Abstract
Childhood adversity is considered one of the greatest epidemiological threats to our global youth community, and one of the most salient shapers of adult outcomes. The influence of developmental trauma on youth outcomes is multidimensional and transactional, as children must adapt to the complex demands of individual, cross-generational, and societal experiences. For many trauma-exposed youth, development is impacted in critical ways across domains, with youth developing a wide range of emotional, behavioral, and relational adaptations that lead to complex presentations transcending diagnostic categories and influencing risk for an array of negative outcomes over time. A key role of intervention with children and adolescents who have experienced traumatic stress is therefore the cultivation of core domains of development which are impacted by traumatic stress, and which in turn predict most strongly to resilient outcome. In this chapter, developmental trauma and its impacts on youth development are briefly described and defined, and trauma treatment is reframed as the work of cultivating resilience. Core targets of intervention are delineated, including building a range of external supports and resources, addressing caregiver needs and skills, supporting youth regulation, and enhancing key developmental capacities.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Alhusen, J. L., Hayat, M. J., & Gross, D. (2013). A longitudinal study of maternal attachment and infant developmental outcomes. Archives of Women’s Mental Health, 16(6), 521–529.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.
Anda, R. F., Croft, J. B., Felitti, V. J., Nordenberg, D., Giles, W. H., Williamson, D. F., et al. (1999). Adverse childhood experiences and smoking during adolescence and adulthood. Journal of the American Medical Association, 282(17), 1652–1658.
Beers, S., & de Bellis, M. D. (2002). Neuropsychological function in children with maltreatment-related posttraumatic stress disorder. American Journal of Psychiatry, 159, 483–486.
Bellis, M. A., Hughes, K., Leckenby, N., Hardcastle, K. A., Perkins, C., & Lowey, H. (2015). Measuring mortality and the burden of adult disease associated with adverse childhood experiences in England: A national survey. Journal of Public Health, 37(3), 445–454.
Bernard, K., Dozier, M., Bick, J., Lewis-Morrarty, E., Lindheim, O., & Carlson, E. (2012). Enhancing attachment organization among maltreated children: Results of a randomized clinical trial. Child Development, 83, 623–646.
Bernard, D. L., Calhoun, C. D., Banks, D. E., Halliday, C. A., Hughes-Halbert, C., & Danielson, C. K. (2021). Making the “C-ACE” for a culturally-informed adverse childhood experiences framework to understand the pervasive mental health impact of racism on black youth. Journ Child Adol Trauma, 14, 233–247.
Blaustein, M., & Kinniburgh, K. (2007). Intervening beyond the child: The intertwining nature of attachment and trauma. Briefing Paper: Attachment Theory Into Practice. British Psychological Society, Briefing Paper, 26, 48–53.
Blaustein, M., & Kinniburgh, K. (2018). Treating traumatic stress in children and adolescents: How to foster resilience through attachment, self-regulation, and competency (2nd ed.). Guilford Press.
Brock, K., Pearlman, L. A., & Varra, E. (2006). Child maltreatment, self capacities and trauma symptoms: Psychometric properties of the Inner Experience Questionnaire. Journal of Emotional Abuse, 6(1), 103–125.
Burke, N. J., Hellman, J. L., Scott, B. G., Weems, C. F., & Carrion, V. G. (2011). The impact of adverse childhood experiences on an urban pediatric population. Child Abuse & Neglect, 35(6), 408–413.
Cicchetti, D., & Rogosch, F. (2009). Adaptive coping under conditions of extreme stress: Multilevel influences on the determinants of resilience in maltreated children. New Directions in Child and Adolescent Development, 124, 47–59.
Cicchetti, D., Rogosch, F. A., & Toth, S. L. (2006). Fostering secure attachment in infants in maltreating families through preventive interventions. Development and Psychopathology, 18(3), 623–649.
Clarkson Freeman, P. A. (2014). Prevalence and relationship between adverse childhood experiences and child behavior among young children. Infant Mental Health Journal, 35, 544–554.
Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. Guilford Press.
Cohen, J. A., Mannarino, A. P., Kliethermes, M., & Murray, L. A. (2013). Trauma-focused CBT for youth with complex trauma. Child Abuse and Neglect, 36(6), 528–541.
Collishaw, S., Pickles, A., Messer, J., Rutter, M., Shearer, C., & Maughan, B. (2007). Resilience to adult psychopathology following childhood maltreatment: Evidence from a community sample. Child Abuse & Neglect, 31(3), 211–229.
Cronholm, P. F., Forke, C. M., Wade, R., Bair-Merritt, M. H., Davis, M., Harkins-Schwarz, M., Pachter, L. M., & Fein, J. A. (2015). Adverse childhood experiences: Expanding the concept of adversity. American Journal of Preventive Medicine, 49(3), 354–361.
D’Andrea, W., Ford, J., Stolbach, B., Spinazzola, J., & van der Kolk, B. (2012). Understanding interpersonal trauma in children: Why we need a developmentally appropriate trauma diagnosis. American Journal of Orthopsychiatry, 82(2), 187–200.
de Bellis, M. D. (2001). Developmental traumatology: The psychobiological development of maltreated children and its implications for research, treatment, and policy. Development and Psychopathology, 13, 539–564.
Felitti, V. J., Anda, R. F., Nordenberg, D. F., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258.
Flaherty, E. G., Thompson, R., Dubowitz, H., Harvey, E. M., English, D. J., Proctor, L. J., & Runyan, D. K. (2013). Adverse childhood experiences and child health in early adolescence. JAMA Pediatrics, 167(7), 622–629.
Flores, E., Cicchetti, D., & Rogosch, F. (2005). Predictors of resilience in maltreated and nonmaltreated Latino children. Developmental Psychology, 41, 338–351.
Ford, J. D., & Russo, E. (2006). Trauma-focused, present-centered, emotional self-regulation approach to integrated treatment for posttraumatic stress and addiction: Trauma adaptive recovery group education and therapy (TARGET). American Journal of Psychotherapy, 60(4), 335–355.
Ford, J. D., Spinazzola, J., van der Kolk, B., & Grasso, D. J. (2018). Toward an empirically based developmental trauma disorder diagnosis for children: Factor structure, item characteristics, reliability, and validity of the developmental trauma disorder semi-structured interview. Journal of Clinical Psychiatry, 79(5), 17m11675.
Giller, E., Vermilyea, E., & Steele, T. (2006). Risking connection: Helping agencies embrace relational work with trauma survivors. Journal of Trauma Practice, 5(1), 65–82.
Godbout, N., Briere, J., Sabourin, S., & Lussier, Y. (2014). Child sexual abuse and subsequent relational and personal functioning: The role of parental support. Child Abuse & Neglect, 38(2), 317–325.
Hampton-Anderson, J. N., Carter, S., Fani, N., Gillespie, C. F., Henry, T. L., Holmes, E., Lamis, D. A., LoParo, D., Maples-Keller, J. L., Powers, A., Sonu, S., & Kaslow, N. J. (2021). Adverse childhood experiences in African Americans: Framework, practice, and policy. American Psychologist, 76(2), 314–325.
Hawthorne, G. (2008). Perceived social isolation in a community sample: Its prevalence and correlates with aspects of peoples’ lives. Soc Psychiat Epidemiol, 43, 140–150.
Herman, J. L. (1992). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5(3), 377–391.
Herman, J. L. (2015). Trauma and recovery: The aftermath of violence—from domestic abuse to political terror. Basic Books.
Hillis, S., Mercy, J., Amobi, A., & Kress, H. (2016). Global prevalence of past-year violence against children: A systematic review and minimum estimates. Pediatrics, 137(3), e20154079.
Hughes, K., Bellis, M., Hardcastle, K., Sethi, D., Butchart, A., Mikton, C., Jones, L., & Dunne, M. (2017). The effect of multiple adverse childhood experiences on health: A systematic review and meta-analysis. The Lancet Public Health, 2(8), e356–e366.
Ingoldsby, E. M. (2010). Review of interventions to improve family engagement and retention in parent and child mental health programs. Journal of Child and Family Studies, 19(5), 629–645.
Jacobsen, T., & Hofmann, V. (1997). Children’s attachment representations: Longitudinal relations to school behavior and academic competency in middle childhood and adolescence. Developmental Psychology, 33(4), 703.
Jaffee, S. R., Bowes, L., Ouellet-Morin, I., Fisher, H. L., Moffitt, T. E., Merrick, M. T., & Arseneault, L. (2013). Safe, stable, nurturing relationships break the intergenerational cycle of abuse: A prospective nationally representative cohort of children in the United Kingdom. Journal of Adolescent Health, 53(4), S4–S10.
Kagan, R. (2004). Rebuilding attachment with traumatized children from losses, violence, abuse and neglect. Routledge.
Kagan, R. (2007a). Real life heroes: A life storybook for children (2nd ed.). Routledge.
Kagan, R. (2007b). Real life heroes practitioner’s manual. Routledge.
Kagan, R., Henry, J., Richardson, M., Trinkle, J., & LaFrenier, A. (2014). Evaluation of Real Life Heroes treatment for children with complex PTSD. Psychological Trauma: Theory, Research, Practice, and Policy, 6(5), 588–596.
Kaiser, E. M., Gillette, C., & Spinazzola, J. (2010). A controlled pilot-outcome study of sensory integration (SI) in the treatment of complex adaptation to traumatic stress. Journal of Aggression, Maltreatment and Trauma, 19(7), 699–720.
Karatekin, C., & Hill, M. (2018). Expanding the original definition of Adverse Childhood Experiences (ACEs). Journal of Child & Adolescent Trauma, 12(3), 289–306.
Kinniburgh, K., Blaustein, M., Spinazzola, J., & van der Kolk, B. (2005). Attachment, self-regulation, and competency: A comprehensive intervention framework for children with complex trauma. Psychiatric Annals, 35(5), 424–430.
Lavi, T., & Solomon, Z. (2005). Palestinian youth of the Intifada: PTSD and future orientation. Journal of the American Academy of Child & Adolescent Psychiatry, 44(11), 1176–1183.
LeBel, J., Champagne, T., Stromberg, N., & Coyle, R. (2010). Integrating sensory and trauma-informed interventions: A Massachusetts state initiative, part 1. Mental Health Special Interest Section Quarterly, 33(1), 1–4.
Lieberman, A. F., Ghosh Ippen, C., & Van Horn, P. (2006). Child-parent psychotherapy: 6-month follow-up of a randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 45(8), 913–918.
Lieberman, A. F., Ghosh Ippen, C., & Van Horn, P. (2015). Don’t hit my mommy: A manual for Child-Parent Psychotherapy with young children exposed to violence and other trauma (2nd ed.). Zero to Three.
Lowell, A., Renk, K., & Adgate, A. H. (2014). The role of attachment in the relationship between child maltreatment and later emotional and behavioral functioning. Child Abuse & Neglect, 38(9), 1436–1449.
Madigan, S., Cyr, C., Eirich, R., Fearon, R. P., Ly, A., Rash, C., et al. (2019). Testing the cycle of maltreatment hypothesis: Meta-analytic evidence of the intergenerational transmission of child maltreatment. Development and Psychopathology, 31(1), 23–51.
Magruder, K., McLaughlin, K., & Elmore Borbon, D. (2017). Trauma is a public health issue. European Journal of Psychotraumatology, 8, 1.
Main, M., & Cassidy, J. (1988). Categories of response to reunion with the parent at age 6: Predicted from infant attachment classifications and stable over a 1-month period. Developmental Psychology, 24, 415–426.
Masten, A. S. (2001). Ordinary magic: Resilience processes in development. American Psychologist, 56, 227–238.
Masten, A. S. (2009). Ordinary magic: Lessons from research on resilience in human development. Education Canada, 49(3), 28–32.
Masten, A. S., Best, K. M., & Garmezy, N. (1990). Resilience and development: Contributions from the study of children who overcome adversity. Development and Psychopathology, 2(4), 425–444.
McKay, M. M., & Bannon, W. M. (2004). Engaging families in child mental health services. Child Adolescent Psychiatry Clinical North American Journal, 13(4), 905–921.
Mezzacappa, E., Kindlon, D., & Earls, F. (2001). Child abuse and performance task assessments of executive functions in boys. Journal of Child Psychology and Psychiatry, 42(8), 1041–1048.
Moss, E., Dubois-Comtois, K., Cyr, C., Tarabulsy, G. M., St-Laurent, D., & Bernier, A. (2011). Efficacy of a home-visiting intervention aimed at improving maternal sensitivity, child attachment, and behavioral outcomes for maltreated children: A randomized control trial. Development and Psychopathology, 23, 195–210.
Murray, D. W., Rosanbalm, K., Chrisopoulos, C., & Hamoudi, A. (2015). Self-regulation and toxic stress: Foundations for understanding self-regulation from an applied developmental perspective. OPRE Report #2015-21. Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, US Department of Health and Human Services.
Naste, T. M., Price, M., Karol, J., Martin, L., Murphy, K., Miguel, J., & Spinazzola, J. (2018). Equine facilitated therapy for complex trauma (EFT-CT). Journal of Child & Adolescent Trauma, 11(3), 289–303.
Op den Kelder, R., Van den Akker, A. L., Geurts, H. M., Lindauer, R. J., & Overbeek, G. (2018). Executive functions in trauma-exposed youth: A meta-analysis. European Journal of Psychotraumatology, 9(1), 1450595.
Op den Kelder, R., Van den Akker, A. L., Ensink, J. B. M., Geurts, H. M., Overbeek, G., de Rooij, S. R., et al. (2021). Longitudinal associations between trauma exposure and executive functions in children: Findings from a Dutch birth cohort study. Research on child and adolescent psychopathology, 1–14.
Oshri, A., Topple, T. A., & Carlson, M. W. (2017). Positive youth development and resilience: Growth patterns of social skills among youth investigated for maltreatment. Child Development, 88(4), 1087–1099.
Pears, K. C., & Capaldi, D. M. (2001). Intergenerational transmission of abuse: A two-generational prospective study of an at-risk sample. Child Abuse & Neglect, 25(11), 1439–1461.
Pollak, S. D., & Kistler, D. J. (2002). Early experience is associated with the development of categorical representations for facial expressions of emotion. PNAS, 99(13), 9072–9076.
Razza, R. A., Linsner, R. U., Bergen-Cico, D., Carlson, E., & Reid, S. (2020). The feasibility and effectiveness of mindful yoga for preschoolers exposed to high levels of trauma. Journal of Child and Family Studies, 29(1), 82–93.
Rialon, R. A. (2011). A comparative analysis of the children’s future orientation scale ratings of traumatized urban youth with and without posttraumatic stress disorder (Doctoral dissertation). Columbia University.
Rivard, J. C., McCorkle, D., Duncan, M. E., Pasquale, L. E., Bloom, S. L., & Abramovitz, R. (2004). Implementing a trauma recovery framework for youths in residential treatment. Child and Adolescent Social Work Journal, 21(5), 529–550.
Saxe, G. N., Ellis, B. H., & Brown, A. D. (2015). Trauma systems therapy for children and teens. New York: Guilford Press.
Schwarzer, R., & Warner, L. M. (2013). Perceived self-efficacy and its relationship to resilience. In Resilience in children, adolescents, and adults (pp. 139–150). Springer.
Sippel, L. M., Pietrzak, R. H., Charney, D. S., Mayes, L. C., & Southwick, S. M. (2015). How does social support enhance resilience in the trauma-exposed individual? Ecology and Society, 20(4).
Sroufe, L. A. (2005). Attachment and development: A prospective, longitudinal study from birth to adulthood. Attachment & Human Development, 7, 349–367.
Stronach, E. P., Toth, S. L., Rogosch, F., & Cicchetti, D. (2013). Preventive interventions and sustained attachment security in maltreated children. Development and Psychopathology, 25(4pt1), 919–930.
van der Kolk, B. (2005). Developmental trauma disorder: Toward a rational diagnosis for children with complex trauma histories. Psychiatric Annals, 35(5), 401–408.
Vondra, J., Barnett, D., & Cicchetti, D. (1989). Perceived and actual competence among maltreated and comparison school children. Development and Psychopathology, 1, 237–255.
Vondra, J., Barnett, D., & Cicchetti, D. (1990). Self-concept, motivation, and competence among preschoolers from maltreating and comparison families. Child Abuse and Neglect, 14, 525–540.
Warner, E., Finn, H., Cook, A., Westcott, A. (2020). Transforming trauma in children and adolescents: An embodied approach to somatic regulation, trauma processing, and attachment-building. .
Waters, E., Merrick, S., Treboux, D., Crowell, J., & Albersheim, L. (2000). Attachment security in infancy and early adulthood: A twenty-year longitudinal study. Child Development, 71, 684–689.
Webb, N. B. (Ed.). (2007). Play therapy with children in crisis: Individual, group, and family treatment (3rd ed.). Guilford Press.
Werner, E. E. (1989). High-risk children in young adulthood: A longitudinal study from birth to 32 years. American Journal of Orthopsychiatry, 59(1), 72–81.
World Health Organization. (2019). International statistical classification of diseases and related health problems (11th ed.). https://icd.who.int/
Zeng, S., Corr, C. P., O’Grady, C., & Guan, Y. (2019). Adverse childhood experiences and preschool suspension expulsion: A population study. Child Abuse & Neglect, 97, 104149.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Blaustein, M.E., Kinniburgh, K.M. (2023). Comprehensive Interventions to Foster Resilience in Children with Complex Trauma. In: Goldstein, S., Brooks, R.B. (eds) Handbook of Resilience in Children. Springer, Cham. https://doi.org/10.1007/978-3-031-14728-9_15
Download citation
DOI: https://doi.org/10.1007/978-3-031-14728-9_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-14727-2
Online ISBN: 978-3-031-14728-9
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)