‘Dr Music is certainly one of the best and probably the most deep thinking child psychotherapistsintheworld.Thisbeautifulbookdistillsdecadesofneuro-clinicalthinking, interpreting children’s and young people’s experience and behavior in terms of the most applicable and scientifically credible models of mind. For those who wish to understand clinicalphenomena and throughthisimprove their clinical work, thisbookisa must. For those who want to marvel and learn from the writing of a master clinician, this book is amongstthebestyouarelikelytoencounter.Andforthefewwhowanttodoboth…thisis anincredibleopportunity.Icouldnotrecommendabookmorestrongly.’ –ProfessorPeterFonagyOBE,HeadoftheDivisionofPsychologyand LanguageSciencesatUCL;ChiefExecutiveoftheAnnaFreud NationalCentreforChildrenandFamilies,London,UK ‘Ofalllifeformsonthisplanethumaninfantsarebyfarthemostdependentontheloveand caretheyreceivefromtheirparents.Theneedforcaringcanextendwellintotheadolescent yearsandbeyond.Notonlydoparentsprotectthembuttheyshapethematurationoftheir braindevelopment,therobustnessoftheirimmunesystemandeventheexpressionoftheir genes. As an international, leading exponent of attachment theory and its applications in child psychotherapy there could be no better guide than Dr Music to reveal the role of attachmentasbothasourceoftraumaanditsrecovery.Bringingthereadermanyyearsof therapeuticinsightandexperience,withaclarityofexpositionoffascinatingandimportant case studies, this is a wonderful addition to the literature. All therapists and other profes- sionalsworkingwithchildrenwouldbenefitenormouslyfromthisbook.’ –ProfessorPaulGilbertOBE,authorofTheCompassionate MindandLivinglikeCrazy ‘Graham Music has done it again. This is a much-needed book and the clinical work is profoundlymoving. Music isable to blendhisowndeeply feltempathic capacities with a comprehensive grasp of the latest developmental and neuroscientific research in a highlyreadableform.Heisarealthinkerandallofusinthefieldofchildmentalhealth, and for that matter, learning disability, will be extremely grateful for it. He really gets, anduses,allthe newworkonthebody,too.’ –AnneAlvarez,consultant,childandadolescentpsychotherapist, TavistockClinic;authorofLiveCompanyandTheThinking Heart ‘Ifyouarelookingforabookthattellsyouwhatattachment-based,neuroscience-informed psychotherapy looks like in practice, look no further. Graham Music’s wonderful book conveys the process brilliantly. It demonstrates how an attuned and compassionate relationshipisthekeytopsychologicalgrowth,aprocessthatmightsoundeasyyetisin practiceademandingartthatdrawsonallthepsychotherapist’sresourcestorespondatthe right level, at the right moment. He is particularly good on the psychotherapist’s own struggles to extend compassion to himself and to stay “alive and present” in difficult therapeuticrelationships.’ –SueGerhardt,psychotherapist;co-founderofthe OxfordParentInfantProject;andauthorofthe bestsellingbookWhyLoveMatters ‘Graham Music takes us on a journey with him in his new book, Nuturing Children: From Trauma to Growth Using Attachment Theory, Psychoanalysis and Neurobiology. From his psychoanalytic “bedrock” Graham grows flowers, many of which include his reflectionsonthethoughtsoftherapeuticmentorsandtheoristsaswellasontherapeutic implicationsfromfindingsofattachmentandneurobiologyresearch.Yetthemostvibrant flowers involve the moments that he spends coming to know the minds and hearts of youngpeopleanddiscoveringthepathswiththemthatwillleadfromtraumatohope.In thisworkGrahaminvitesusintohistherapeuticspacetobepresentwithhim–withboth hismind andheart– asheispresentwiththesehurtandcourageousyoungpeople. ToreadthisworkistoenterintoaconversationwithGraham,towonderwithhimabout the meanings of what Molly, Michael, Samantha and the others are doing so to better understand their unique experiences and find the one-of-a-kind therapeutic intervention that will do them the most good. We share with Graham his wobbles and confusion, recoveries and unfoldings, as he finds a way of relating with each child that may well createsafety,healing,andintegration.Theseconversations,readilyavailabletousaswe read,willbringGrahamwithusintoourtherapeuticspaceandenrichourworkwiththe mindsandheartsofthechildrenwearecomingtoknowandcareabout,regardlessofthe natureofthebedrockuponwhichwestand.’ –DanielA.Hughes, PhD,isaclinical psychologistwhospecializes in child abuseandneglect,attachment,fostercare,andadoption.He isa prolific author and activelytrains othertherapistsinthemodeloftreatmentknownasDyadic DevelopmentalPsychotherapy,bothwithintheUnitedStatesandinothercountries Nurturing Children Nurturing Children describes children’s lives transformed through therapy. Drawing on decades of experience, internationally respected clinician andtrainer GrahamMusictackles majorissues affecting troubled children, including trauma, neglect, depression and violence. Using psychoanalysis alongside modern developmental thinking from neurobiology, attachment and trauma theory and mindfulness, Music creates his own distinctive blend of approaches to help even the most traumatised of children. A mix of personal accounts and therapeutic riches, Nurturing Children will appeal to anyone helping children, young people and families to lead fuller lives. Graham Music is a consultant child and adolescent psychotherapist at the Tavistock and Portman Clinics in London, UK, and an adult psychotherapist in private practice who teaches, supervises and lectures internationally. This page intentionally left blank Nurturing Children From Trauma to Growth Using Attachment Theory, Psychoanalysis and Neurobiology Graham Music First published 2019 by Routledge 2Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 52 Vanderbilt Avenue, New York, NY 10017 RoutledgeisanimprintoftheTaylor&FrancisGroup,aninformabusiness ©2019GrahamMusic TherightofGrahamMusictobeidentifiedasauthorofthiswork hasbeen asserted by him in accordancewith sections 77 and 78 of the Copyright, Designsand PatentsAct 1988. All rightsreserved. No part of thisbookmay be reprinted or reproduced or utilised inany form orbyany electronic, mechanical, or other means, now known orhereafter invented, including photocopying and recording, or in anyinformation storage or retrieval system, without permission in writing from thepublishers. Trademark notice: Product orcorporate namesmay be trademarksor registered trademarks, and are used only for identification and explanationwithout intent to infringe. British Library Cataloguing-in-Publication Data A catalogue record for thisbookis available from the British Library Library of Congress Cataloging-in-Publication Data Names: Music, Graham, 1957- author. Title: Nurturing children: from trauma to growth using attachment theory, psychoanalysis and neurobiology/ Graham Music. Description: Abingdon, Oxon ;New York, NY : Routledge, 2019. Identifiers:LCCN2018039399(print)|LCCN2018050323(ebook)| ISBN9780429437540(MastereBook)|ISBN9780429794360(Adobe Reader)|ISBN9780429794353(ePub)|ISBN9780429794346 (Mobipocket)|ISBN9781138346055|ISBN9781138346055q(hardback)| ISBN9781138346062(pbk.)|ISBN9780429437540(ebook) Subjects:LCSH:Childpsychotherapy.|Adolescentpsychotherapy. Classification:LCCRJ504(ebook)|LCCRJ504.M882019(print)|DDC 618.92/8914–dc23 LCrecordavailableathttps://lccn.loc.gov/2018039399 ISBN: 978-1-138-34605-5(hbk) ISBN: 978-1-138-34606-2(pbk) ISBN: 978-0-429-43754-0(ebk) Typeset in Times New Roman by Swales & Willis Ltd This book is dedicated to my therapists, Roger, Mike, Celia and Nathan, for facilitating my own journey from trauma and anxiety into more well-being and a Good Life. This page intentionally left blank Contents Acknowledgements xi 1 Introduction 1 2 Onefootintheditch 15 3 Resilience,mismatchesandrepair 27 4 Attachmentandjumpyuntrustingkids 39 5 Stuart:growingan‘innerexecutive’andamindtothink thoughts 55 6 Lefthemispheresrule,feelingsavoided:JennyandEdward 71 7 Neglectedchildren:whyitiseasyyetdangeroustoneglect neglect 87 8 Bringingupthebodies:bodyawarenessandeasefulselves 103 9 Traumaandtreadingcarefully 117 10 Angelsanddevils:sadismandviolenceinchildren 133 11 Altruismandcompassion:howtheycanbeturnedonandoff 145 12 Addiction,techandtheweb:newdangershijackingold systems 157