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Towards an understanding of the ‘therapeutic’ in foster care: an exploration of foster carers’ capacities to help heal children with trauma

Published online by Cambridge University Press:  16 July 2019

Christopher Harkness
Christopher Harkness*
Affiliation:
Social Work and Social Policy, School of Allied Health, University of Western Australia (M364), Perth, Australia
*
Author for correspondence: Christopher Harkness, Email: christopher.harkness@research.uwa.edu.au
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Abstract

This paper explores foster carers’ therapeutic capacities. This topic arises from advances in knowledge of the adverse effects of complex trauma on children’s social, emotional and cognitive development. A growing expectation of fostering agencies is that their carers work within a therapeutic framework. Knowledge of foster carers’ therapeutic capacities has importance, because while foster carers are the primary agents of therapeutic change for these children, the skills and processes in which they do so are not well understood. Eighteen foster carers who work within a therapeutic framework were interviewed about their perceptions of therapeutic care. Their responses were analysed using an ecological systems framework. Foundational to therapeutic care is the mesosystem, the relationship between the foster carer and the child. Key elements of this relationship are safety, trust and love. There are two other aspects to therapeutic care: the microsystem, which represents therapeutic capacities that foster carers exercise to help in the recovery of these children, and the exosystem, which includes the networks of support that foster carers require to exercise therapeutic care. This paper will present key findings relating to foster carers’ therapeutic capacities. I will also consider some key implications for fostering agencies.

Keywords

Traumafoster carequalitative researchtherapeutic foster care
Type
Articles
Information
Children Australia , Volume 44 , Issue 2: Special Conference Issue – The Neuroscience of Trauma and Development in The Everyday , June 2019 , pp. 65 - 72
Copyright
© The Author(s) 2019 

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References

Allen, J. G. (2013). Mentalizing in the development and treatment of attachment trauma. London: Karnac Books Ltd.Google Scholar
Baker, P. W., & White-McMahon, M. (2014). The hopeful brain. NeuroRelational repair for disconnected children and youth. Lulu Publishing Services.Google Scholar
Bernstein, J. (1999). The politics of self-disclosure. Psychoanalytic Review, 86(4), 595–605.Google ScholarPubMed
Bowlby, J. (2005). A secure base. Clinical applications of attachment theory. New York: Routledge.Google Scholar
Bronfenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32(7), 513–531.CrossRefGoogle Scholar
Caw, J., & Sebba, J. (2014). Team parenting for children in foster care. A model for integrated therapeutic care. London: Jessica Kingsley Publishers.Google Scholar
Cook-Cottone, C., & Beck, M. (2007). A model for life-story work: Facilitating the construction of personal narrative for foster children. Child and Adolescent Mental Health, 12(4), 193–195.CrossRefGoogle Scholar
Cooper, A., & Redfern, S. (2016). Reflective parenting. A guide to understanding what’s going on in your child’s mind. New York: Routledge.Google Scholar
Douglas, M. (2018). Using transactional analysis to help foster parents develop therapeutic parenting skills. Transactional Analysis Journal, 48(4), 335–349.CrossRefGoogle Scholar
Edwards, C., & Murdock, N. (1994). Characteristics of therapist self-disclosure in the counseling process. Journal of Counseling & Development, 72(4), 384–389.CrossRefGoogle Scholar
Fahlberg, V. (2012). A child’s journey through placement. London: Jessica Kingsley Publishers.Google Scholar
Fonagy, P. (2003). The development of psychopathology from infancy to adulthood: The mysterious unfolding of disturbance in time. Infant Mental Health Journal, 24(3), 212–239.CrossRefGoogle Scholar
Fonagy, P. (2006). The mentalization-focused approach to social development. In Fonagy, P. & Allen, J. G. (Eds.), Handbook of mentalization-based treatment (pp. 53–99). West Sussex, England: John Wiley & Sons, Ltd.Google Scholar
Fonagy, P., Gergely, G., & Target, M. (2008). Psychoanalytic constructs and attachment theory and research. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment, theory, research and clinical applications (2nd ed., pp. 783–810). New York: The Guilford Press.Google Scholar
Fonagy, P., & Target, M. (1997). Attachment and reflective function: Their role in self organization. Development and Psychopathology, 9(4), 679–700.CrossRefGoogle ScholarPubMed
Golding, K. S. (2008). Nurturing attachments. Supporting children who are fostered or adopted. London: Jessica Kingsley Publishers.Google Scholar
Golding, K. S., & Hughes, D. A. (2012). Creating loving attachments. Parenting with PACE to nurture confidence and security in the troubled child. London: Jessica Kingsley Publishers.Google Scholar
Goldstein, E. (1997). To tell or not to tell: The disclosure of events in the therapist’s life to the patient. Clinical Social Work Journal, 25(1), 41–58.CrossRefGoogle Scholar
Hart, S. (2011). The impact of attachment. New York: W.W. Norton & Company, Inc.Google Scholar
Hughes, D. A. (2009). Attachment-focused parenting. Effective strategies to care for children. New York: W.W. Norton & Company.Google Scholar
Hughes, D. A., & Baylin, J. (2012). Brain-based parenting. The neuroscience of caregiving for healthy attachments. New York: W. Norton & Company Inc.Google Scholar
Karstad, S. B., Wichstrom, L., Reinfjell, T., Belsky, J., & Berg-Nielsen, T. S. (2015). What enhances the development of emotion understanding in young children? A longitudinal study of interpersonal predictors. British Journal of Developmental Psychology, 33(3), 340–354.CrossRefGoogle ScholarPubMed
Knox, S., & Hill, C. E. (2003). Therapist self-disclosure: Research-based suggestions for practitioners. Journal of Clinical Psychology, 59(5), 529–539.CrossRefGoogle ScholarPubMed
van der Kolk, B. A. (2005). Developmental trauma disorder. Toward a rational diagnosis for children with complex trauma histories. Psychiatric Annals, 35(5), 401–408.CrossRefGoogle Scholar
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Beverly Hills, California: Sage Publications.CrossRefGoogle Scholar
Pears, K. C., & Fisher, A. (2005). Emotion understanding and theory of mind among maltreated children in foster care: Evidence of deficits. Development and Psychopathology, 17(1), 47–65.CrossRefGoogle ScholarPubMed
Perry, B., & Hambrick, E. P. (2008). The neurosequential model of therapeutics. Reclaiming Children and Youth, 17(3), 38–43. Retreived from www.reclaiming.comGoogle Scholar
Perry, B., & Szalavitz, M. (2008). The boy who was raised as a dog. What traumatized children can teach about loss, love, and healing. New York: Basic BooksGoogle Scholar
Petrie, P. (2011). Communication skills for working with children and young people. Introducing social pedagogy. London: Jessica Kingsley Publishers.Google Scholar
Rauktis, M., Vides De Andrade, A., Doucette, A., McDonough, L., & Rinehart, S. (2005). Treatment foster care and relationships: Understanding the role of therapeutic alliance between youth and treatment parent. International Journal of Child and Family Welfare, 8(4), 146–163.Google Scholar
Siegel, D. J., & Bryson, T. P. (2014). No-drama discipline. The whole-brain way to calm the chaos and nurture your child’s developing mind. New York: Bantam Books.Google Scholar
Southerland, D. G., Mustillo, S. A., Farmer, E. M., Stambaugh, L. F., & Murray, M. (2009). What’s the relationship got to do with it? Understanding the therapeutic relationship in therapeutic foster care. Child and Adolescent Social Work Journal, 26(1), 49–63.CrossRefGoogle Scholar
Taylor, C. (2012). Empathic care for children with disorganized attachments. A model for mentalizing, attachment and trauma-informed care. London: Jessica Kingsley Publishers.Google Scholar