PERSONS RESPONSIBLE FOR DEVELOPING Dyadic Developmental Therapy - ✔✔: Dr. Daniel
Hughes Arthur Becker-Weidman
What TYPE OF THEORY is DDP? - ✔✔It is based on the attachment theory, that the parent-
child relationship highly influences the development of the child.
FOCUS OF DDP? - ✔✔DDP is a family-focused approach to therapy that incorporates well-
researched principles such as a focus on relationships, attunement, intersubjectivity, and
sensitive responsiveness.
Core tenants of DDP? - ✔✔At the core of Reactive Attachment Disorder is trauma caused by
significant and substantial experiences of neglect, abuse, or prolonged and unresolved pain in
the first two years to three years of life. These experiences disrupt the normal attachment
process so that the child's capacity to form a secure attachment with a caregiver is distorted or
absent. The child lacks trust, safety, and security. The child develops a negative working model
of the world in which:
What are the 5 Principles of DDP? - ✔✔1st Principle: Therapy must be experiential
2nd Principal: Therapy must be family-focused.
3rd Principal: The trauma must be directly addressed
4th Principal: A comprehensive milieu of safety and security must be created.
5th Principal: Therapy is consensual and not coercive
1st Principle DDP? - ✔✔The Therapy must be experiential. Experiences, not words, are the
"active ingredient" in the healing process. One key element is maintaining emotional
Attunement with the child through PACE; being Playful, Accepting, Curious, and Empathic.
, 2nd Principal: DDP? - ✔✔Therapy must be family-focused. Therapy opens up a child so that
what the parents have to offer can get in and heal the child. It is the parents' capacity to create
a safe and nurturing home that provides a healing environment.
PACE- in DDP? - ✔✔-(playfulness, acceptance, curiosity, and empathy)- The primary
approach is to create a secure base in treatment.
the therapist and parent deepen the therapeutic alliance through their genuineness as they
convey their intersubjective experience of the child, his strengths and vulnerabilities.
Correspondes to what? - ✔✔Within PACE
PLACE in DDP? - ✔✔(Playful, Loving, Acceptance, Curious, and Empathic). At home using
principles that provide safe structure and a healing PLACE
refers to the parent creating a healing environment by being playful, loving accepting, curious,
and empathic? - ✔✔PLACE
DDP Core Tenants - ✔✔1. A focus on both the caregivers and therapist's own attachment
strategies. Previous research (Dozier et al., 2001, Tyrell, Dozier, Teague, & Fallot, 1999) has
shown the importance of the caregivers and therapists state of mind for the success of
interventions.
2. Therapist and caregiver are attuned to the child's subjective experience and reflect this back
to the child. In the process of maintaining an intersubjective attuned connection with the child,
the therapist and caregiver help the child regulate affect and construct a coherent
autobiographical narrative.
3. Sharing of subjective experiences.
4. Use of PACE and PLACE are essential to healing.
5. Directly address the inevitable mis-attunements and conflicts that arise in interpersonal
relationships.
6. Caregivers use attachment-facilitating interventions.
7. Use of a variety of interventions, including cognitive-behavioral strategies
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