By now, if you’ve read all the blogs, you should have a good grasp on what DIR/Floortime is all about. We’ve covered most of the theory but the success of this practice lies in the implementation of it. Last week we talked about the nuts and bolts of starting the Floortime session. This was just a start. There are so many factors to consider.
I left you with a few questions:
- What if my child won’t stop crying or having a tantrum?
- What if my child appears to ignore me no matter what I try?
- What if my child just repeats the same thing over and over?
- What if what my child is violent or does something dangerous?
Here’s where we get into the interaction of the child’s developmental level, ‘D’, their individual sensory profile, ‘I’, their relationship with you, ‘R’, and how we conduct a Floortime session.
Recall that the goal of Floortime is to promote and support your child’s developmental progress.
By increasing the frequency of affective, reciprocal, back-and-forth interactions between you and the child, we help the child connect affect to their motor planning and support their development. But this can be a challenge for some parents.
If your child is having what Dr. Greenspan calls a catastrophic emotional reaction, are they exhibiting shared attention and interest in the world?
If your child is ignoring you, do they have shared attention and interest?
If your child is exhibiting perseverative behaviour, are they regulated with shared interest and attention?
If your child is exhibiting behaviour that is violent or dangerous to them or another, do you think they feel regulated and at ease?
Of course, the answer to all of the above is “No“.
Here is where we have the interaction of the Floortime session with the ‘D’. Developmentally, you will have to co-regulate with your child until they are at ease and regulated enough to feel safe and have the capacity to attend to the world with interest.
The interaction with ‘I’ comes next because to help the child feel at ease, we need to know their individual sensory profile. We need to know that talking too loudly or being in a room that is too bright, for instance, might provoke anxiety.
The interaction with ‘R’ is most important here because in order to feel at ease, the child needs to feel safe with you. If you are demanding the child to calm down, for instance, or otherwise provoking anxiety in the child, this will sabotage their first capacity of feeling safe and being regulated.
Getting shared attention and interest in the world from a child who feels at ease and is regulated may only be the first functional emotional developmental capacity, but it can be the most challenging for some parents, and is the most important thing to do to support your child.
If your child is not at ease and dysregulated, you need to co-regulate with them. A child will learn self-regulation from having caregivers who co-regulate with them first.
One key to helping any child’s developmental progress is for the child to expand the range of feelings they can tolerate.
We need to be accepting of all of the child’s feelings, but our children may need guidance in the expression of these feelings.
You can have a look of great concern on your face when your child is dysregulated. You can nod and repeat back what you see your child expressing or just be beside them, showing you are there to support them.
This connects us to the child (the ‘R’), who sees that we empathize with what they are feeling and accept it.
This promotes their sense of safety and security because they don’t have to censor themselves around us.
Children are very sensitive, so this is very important. If they sense that we disapprove of their emotions, they will defend themselves from feeling vulnerable with us and we lose trust.
During catastrophic emotional reactions, our children are in fight or flight mode so they are not capable of reasoning. This is not the time to teach them how to behave.
The behaviour you hope for comes when they feel safe and when they reach that developmental capacity.
If they are stuck in catastrophic emotional reactions, they will struggle developmentally. We are their guide and must support them through every one of their emotions.
This will be very challenging to do if we ourselves are not comfortable with our own range of emotions. This is where the ‘R’ really can make or break a DIR/Floortime approach.
The answer to the next two questions from last week–ignoring or repetitive behaviour–can be due to a number of reasons. If they are seeming to ignore us, it could be us not showing empathy and attuning to our child and repetitive behaviour could be about them self-regulating, enjoying what they’re doing, or not yet developing motor planning skills. Playful obstruction, which was discussed last week, can help you interact if you are attuned and the child is regulated. We’ll show examples of this going forward.
The child who is violent or dangerous requires co-regulating to put them back at ease. But in this case you will want to know if the aggression is an outlet due to a sensory need, ‘I’, or if they are reacting fearfully out of defense, ‘R’. Again, we’ll get into this in future examples.
Next week we will explore this concept of co-regulation in much more depth; that is, helping our children feel at ease and regulated so we can share attention and interest together, which is the first functional emotional developmental capacity. It is a cornerstone to the DIR model, and especially to doing Floortime.
Until next week, here’s to affecting autism through playful interactions!