Parent and Child

 

 

 

 


Becoming a Family - Book Review

Becoming a Family - by Lark Eshleman, PhD
Reviewed by Vicky Kelley, LCSW, MHA, PsyD, ATTACh Board Member

Taken From: Focus on Resources - (September 2003)
This new book sensitively captures the risks and blessings of adoption, especially of children with histories of institutional care. Too often, international adoption has been heralded as an easy way to adopt a young, healthy child. Then adoptive parents too often find themselves unprepared to make sense of their children's struggles and maladaptive responses. So many of these parents have ended up feeling alone and somehow at fault for their children's problems.

Dr. Eshleman's book fills a crucial niche for these parents. John A. Biever, MD, begins the book with a comprehensive, yet easy to understand review of attachment theory that is very accessible to the reader. This chapter ends with specific recommendations of issues for prospective adoptive parents to consider. Knowledge and preparation are emphasized as critical prerequisites to successful adoptions.

Dr. Eshleman then builds on this beginning by addressing critical issues that adoptive parents face. For example, one chapter entitled "How do I know what's normal?" provides guidance for parents as they integrate attachment concepts into an understanding of their particular child's strengths and challenges. Another chapter explains how the child's early experiences result in hard-wired reactions of persisting fight or flight responses even in the face of new, very nurturing actions by the parent.

Another chapter, by Elizabeth Goff, MD, a pediatrician and adoptive mother of two girls from China, offers sensitive information on the process of homecoming and adjustment. Other chapters provide practical suggestions for parenting to promote attachment, handling school issues, and getting needed treatment.

Throughout the book, there are poignant case examples that highlight important concepts. Parents of children with attachment difficulties often feel overwhelmed when traditional parenting strategies fail to work with their children. This book not only gives very practical suggestions, it grounds these suggestions in attachment theory.

Attunement, the capacity to read another's clues and sensitively respond, is fundamental to attachment. This book is a poignant experience of attunement, in that the reader is able to appreciate both the child and parent perspectives. But the reader's experience is even more than that. I was reminded of Winnincott's concept of "holding environment" -- the steady nurturing relationship that supports development through withstanding, and ultimately helping to organize, an individual's powerful feelings. Readers of this book will feel "held" in this way, as they experience this sensitive attunement to their struggles and yet are buoyed by realistic hope that healing can be possible.
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