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<p>Integrative practice for the psychotherapeutic treatment of developmental trauma and attachment difficulties in care experienced children is highly prevalent in clinical practice. Most notably, the integration of models of sensory regulation, Theraplay, Dyadic Developmental Psychotherapy (DDP), and Eye Movement Desensitisation and Reprocessing (EMDR) are frequently advocated for, in varying degrees, within practitioner textbooks and professional training sessions. Therefore, this mixed-methods study presents a preliminary evaluation of the impact of a novel, neurocollaborative psychotherapeutic intervention which includes principles of sensory regulation, Theraplay, EMDR, and DDP (STEDi) for a clinical cohort of adoptive families with adopted children who have experienced developmental trauma and attachment disruptions. Quantitative analysis of post-therapy outcome data (Trauma Symptom Checklist for Young Children, Child Behaviour Checklist, Behaviour Rating Inventory of Executive Function, Assessment Checklist for Children) is presented for an extended case-study of eight adoptive families. In addition, a thematic analysis exploring the experiences of 14 adoptive parents from eight families is also presented with a focus on reflections of the impact of the intervention. The tentative quantitative findings suggest that the STEDi may be associated with trends towards positive improvements within routine practice due to mean score reductions across a number of scales across all outcome measures. Qualitative findings were interpreted as representing four core themes: Impact on Parents, Child, and Dyadic Relationship; Enhanced Understanding, Skills, and Knowledge; Motivation to Maintain Change; and Adaptations in Delivery Format. Implications for research and practice are discussed.</p>

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Sensory Regulation, Theraplay®, Eye Movement Desensitisation and Reprocessing, and Dyadic Developmental Psychotherapy Integration (STEDi) for Adoptive Children who have Experienced Developmental Trauma and Attachment Disruptions: A Mixed-Methods Preliminary Evaluation

  • 期刊论文

  • 发表日期：

    2026年6月25日

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  • Jack Purrington,
  • Caitlin Manning,
  • Georgia York

摘要

Integrative practice for the psychotherapeutic treatment of developmental trauma and attachment difficulties in care experienced children is highly prevalent in clinical practice. Most notably, the integration of models of sensory regulation, Theraplay, Dyadic Developmental Psychotherapy (DDP), and Eye Movement Desensitisation and Reprocessing (EMDR) are frequently advocated for, in varying degrees, within practitioner textbooks and professional training sessions. Therefore, this mixed-methods study presents a preliminary evaluation of the impact of a novel, neurocollaborative psychotherapeutic intervention which includes principles of sensory regulation, Theraplay, EMDR, and DDP (STEDi) for a clinical cohort of adoptive families with adopted children who have experienced developmental trauma and attachment disruptions. Quantitative analysis of post-therapy outcome data (Trauma Symptom Checklist for Young Children, Child Behaviour Checklist, Behaviour Rating Inventory of Executive Function, Assessment Checklist for Children) is presented for an extended case-study of eight adoptive families. In addition, a thematic analysis exploring the experiences of 14 adoptive parents from eight families is also presented with a focus on reflections of the impact of the intervention. The tentative quantitative findings suggest that the STEDi may be associated with trends towards positive improvements within routine practice due to mean score reductions across a number of scales across all outcome measures. Qualitative findings were interpreted as representing four core themes: Impact on Parents, Child, and Dyadic Relationship; Enhanced Understanding, Skills, and Knowledge; Motivation to Maintain Change; and Adaptations in Delivery Format. Implications for research and practice are discussed.