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Disorganised attachment, child maltreatment and the role of teachers

Disorganised attachment, child maltreatment and the role of teachers. Professor David Shemmings OBE PhD University of Kent UK Visiting Professor of Child Protection Research Royal Holloway University of London co-Director of the ADAM Project and co-Director of the

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Disorganised attachment, child maltreatment and the role of teachers

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  1. Disorganised attachment, child maltreatment and the role of teachers Professor David Shemmings OBE PhD University of Kent UK Visiting Professor of Child Protection Research Royal Holloway University of London co-Director of the ADAM Project and co-Director of the University of Kent’s online Child Protection Centre Director of the West London Advanced Child Protection Pathway d.shemmings@kent.ac.uk

  2. adamproject.tiddlyspot.com (no ‘www’)client DISORGANISED ATTACHMENT An irresolvable paradox wherein the haven of safety is at once the source of alarm (Main and Hesse, 1990) But, remember, it is temporary and fleeting

  3. ADAM Project members • Lewisham (x6) • Tower Hamlets (x3) • Croydon (x3) • Merton (x2) • Enfield – all teams, all staff • Hounslow (x2) • Essex (x6) • SW Essex NHS • PIMH Surrey NHS • Bromley (x3) • Camden (x5) • Surrey NHS (x9) • Barnet x10) • Brent (x3) • Havering (x2) • Hammersmith and Fulham (x3) • Richmond (x4) • Bedford (x3) • Caldecott, Kent (x3) • Stoke • Surrey (x7) • Stockholm (x2) • Dusseldorf (MoD x 2) • Cyprus (MoD x 2) • Southwark (x2) • Nottingham • Coventry • Manchester • St Michael’s, London (x5) • Medway (x7) • Belfast (NIGALA) • Newham (x2)

  4. importance of ‘base rate’ in risk assessment • Mental ill-health • 27% in SCRs • But 25% in Gen Pop • Substance misuse • 44% in SCRs • But 34% in Gen Pop (9% drug; 25% alcohol) • Domestic Abuse • 34% from SCRs • But 24% in Gen Pop

  5. Linkages, mechanisms, pathways dissociation / PTSD disconnected parenting low mentalising capacity Child maltreatment Carer risk factors unresolved loss and trauma Impulsivity , low distress tolerance, low consequence appraisal disorganised attachment behaviour (there may be sub-divisions) extremely insensitive parenting (Other – e.g. one-off extreme violence, family suicide/homicide) DRD4 7+ polymorphism, MAO-A, 5HTT … and other influences?

  6. enhanced communication skills Needed for assessment, help and support … but also to share concerns • Intelligent kindness • Unsentimental compassion • Non-directive – i.e.‘gentle’ - curiosity

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