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Reactive Attachment Disorder Blog

09/17/07

Spoiled child tantrums or deep-seated rage?

Posted by : Nancy Spoolstra in Reactive Attachment Disorder Blog at 08:00 am , 342 words, 955 views  
Categories: Raging and meltdowns
A few posts ago I addressed the issue of tantrums. My favorite term for it is meltdown. I think that word adequately describes what is occurring in most cases.


One reader wondered how to differentiate between anger or sadness induced meltdowns versus those perhaps motivated by a need for drama. Another part of the reader’s question focused on how to access feelings after the meltdown.


We have all seen children who are “spoiled” in the purest sense of the word—kids who “melt down” because they don’t get their way. In families that tend to produce children who behave in that fashion, it is true that a very small amount of “drama” can often produce significant results for the little actor or actress.

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Most of the children who have been in my home have not been spoiled, to say the least. Many of them have, however, had a huge sense of entitlement. Their view that the world owes them is often reflected in their behavior. Nevertheless, most of the rages I have seen have been borne of a deep anger or sadness that has not been addressed. Often a catalyst for this rage is the child not getting what they think they want, thus mimicking the spoiled child tantrum. But the depth of the pain and rage far exceeds a little actor or actress’s attempt at manipulation.


If your child is melting down, start by describing the behavior. If you have some clue about what stress or crisis precipitated the meltdown, tell your child. “Honey, obviously you are very angry. You think your anger is because I wouldn’t let you have a cookie before dinner. But what you are really angry about might be because you are remembering how you had to find your own dinner (and often that was cookies) when you lived with Mom Jane … because she didn’t do a good job of meeting your needs and you were hungry. Little girls shouldn’t have to find their own dinner …”


To be continued...


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Comments, Pingbacks:

Comment from: nicegirlphd [Member] Email
Nancy, I agree with you in general, but wanted to add a warning about the way to phrase things. My husband's parents always told him how he is feeling, or how he should be feeling (his dad is a psychiatrist). But that was not good - he felt like he is not allowed to have his own legitimate feeings, and what his parents told him he is feeling was often wrong. So while I full heartedly agree that we should help our children find the words and open the lock to their true feelings, I think we should be careful to leave room there for mistake, phrase it as a question, or say 'I think it may really be ...' etc.
PermalinkPermalink 09/17/07 @ 10:11
Comment from: Nancy Spoolstra [Member] Email · http://attachment-disorder.adoptionblogs.com/
I completely agree, which is why I phrased it "might be". Another good tool is to say, "If I were you I might feel like this ... Where do YOU think your feelings are coming from?"

Good clarification, nicegirlphd, thanks!
PermalinkPermalink 09/17/07 @ 10:25
Comment from: dubbamom [Member] Email
"Often a catalyst for this rage is the child not getting what they think they want, thus mimicking the spoiled child tantrum."

Don't forget that many of our kiddos are dealing with double and triple strikes, when it comes to these meltdowns. Many of them, besides being angry over past neglect and abuse, have co-existing conditions, like PTSD, bipolar, autistic spectrum disorders, FAS, etc. All of these disorders often impact a child's cognitive flexibility, impulse control, executive thinking, ability to control compulsions & obsessions . . . Try taking a child loaded with these gems into Walmart and telling him "No"!

"Intermittent Explosive Disorder" is the worst, because it catches the parent off guard. The child could be having a great day, happy and cooperative. Mom is thrilled, she exhales (maybe he can be normal), and announces the family is going out to eat. Everything goes along great. The waitress comes to the table and says "Dessert Folks?". *Angel boy* pipes up and orders the the Triple Chocolate Thunder from Down Under. Wait, does mom let kiddo order his own dessert? Nope. Does mom want kiddo eating Triple Chocolate Thunder from Down Under? Nope. Out of no where *Angel boy* becomes Mount St. Helen's, with a large audience. The flailing, screaming, aggressive, spewing volcano needs to be carried to car. There's no way to talk to *Angel boy* during one these rages. I won't be able to process it. Mom may be dealing with a three hour long rage, broken car window, or bruises all over body. She just wanted to go out to dinner with her family. Talk about no good deed going unpunished.
PermalinkPermalink 09/17/07 @ 10:57
Comment from: Faith Allen [Member] Email · http://hoping.adoptionblogs.com/
I agree that IED is more about the symptom than the problem. This is true about a lot of things, including eating disorders and self-injury. Those, too, are symptoms that cannot fully be treated until the underlying cause is treated. Repressing those symptoms without addressing the cause will only result in the development of other compulsions.

- Faith
PermalinkPermalink 09/17/07 @ 11:11
Comment from: Nancy Spoolstra [Member] Email · http://attachment-disorder.adoptionblogs.com/
This is also an excellent comment. I did way oversimplify the issue.

I do have to add one thing, though. I am NOT a p-doc (psychiatrist) or a degreed mental health professional, so perhaps I am talking out of turn ... but it wouldn't be the first time, no doubt. BUT, I have to say the "IED" diagnosis ... Intermittent Explosive Disorder ... is one of them that bugs me the most. To me that is a LABEL OF SYMPTOMS and doesn't address the cause at all. What do you all think? Is this a Dx p-docs give when they can't figure out the root cause? Is this a documented brain-dysfunction issue? What gives with this Dx?
PermalinkPermalink 09/17/07 @ 11:14
Comment from: miriam [Member] Email · http://www.growingjwards.blogspot.com
This is such a great topic! Thanks for bringing it up.

We've met a little girl (18 months) who was utterly neglected for the first 11 months. She was stuck in her crib and changed maybe once a day. There was a ton of chaos around her.

Now she's had 7 months of better care with a temporary volunteer relative. TPR has not occurred yet. Unfortunately that caregiver is sort of... traditional? naive?... in that she has the girl watching tv all the time (it's even on for naps!), gives her a lot of sugar and maintains NO schedule for her. Every day is different for this kid, and sadly revolves 100% around the adults in her life.

When my husband and I visited to take her out for a few afternoons, she had what I would call abnormally emotional meltdowns three times the first day. The second day we were mainly able to distract her when she started to lose it, which is what I would say is age appropriate.

My questions are:
How can we prepare to help this child if she does become part of our family?
Is there an age under which melting down is just par for the course?
How do you tell when "the depth of the pain and rage far exceeds..." the norm?
And how do you help a preverbal child?

I hope you don't mind the slightly tangential comment and questions. Thanks!
PermalinkPermalink 09/17/07 @ 12:00
Comment from: mmarschner [Member] Email
I have found that almost all DS meltdowns/tantrums are due to him not being able to regulate at all. Even if it begins as a *regular tantrum* where he wants something he can't have at the moment, it almost always escalates into something more severe because just heightening his emotions sends him into turmoil and out leaks all the icky feelings the stay down. I wonder if a traumatized child (at least mine) can have a regular ol tantrum without the feelings escalating for him?
PermalinkPermalink 09/17/07 @ 13:04
Comment from: mater [Member] Email
What did "Dora" steal?
PermalinkPermalink 09/17/07 @ 14:21
Comment from: Nancy Spoolstra [Member] Email · http://attachment-disorder.adoptionblogs.com/
Does it matter, Mater? Taking something without asking is not a healthy behavior.
PermalinkPermalink 09/17/07 @ 14:55
Comment from: Julie [Member] Email · http://special-needs.adoptionblogs.com/
Great discussion, Nancy. I think IED definitely is a description of symptoms -- but then, so is everything else in the DSM. I would agree with everyone who says that there are underlying causes for the explosion. The problem is that most casual observers can't see the cause...heck, I've been observing our own Mount St. Helens (thanks dubbamom, loved that one!) for years now. And the explosions occur just like she describes. I would rather she labeled as IED than ODD, which has the connotation of being "willfully" oppositional. LuLu is highly oppositional at times, but not for manipulation purposes. Is it because LuLu was starved in an orphanage over 9 years ago? Is it because she doesn't want to relingish control to me? Is it because she really wants dessert or craves sugar? Or is it something with her brain chemistry or wiring that causes her to feel something so deeply and then explode so out of proportion with that trigger and truly earn the label IED? Interesting thing about IED is that recommended treatments are SSRIs and Cognitive Behavioral Therapy (CBT) - same recommendations for several anxiety disorders, like OCD, GAD and PTSD...is there a neurological connection...
PermalinkPermalink 09/17/07 @ 15:21
Comment from: dubbamom [Member] Email
"Is this a Dx p-docs give when they can't figure out the root cause?"
Nancy,
In our case I'm quite certain our psychiatrist didn't add this one on because she doesn't understand the root causes. I'm so fortunate that she does! Including the attachment/trauma factors.

She was being pro-active when she tacked this on *Angel boy's* AXIS's. Her concern was his neuro-chemical imbalances (one symptom being potential explosiveness) being viewed simply/only, as a behavior problem, at school. She was looking out for me in case, someone, wanted to play blame the parent for kid's explosiveness, too.

To me the IED Axis, helps to document that these are brain function problems, not merely behavior problems. This is very important evidence for practical reasons (school, teachers), in our situation.
PermalinkPermalink 09/17/07 @ 16:05
Comment from: Nancy Spoolstra [Member] Email · http://attachment-disorder.adoptionblogs.com/
Excellent explanation, thanks dubbamom. Kudos to your p-doc for looking out for you! That's awesome!
PermalinkPermalink 09/17/07 @ 16:19
Comment from: nancyderen [Member] Email
Lots of p-docs admit they use IED when they don't know what other dx to use to describe the behaviors. It's used a lot when docs don't know the root cause, and when the root cause is something like PTSD or depression and the doctor wants another dx that describes the behavior more specifically, and when the person has a lower frustration threshold or impaired ability to self-regulate due to neurological impairment. So it is pretty much a catch-all. The day program I run is for adults with IED and neurological impairments, and almost all of them have PTSD, many have OCD, bipolar and other disorders, but most of them got the IED dx before anyone knew what the root cause of their issues was.
PermalinkPermalink 09/17/07 @ 20:37
Comment from: Nancy Spoolstra [Member] Email · http://attachment-disorder.adoptionblogs.com/
I'm lovin' these explanations. You are all teaching me a lot!
PermalinkPermalink 09/17/07 @ 21:26
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