Sunday, October 23, 2016

Youngsters Coping With Trauma


     Last week I was able to attend the Charleston Child Trauma Conference in South Carolina. The sessions focused on supporting children and teens who have been victimized by different forms of neglect or abuse. Although this is a difficult topic to consider, the mental health profession is recognizing the immediate and long-term risks faced by young people who have been mistreated. 
     We cannot erase the overwhelming situations that impact a portion of youth in our society. We can recognize the impact of mistreatment and work to help them cope with the stressors they face.  
     Dr. Karen Horney wrote about children adjusting to significant stress in their lives in her 1945 book, Our Inner Conflicts.
"...the child gropes for ways to keep going, ways to cope with this menacing world. Despite his own weakness and fears he unconsiously shapes his tactics to meet the particular forces operating in his environment. In doing so, he develops not only ad hoc strategies but lasting character trends which become part of his personality...At first a rather chaotic picture may present itself, but out of it in time three main lines crystallize: a child can move toward people, against them, or away from them...In each of these three attitudes, one of the elements involved in basic anxiety is overemphasized: helplessness in the first, hostility in the second, and isolation in the third." 
      


    Dr. Horney recognized that children tend to develop a strategy to deal with their sense of being alone and overwhelmed in a dangerous world. This is most pronounced for children who have been victimized. She went on to explain that children who present as helpless try to make connections to gain support and move toward people. Children who are hostile move against people because they lack trust in others and look to fight so that they can feel stronger and protect themselves. Children who isolate themselves move away from connections with others because they feel misunderstood and do not make the effort to connect or fight.       We have all encountered children and teens who predominantly behave with one of these three attitudes that were described over 70 years ago by Dr. Horney. We are sometimes quick to think these children are simply misbehaving. We can describe them as needy and clingy; oppositional and rebellious; or aloof and conceited.
     It is rare that we will know the personal histories (especially the traumatic histories) of the young people who we coach, teach, supervise or otherwise encounter in our daily lives. We should take the time to consider that the youngsters we find challenging might be doing the best they can to cope with stressors many of us could never imagine. Youngsters often need our kindness and understanding more than they need our criticism.

The quote above is from Our Inner Conflict: A Constructive Theory of Neurosis pp.42-43 by Karen Horney; 1945 by W.W. Norton & Company, Inc.

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