Research
The Amygdala and Frontal Lobe
The constant stress that becomes part of daily life for almost all children who are living as orphans in Foster Care and Orphanages hinders proper brain development. The Amygdala, responsible for emotional and fear responses, becomes overactive, while the frontal lobe, which controls higher-level thinking, becomes underactive. Poor brain development hinders children from reaching their full cognitive potential, which is punishing in adulthood.

The Importance of a Primary Caregiver
Children raised in orphan care are often left without a primary caregiver. A primary caregiver is essential to the development of a baby and child's brain because they meet the essential needs of a baby and child and form a trust-based relationship. Forming a trust-based relationship with a primary caregiver will allow a child to grow into forming new relationships founded in trust. Children who did not have a primary caregiver that met their needs, and therefore did not form a trust-based relationship have a much harder time establishing good relationships in the future because they are hindered by their cognitive development and don't possess that ability to reach all higher-level thinking.

Global Significance
The Orphan crisis is a problem throughout the whole world, with many countries not even being able to feed or care for the sheer number of orphaned children.

The Failures of Institutions

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The US Foster Care System
The foster care system in the US is extremely flawed, with many children bouncing around from home to home. Some families take in foster care children for the money and do not care for the children in the way that they need. The foster care system in no way guarantees secure attachment and connection for children.
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Kenyan Orphanages
Kenya has a vast population of street children who don’t even have access to orphan care. Many children are placed in orphanages because parents want their children to be fed and have access to education when, in reality, children are exploited to make money for orphanages. Most of the money funding orphan care goes directly to corrupt orphanages instead of building up loving families who live in poverty.
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The Iceland Foster Care System
Iceland is stated to be one of the best countries in terms of Orphan Care. Like the US, Iceland uses a foster care system, but it is not as fatally flawed. Foster parents are equipped and trained in Iceland. There are three kinds of foster homes in Iceland: temporary foster care, financially supported foster care, and permanent foster care.
Deprivation's Mark on the Brain

Linn, Amy. "Science Reveals Severe Childhood Trauma Can Alter Developing Brain, Creates Lifetime Risk." Recordnet.com, 21 Jan. 2018, www.recordnet.com/story/news/local/new-mexico/2018/01/21/severe-childhood-trauma-alter-developing-brain-create-lifetime-risk/1039104001/. Accessed 8 Apr. 2024.

Cool Guides. 4 Oct. 2022, www.reddit.com/r/coolguides/comments/xvjf7a/how_trauma_impacts_the_brain/. Accessed 8 Apr. 2024.
The amygdala and frontal lobe develop much differently in children exposed to constant stressful circumstances and situations, including children raised in Foster Care systems and Orphanages. It has been observed that children who experience “psychosocial deprivation” (Oberhaus) have an affected prefrontal cortex. This means that the region of their brain that controls all higher-order cognitive processes is highly hindered. In addition to the hindrance of frontal lobe development, the amygdala in children exposed to constant stress becomes overdeveloped. This means that the emotional response in these children is heightened. When you tie the development of the amygdala and frontal lobe together in children raised in overly stressful environments, you get a child that grows up not knowing how to cope and control their emotions. The frontal lobe, specifically the prefrontal lobe, is one of the last places to develop in the brain. Still, adolescence is a significant time in the development of the prefrontal lobe.
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“Pruning” (Oberhaus) is a phenomenon well-known in neuroscience. In general, synapses and circuits in the brain are pruned based on experience, which leads to the selection of a subset that is confirmed and stabilized while other neural circuits fall away” (Oberhaus).
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Pruning, a vital process in prefrontal lobe development, involves the removal of unnecessary neural connections. This process occurs during adolescence, when children typically feel safe and secure in healthy family environments. However, children in Foster Care or orphanages, exposed to high levels of stress, often experience hindered pruning. As Nelson explains, “The Children in the institutional group actually have a thicker cortex, which is bad because it means they haven’t pruned away these extraneous connections” (Oberhaus).
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A study was done on pruning the frontal lobe in children raised in an institutional group. Children’s brains were scanned at a young age, revealing thicker cortices, which is expected at a young age, but when their brains were scanned again at 16, their thicker cortices had not been pruned in the way they should and remained thick. This means that connections that should have been irrelevant and pruned away by 16 remained, which hindered functionality to a significant extent.
This study concludes that children must be removed from stressful living conditions as soon as possible for proper brain development.
Oberhaus, Daniel. "Deprivation's Mark on the Brain." Harvard Magazine, Jan. 2023, www.harvardmagazine.com/2022/12/right-now-deprivation-mark-on-brain#:~:text=Among%20children%20who%20grew%20up,professor%20of%20psychology%20Katie%20McLaughlin. Accessed 21 Feb. 2024.
Rethink Orphanages
Orphan Tourism - Orphanage tourism is when people volunteer or visit and orphanage while abroad. Many times it involves mission trips that go to visit orphanages. As tourism to orphanages has grown, the demand for orphanages and even "orphans" has grown. Like a business orphanages need their supply to stay in business. The needed supply of children has led things like orphanage trafficking where children are recruited to go live in orphanages. Children are being exploited because people overseas are looking to volunteer or support children.
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The Harm of Growing Up in an Orphanage - Children who grow up in orphanages have a huge lack of a consistent caregiver because of the great amount of children that must be tended to in orphanages. The lack of a primary caregiver is linked to many developmental delays. Growing up in an orphanage also exposes children to a higher chance of abuse, neglect, and harsh discipline. Once children age out of orphan care they are more likely to be homeless, affected by trafficking, have mental health issues, and become suicidal.
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Orphanage Scam - Many orphanages exploit children in order to run like a business. Orphanages feed on unexpected visitors who have the hope of helping children. The orphanages will use children to gain money from volunteers, tourists, and donors who don't really know how their money is being used.
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Government's Role in Keeping Orphanages Open—Contrary to popular belief, governments are trying to move away from the use of orphanages. UNICEF and Save the Children are working on getting rid of such harsh institutionalization of children. Most orphanages are not funded by the State but are instead privately run to gain money from donations.
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Orphanages Are Not a Solution to Poverty - Many parents send their children to orphanages because they cannot support their children. They hope their children will have their basic needs met while also gaining an education. Due to this thinking, orphanages are not only seen as a solution to poverty, but treated like one with significant amounts of international donations funding orphanages. All the money flowing into privately run orphanages should instead be redirected to support families that would never give up their children if it weren't for a lack of money. Studies show that 80% of children living in orphanages have a family that would care for them.
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Modern Slavery - Volunteers, donors, and tourists may have good intentions, but their donations are creating more demand for orphans, which leads to children being taken away from their families. This demand can be seen in tourist hotspots, which contain many more orphanages than more rural places. In some cases, children are overly exploited by putting them in horrendous conditions to evoke more empathy from tourists.
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ReThink Orphanages. Freelock, 2018, rethinkorphanages.org/problem-with-orphanage-tourism#:~:text=Many%20so%2Dcalled%20orphanages%20run,have%20become%20all%20too%20common. Accessed 21 Feb. 2024.
The Importance of Reunification in Foster Care: Creating a Pathway to Healing and Growth
Security and Stability—A child's connection with their own family is a key step in helping them have better mental well-being because separation induces a feeling of security and safety.
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Belonging and Identity—A child's sense of identity and belonging is often tied to their heritage, so reunification with their own family helps connect them to their traditions.
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Decreased Likelihood of Re-Entering the Foster Care System—When children are reunited with their relatives, they are less likely to re-enter the foster care system, which is the ultimate goal.
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Improved Home Environment—Children who return to their families return home to a safer and more loving environment because it is the foster care system's job to ensure parents are equipped to handle taking care of their children.
"The Importance of Reunification in Foster Care: Creating a Pathway to Healing and Growth." Camelot, www.thecamelotdifference.com/the-importance-of-reunification-in-foster-care-creating-a-pathway-to-healing-and-growth. Accessed 21 Feb. 2024.
The Failures and Future of the U.S. Foster Care System
Neglect and Maltreatment: A study conducted in 2020 found that there were 615,000 victims of maltreatment. All were under the age of 18. Within the staggering number, 75% experienced neglect, 20% experienced physical abuse, 9% experienced sexual abuse, and 6% experienced emotional abuse. Some experienced multiple types of abuse.
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Placement: Many children who are removed from their homes are not even considered a part of the foster care system but are instead informally placed with a relative.
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Leaving Foster Care: Out of 225,000 children and youth that leave foster care each year, about 10% age out of the system.
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Lifetime Impacts: There are many adverse outcomes associated with former foster care youth , including: 30% experiencing homelessness, 20% being incarcerated, and 25% having a child by age 21.
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"The Failures and Future of the U.S. Foster Care System." The Policy Circle, www.thepolicycircle.org/brief/the-failures-and-future-of-the-u-s-foster-care-system/#:~:text=Lack%20of%20Resources&text=Overall%2C%20there%20is%20a%20need,quit%20within%20the%20first%20year. Accessed 21 Feb. 2024.
Brain Architecture

"Brains are built over time, from the bottom up" (Brain Architecture).
In only the first years of life, over 1 million new neural connections are formed every second. These connections are then pruned which allows the brain circuits to become more efficient.
The early years of life are the most active period for establishing new neural connections.
"Toxic stress weakens the architecture of the developing brain, which can lead to lifelong problems in learning, behavior, and physical and mental health" (Brain Architecture).
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When the brain is exposed to stress over a longer period of time without a supportive relationship to calm stress responses, toxic stress is the result. It can hinder neural connection development, specifically in areas of the brain that are responsible for higher-order skills.
"Brain Architecture." Center on the Developing Child, developingchild.harvard.edu/science/key-concepts/brain-architecture/. Accessed 6 Apr. 2024.
Childhood Trauma Brings Its Own Health Problems for Foster Families
"Even when the abuse and neglect is bad, that's what their normal looks like, so when you take them away from their primary attachment, that to them is the most traumatic thing" (Moody).
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"The back-and-forth system of reuniting families, separating them again or moving among foster homes further traumatizes the children (Moody).
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Rough, Jenny. "Childhood Trauma Brings Its Own Health Problems for Foster Families." The Washington Post, 1 Sept. 2018, www.washingtonpost.com/national/health-science/childhood-trauma-brings-its-own-health-problems-for-foster-families/2018/08/31/ca1b9342-8921-11e8-8aea-86e88ae760d8_story.html. Accessed 8 Apr. 2024.
Real-Life Stories
An orphanage in Kenya that needed retroviral drugs for many sick children at the height of the HIV/AIDS epidemic caused many American politicians to help assist the orphanage in its many struggles. A Catholic charity privately funded the orphanage, and when Americans went to assist the orphanage, many secrets were dug up. Six former residents told the Washington Post about incidents of rape and other abuses toward the children from volunteers, caregivers, and even other children. The U.S. Agency for International Development made an investigation and found that the claims of abuse were “credible.” Beyond this, there are more devastating stories of sexual abuse and other abuses toward children who haven’t even reached full maturity.
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Use the link below to read more...
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"'The devil was in that building': New Orleans church orphanages' dark secrets; Survivors of institutions run by Catholic diocese recall litany of sexual abuse as bankruptcy process keeps documents hidden." Guardian [London, England], 3 Dec. 2023, p. NA. Gale In Context: Global Issues, link.gale.com/apps/doc/A775358042/GIC?u=lake78258&sid=bookmark-GIC&xid=50e40266. Accessed 7 Feb. 2024.
This source discusses how some people adopt children overseas, but there are plenty of children in the US who need a home. The author talks about their experience in raising their son, who entered the foster care system at three and was placed in many different homes until he was 9. The son struggled a lot in school but progressed after having a permanent home and caregiver. The author then discusses how they are thankful that their son does not have to stay in the cycle of addiction and domestic violence that is a part of the US foster care system. The author loves their child and could not imagine life without him.
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Use the link blow to read more...
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"Consider child orphans within the USA." USA Today, 18 Jan. 2005, p. 11A. Gale In Context: Global Issues, link.gale.com/apps/doc/A127312641/GIC?u=lake78258&sid=bookmark-GIC&xid=795321c4. Accessed 7 Feb. 2024.
Community Engagement - Interviews
Mike Gallagher - TBRI Practitioner and Co-found of 1 Million Home
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How does trauma impact people later in life?
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It stunts their growth and development by trapping them in cycles of fear and pain. And they relive it and fear that it will happen again. It has a devastating effect on the relationships, their mental health and their capacity to function in normal/ healthy productive ways.
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Why is the first year of life so crucial for trust-based relationships? What are your thoughts on this?
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"The first year of life is crucial because at birth, all survival functions are basically fully developed, but all of the higher-level functions (critical not to survival but to relationships) develop through warm, responsive care to a child's needs and distress over 100,000 times in that first year of life..."
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According to you, what is the importance of a primary caregiver, and what is the evidence of this? What supports your statement?
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"The primary caregiver is the one who will give the 100,000 repeated experiences of comforting a child’s distress and meeting their needs."
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How does an overactive amygdala hinder frontal lobe development and access to higher-level thinking? How have you seen this impact people's functioning in everyday life?
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"The whole point is that an overactive amygdala hinders access to the prefrontal cortex because it continuously cycles primitive survival tactics rather than higher-level responses. Without growing access to those higher functions, the prefrontal cortex remains underdeveloped, and the connection to those higher functions remains underdeveloped. (double whammy). It is a destination and a road. The road and destination are hindered and not growing."
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Do you think that family reunification could improve the brain development of children previously raised in institutional care? What are your thoughts on this, and have you seen any evidence that supports this?
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"Absolutely. This is the leading goal and desired outcome for every child living apart from their biological parents. The only exceptions should be abuse or willful neglect. Adult outcome studies have shown that children reuniting with safe birth parents do far better than those who never reunified. When reunification with biological parents is not safe or possible, research shows that children resettled with biological relatives do far better than those who aged out of orphan care and foster care without ever having a permanent placement. When permanent reunification and resettlement is not possible, adoption produces the best adult outcomes."
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What are the differences in outcomes regarding the development of the amygdala and frontal lobe in children raised in orphanages compared to foster care?
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​"A failed outcome (did not produce permanence) in the foster care system has about the same detrimental effects as growing up in an orphanage."
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What are the differences you have observed between Kenya and the U.S.?
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"Kenya is tribal and familial; therefore, there is a care system woven into their culture. 60% of the children that are on the streets end up with relatives, not birth parents. It is more natural in Kenyan culture to take in a nice, nephew, or grandchild. In America, we are very individualistic and don’t take responsibility for the struggles and needs of our extended families. Therefore, the U.S. depends on government programs as the solution to family breakdown instead of family as the solution."
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"Everyone needs the intervention, but the intervention of family reunification is much more ingrained in Kenyan culture."
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"The U.S. government also regulates the interventions, making them more expensive and ineffective. In theory, this is to protect the children, but in practice, it's a disaster."
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"Street children do much better in reunification than those who were raised in orphanages"
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"The majority of children in orphanages are there with their living parents' consent."
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Is poverty the problem?
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"It is never just poverty, ever. Therefore, it is not a financial solution to family breakdown. Relational problems require relational solutions. We are helping thousands of children go home very year that were on the streets and in orphanages go home to poor families and communities. The point is that it's not only because of poverty that they end up as orphans. Of course, poverty makes everything harder, but most poor families are resilient, and most children raised in poor but loving families are much more resilient, capable of becoming functional and independent adults versus those who were raised in better-funded orphanages".
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"It is better for children to grow up in a resilient family and to become resilient adults than to become crippled by being taken out of a loving family and supported by people overseas."
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"Ministry stuff can be scary because they get into it with good intentions, and it becomes a disaster. Then they realize it and don’t clean up their mess."
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Ian Forber Pratt - Deputy Executive Director of Children's Emergency Relief International
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Why is the first year of life so crucial for trust-based relationships? What are your thoughts on this?
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Maslow's Hierarchy of Needs ​
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A primary caregiver meets all the needs listed in Maslow's Hierarchy for a baby. Without a primary caregiver, a baby's needs are not being met adequately, which hinders a baby from establishing a healthy, trust-based relationship.
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Do you think that family reunification could improve the development of the brains of children who were previously raised in institutional care? What are your thoughts on this, and have you seen any evidence that supports this?
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Under family reunification is family preservation.
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Getting kids back to families as quickly as possible is the goal, but it is more important to prevent children from entering the foster care system in the first place.
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Family reunification can not just be family reunification but also community strengthening. Families must be supported for the well-being of the child.
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What are the differences between family-based care and institutions in brain development?
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With so many kids in an institutional setting, you cannot meet the needs of all of them, and there is no way that each child can receive care from a primary caregiver. ​
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In an institutional setting, the walls and rhythms of family life get lost and institutionalized. An organic environment, like a family, can not
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There is a much more significant lack of brain development in orphanages.
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Foster care system in the US
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Moving in many directions based on states. Some states run the system more efficiently and have the child's best interest in mind, while others move backward.
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​The system is not supporting foster parents enough
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Ex: Foster parents are more equipped after going through non-mandatory training such as TBRI training
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The System is horribly corrupt and inefficient
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Other communities, such as tribes, mosques, and churches, are much better at taking care of children, exemplifying how many informal systems are good​
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Formal -government-run
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Informal - community run
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Sarah Calfe - Psychotherapist, Lake Forest Academy Alumni Class of 2005
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How does trauma impact brain development?
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DSM - The Diagnostic and Statistical Manuel of Mental Disorders
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Last updated in 2013
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Complex trauma is not an official diagnostic in the DSM
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Complex trauma is not an official diagnostic that is recognized
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Complex trauma looks different, but it is very impactful and harmful
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How do we perceive things based on how we were raised?
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Conceptualizing Trauma
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Big T trauma - significant instances of trauma
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Ex:
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Car Accident
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Natural disaster
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Shooting
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Little T trauma - more minor but still impactful instances of trauma
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Ex:
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Horrible Breakup ​
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How does trauma from infancy differ from trauma during adolescence?
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Children are very resilient
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The brain is more plastic when kids are little
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Neural pathways are still being formed
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Therefore, trauma has a higher impact on the outcome of brain development at a younger age ​
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Why is having a primary caregiver so crucial to early child development?
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Babies thrive on stability and structure, so if it is lacking, it is hard to trust the world around them
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ACE - Adverse Childhood Experiences
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The study that said a lot later in life, physical and mental health problems can be traced back to childhood experiences
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Children with high ACE scores are more likely to have mental issues and physical problems.
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