WEBVTT

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I'm talking to Dr Arietta Slade,
Clinical Professor at the Yale

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Child Study Centre.

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Arietta, in this course, we've
been thinking about the way

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in which the parents' emotional
and cognitive mind influences

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the infant self organisation.

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Can you tell us a
little bit about what

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reflective functioning is?

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Yes, I can and I
just want to start

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by saying that it sounds much
more complicated than it is.

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And it's actually
a very simple idea

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and it refers to a
parent or a person

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thinking about what's going
on in the mind of the person

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with whom they're communicating
or thinking about what's

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going on in their own mind.

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So we speak about
it as the capacity

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to imagine the mind of the
other or imagine what's

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going on in one's own mind.

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So would you like me
to give you an example?

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Yes.

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That would be good.

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So an example of this would
be, if a mother comes home from

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a long day at work and her
child comes up to her and starts

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crying and clinging
to her skirt,

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she might on the one hand,
be primarily concerned with

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stopping that behaviour.

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I've had a long day.

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Please stop that.

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And another approach
would be to...

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and it often
happens intuitively.

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I mean, it's not something that
you teach someone necessarily.

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But a mother might
think to herself, or not

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even at a conscious level,
respond with an awareness

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that what's going on
in her child's mind

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is the she's missed her, that
she's happy that she's home,

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but that she was unhappy
that she was gone.

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And so her crying is
an expression of that.

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And rather than
stopping the crying,

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she might want to try to meet
the need of, 'I've missed you

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all day.

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I need a hug.

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I need to be reassured
that you're really back'

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and to just take the baby in
her arms for a few moments,

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let's say, and give
her a hug and a kiss

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and maybe snuggle
with her for a minute

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before she puts her down.

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And that is much more likely
to calm the baby than if she

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were to say, stop it.

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Cut it out.

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I've had a long day at work,
and I need to go cook dinner.

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And just that
awareness of what's

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going on in the child's mind
the awareness that the child is

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probably a little needy,
a little hungry, a little

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unhappy, and happy to see
her mum just to meet those

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needs and just respond
to them briefly.

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It's not necessarily a
big half hour response.

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Just an awareness
that the child has

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had these feelings and
thoughts and longings

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and to respond to them.

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And that's really
a good definition

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of thinking about what's
inside, rather than just trying

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to control what's outside.

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OK.

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That's really helpful.

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So tell us a little bit
about some of your research

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because your research suggests
that reflective functioning

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in some way affects parenting
behaviour or particularly

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interested in parenting
behaviours around infancy.

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Yes.

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Well, I think as in the example
I just gave you in which

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a mother responds to the child's
crying by trying to imagine

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what's causing the
crying, what's going

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on in the child's mind, her
behaviour is going to be

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in response to the child's
thoughts and feelings,

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rather than simply an
effort to control and stop

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the behaviours.

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And ironically, responding
to what's going on inside

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of the child is more likely to
stop the behaviours than just

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trying to control the
child's behaviour.

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For instance, if she says
when she's come home from work

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and the child is
crying, if she says,

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stop crying, that's likely
to upset the child more.

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Whereas if she says,
'oh you've missed me.

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I'm glad to see you.

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Let me give you a
hug' in response

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to the child's need,
that is actually

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likely to calm the child and
sooth the child, in which case

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she'll be much more likely to
go on and entertain herself

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while mum cooks dinner,
rather than following

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mum around the kitchen and
complaining at her, or father.

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Obviously this equally
happens with dads.

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OK.

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So in this course,
we've been thinking

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a little bit about attachment.

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What does your research tell
us about the relationship

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between reflective functioning
and the likelihood of a child

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being securely attached?

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Well, as I'm sure your
students know by now,

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secure attachment
means two things.

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It means that you feel
safe in seeking comfort

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when you need it and you
feel safe in exploring

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the world knowing that
somebody will essentially

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have your back.

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And what happens to a child
when they have the experience

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repeatedly over the
course of infancy,

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that mum is there, that mum
understands what's going on

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in their minds, that mum meets
what's going on in their minds,

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then they're much
more likely to feel

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safe in coming to mum
or dad for comfort

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and much more likely to
feel safe in exploring.

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Because in a sense, they
know that mum or dad is there

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for them when they go
out into the world.

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And so that a sense of security
comes from feeling known.

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Not feeling known is
a very lonely feeling,

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but feeling understood and
feeling that other people are

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curious about what's going in
your mind, interested in it,

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makes you feel safer.

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It makes you feel,
again, not alone

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and makes it more
likely that you

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will see the world
as an opportunity

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rather than a place of
potential fear or danger

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because you know you have, if
you will, that person with you.

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So can you tell us a little
bit about the process?

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Because I've talked a little
bit about marked mirroring

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and marked mirroring
is the process

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by which parents
convey to the baby

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that they've understood
what it is they're feeling.

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Can you tell us a
little bit about that?

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Well, just to pick
up on mother coming

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home from work after a long
day and the baby's crying.

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And marked mirroring would
be to respond by, 'Honey,

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did you miss me?

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You missed me?

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Oh, you're sad, maybe
you really missed me,

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let me give you a hug'.

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That mother is, in
effect, holding up

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the infant's response,
probably mimicking

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her facial expression, probably
showing some unhappiness

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in her face and
her eyes, but not

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doing it in a way that's
exactly the same as the baby,

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but actually doing
it in a way that

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makes it a little bit bigger,
a little bit more explicit,

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if you will, a little
bit more marked

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so that the baby in effect,
has her experience handed back

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to her.

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In a way, someone is
framing it for her.

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This is what I'm feeling.

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This is what's going on.

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I'm happy to see my mum.

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I'm sad she was away.

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I'm a little cranky.

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That's what I'm communicating.

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And now in a way, I understand
it even better because it's

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been represented to me.

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It's been made coherent
and explicit to me.

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And I want to emphasise
that this is not something

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that parents think
about in a laborious way

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as they come home from work
because no one would ever

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survive a day
experiencing it that way.

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Rather it's something
that happens intuitively.

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It's something that happens
out of the relationship.

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It's something that
happens out of curiosity

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about the other person and
openness to the other person.

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And when your highly
stressed or don't

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know where you're going
to get your next meal

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or don't know about the
security of your housing,

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that kind of relax engagement
with another person's mind

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is more difficult. That
kind of attitude of openness

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and flexibility
is more difficult.

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So that you may in fact be
too stressed in that moment

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to take on the child's
experience, if you will,

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and that's when trouble starts.

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So are there wider
sorts of factors

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that are associated
with a parent's ability

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to be high or low in
reflective functioning?

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Well, you know, I think
that the less a parent

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is in or approaching a
state of fight or flight,

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a state of being stressed
really and fight or flight

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is kind of the most extreme
form of feeling stressed.

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But if you will, to have
yourself emotionally

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and cognitively online
for another person,

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to have yourself cognitively
and emotionally available

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to another person, you
can't be in a physical state

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of being highly aroused,
highly stressed, dysregulated.

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Because the more
you're in that state,

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the more your whole
body and your whole mind

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is geared toward just surviving
the moment, if you will.

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And we all know this
from the 25 times

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we came from work
when our children were

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little and clamoured after
us, and we said, 'go watch TV'

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or 'go sit down' or
'get out of my way'

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because we were in that state.

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I mean, that's a very
common experience.

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But when it overrides
the interaction

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on a regular basis, when it
overrides a parent's capacity

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to be present for the
child or for themselves,

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you know, to say, 'well
I've had a really hard day.

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I'm still mad at my boss, and I
need to sit and collect myself

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for a minute'.

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That kind of awareness
is challenged

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by high levels of stress.

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And it's really
as if the mind...

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once you're in a sort
of activated state,

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different parts of
the brain are engaged

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than when you're in a
reflective state, when

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you're in a open curious state.

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And obviously it's impossible
to be in that open curious state

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all the time, but what we
try to get parents aware of

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and what we try to be
aware of as clinicians

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when we can also be an
inactivated state, is how

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to calm that down enough
so that we can be present,

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emotionally present,
curious, flexible and open.

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OK.

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So my next question
was really about what

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we can do then to
support parents

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who are having
difficulty in terms

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of reflective functioning?

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Well, I think what you see
in parents who are really

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struggling with this, is
first of all, an awareness

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that the child has thoughts
and feelings of their own.

00:10:45.820 --> 00:10:50.480 align:middle line:84%
Many parents who are struggling,
when you speak to them

00:10:50.480 --> 00:10:53.560 align:middle line:84%
about the child or
about themselves,

00:10:53.560 --> 00:10:59.930 align:middle line:84%
they don't use emotion words
like, feel, angry, sad,

00:10:59.930 --> 00:11:01.210 align:middle line:90%
frightened.

00:11:01.210 --> 00:11:04.270 align:middle line:84%
Those words are more or less
absent from their vocabulary

00:11:04.270 --> 00:11:06.920 align:middle line:90%
or happy, joyful, curious.

00:11:06.920 --> 00:11:10.400 align:middle line:84%
None of those states
or even the states

00:11:10.400 --> 00:11:13.710 align:middle line:90%
like, he knows, he wants.

00:11:13.710 --> 00:11:16.900 align:middle line:90%
States of desire, of intention.

00:11:16.900 --> 00:11:18.830 align:middle line:90%
He's going to go do this.

00:11:18.830 --> 00:11:19.400 align:middle line:90%
I'm sorry.

00:11:19.400 --> 00:11:20.900 align:middle line:90%
That's not a great example.

00:11:20.900 --> 00:11:21.980 align:middle line:90%
He wants this.

00:11:21.980 --> 00:11:24.810 align:middle line:90%
He wants a toy.

00:11:24.810 --> 00:11:26.800 align:middle line:84%
When you don't have that
awareness of the mind

00:11:26.800 --> 00:11:32.400 align:middle line:84%
of the other, you get focused
much more on behaviour.

00:11:32.400 --> 00:11:34.310 align:middle line:84%
He's always getting
into trouble.

00:11:34.310 --> 00:11:35.130 align:middle line:90%
He's stubborn.

00:11:35.130 --> 00:11:36.370 align:middle line:90%
He's pig-headed.

00:11:36.370 --> 00:11:38.330 align:middle line:84%
Those are not ways
of appreciating

00:11:38.330 --> 00:11:41.130 align:middle line:90%
what's going on in the child.

00:11:41.130 --> 00:11:44.010 align:middle line:84%
And it can be very difficult
to get a parent kind of off

00:11:44.010 --> 00:11:48.920 align:middle line:84%
the dime of stopping behaviour
and into a mode of even being

00:11:48.920 --> 00:11:52.710 align:middle line:84%
for a moment open and
sympathetic to what's going

00:11:52.710 --> 00:11:53.690 align:middle line:90%
on inside a child.

00:11:53.690 --> 00:11:57.320 align:middle line:84%
And sometimes parents
will say, 'Oh!

00:11:57.320 --> 00:12:02.000 align:middle line:84%
You mean if I really can attend
to what's going on with him,

00:12:02.000 --> 00:12:03.720 align:middle line:90%
he might do what I want?'

00:12:03.720 --> 00:12:07.910 align:middle line:84%
In other words, they begin to
appreciate that if they're able

00:12:07.910 --> 00:12:11.380 align:middle line:84%
to slow down their own reactions
enough and not respond too

00:12:11.380 --> 00:12:13.920 align:middle line:84%
quickly and not
respond out of stress,

00:12:13.920 --> 00:12:17.500 align:middle line:84%
that actually they can have a
more satisfying engaged time

00:12:17.500 --> 00:12:21.100 align:middle line:84%
with the child than if they're
really just trying to control

00:12:21.100 --> 00:12:22.230 align:middle line:90%
behaviour.

00:12:22.230 --> 00:12:23.850 align:middle line:90%
And this can be a process.

00:12:23.850 --> 00:12:25.850 align:middle line:84%
You know, it's not
something that you can just

00:12:25.850 --> 00:12:29.200 align:middle line:84%
put parents in a parenting
class and teach them this.

00:12:29.200 --> 00:12:33.120 align:middle line:84%
You often really need
to engage them, first,

00:12:33.120 --> 00:12:36.610 align:middle line:84%
in a relationship
with a clinician

00:12:36.610 --> 00:12:40.160 align:middle line:84%
or a teacher or someone who's
calming and safe to them,

00:12:40.160 --> 00:12:44.180 align:middle line:84%
and then they can begin to
have these kinds of experiences

00:12:44.180 --> 00:12:46.910 align:middle line:90%
of curiosity about the other.

00:12:46.910 --> 00:12:48.340 align:middle line:90%
That was very helpful.

00:12:48.340 --> 00:12:49.560 align:middle line:90%
Thank you very much.

00:12:49.560 --> 00:12:50.480 align:middle line:90%
You're welcome.

00:12:50.480 --> 00:12:52.330 align:middle line:90%
My pleasure.

00:12:52.330 --> 00:12:58.538 align:middle line:90%