Tuesday, December 2, 2014

Question #3 -- How can you stand it?

Yes, this is the really hard part—the kids just went home permanently a few days ago, and I’ve been dreaming about them.  There is sadness, there is relief (that I’m not going to be dealing with all their multiple issues permanently, as we had hoped to adopt them) there is happiness (that we’ve done something good in the world) and there is guilt (that I could have done more, done better).  So many emotions, but have I learned anything that could help someone else “stand” to do this?

As we’ve gone through this I’ve often told myself “I’m the adult.  I can handle it.  I don’t need to pay attention to my own emotions.  I can support their emotional recovery.”  And that is mostly true.  But the tantrums and misbehavior would sometimes wear me down, and I wouldn’t respond as well as I should.  So it’s a tricky balance: sometimes they would need time-out, but instead I’d put myself in time-out (my bedroom/sanctuary) so that I could regain my composure.  These children were more difficult than any of my kids, and this is pretty typical among foster kids. 

I like the model of attachment theory because it explains so well what actually goes on here.  Non-traumatized children have a normal attachment to their family: they love to be with their family, but when in a “safe environment” they will independently separate from the parent and explore their own interests.  They may have shyness issues, and toddlers may have age-appropriate anxiety when separated from their family, but this will dissipate as they grow into emotionally-secure children.

Traumatized children will usually have an attachment disorder.  The mildest--insecure attachment--looks like a child who is always anxious that the parent will disappear: they love, they need, but they don’t quite trust.  They don’t really follow their own interests much because they can’t let go of their anxiety.  They respond with high anxiety to any discomfort (hunger or pain), and have a melt-down if they think they are being neglected.  They attempt to control every situation, because when they are in control they don’t get hurt (or so they believe).  They are often angry and defiant with family and peers.

The most severe--disorganized or reactive attachment disorder--manifests as a child who has totally shut down, who does not attempt to engage the nurturer or make connections with them.  The child is inwardly focused, and will have long-term problems with empathy and relationships.  He exhibits repetitive and regressive behaviors, shows a lot of anxiety, and is generally unable to function in society.

There is a whole spectrum in between, and children may have a patchwork of issues from easy to severe.  I can’t share details, but many of my friends witnessed moments when all the kids wanted to sit on my lap, follow me around, watch everything I did, talk incessantly to me to engage my attention even when I was busy or on the phone, and/or undo whatever I had just done (folding laundry was impossible with the littlest around).  There was an endless stream of love notes coming at me (which broke my heart)and literally a bottomless well of need—no matter how much attention I gave them (well, two of them) it was never enough.  One was more detached—possibly further toward the disorganized end of the spectrum, or possibly just a personality thing, but this child was less insistent upon attention though more insistent upon other things.

Understanding the psychological basis of their behaviors really helped me to respond better to them.  It certainly wasn’t easy, and I do wish I could have been the perfect mother all the time.  But after a few months, when I felt I wasn’t going to make it, I literally gave myself permission to NOT be therapeutic all the time.  Instead of being passively complacent and asking them about their feelings when they would act out, I would take them by surprise (the book Parenting the Hurt Child actually recommends this).  I might pretend to have a tantrum on the ground next to them.  I might be stern.  I might be silly.  I might walk away.  I might stay in the same room but completely ignore them and talk and laugh with someone else.  I did anything I felt like, short of corporal punishment or verbal abuse.  Taking this approach put me back in the driver’s seat, allowing me to be more real, and disallowing them from controlling the situations so much, which is a strong motivator for traumatized kids.  And it saved me from quitting, which would have been much more harmful than not being 100% professional all the time.

Another important issue I’ll touch on here about the “how do you stand it?” of foster care is that, unlike dealing with kids at church or in the neighborhood, these kids are in your house every day and night.  Unless you turn your house into Fort Knox (we had a bit of that going on) they will be getting into your things in every nook and cranny of your house.  Depending on the ages and tendencies of the kids, you’ll have everything from “artwork” on walls to strange items found chewed up under couches.  You really have to not care too much about your house and your things or it will drive you nuts.  Put away all the things you really care about, and remember that under all the trauma they are little kids—there was a time when I would rejoice when the little guy would make a mess with the toys, because when he first came here he didn’t know what toys were for.

Last, a big question in my mind when thinking of doing foster care was: should I actually fall in love with these little guys?  Give kisses and hugs and “I love you’s”? Should they call us mommy and daddy?  My knee-jerk reaction when they came was yes, especially since we thought we’d be able to adopt them and wanted to start off on the right foot.  So we treated them like our kids—hugs and kisses and rocking to sleep at night.  And even though they went back, I’m so glad we did this—we didn’t know at first exactly what had happened to them, but as the picture became clear, I realized that treating them like our kids was IMMENSELY therapeutic for them.  An experienced foster mom told me that they usually did this with their foster kids, but once they got a boy who wasn’t expected to stay long and they decided not to invest with him emotionally—they were just Mr. and Mrs. and he slept at their home.  She told me she deeply regretted this decision, as he did end up staying with them for a long time, and she never felt like she was able to bond with him and help him with his issues very much.  Words matter, what you call someone matters, affectionate behavior can change hearts.