In August 2014, the Australian Childhood Foundation ran a conference on childhood trauma using a unique format. We gathered together a range of the world's master knowledge-builders in the field of interpersonal neurobiology. We asked them to explore themes that were relevant to the ways in which those affected by trauma could heal through connection and care.

Many child welfare statutes protect children when caregivers jeopardise their safety and best interests, but what if the risk is sourced in government child welfare policy or practice? Instead of including provisions to hold governments accountable for placing children in harm's way, governments and their agents are largely protected against any systemic maltreatment claims made against them. This paper describes a precedent-setting case before the Canadian Human Rights Tribunal attempting to hold the Canadian federal government accountable for its systemic failure to ensure that First Nations children are protected from maltreatment linked to inequitable federal child welfare funding on reserves. The case is a rare example using an independent judicial mechanism with the authority to make binding orders against the government and enveloping the proceedings in a public education and engagement movement. Implications of the case for child rights in Canada and abroad are discussed.

During the past two decades an explosion of interdisciplinary research, especially in developmental neuroscience, has transformed and deepened our understanding of how the seminal social emotional events of infancy indelibly impact, for better or worse, all later stages of human development. In this article I briefly summarise my contributions in regulation theory towards that effort. After describing a current paradigm shift in the developmental sciences, I present an overview of my ongoing studies on the interpersonal neurobiology of the mother–infant attachment relationship. I offer research which indicates that optimal attachment experiences facilitate the experience-dependent maturation of the early developing ‘emotional’ right brain and thereby a predisposition for emotional wellbeing in later stages of life. I conclude with thoughts about the application of regulation theory for early intervention and prevention programs, as well as some larger implications for family law, cultural and political systems, and human capital formation.

The Polyvagal Theory helps us understand how cues of risk and safety, which are continuously monitored by our nervous system, influence our physiological and behavioral states. The theory emphasizes that humans are on a quest to calm neural defense systems by detecting features of safety. This quest is initiated at birth when the infant needs for being soothed are dependent on the caregiver. The quest continues throughout the lifespan with needs for trusting friendships and loving partnerships to effectively co-regulate each other. The Polyvagal Theory proposes that through the process of evolution, social connectedness evolved as the primary biological imperative for mammals in their quest for survival. Functionally, social connectedness enabled proximity and co-regulation of physiological state between conspecifics starting with the mother-infant relationship and extending through the lifespan with other significant partners. The theory explains why feeling safe requires a unique set of cues to the nervous system that are not equivalent to physical safety or the removal of threat. The theory emphasizes the importance of safety cues emanating through reciprocal social interactions that dampen defense and how these cues can be distorted or optimized by environmental and bodily cues.

Resilience is often associated with extreme trauma or overcoming extraordinary odds. This way of thinking about resilience leaves most of the ontogenetic picture a mystery. In the following review we put forth the Everyday Stress Resilience Hypothesis, in which resilience is analysed from a systems perspective and seen as a process of regulating everyday life stressors. Successful regulation accumulates into regulatory resilience, which emerges during early development from successful coping with the inherent stress in typical interactions. These quotidian stressful events lead to activation of behavioural and physiological systems. Stress that is effectively resolved in the short run and with reiteration over the long term increases children’s, as well as adults’, capacity to cope with more intense stressors. Infants, however, lack the regulatory capacities to take on this task by themselves. Therefore, through communicative and regulatory processes during infant–adult interactions, we demonstrate that the roots of regulatory resilience originate in infants’ relationships with their care givers and that maternal sensitivity can help or hinder the growth of resilience.

Traumatised children can be easily dysregulated by relational dynamics. These children often experience the sequential or simultaneous stimulation of attachment and defence characteristic of disorganised/disoriented attachment patterns. Expressing their relational needs for proximity and distance can be fraught with conflict, confusion, frustration and fear. Parents/care-givers are often baffled about how to balance boundaries and limit setting with closeness and proximity in a way that is effective for themselves and their children. Additionally, parents/care-givers themselves may have histories of trauma and attachment failure that impair their own ability to balance closeness and distance. Both proximity seeking or closeness and defense or boundary setting actions are organized by innate, psychobiological systems of attachment and defense, and for parents/caregivers, the caregiving system as well. Each action system has to meet particular goals to achieve proximity to and security with a trusted other (attachment system); to defend and protect when needed (defence systems) and to protect and care for offspring (care-giving system). The legacy of trauma and attachment failure, with their consequential neuropsychological deficits, can constrain and disrupt adaptive responses to the arousal of these three systems. This paper clarifies the inborn systems that drive actions of proximity and distance. A case study will explore the interactions of these systems in child/care-giver therapy. Sensorimotor Psychotherapy will be described and somatic relational techniques will be illustrated to address proximity and defence/boundaries in the context of child therapy and care-giver/child therapy.

The neurological, psychological, emotional and social effects of abuse do not stop when the actual abuse has stopped. These affects are likely to be significant, pervasive, and long-lasting. Children who have experienced abuse at the hands of their parents tend to mistrust both their parents as well as subsequent carers who are making efforts to keep them safe. They avoid eye contact, comforting touch, reciprocal activities and communications that might facilitate a sense of safety and the development of a secure attachment. Those caring for such children need to find ways to patiently and gently help these children to begin to experience relaxed, reciprocal interactions with them along with the more intense experiences of comfort and joy.

Finally, when children have begun to trust their carers, but are returned to those who previously abused them, only to be abused again, they are at high risk to have even greater difficulty learning to trust. These more severe symptoms secondary to repeated trauma then cause their subsequent carers much greater challenges in helping them to begin to trust once again. This places the carers at risk for developing blocked care which further compromises the child's psychological development.

This paper is based on a presentation I gave to the Childhood Trauma Conference in Melbourne, Australia, August 2014.

Children traumatised within their biological families are described as children who have experienced complex trauma, also called developmental trauma because of the profound impact it has on their development. These children present a range of challenging behaviours within their foster or adoptive families. They respond less well to traditional behavioural management and benefit more from regulatory and relationship-based parenting. This is parenting that focuses on helping the children to regulate their emotional experience through the emotional connection between parent and child before attention is given to the behaviour. Developmentally traumatised children have a foundation of mistrust of parents and thus experience management of behaviour as signs that they are going to be hurt or rejected again. These children need parents who can connect with the child's experience before, or when appropriate instead of, discipline. This is described here as ‘connection before correction’. Correction in this context means helping children to develop pro-social behaviours and to find safe ways to express intense emotional experience. This paper explores the difficulties that the children can experience living in families; how this is expressed through behaviours, and how parents can connect in ways that promote the building of trust and allows successful management of their behaviour.

This article reviews the interdisciplinary field of interpersonal neurobiology and its view of developmental trauma and wellbeing. Issues related to the mind, brain and relationships are discussed along with a working definition of both the mind and mental health.