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Building the Bonds of Attachment


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Table of Contents

Part 1 When Attachment Fails to Develop . . . Introducing Katie Part 2 The Spiral Begins: The Neglect and Abuse of Katie Part 3 Enter the State: False Starts Chapter 4 Foster Home #1-Ruth Daley Chapter 5 Foster Home #2-Karen Miller Chapter 6 Foster Home #3-Susan Cummings Part 7 A New Approach: Understanding and Treating Reactive Attachment Disorder Allison Kaplan, Ph.D. Chapter 8 Jackie Keller's Therapeutic Parenting Chapter 9 Foster Home #4-Jackie Keller Part 10 A New Start Chapter 11 Life with Jackie Chapter 12 The Episode of the Quilt Chapter 13 Resisting and Regressing Chapter 14 The Thanksgiving Debacle Chapter 15 Winter on a Roller Coaster Part 16 Breaking Through Chapter 17 District Court Chapter 18 Spring, Where the Sun Shines Chapter 19 Summer, the Second Time Around Chapter 20 Fear and Joy Part 21 Principles of Parenting and Therapy Chapter 22 Parenting Chapter 23 Psychotherapy

About the Author

Daniel A. Hughes, Ph.D., is a clinical psychologist in Waterville, Maine, where he specializes in child abuse and neglect, attachment, foster care, and adoption. He provides consultation to family services programs and also to therapists, case managers, and parents struggling with the treatment of attachment deficits in children. Dr. Hughes is the author of Facilitating Developmental Attachment: The Road to Emotional Recovery and Behavioral Change in Foster and Adopted Children.


A courageous, innovative, and clinically sensitive work, Building the Bonds of Attachment illustrates the process of repairing children who have been severely damaged by abuse and neglect. In quasi-novel format, Daniel Hughes focuses on one girl's struggles within the foster care system; by portraying her inner world, he enables us to understand and empathize with the dynamics of reactive attachment disorder. Hughes's approach to treatment comes alive, thanks to the interweaving of narrative with a wealth of clinical information. -- Karen B. Walant
Dr. Hughes intersperses insightful commentary with the story of one child's difficult journey through foster care and therapy following early neglect and abuse. Readable and compelling, this book will be a valuable resource for foster and adoptive parents and for therapists dedicated to helping unattached children recover. -- Laurie C. Miller
Though recognition of attachment disorder and its tragic consequences has increased, treatment continues to be arduous and profoundly discouraging. Building the Bonds of Attachment offers clinicians a sturdy framework and practical strategy for facing these overwhelming cases. Perhaps even more importantly, it will enlighten, affirm, and buoy the adoptive parents, foster families, caseworkers, and teachers who accompany the children on their courageous and daunting journey toward attachment. -- Richard Bromfield
Daniel Hughes conveys the inner life of poorly attached children and offers a sound and comprehensive clinical approach to the difficult task of bringing out the child's full humanity. This important contribution to the clinical literature has the added bonus of being as riveting a page-turner as any novel. -- Ellen F. Wachtel

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