thing that the
session (so far) has confirmed/reinforced
about your understanding of the brain, one
new thing you have learnt and one thing
you are going to research further
• Discuss how you might be able to use this
knowledge in your work setting
26 November 2013 Masters BSU
Windows of Vulnerability
http://www.youtube.com/watch?v=9TDogqEmKSE&feature=related clip 1.30min what can happen
26 November 2013 Masters BSU
Toxins can alter patterns of Neuron
proliferation.
Many intrauterine and
perinatal ‘insults’ can alter
the migration of neurons
and have a profound
impact on functioning.
Examples include
infection, lack of oxygen,
malnutrition, psychotropic
drugs, lead poisoning,
ionising radiation and
alcohol.
http://www.youtube.com/watch?
v=VG9EWzwi6J4 (clip =3min)
http://www.mencap.org.uk/FASD
26 November 2013 Masters BSU
The neurobiological impact of abuse
Epigenetic effect.
“When abuse occurs during the critical formative time when
the brain is being physically sculpted by experience, the
impact of severe stress can leave an indelible imprint on its
structure and function. Such abuse, it seems, induces a
cascade of molecular and neurobiological effects that
irreversibly alter neural development.” (Teicher,2002:54-61)
It can alter the function of genes for the following hormones:
 STRESS HORMONES
 OXYTOCIN RECEPTOR
 SEROTONIN RECEPTORS
 OESTROGEN RECEPTOR
 BRAIN GROWTH FACTOR
Epigenetics (cont.)
• Genes are programmed to respond to external
environment
• Epigenetics = changes in gene activity that do not involve
alterations to the genetic code but can still get passed
down to at least one successive generation
• These patterns of gene expression are governed by the
cellular material — the epigenome — that sits on top of the
genome
• Epigenome can tell your genes to switch on or off (gene
expression) depending on the experiences we have
• Environment can make ‘imprint’ on epigenome
clip 2min http://learn.genetics.utah.edu/content/epigenetics/intro/
26 November 2013 Masters BSU
The first relationships are important
• Positive predictable
interactions with nurturing
caregivers profoundly
stimulate and organize young
brains.
• The quality of early care giving
has a long lasting impact on
how people develop, their
ability to learn, and their
capacity to both regulate their
own emotions and form
satisfying relationships
Clip Harvard serve and return(2min)
http://developingchild.harvard.edu/resources/multimedia/videos
/three_core_concepts/serve_and_return/
Stresses that impact upon the Care-
giving Relationship-
Socio-demographic Factors
 Chronic unemployment
 Inadequate income/housing
 Frequent moves/no telephone
 Low educational achievement
 Single teenage mother without
family support
 Violence reported in the family
 Severe family dysfunction
 Lack of support/isolation
 Recent life stress (e.g. bereavement,
job loss, immigration)
“What do you think
will be the impact on
personal and
community human
and social Capital?”
26 November 2013 Masters BSU
Effects of maternal anxiety during
pregnancy
• This doubles the risk of behavioural problems in
both boys & girls at 4 & 7 years of age
• The chemical changes associated with even mild
anxiety leads to raised maternal cortisol levels-
which are passed through the placenta → raised
cortisol in foetus.
• Cortisol in baby’s bloodstream is a trigger for
premature delivery & causes intrauterine growth
retardation 26 November 2013 Masters BSU
Cont.
• Analysis of stress hormone levels in 10-
year-old children whose mothers suffered
stress during pregnancy has provided
evidence that prenatal anxiety may affect the
baby in the womb in a way that carries long-
term implications for well-being.
• The study suggests that foetal exposure to
prenatal maternal stress or anxiety affects a
key part of their babies' developing nervous
system; leaving them more vulnerable to
psychological and perhaps medical illness in
later life.
(O'Connor et al .2005)26 November 2013 Masters BSU
The context of parental depression and
effect on infant security
Economic
hardship
Less sensitive
interactions
Relationship
stress
Increase in
frequency of
child punishment
Infant
attachment
security
2) In high-risk, low socio-economic
status families, the rate of disorganised
attachment in young children with
depressed mothers has been estimated to
be as high as 60%.
(Lyons-Ruth et al.1990)
3)Rates of insecure-disorganised
attachment are higher in chronically
depressed mothers than in those who
are not chronically depressed.
(Teti et al. 1995)
26 November 2013 Masters BSU
Effects of maternal mental illness on
attachment patterns in their children.
It is IMPORTANT TO REMEMBER that when few
other risk factors are present the compromising effect
of maternal depression can be minimized
When young children of mentally ill mothers are
compared to index groups of children of non mentally
ill mothers they have been found to have higher rates
of disorganised / controlling attachment.
(DeMulder, & Radke-Yarrow, 1991)
26 November 2013 Masters BSU
Lack of touch and interaction on the
brain
These are PET scans of two three year olds; note
the reduction in brain volume as a result of neglect
26 November 2013 Masters BSU
26 November 2013 Masters BSU
Global Neglect & Reduced Brain activity.
The temporal lobes receive
and integrate inputs from the
senses, and combine them
with deep primitive drives
from the limbic system and
brain stem. They deal with
hearing, learning, memory
skills and emotions.
P.E.T. scan of a typical two year old.
PET scan of the brain of
a Romanian orphan,
who was
institutionalised shortly
after birth. It shows the
effects of extreme
deprivation in infancy.
‘Global neglect’ has
resulted in atrophy of
the unused and
therefore ‘unnecessary’
areas.
NB: Use /abuse of scans
The infant has no comparisons, and family
relationships are their world
“You must be careful
how you walk and
where you go, for
there are those
following you who
will set their feet
where yours are set”
(Lee, no date, cited in
Brodie, 2009: 14)
http://www.youtube.com/watch?
v=x5wsbhRMGoo&NR=1&feature=
endscreen (clip children copy
1.30min)
26 November 2013 Masters BSU
Attachment Related Trauma.
Severe traumatic attachments in the first two years of life
results in structural limitations of the early developing right
brain. This is the hemisphere that is dominant for:
Unconscious processing of social and emotional
information,
The regulation of bodily states,
The capacity to cope with emotional stress,
The ability to understand the emotional states of
others (empathy)
The sense of a bodily and emotional
self.
26 November 2013 Masters BSU
Any experiences of prolonged and frequent episodes
of intense and unregulated stress in babies and
toddlers have devastating effects on the
establishment of psycho-physiological regulation,
(Vagal Tone) and
The establishment of trusting, stable and relationships
in the first year of life is important.
clip on attachment issues 2 mins http://www.youtube.com/watch?v=aDh1C-PubYQ.
Clip:Robert Balbernie
26 November 2013 Masters BSU
Emotional Responses
Distress Fear Surprise Joy Disgust Anger
We are all born with them and we all feel them26 November 2013 Masters BSU
Higher cognitive emotions
‘Softwired’, appear from toddlerhood, dependent on
context, related to cognitive development
Envy Guilt Pride Shame
What happens in and to our bodies ?
Fight- Flight- Freeze
Response
To Fear, Excitement and
Effort – it is a natural
hormonal response to stress
Vagus Nerve Response
It acts as a ‘brake’ on bodily
functions - it slows down the
heart beat and helps return
‘all systems’ to ‘normal’
26 November 2013 Masters BSU
Short term: Essential Long term: Damaging
26 November 2013 Masters BSU
The vagus
Nerve
When you need
to concentrate
it has to be
inhibited
The Vagal response
26 November 2013 Masters BSU
Vagal Tone is how well our fight/flight
response and vagus nerve are balanced
and work together
26 November 2013 Masters BSU
How is the Vagal Tone Activated?
Via Soothing, Compassion and
Physical comfort
Empathy
We learn to self- soothe and
self- regulate from our
relationships with parents and
significant others -attachments
Vagal tone is partly genetic but
also a result of experiences and
environmental stimulus.26 November 2013 Masters BSU
Vagal Tone
Good Vagal Tone
Highly responsive:
• Respond quicker, process
information faster,
concentrate better
• More appropriate and
effective responses to
stimuli
• Return faster to a normal
‘resting state’
Poor Vagal Tone
Low responsiveness:
• Responds and process
information not as quickly,
less able to concentrate.
• Less appropriate and effective
responses to stimuli
• Difficulty returning to normal
‘resting state
26 November 2013 Masters BSU
Good Vagal Tone is linked to…
Better emotional balance
Clear thinking
Improved attention
More efficient immune system
Greater resilience
26 November 2013 Masters BSU
To support the development of a child’s
Vagal Tone we need to provide…
Secure attachments and
bases
Enabling environments
Repeated opportunities to
share and learn
Repeated opportunity to
recognise, practice and
adapt behaviour
26 November 2013 Masters BSU
Stress: Positive,Tolerable & Toxic
Positive/healthy Stress
Some stress is a normal part of
life. Learning how to cope with
stress is an important part of
development.
Tolerable/ manageable
stress
More serious and prolonged, but
is buffered by supportive
relationships, human capital and
supportive environments
The extent to which
stressful events have
lasting adverse effects is
determined by:
• Individual’s biological
response mediated by
both genetic
predispositions
•Availability of supportive
relationships
•The duration, intensity,
timing, and context of the
stressful experience.
Toxic Stress
 Constant activation of the body’s stress response
systems due to chronic or traumatic experiences
in the absence of caring, stable relationships
with adults, especially during sensitive periods of
early development, can be toxic to brain
architecture and other developing organ systems.
 Connections in the brain are reduced and lost
through toxic stress.
 Less connections means it is more difficult to
utilize the brain capacity and learn effectively
Clip:
http://developingchild.harvard.edu/resources/multimedia/videos/three_core
_concepts/toxic_stress/ (2min)
Toxic stress: fact sheet
http://developingchild.harvard.edu/topics/science_of_early_childhood/toxic_
stress_response/
Detrimental Early Experiences
can lead to …
 Learning difficulties
 Language delay
 Lack of empathy
 Hyperactivity/disruptive
behaviour
 Distractibility
 Hypervigilence
 Poor impulse control
 Lack of compassion
 Correlation to adult borderline personality disorder,
multiple personality disorder (Balbernie, 2001,pg242)
 http://www.youtube.com/watch?v=NG4Sejgtxgc clip negative impacts 4min
 http://www.youtube.com/watch?v=aKU4pAs3A3c 57m toxic stress of early childhood
adversity 26 November 2013 Masters BSU
Resiliency
26 November 2013 Masters BSU
For pro-social behaviour…
• There needs to
be many
opportunities to
share in
empathetic and
nurturing
environments
and experiences
• There needs to
be opportunities
to feel good
about yourself,
it’s not just not
feeling bad
about yourself
that matters
26 November 2013 Masters BSU
If children live with fear, they learn to be
apprehensive.
If children live with pity, they learn to feel sorry
for themselves.
If children live with ridicule, they learn to feel shy.
If children live with jealousy, they learn to feel
envy.
If children live with shame, they learn to feel
guilty.
If children live with encouragement, they learn
confidence.
If children live with tolerance, they learn patience.
If children live with praise, they learn appreciation.
If children live with acceptance, they learn to love.
If children live with approval, they learn to like
themselves.
If children live with recognition, they learn it is
good to have a goal.
If children live with sharing, they learn
generosity.
If children live with honesty, they learn
truthfulness.
If children live with fairness, they learn justice.
If children live with kindness and consideration,
they learn respect.
Reference and Research
• Balbernie, R. (2001) Circuits and circumstances: the neurobiological consequences of
early relationship experiences and how they shape later behaviour. Journal of Child
Psychotherapy, 27 930, pp.237-255
• Barnes, J. and Lagevardi-Freude, A. (2002) From pregnancy to early childhood: early
intervention to enhance the mental health of children and families. Mental Health
Foundation Vol1
• Blaffer Hardy, S. (2000) Mother Nature. London: Vintage
• DeMulder, E. K., & Radke-Yarrow, M. (1991) Attachment with affectively ill and well-
mothers: Concurrent behavioral correlates. Development and Psychopathology, 3, 227-
249
• Fonagy, P. & Target, M. (2003) Psychoanalytic Theories: Perspectives from
Developmental Psychopathlogy. London: Whurr Publications
• Gutman, L.M., Brown, J., Akerman, R. and Obolenskaya, P. (2010). Change in wellbeing
from childhood to adolescence: risk and resilience.
http://www.dcsf.gov.uk/research/data/uploadfiles/DCSF-WBL1001-Brief.pdf
• http://www.learningbenefits.net/Publications/ResRepIntros/ResRep34intro.htm
• Hughes,D. & Baylin, J. (2013) Woburn brain based parenting and attachment focused
therapy, powerpoint delivered at fostering conference
• Infants and Toddlers and the California Mental Health Services Act : Zero to Three Policy
Center Fact Sheet Available at:
http://main.zerotothree.org/site/DocServer/Infants_and_Toddlers_and_MHSA_AS.pdf?
docID=3861 (Accessed January 23rd
2013)
26 November 2013 Masters BSU
References and Research cont
• Lyons-Ruth, K., et al. (1990) Infants at social risk: Maternal depression and family support services as
mediators of infant development and security of attachment. Infant Mental Health Journal., 17, 257-275
• Michigan Association For Infant mental Health (2000) Guidelines for Infant Mental Health Practice.
Michigan: The Michigan Association for Infant Mental Health
• National Research Council and Institute of Medicine (2000) From Neurons to Neighbourhoods: The
Science of Early Childhood Development. Committee on Integrating the Science of Early Childhood
Development. Jack P. Shonkoff and Deborah A. Phillips, eds. Board on Children, Youth and Families,
Commission on Behavioral and Social Sciences and Education. Washington D. C. :National Academy
Press
• O'Connor, T. G., Ben-Shlomo, Y., Heron,J., Golding, J., Adams, D., & Glover, V. (2005) Prenatal Anxiety
Predicts Individual Differences in Cortisol in Pre-Adolescent Children. Biological Psychiatry; 58:211-217
• Pomeleau, A., Succimarri, C. & Malcut, G. (2003) Mother-infant behavioral interactions in teenage and
adult mothers during the first six months postpartum: relations with infant development. Infant Mental
Health Journal, 24 (5), 495-509
• Rees, G., Bradshaw, J., Goswami, H., Keung, A. (2009) Understanding Children’s Well-Being: A national
survey of young people’s well-being. London, The Children’s Society
• Shonkoff, J. (2010) Building a new biodevelopmental framework to guide the future of Early Childhood
Policy, Child Development, 81(1), pp. 357-367 http://ehis.ebscohost.com/ehost/pdfviewer/pdfviewer?
vid=6&hid=101&sid=29ff5ce0-e997-463e-bcdf-98ceafaf9961%40sessionmgr113
• Teicher, M.H. (2002) Scars that won’t heal: the neurobiology of child abuse. Scientific American, March
pp.54-61)
• Teti,D., et al. (1995) Maternal depression and the quality of early attachment: An examination of infants,
pre-schoolers and their mothers. Developmental Psychology 31, 364-376.
• 26 November 2013 Masters BSU
Additional Resources
 Dr Clyde Hertzman (4mins)
http://www.youtube.com/watch?v=M89VFIk4D-
s&feature=related
 Attachment related trauma and mental health
 http://www.youtube.com/watch?v=6bul1meciGE 5min
 Teens and family attachment
http://www.youtube.com/watch?v=K1_mzacPIyc 5min
 Carter,R.(2010) Mapping the mind. London: Phoenix
 Conzolino,L. (2013) The social neuroscience of education.
New York: W.W. Norton & Company
 Siegel,D. (2012) The developing mind 2nd
ed. New York:
The Guildford Press.
 Seung, S.(2012) Connectome. London: Allen Lane

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Attachment, Emotional Well-being and the Developing Brain Presentation

  • 1. Attachment, Emotional Well-being and the Developing Brain Louise Gilbert 26 November 2013 catherine.gilbert10@bathspa.ac.uk Course Lead: Dr. Janet Rose
  • 2. Turn to your neighbour… • tell them your name and a little about your working life • What inspired you to want to take this module? • ‘1 worry and 2hopes’ you have about starting/taking the module 26 November 2013 Masters BSU
  • 3. This session will focus on: • Brain development - experience, environment & genetics • Trauma – Physical, Social, Psychological • Factors that can influence the attachment process and relationships.
  • 4. Political Influence Economic Policy Health Policy WelfarePolicy SocialPolicy Technology N ational W ealth Political Stability Community Facilities Physical Environm ent Em ploym ent O pportunities Housing Cultural Identity Biological Microsystem Behavioural Microsystem Psychosocial Microsystem Leisure Work Lifestyle cultural Genetics Physiological Process Health Status Age Relationships Social Support Temperament Mesosystem: Immediate Environment Exosystem: Local Environment Macrosystem: National Environment Chronosystem: Changes through time Action Reaction Interaction The Approach - the Assumptions 26 November 2013 Masters BSU
  • 5. What informs understanding of mental health & well -being? • Neuroscientific evidence • The Physiology of the physicality • Social Constructivism 26 November 2013 Masters BSU
  • 6. Why bother? National Institute for Health and Clinical Excellence (NICE) Public health guidance 40, 2012 Guidance for social and emotional well-being for LA’s, NHS, community, voluntary & private sectors Allen Report, 2011 The significance of social and emotional intelligence Marmot Review, 2010 The significance of nurturant environments Field Report, 2010 The significance of responsive relationships Confident Communities/Brighter Futures, 2010 Life course approach which include positive social relationships
  • 7. Research informing Government Policy: Critical Factors in Early Years Click on the ‘evidence’ box in the section ‘what research tells us’ http://www.education.gov.uk/childrenandyoungpeople/earlylearningandchildcare/early/b0077836/introduction
  • 8. Three approaches to mental health and well-being • Prevention and health Promotion • Early intervention • Targeted support services around the child and family 26 November 2013 Masters BSU
  • 9. What’s today all about? Clip: Shonkoff 4.00min http://www.youtube.com/watch?v=tLiP4b-TPCA26 November 2013 Masters BSU
  • 10. The Anatomy, Physiology and biochemistry of our Brains 26 November 2013 Masters BSU
  • 12. Exploring the brain through… • Dissection, experimentation & observation of behaviour: • Imaging including: • fMRI- Functional magnetic resonance imaging • CT- Computed tomography • PET- Positron Emission Tomography • EEG- Electroencephalography • MEG- Magnetoencephalography • NRIS- Near infrared spectroscopy Great free resource: http://www.wellcome.ac.uk/Education-resources/Education-and-learning/Big-Picture/All-issues/Inside-26 November 2013 Masters BSU
  • 13. Brain Facts You are born with 100 billion brain cells, neurons, but these are largely unconnected and not networked Synapses are produced at the rate of 1.8 million per second between 2 months and 2 years! Each neuron forms about 1,500 synapses You have more than 2 million miles of neuronal fibres By the age of 2 a child has as many synapses as an adult but this has doubled by the age of 3 By late adolescence half the synapses in the brain have been discarded Stress induced neurochemicals lead to cell death in a tender brainNeglect may cause unused regions to atrophy - apopsis When signal transmission reaches a certain threshold the synapses involved become exempt from future elimination Myelination begins in the brain stem and cortex and progresses to higher order regions of thought, memories &feelings By the age of 3, the brain has reached 90% of adult size The brain continues to grow & develop until mid 20’s but remember plasticity
  • 14. Our Brains 26 November 2013 Masters BSU
  • 15. Our Brains Your hand-held model (Siegel 2012) 26 November 2013 Masters BSU
  • 16. • During the first few years of life the brain becomes organised i.e. the brain changes in response to stimulation. • Neurons which were unconnected at birth become connected • Neurons which are not stimulated are lost • Lack of stimulation and profound neglect alters and reduces the brain’s functioning • Assaults and toxins can damage brains cells, resulting in difficulties associated with the area affected. 26 November 2013 Masters BSU
  • 17. Brain Functions by Region. Brain Region Age of Greatest Developmental activity Age of Functional Maturity key Functions Neocortex (Forebrain) Childhood . Adult. Reasoning, problem- solving, abstraction, secondary sensory integration. Limbic (Forebrain) Early childhood Puberty. Memory, emotional regulation, attachment, affect regulation, primary sensory integration. Diencephalon (Forebrain) Infancy Childhood. Motor control, secondary sensory processing. Brainstem. (Mid and Hindbrain) In utero Infancy. Core physiological reflexes and state regulation, primary sensory processing.
  • 18. BRAIN AND DEVELOPMENT Daniel Hughes & Jonathan Baylin 2013 STAGE ONE: VERTICAL INTEGRATION FRONTO-LIMBIC CIRCUIT 0-18 MONTHS STAGE TWO: HORIZONTAL INTEGRATION LEFT AND RIGHT INTERACTION STAGE THREE: LATERAL INTEGRATION FRONTAL ORCHESTRATION & MATURATION 17-28 YEARS ESSENTIAL FOR SELF- REGULATION AND ADAPTIVE FLEXIBILITY 26 November 2013 Masters BSU
  • 19. Pre –Frontal Lobes: Functions • Planning ahead • Monitoring • Sustained attention • Goal directional behaviour • Working memory • Problem solving 26 November 2013 Masters BSU
  • 20. Limbic System: Functions • It operates by influencing the endocrine system and the autonomic nervous system • It stimulates or halts the release of neurotransmitters and hormones • http://www.psychologytoday.com/blog/the-athletes-way/201309/the-love-h (Oxytocin link) • Ability to process emotions • Encode, store, and retrieve memories • Has a role in: - arousal - memory, - emotions, - feeding, - sexual behaviours, - Motivation
  • 21. The Double Act  Amygdala is for regulating movement, memory, emotions, immune system etc.  Frontal lobes for regulating impulses, planning, judgement, goal-setting etc.  More connections between amygdala and frontal lobes than any other part of brain Motivation = Emotion in motion http://www.youtube.com/watch?v=K9BErDQF3CU&feature=related (1min)
  • 22. Limbic System 26 November 2013 Masters BSU
  • 23. Complex Problem Solving Machine COMPETENT LEARNER EFFECTIVE COMMUNICATOR BORN SURVIVOR ADAPTABLE Survival by Adoption, Adaption and Maturation Clips: http://developingchild.harvard.edu/resources/multimedia/videos/three_core_concepts/brain_architecture/ (2min) http://www.youtube.com/watch?v=Ux_Dr5rvH3Y&feature=related ( basic anatomy clip :3.30min)
  • 24. Direction of impulse AxonDendrites Axon Dendrite of receiving neuron Neurotransmitters ‘Neurons that fire together wire together’ A Neuron 26 November 2013 Masters BSU
  • 25. Increased effectiveness – dendrites &synapses More effective transmission - myelinated axon 26 November 2013 Masters BSU
  • 26. Synaptogenesis & Apoptosis- developing, tuning and pruning our neuronal networks • We are born with many more neurons than we will ever need • Genes, environment & experience effect the density of the neuronal networks • As we develop and grow some networks are pruned e.g. babies are tuned into every human sound but gradually “prune” out the ones not needed or used for their “mother tongue” ‘Use it or loose it’, ‘Neurons that fire together wire together’
  • 27.
  • 28. What’s New in Neuroscience? 26 November 2013 Masters BSU
  • 29. The Connectome- neuronal network linking up the areas of brain Denser network = quicker, faster, more reliable connections because ‘the sum of the parts is better than the parts alone’
  • 30. Plasticity –the ability to adopt and adapt to stimulus Neuronal networks are continuously shaped by genetic, environmental and experiential stimulus and strengthened through repetition. Brain plasticity reduces as we age
  • 31. Mirror Neurones- encode information about the external world and goal-directed behaviour They enable humans to emulate others and thereby empathise & understand intent– essential for the socialization of children
  • 32. Mirror neurons cont. • i.e. they help us to process information about the intentionality of others’ actions and minds • 1 year olds are able to distinguish between goal-directed behaviour and non-goal directed behaviour by humans i.e. they don’t just copy mindlessly, they can infer people’s goal-directed actions and will selectively imitate others’ actions 26 November 2013 Masters BSU
  • 33. http://www.youtube.com/watch?v=fiitEyfka00 (3min) 2013 clip : http://www.youtube.com/watch?v=Sv1qUj3MuEc (4min) 2009 http://www.youtube.com/watch?feature=player_detailpage&v=oqU-MHTQjuY (3min) 2013 More clips - http://www.youtube.com/watch?v=BOd3N20XNC4&feature=endscreen&NR=1. - http://www.youtube.com/watch?v=w7lXYwcRppI&feature=related - 26 November 2013 Masters BSU
  • 34. The Brain : “You get out what you put in”… The more a pathway is used .. the more established it becomes .. the easier it is the use .. and the more it will become the chosen route26 November 2013 Masters BSU
  • 35. The Early Years- Windows of opportunity 26 November 2013 Masters BSU
  • 36. 26 November 2013 Masters BSU
  • 37. Development arises from the interplay- over a lifetime- of: Genetic make up & maturation processes Autonomic nervous system response Learnt response Experiences Environments Attachments Knowledge and understanding 26 November 2013 Masters BSU
  • 38. Gene- environment interaction Environment of relationships Physical, chemical and built environments Nutrition Cumulative effects over time Biological embedding during sensitive periods Physiological adaptations & disruptions* Health related behaviours Educational achievement & economic productivity Physical and mental health Adult outcomes Lifelong outcomes Foundations for healthy development & sources of early adversity Biodevelopmental Framework: How early experiences get into our Body:, Shonkoff, 2010,pg.358 + - + - - +
  • 39. Activity: What do you think we need to develop and grow? • Time • Teaching • Opportunity • Knowledge and understanding • Security
  • 40. Birth to 12 months old Brain growth is unmatched. The most critical windows during this stage are: emotional development as the foundations for governing emotions are established through attachments vision, Vocabulary 26 November 2013 Masters BSU
  • 41. 12 to 24 months old  At no other time is the brain so receptive and responsive.  Many of the neurological connections that govern a lifetime of skill and potential are beginning to take shape.  Children in this stage are gaining more control of their bodies, and their motor skills are developing.  They are becoming more aware of other people’s feelings and beginning to learn to share.  Language and vocabulary remain important. Attention should be given to maths and logic skills as well-holistic 26 November 2013 Masters BSU
  • 42. 2 to 5 years old By the age of three, much of a child’s brain growth and density is almost complete-physical. The brain connections that will guide a child’s development are already well established. There appears to be a connection between the brain patterns stimulated by music and the part of the brain used to understand spatial concepts in maths. 26 November 2013 Masters BSU
  • 43. 5-10 years Learning from parents, peers and educational settings- cultural influences Gender awareness established Development of friendship group Recognition of rules Development of social skills to accommodate difference and diversity Development and articulation of logic Ability to combine knowledge sources to create new 26 November 2013 Masters BSU
  • 44. 11 to late teens • Moral maturation- Nb of changes in frontal lobes • Selective/exclusive in friendships • Peer influence/ parental control balance • Recognition of roles and rights • Puberty- hormonal fluctuations • Emotionally labile & exploration • Personal/group identity issues • Conform/ individuality 26 November 2013 Masters BSU
  • 45. Reflective Activity • Share with your neighbour one thing that the session (so far) has confirmed/reinforced about your understanding of the brain, one new thing you have learnt and one thing you are going to research further • Discuss how you might be able to use this knowledge in your work setting 26 November 2013 Masters BSU
  • 46. Windows of Vulnerability http://www.youtube.com/watch?v=9TDogqEmKSE&feature=related clip 1.30min what can happen 26 November 2013 Masters BSU
  • 47. Toxins can alter patterns of Neuron proliferation. Many intrauterine and perinatal ‘insults’ can alter the migration of neurons and have a profound impact on functioning. Examples include infection, lack of oxygen, malnutrition, psychotropic drugs, lead poisoning, ionising radiation and alcohol. http://www.youtube.com/watch? v=VG9EWzwi6J4 (clip =3min) http://www.mencap.org.uk/FASD 26 November 2013 Masters BSU
  • 48. The neurobiological impact of abuse Epigenetic effect. “When abuse occurs during the critical formative time when the brain is being physically sculpted by experience, the impact of severe stress can leave an indelible imprint on its structure and function. Such abuse, it seems, induces a cascade of molecular and neurobiological effects that irreversibly alter neural development.” (Teicher,2002:54-61) It can alter the function of genes for the following hormones:  STRESS HORMONES  OXYTOCIN RECEPTOR  SEROTONIN RECEPTORS  OESTROGEN RECEPTOR  BRAIN GROWTH FACTOR
  • 49. Epigenetics (cont.) • Genes are programmed to respond to external environment • Epigenetics = changes in gene activity that do not involve alterations to the genetic code but can still get passed down to at least one successive generation • These patterns of gene expression are governed by the cellular material — the epigenome — that sits on top of the genome • Epigenome can tell your genes to switch on or off (gene expression) depending on the experiences we have • Environment can make ‘imprint’ on epigenome clip 2min http://learn.genetics.utah.edu/content/epigenetics/intro/ 26 November 2013 Masters BSU
  • 50. The first relationships are important • Positive predictable interactions with nurturing caregivers profoundly stimulate and organize young brains. • The quality of early care giving has a long lasting impact on how people develop, their ability to learn, and their capacity to both regulate their own emotions and form satisfying relationships Clip Harvard serve and return(2min) http://developingchild.harvard.edu/resources/multimedia/videos /three_core_concepts/serve_and_return/
  • 51. Stresses that impact upon the Care- giving Relationship- Socio-demographic Factors  Chronic unemployment  Inadequate income/housing  Frequent moves/no telephone  Low educational achievement  Single teenage mother without family support  Violence reported in the family  Severe family dysfunction  Lack of support/isolation  Recent life stress (e.g. bereavement, job loss, immigration) “What do you think will be the impact on personal and community human and social Capital?” 26 November 2013 Masters BSU
  • 52. Effects of maternal anxiety during pregnancy • This doubles the risk of behavioural problems in both boys & girls at 4 & 7 years of age • The chemical changes associated with even mild anxiety leads to raised maternal cortisol levels- which are passed through the placenta → raised cortisol in foetus. • Cortisol in baby’s bloodstream is a trigger for premature delivery & causes intrauterine growth retardation 26 November 2013 Masters BSU
  • 53. Cont. • Analysis of stress hormone levels in 10- year-old children whose mothers suffered stress during pregnancy has provided evidence that prenatal anxiety may affect the baby in the womb in a way that carries long- term implications for well-being. • The study suggests that foetal exposure to prenatal maternal stress or anxiety affects a key part of their babies' developing nervous system; leaving them more vulnerable to psychological and perhaps medical illness in later life. (O'Connor et al .2005)26 November 2013 Masters BSU
  • 54. The context of parental depression and effect on infant security Economic hardship Less sensitive interactions Relationship stress Increase in frequency of child punishment Infant attachment security
  • 55. 2) In high-risk, low socio-economic status families, the rate of disorganised attachment in young children with depressed mothers has been estimated to be as high as 60%. (Lyons-Ruth et al.1990) 3)Rates of insecure-disorganised attachment are higher in chronically depressed mothers than in those who are not chronically depressed. (Teti et al. 1995) 26 November 2013 Masters BSU
  • 56. Effects of maternal mental illness on attachment patterns in their children. It is IMPORTANT TO REMEMBER that when few other risk factors are present the compromising effect of maternal depression can be minimized When young children of mentally ill mothers are compared to index groups of children of non mentally ill mothers they have been found to have higher rates of disorganised / controlling attachment. (DeMulder, & Radke-Yarrow, 1991) 26 November 2013 Masters BSU
  • 57. Lack of touch and interaction on the brain These are PET scans of two three year olds; note the reduction in brain volume as a result of neglect 26 November 2013 Masters BSU
  • 58. 26 November 2013 Masters BSU
  • 59. Global Neglect & Reduced Brain activity. The temporal lobes receive and integrate inputs from the senses, and combine them with deep primitive drives from the limbic system and brain stem. They deal with hearing, learning, memory skills and emotions. P.E.T. scan of a typical two year old.
  • 60. PET scan of the brain of a Romanian orphan, who was institutionalised shortly after birth. It shows the effects of extreme deprivation in infancy. ‘Global neglect’ has resulted in atrophy of the unused and therefore ‘unnecessary’ areas. NB: Use /abuse of scans
  • 61. The infant has no comparisons, and family relationships are their world
  • 62. “You must be careful how you walk and where you go, for there are those following you who will set their feet where yours are set” (Lee, no date, cited in Brodie, 2009: 14) http://www.youtube.com/watch? v=x5wsbhRMGoo&NR=1&feature= endscreen (clip children copy 1.30min) 26 November 2013 Masters BSU
  • 63. Attachment Related Trauma. Severe traumatic attachments in the first two years of life results in structural limitations of the early developing right brain. This is the hemisphere that is dominant for: Unconscious processing of social and emotional information, The regulation of bodily states, The capacity to cope with emotional stress, The ability to understand the emotional states of others (empathy) The sense of a bodily and emotional self. 26 November 2013 Masters BSU
  • 64. Any experiences of prolonged and frequent episodes of intense and unregulated stress in babies and toddlers have devastating effects on the establishment of psycho-physiological regulation, (Vagal Tone) and The establishment of trusting, stable and relationships in the first year of life is important. clip on attachment issues 2 mins http://www.youtube.com/watch?v=aDh1C-PubYQ. Clip:Robert Balbernie 26 November 2013 Masters BSU
  • 65. Emotional Responses Distress Fear Surprise Joy Disgust Anger We are all born with them and we all feel them26 November 2013 Masters BSU
  • 66. Higher cognitive emotions ‘Softwired’, appear from toddlerhood, dependent on context, related to cognitive development Envy Guilt Pride Shame
  • 67. What happens in and to our bodies ? Fight- Flight- Freeze Response To Fear, Excitement and Effort – it is a natural hormonal response to stress Vagus Nerve Response It acts as a ‘brake’ on bodily functions - it slows down the heart beat and helps return ‘all systems’ to ‘normal’ 26 November 2013 Masters BSU
  • 68. Short term: Essential Long term: Damaging 26 November 2013 Masters BSU
  • 69. The vagus Nerve When you need to concentrate it has to be inhibited The Vagal response 26 November 2013 Masters BSU
  • 70. Vagal Tone is how well our fight/flight response and vagus nerve are balanced and work together 26 November 2013 Masters BSU
  • 71. How is the Vagal Tone Activated? Via Soothing, Compassion and Physical comfort Empathy We learn to self- soothe and self- regulate from our relationships with parents and significant others -attachments Vagal tone is partly genetic but also a result of experiences and environmental stimulus.26 November 2013 Masters BSU
  • 72. Vagal Tone Good Vagal Tone Highly responsive: • Respond quicker, process information faster, concentrate better • More appropriate and effective responses to stimuli • Return faster to a normal ‘resting state’ Poor Vagal Tone Low responsiveness: • Responds and process information not as quickly, less able to concentrate. • Less appropriate and effective responses to stimuli • Difficulty returning to normal ‘resting state 26 November 2013 Masters BSU
  • 73. Good Vagal Tone is linked to… Better emotional balance Clear thinking Improved attention More efficient immune system Greater resilience 26 November 2013 Masters BSU
  • 74. To support the development of a child’s Vagal Tone we need to provide… Secure attachments and bases Enabling environments Repeated opportunities to share and learn Repeated opportunity to recognise, practice and adapt behaviour 26 November 2013 Masters BSU
  • 75. Stress: Positive,Tolerable & Toxic Positive/healthy Stress Some stress is a normal part of life. Learning how to cope with stress is an important part of development. Tolerable/ manageable stress More serious and prolonged, but is buffered by supportive relationships, human capital and supportive environments The extent to which stressful events have lasting adverse effects is determined by: • Individual’s biological response mediated by both genetic predispositions •Availability of supportive relationships •The duration, intensity, timing, and context of the stressful experience.
  • 76. Toxic Stress  Constant activation of the body’s stress response systems due to chronic or traumatic experiences in the absence of caring, stable relationships with adults, especially during sensitive periods of early development, can be toxic to brain architecture and other developing organ systems.  Connections in the brain are reduced and lost through toxic stress.  Less connections means it is more difficult to utilize the brain capacity and learn effectively Clip: http://developingchild.harvard.edu/resources/multimedia/videos/three_core _concepts/toxic_stress/ (2min) Toxic stress: fact sheet http://developingchild.harvard.edu/topics/science_of_early_childhood/toxic_ stress_response/
  • 77. Detrimental Early Experiences can lead to …  Learning difficulties  Language delay  Lack of empathy  Hyperactivity/disruptive behaviour  Distractibility  Hypervigilence  Poor impulse control  Lack of compassion  Correlation to adult borderline personality disorder, multiple personality disorder (Balbernie, 2001,pg242)  http://www.youtube.com/watch?v=NG4Sejgtxgc clip negative impacts 4min  http://www.youtube.com/watch?v=aKU4pAs3A3c 57m toxic stress of early childhood adversity 26 November 2013 Masters BSU
  • 79. For pro-social behaviour… • There needs to be many opportunities to share in empathetic and nurturing environments and experiences • There needs to be opportunities to feel good about yourself, it’s not just not feeling bad about yourself that matters 26 November 2013 Masters BSU
  • 80. If children live with fear, they learn to be apprehensive. If children live with pity, they learn to feel sorry for themselves. If children live with ridicule, they learn to feel shy. If children live with jealousy, they learn to feel envy. If children live with shame, they learn to feel guilty. If children live with encouragement, they learn confidence. If children live with tolerance, they learn patience. If children live with praise, they learn appreciation. If children live with acceptance, they learn to love. If children live with approval, they learn to like themselves. If children live with recognition, they learn it is good to have a goal. If children live with sharing, they learn generosity. If children live with honesty, they learn truthfulness. If children live with fairness, they learn justice. If children live with kindness and consideration, they learn respect.
  • 81. Reference and Research • Balbernie, R. (2001) Circuits and circumstances: the neurobiological consequences of early relationship experiences and how they shape later behaviour. Journal of Child Psychotherapy, 27 930, pp.237-255 • Barnes, J. and Lagevardi-Freude, A. (2002) From pregnancy to early childhood: early intervention to enhance the mental health of children and families. Mental Health Foundation Vol1 • Blaffer Hardy, S. (2000) Mother Nature. London: Vintage • DeMulder, E. K., & Radke-Yarrow, M. (1991) Attachment with affectively ill and well- mothers: Concurrent behavioral correlates. Development and Psychopathology, 3, 227- 249 • Fonagy, P. & Target, M. (2003) Psychoanalytic Theories: Perspectives from Developmental Psychopathlogy. London: Whurr Publications • Gutman, L.M., Brown, J., Akerman, R. and Obolenskaya, P. (2010). Change in wellbeing from childhood to adolescence: risk and resilience. http://www.dcsf.gov.uk/research/data/uploadfiles/DCSF-WBL1001-Brief.pdf • http://www.learningbenefits.net/Publications/ResRepIntros/ResRep34intro.htm • Hughes,D. & Baylin, J. (2013) Woburn brain based parenting and attachment focused therapy, powerpoint delivered at fostering conference • Infants and Toddlers and the California Mental Health Services Act : Zero to Three Policy Center Fact Sheet Available at: http://main.zerotothree.org/site/DocServer/Infants_and_Toddlers_and_MHSA_AS.pdf? docID=3861 (Accessed January 23rd 2013) 26 November 2013 Masters BSU
  • 82. References and Research cont • Lyons-Ruth, K., et al. (1990) Infants at social risk: Maternal depression and family support services as mediators of infant development and security of attachment. Infant Mental Health Journal., 17, 257-275 • Michigan Association For Infant mental Health (2000) Guidelines for Infant Mental Health Practice. Michigan: The Michigan Association for Infant Mental Health • National Research Council and Institute of Medicine (2000) From Neurons to Neighbourhoods: The Science of Early Childhood Development. Committee on Integrating the Science of Early Childhood Development. Jack P. Shonkoff and Deborah A. Phillips, eds. Board on Children, Youth and Families, Commission on Behavioral and Social Sciences and Education. Washington D. C. :National Academy Press • O'Connor, T. G., Ben-Shlomo, Y., Heron,J., Golding, J., Adams, D., & Glover, V. (2005) Prenatal Anxiety Predicts Individual Differences in Cortisol in Pre-Adolescent Children. Biological Psychiatry; 58:211-217 • Pomeleau, A., Succimarri, C. & Malcut, G. (2003) Mother-infant behavioral interactions in teenage and adult mothers during the first six months postpartum: relations with infant development. Infant Mental Health Journal, 24 (5), 495-509 • Rees, G., Bradshaw, J., Goswami, H., Keung, A. (2009) Understanding Children’s Well-Being: A national survey of young people’s well-being. London, The Children’s Society • Shonkoff, J. (2010) Building a new biodevelopmental framework to guide the future of Early Childhood Policy, Child Development, 81(1), pp. 357-367 http://ehis.ebscohost.com/ehost/pdfviewer/pdfviewer? vid=6&hid=101&sid=29ff5ce0-e997-463e-bcdf-98ceafaf9961%40sessionmgr113 • Teicher, M.H. (2002) Scars that won’t heal: the neurobiology of child abuse. Scientific American, March pp.54-61) • Teti,D., et al. (1995) Maternal depression and the quality of early attachment: An examination of infants, pre-schoolers and their mothers. Developmental Psychology 31, 364-376. • 26 November 2013 Masters BSU
  • 83. Additional Resources  Dr Clyde Hertzman (4mins) http://www.youtube.com/watch?v=M89VFIk4D- s&feature=related  Attachment related trauma and mental health  http://www.youtube.com/watch?v=6bul1meciGE 5min  Teens and family attachment http://www.youtube.com/watch?v=K1_mzacPIyc 5min  Carter,R.(2010) Mapping the mind. London: Phoenix  Conzolino,L. (2013) The social neuroscience of education. New York: W.W. Norton & Company  Siegel,D. (2012) The developing mind 2nd ed. New York: The Guildford Press.  Seung, S.(2012) Connectome. London: Allen Lane

Notas del editor

  1. The Approach and assumptions Complex ontology : Adaption of Bronfenbrenner nested, bio-ecological model 1979 Bio-psycho- social model that recognises the complexity of human existence and that we both construct and are constructed by the world in which we live. We affect and are affected by our interpretations and experiences. Interactionalist and symbiotic Epistemologically we draw from multiple disciplines to understand and promote well being and resilience as we believe they are interlinked and integral to an holistic understanding of behaviour. We recognise the contributions from recent neuroscientific findings that identifies the physiological processes of behaviour and decision making. There is recognition of a social constructivist stance to knowledge acquisition as well as acknowledgement of accumulative, interactive and temporal influences.
  2. Connectome Project, mirror neurones, epigenetics, plasticity, temperament, multi-sensory stimuli, attention, memory & motivation, pruning, innate & universal emotional response, the autonomic nervous system and Vagal Tone Internal working model of control, Attachment theory & empathy, enabling environments, evidence based practice
  3. By building a child’s social and emotional capabilities we enable children to be happily engaged with others and with society, and to learn, to develop fully, to attain and to achieve- Allen Report 2011
  4. Brain imaging techniques allow doctors and researchers to view activity or problems within the human brain, without invasive neurosurgery. There are a number of accepted, safe imaging techniques in use today in research facilities and hospitals throughout the world. fMRI Functional magnetic resonance imaging, or fMRI, is a technique for measuring brain activity. It works by detecting the changes in blood oxygenation and flow that occur in response to neural activity – when a brain area is more active it consumes more oxygen and to meet this increased demand blood flow increases to the active area. fMRI can be used to produce activation maps showing which parts of the brain are involved in a particular mental process. CT Computed tomography (CT) scanning builds up a picture of the brain based on the differential absorption of X-rays. During a CT scan the subject lies on a table that slides in and out of a hollow, cylindrical apparatus. An x-ray source rides on a ring around the inside of the tube, with its beam aimed at the subjects head. After passing through the head, the beam is sampled by one of the many detectors that line the machine’s circumference. Images made using x-rays depend on the absorption of the beam by the tissue it passes through. Bone and hard tissue absorb x-rays well, air and water absorb very little and soft tissue is somewhere in between. Thus, CT scans reveal the gross features of the brain but do not resolve its structure well. PET Positron Emission Tomography (PET) uses trace amounts of short-lived radioactive material to map functional processes in the brain. When the material undergoes radioactive decay a positron is emitted, which can be picked up be the detector. Areas of high radioactivity are associated with brain activity. EEG Electroencephalography (EEG) is the measurement of the electrical activity of the brain by recording from electrodes placed on the scalp. The resulting traces are known as an electroencephalogram (EEG) and represent an electrical signal from a large number of neurons. EEGs are frequently used in experimentation because the process is non-invasive to the research subject. The EEG is capable of detecting changes in electrical activity in the brain on a millisecond-level. It is one of the few techniques available that has such high temporal resolution. MEG Magnetoencephalography (MEG) is an imaging technique used to measure the magnetic fields produced by electrical activity in the brain via extremely sensitive devices known as SQUIDs. These measurements are commonly used in both research and clinical settings. There are many uses for the MEG, including assisting surgeons in localizing a pathology, assisting researchers in determining the function of various parts of the brain, neurofeedback, and others. NIRS Near infrared spectroscopy is an optical technique for measuring blood oxygenation in the brain. It works by shining light in the near infrared part of the spectrum (700-900nm) through the skull and detecting how much the remerging light is attenuated. How much the light is attenuated depends on blood oxygenation and thus NIRS can provide an indirect measure of brain activity. http://psychcentral.com/lib/2007/types-of-brain-imaging-techniques/
  5. Major divisionSubdivision-Principle structure ForebrainTelencephalonCerebral cortex Basal ganglia Limbic system DiencephalonThalmus Hypothalmus Midbrain MesencephalonTectum Tegmentum Hindbrain MelencephalonCerebellum pons MyelencephalonMedulla oblongata
  6. The brain is the worlds most complex, wholly integrated system of interconnected parts. It has an amazing processing ability. Scientists have yet to get even near to replicating the brain’s unique capacity for managing information. You will soon have about 30 floating in fluid at an average height of 1.47m above the classroom floor and how these brain’s experience life during the first 5 years and continuing into their school years will influence how they will do so forever.
  7. The major components of the neuron. The cell body or neuron sends an electrical signal down a myelinated axon where it hits a synapses or gap. Here the signal, if strong enough or enduring enough, is converted into a chemical called a neurotransmitter that floats across the gap to a receiving dendrite. If the signal is chemically coded, strong and enduring, it is then passed along to the next neuron. The effectiveness of the signal depends on how fast the impulse is made. Repeated use (practice of an activity or thought process) coats the axon with a protective sheath called myelin. It is this myelination that assists effective transference of information. To begin with may feel that learning is slow as if we are forging a new path through an overgrown field but as the journey is travelled again and again the terrain becomes smoother and so the journey becomes quicker. If the journey is never travelled the path way becomes overgrown and will disappear from view. This process is sometimes referred to as Darwinism, a baby will be born with twice as many brain cells as there are in an adults brain. Some out live their purpose and others were there for insurance purposes.
  8. Typical physiological increase and the effects of experience and environment
  9. As teachers we are in a position to support children's emotional development and provide them with the tools to feel empowered and resilient. Knowledge about the links between physiological and psychological response to stimuli, and the benefits of caring, respectful interations mean
  10. *The physiological adaptions and disruptions include the following systems:- Metabolic Neuroendocrine Neurodevelopmental Cardiovascular immune
  11. Cortisol is toxic to the growth & development of the brain- it is produced when the child is stressed and unhappy & depressed along with adrenalin when scared
  12. Their studies were based on previous findings that specific parts of an area of the brain called the anterior cingulate cortex (ACC)--a center for so-called "executive" control of neural processing--are connected to the amygdala. The amygdala is the brain's major center for processing emotional events. The experimental challenge for Etkin, Hirsch, and colleagues was to determine whether this region of the ACC was responsible merely for "monitoring" conflict between cognitive and emotional processing or for actively "resolving" that conflict. Etkin, Hirsch, and colleagues found that the emotional stimuli activated the amygdala as expected. For any emotion, sensations come into our brain from outside and inside, and emotional responses result, responses that we don't have to learn. Culture teaches us different meanings to what other people say and do and different norms for how we should express our emotions, but all the emotions we have are shared by almost all humans because parts of our brain are all wired up the same way. Neuroscientists know that sensations from the outside world, from the spinal cord on up, go to the back part of our brainstem and back part of our cerebral cortex, from where they don't converge on some mythical decision center, but are relayed forward to trigger emotional responses out of the limbic system, including the amygdala, and more symbolic responses out of the more recent parts of our cortex like speech areas.It's not like all that happens independently, though. The idea that we have a war in us between emotion and reason is a typically human oversimplification of many different conflicts between our biology and our culture. It's a war in the minds of some, in the software, but not in their brains, the hardware, where the limbic system and neocortex are thoroughly connected, so most of us do OK at talking about our emotions. At the same time, how we talk about things influences the emotions our limbic system drives. It's not like one exists without the other.None of these places constitute a control center for emotional responses When you feel angry, there is a lot of autonomic and somatic motor activity that tells you you're angry. You feel a surge of energy. You might feel your heart beat faster and the warmth to your skin as your sympathetic nervous system gets ready to be active. Your somatic motor connections cause your muscles to tense everywhere, with your face tensing up in a way everyone would say is angry from looking at it.
  13. Healthy stress Moderate stress Toxic stress Adapt and survive Resilience
  14. Sympathetic response short and longterm affects on body .It is exhausting
  15. Point 1 link to attachment theory. Discuss the childs ability to up regulate and down regulate using learnt techniques and also the fact that the child has positive reinforcement so sympathetic is not stimulated so often therefore resting vagal tone is lower so calmer.
  16. Link to previous slide and vagal tone result of vagus CLIP- ttp://www.youtube.com/watch?v=6GdALwuYtG8&feature=related
  17. key words Repeated and through consistent modelling, scaffolding and practice clear boundaries
  18. Because of the complexity the three levels are not clinically quantifiable—they are simply a way of categorizing the relative severity of responses to stressful conditions. The extent to which stressful events have lasting adverse effects is determined in part by the individual’s biological response (mediated by both genetic predispositions and the availability of supportive relationships that help moderate the stress response), and in part by the duration, intensity, timing, and context of the stressful experience.