THE BOY WHO WAS RAISED
AS A DOG
https://www.worldsupporter.org/nl/chapter/86171-summary-boy-who-was-raised-dog-perry
Peery & Szalavitz (2017)
TINA’S WORLD
Characteristics patient
Tina
7 year old girl
African-american
3ft tall
Tiny and fragile
Case
Tina lived with her mother (Sara) and 2 younger siblings.
Behavior: aggressive and inappropriate
o She exposed herself, attacked other children, used sexual language
and tried to get them to engage in sex play.
2-year abused
o Start when she was 4.
o Ended when she was 6.
Perpetrator was 16-year old boy babysitter’s son.
o Molested Tina and her younger brother Michael.
o Tied the children and rape them.
Home situation
o Tina’s mom is a single parent.
o Poor mom had a minimum wage job.
o The children are home alone until Sara comes home.
Brain problems
o Brainstem
Sleep & attention problems
o Diencephalon & cortex
Difficulties with fine motor control & coordination
o Limbic & cortex
Social and relational delays & deficits
o Cortex
Speech & language problems
Tina has a abnormal/poorly regulated stress-response-system(?)
, o In Tina’s case the repeated activation of her stress-response-systems
from a trauma endured at a young age, when her brain was still
developing, had probably caused a cascade of altered receptors,
sensitivity, and dysfunction throughout her brain.
Story
Took place at University of Chicago
After the door closed Tina sat on the psychiatric lap and moved her hand to
his crotch.
Psychiatric suggest to color Tina seems upset.
Tina had only known men as sexual predators.
The only adults males she’d met were her mother’s often inappropriate
boyfriends and her own abuser.
For the next 40 minutes the psychiatric and Tina sat on the floor, side by side,
coloring quietly.
The psychiatric presented Tina’s case to his first supervisor Dr. Stine.
Dr. Stine think she has ADD, but the psychiatric is not so sure. He feels that
Tina was experiencing something more.
Psychiatric has another supervisor: Dr. Dyrud.
Dr Dyrud advice is to get to know Tina and not her symptoms psychiatric
has to find out about her life.
For the next few sessions the psychiatric and Tina spent time coloring or
playing simple games and talking about what she liked to do.
Later that fall, however Tina was late to therapy for several weeks in a row.
One day the psychiatric saw the family waiting for the bus in the cold and give
them a ride home.
Later in the year Sara and her family moved to an apartment closer to the
medical center.
The psychiatric labeled Tina: she has PTSD.
Over 3 years the psychiatric has worked with Tina.
Unfortunately 2 weeks before the psychiatric left the clinic, Tina was caught
performing fellatio on an older boy at school.
General information
History
In 1987 child psychiatric had not embraced the neurosciences.
The expansion of research on the brain and brain development exploded in
1990.
Brain
Neurons
, o 86 billion neurons (brain cells) and for each neuron there are also
equally important support cells (galia)
o During development (from birth to early adulthood) all for these
complicated cells must be organized into specialized networks.
o This results in countless intricately interconnected and highly
specialized systems.
4 major brain parts:
o Brainstem
Simple
Evolved first
Function
Body temperature
Heart rate
Respiration
Blood pressure
o Diencephalon
Central region simple
Evolved first
Function
Emotional responses that guide behavior, like fear,
hatred, love and joy.
o Limbic system
More complex
Completely internal
Function
Emotional responses that guide behavior.
o Cortex
Function
Speech & language
Abstract thinking
Planning
Decision making
Organized in a hierarchical fashion:
bottom to top, inside to outside.
While interconnected, each of these 4
main areas controls a separate set of
functions.
Stress and the brain
o The stress-response-system can, if poorly regulated or abnormal,
cause dysfunction in all 4 main eras of the brain.
Memory
, Memory = a basic property of biological systems. The capacity to carry
forward in time some element of an experience.
o Memory is what the brain does, how it composes us and allows our
past to determine our future.
o It is through association that people weave all of our incoming sensory
signals together to create the whole person, place, thing, and action.
Association allows and underlies both language and memory.
o All of the previously stored experiences has laid down the neural
networks, the memory “template”, that you now use to make sense out
of any new incoming information.
o Early experiences will necessarily have a far greater impact than later
ones.
FOR YOUR OWN GOOD
Characteristics patient
Sandy
Girl
3 years old
Sleeping problems and pervasively anxious
Episodic period of daydreaming extremely difficult to snap her her out of it
Aggressive, tantrum-like outbursts
Case
Sandy had witnessed the rape & murder of her own mother.
Sandy’s throat was cut twice and left for dead.
She was alone with her dead mother’s body for eleven hours in their
apartment. Then she has been hospitalized due to injuries she’d received
during the crime.
Sandy does not have a therapist
Sandy is in foster care. For 9 months she’s moved from foster home to foster
gone with no counseling or psychiatric care.
Sandy didn’t want to use silverware especially knives. She refused to drink
milk or even look at a milk bottle. And when the doorbell rang she would hide.
Story
Year: 1990
Psychiatric is now an assistant professor at the University of Chicago.
The case: homicide story plays after almost a year later. Stan ask
psychiatric to help prepare her for court.
Psychiatric ask Stan who the therapist is there is no therapist.
Sandy knew the murderer. There was other evidence so does Sandy needs
to testify?
AS A DOG
https://www.worldsupporter.org/nl/chapter/86171-summary-boy-who-was-raised-dog-perry
Peery & Szalavitz (2017)
TINA’S WORLD
Characteristics patient
Tina
7 year old girl
African-american
3ft tall
Tiny and fragile
Case
Tina lived with her mother (Sara) and 2 younger siblings.
Behavior: aggressive and inappropriate
o She exposed herself, attacked other children, used sexual language
and tried to get them to engage in sex play.
2-year abused
o Start when she was 4.
o Ended when she was 6.
Perpetrator was 16-year old boy babysitter’s son.
o Molested Tina and her younger brother Michael.
o Tied the children and rape them.
Home situation
o Tina’s mom is a single parent.
o Poor mom had a minimum wage job.
o The children are home alone until Sara comes home.
Brain problems
o Brainstem
Sleep & attention problems
o Diencephalon & cortex
Difficulties with fine motor control & coordination
o Limbic & cortex
Social and relational delays & deficits
o Cortex
Speech & language problems
Tina has a abnormal/poorly regulated stress-response-system(?)
, o In Tina’s case the repeated activation of her stress-response-systems
from a trauma endured at a young age, when her brain was still
developing, had probably caused a cascade of altered receptors,
sensitivity, and dysfunction throughout her brain.
Story
Took place at University of Chicago
After the door closed Tina sat on the psychiatric lap and moved her hand to
his crotch.
Psychiatric suggest to color Tina seems upset.
Tina had only known men as sexual predators.
The only adults males she’d met were her mother’s often inappropriate
boyfriends and her own abuser.
For the next 40 minutes the psychiatric and Tina sat on the floor, side by side,
coloring quietly.
The psychiatric presented Tina’s case to his first supervisor Dr. Stine.
Dr. Stine think she has ADD, but the psychiatric is not so sure. He feels that
Tina was experiencing something more.
Psychiatric has another supervisor: Dr. Dyrud.
Dr Dyrud advice is to get to know Tina and not her symptoms psychiatric
has to find out about her life.
For the next few sessions the psychiatric and Tina spent time coloring or
playing simple games and talking about what she liked to do.
Later that fall, however Tina was late to therapy for several weeks in a row.
One day the psychiatric saw the family waiting for the bus in the cold and give
them a ride home.
Later in the year Sara and her family moved to an apartment closer to the
medical center.
The psychiatric labeled Tina: she has PTSD.
Over 3 years the psychiatric has worked with Tina.
Unfortunately 2 weeks before the psychiatric left the clinic, Tina was caught
performing fellatio on an older boy at school.
General information
History
In 1987 child psychiatric had not embraced the neurosciences.
The expansion of research on the brain and brain development exploded in
1990.
Brain
Neurons
, o 86 billion neurons (brain cells) and for each neuron there are also
equally important support cells (galia)
o During development (from birth to early adulthood) all for these
complicated cells must be organized into specialized networks.
o This results in countless intricately interconnected and highly
specialized systems.
4 major brain parts:
o Brainstem
Simple
Evolved first
Function
Body temperature
Heart rate
Respiration
Blood pressure
o Diencephalon
Central region simple
Evolved first
Function
Emotional responses that guide behavior, like fear,
hatred, love and joy.
o Limbic system
More complex
Completely internal
Function
Emotional responses that guide behavior.
o Cortex
Function
Speech & language
Abstract thinking
Planning
Decision making
Organized in a hierarchical fashion:
bottom to top, inside to outside.
While interconnected, each of these 4
main areas controls a separate set of
functions.
Stress and the brain
o The stress-response-system can, if poorly regulated or abnormal,
cause dysfunction in all 4 main eras of the brain.
Memory
, Memory = a basic property of biological systems. The capacity to carry
forward in time some element of an experience.
o Memory is what the brain does, how it composes us and allows our
past to determine our future.
o It is through association that people weave all of our incoming sensory
signals together to create the whole person, place, thing, and action.
Association allows and underlies both language and memory.
o All of the previously stored experiences has laid down the neural
networks, the memory “template”, that you now use to make sense out
of any new incoming information.
o Early experiences will necessarily have a far greater impact than later
ones.
FOR YOUR OWN GOOD
Characteristics patient
Sandy
Girl
3 years old
Sleeping problems and pervasively anxious
Episodic period of daydreaming extremely difficult to snap her her out of it
Aggressive, tantrum-like outbursts
Case
Sandy had witnessed the rape & murder of her own mother.
Sandy’s throat was cut twice and left for dead.
She was alone with her dead mother’s body for eleven hours in their
apartment. Then she has been hospitalized due to injuries she’d received
during the crime.
Sandy does not have a therapist
Sandy is in foster care. For 9 months she’s moved from foster home to foster
gone with no counseling or psychiatric care.
Sandy didn’t want to use silverware especially knives. She refused to drink
milk or even look at a milk bottle. And when the doorbell rang she would hide.
Story
Year: 1990
Psychiatric is now an assistant professor at the University of Chicago.
The case: homicide story plays after almost a year later. Stan ask
psychiatric to help prepare her for court.
Psychiatric ask Stan who the therapist is there is no therapist.
Sandy knew the murderer. There was other evidence so does Sandy needs
to testify?
