Tag Archives: trauma

What Happens When CPA Continues into Adulthood? The Strategy Behind the Surrender

This week included Elder Abuse Day (15th June), and so we have Freda Quinlan talking about her PhD study, in which she developed a new model of understanding filial coercive control.

By Freda Quinlan, Principal Social Worker (Adult Safeguarding)  and PhD researcher 

When we discuss Child-to-Parent Abuse (CPA), conversations usually focus on adolescents. But what happens when this dynamic tracks into adulthood, colliding with the inevitable vulnerabilities of a parent’s later life? At the recent ‘Reframing Professional Practice’ conference, I explored this through the lens of the FIL-CO Model (Filial Coercive Control). The reality I presented suggests that when abuse persists into adulthood, the dynamics may shift from overt behavioural outbursts to a quieter, less visible, and deeply complex form of domestic entrapment. To respond effectively, we may need to recognise the hidden layers of this ongoing family trauma.

1. The Trap of Silence and Wounded Identity

One of the greatest hurdles that professionals identified in my research is the profound silence of victims. It is dangerously easy for safeguarding systems to misinterpret this silence as a passive ‘lack of will’ or an unwillingness to engage. The FIL-CO Model invites us to look deeper. Many older parents seem to operate under a heavy belief that because they raised the person hurting them, they have forfeited the ethical right to speak out. This potentially creates a ‘dual entrapment’: a state of constant physical dread paired with an internalised shame that tells them their adult child’s actions reflect their own failure as a parent. When a parent stays silent, they may actually be navigating a wounded identity. Their silence is rarely passivity; it can represent an ethically-laden negotiation—a final attempt to protect what is left of their parental legacy.

2. Weaponised Care: Becoming Invisible Within Systems

In later life, a critical shift can occur in how control is maintained. Unlike intimate partner violence, where an abuser merely claims to provide protection, an older parent’s physical or cognitive care needs may often be objectively real. This can create a painful relational paradox. The adult  child is the primordial being the parent is hardwired to protect. As social networks narrow with age, this bond often intensifies, repositioning the adult child as the parent’s primary ‘secure base.’ This biological drive for proximity may override the parent’s cognitive recognition of harm. Abusive adult children strategically exploit this by weaponising actual frailty. By tying control to real health needs, the abuser ensures their dominance is perceived by external observers—and sometimes by the parent—not as abuse, but as a dutiful response to failing health. This is precisely how parents can become entirely invisible within care systems.

3. Epistemic Injustice: The Theft of Reality

The psychological peak of filial coercive control is often reached through epistemic injustice—the systematic erosion of an older parent’s ability to trust their own knowledge and perceptions. Here, gaslighting emerges as a primary tool of entrapment. Abusive adult children may leverage a parent’s minor memory lapses to delegitimise their reality, countering their lived experiences with assertions like, “You’re just getting confused.” This can breed a profound cognitive dissonance that slowly undermines the parent’s sense of personhood. Crucially, this gaslighting appears to interact with structural vulnerabilities. Our institutional systems naturally tend to defer to the younger caregiver, sometimes giving them the benefit of the doubt over an older adult. The abuser may make strategic choices to secure compliance because they know the system will likely reinforce their narrative.

The Path Forward: Re-evaluating Autonomy

Ultimately, the FIL-CO Model frames a parent’s compliance not necessarily as weakness, but potentially as a calculated surrender within a very compromised family and societal context. For professionals, this suggests a fundamental shift in practice. When assessing an older parent, we can rarely simply ask what they ‘want’ on a surface level. If a parent’s will is a strategic response to an unbreakable, lifelong bond, our assessments must account for the painful internal processes they may be navigating. Moving forward, compassionate responses mean looking past the surface of ‘compliance.’ Only when we begin to understand the potential strategy behind a parent’s surrender can we hope to break through the walls of silence and offer true avenues for validation, safety, and hope.

It was great to hear more about Freda’s work in the Reframing Professional Practice conference. Freda is completing her PhD at University College Dublin.

Leave a comment

Filed under Uncategorized

Post-Adoption Support in Crisis: Families Speak Out 

If you are at all interested in Adoption and LinkedIn, you will already be aware of Claire Agius, a PhD student from Manchester Metropolitan University, who has recently submitted her PhD and kindly created a post on her emotionally-aware research with adoptive parents for the final blog on our adoption series.

Adoption is one route to permanence for children who cannot remain with their birth families. Many have lived through neglect, abuse, or significant early adversity. Adoptive parents step forward to provide stability and care, but they cannot heal trauma alone. When systems delay, misdirect, or fragment support, families are left carrying unbearable burdens, and the stability adoption promises is put at risk. 

My doctoral study explores the impact of raising a child with trauma on adoptive parents’ mental health and examines how systemic structures help or hinder families. Conducted between 2022 and 2025, the research combined in-depth interviews with adoptive parents and post-adoption professionals with a participatory, film-based process that enabled parents to revisit and re-interpret their own stories. Parents co-edited emotional “touchpoints” from their filmed interviews, first for emotional processing, and later for collaborative meaning-making. This innovative two-stage process revealed not only what families said in the moment, but how they later understood their struggles, providing rare insight into why problems persist across time. 

Methods and Approach 

The study engaged adoptive parents and post-adoption professionals across England. A distinctive feature was the use of filmed narrative interviews, later revisited with parents through an adapted Experience-Based Co-Design (EBCD) process. Parents co-edited their most painful or telling moments, “emotional touchpoints”, which became the basis for deeper reflection and co-analysis. Importantly, emotions often shifted between the first and second viewing: what was raw distress initially was later reinterpreted with new perspective. This temporal dimension offered a richer understanding of how families live with and make sense of ongoing struggles. 

Key Findings: Five Causal Mechanisms 

The research identified five systemic mechanisms that help explain why adoptive families encounter the same challenges again and again: 

Crisis-Led Logic → Invisible Early Struggle 

Services are triggered by visible breakdown, not early distress. Parents described desperate pleas for help that went unanswered until crisis loomed. Professionals echoed this dynamic, explaining that thresholds and funding criteria meant they were often forced into reactive rather than preventative roles. 

Unsupported Care Work → Relational Burnout 

Parents’ own emotional needs are rarely recognised. The relentless labour of advocating, soothing, and managing daily crises falls heavily on them, with little formal or informal support. Professionals noted that while therapeutic resources might be offered for the child, parental wellbeing was considered a lesser priority in post-adoption support planning. 

Mistrust and Marginalisation → Silenced Insight 

When parents seek help, they are too often met with suspicion or blame. Instead of being recognised as experts on their children, they are treated as the problem. Several professionals reflected on how mistrust erodes open communication, acknowledging that risk-focused cultures can silence parents’ perspectives. 

Systemic Fragmentation → Constant Bureaucratic Burden 

Families must navigate siloed services, repeated assessments, and defensive institutions. Parents spoke of becoming “experts by necessity” in order to access what their children required. Professionals described a fragmented landscape that left them struggling to coordinate support or act decisively across organisational boundaries. 

Service-Defined Progress → Residual Struggle 

Support is often withdrawn once narrow service criteria are met, even if families continue to struggle behind closed doors. Services may focus on keeping placements intact while overlooking the wider toll. Professionals described similar frustrations, noting that time-limited interventions often forced them to close cases prematurely, even when they suspected families would continue to need help. 

Impacts and Implications 

Together, these mechanisms explain why adoptive families experience persistent strain. Parents’ mental health suffers, siblings carry secondary trauma, and placements teeter on the edge of breakdown. For government, the cost is twofold: the human suffering borne by families, and the financial burden of avoidable crises across social care, education, and health. 

The findings carry important implications at multiple levels: 

  • For families: parents’ mental health declines under unsupported care work, and siblings experience secondary trauma that remains invisible to services. 
  • For systems: a crisis-led, fragmented model means resources are mobilised late, at greater human and financial cost. The Adoption Support Fund, while valuable, is shaped by bureaucratic gatekeeping. Parents described decisions made by staff without sufficient trauma knowledge, leading to inappropriate or stop–start provision. Trauma-informed practice must extend from top to bottom of the system, including commissioners and fund-holders as well as frontline practitioners. 
  • For knowledge and practice: by marginalising adoptive parents’ perspectives, services lose access to vital expertise. This study shows that film-based, participatory methods can surface and revisit lived experience in ways that expose persistent problems and open space for collaborative solutions. 

Recommendations 

Based on these findings, five preliminary priorities for reform are proposed: 

  1. Invest in early relational support – Commission services that intervene proactively, building resilience within the first year post-placement. 
  1. Support the whole family – Embed provision that includes parents’ mental health and siblings’ wellbeing alongside the child. 
  1. Reduce bureaucratic gatekeeping – Simplify and standardise access to the Adoption Support Fund so families can receive timely help. 
  1. Embed trauma-informed practice system-wide – Extend trauma awareness beyond frontline therapists to commissioners, fund-holders, and policymakers. 
  1. Value lived expertise through co-design – Involve adoptive parents directly in shaping provision, policy, and evaluation frameworks. 

Conclusion 

Adoptive families are willing partners in the work of healing trauma. But they cannot do it alone. By using filmed interviews and a co-interpretive process, this study demonstrates both the human and systemic costs of current approaches, and the potential of participatory, trauma-informed methods to generate change. Adoption will remain a sustainable route to permanence only if support is early, relational, and family-centred, and if adoptive parents’ lived expertise is recognised as central to system redesign. 

Claire’s ’emotional touchpoints’ will no doubt resonate with many families, and what we really like about her work is the relevance to practice. The recommendations may seem common sense, but they highlight the very real challenges experienced by adoptive families. Do connect with Claire if you are interested in learning more.

Leave a comment

Filed under Discussion, Family life

Adoption is in crisis — and change is no longer optional | Fiona Wells | The PATCH Steering Group

 

Adoption is in crisis — and change is no longer optional.

We’ve created a full report and an executive summary, both of which include the Impact Pathway — a resource designed to support more effective, trauma-responsive and recovery-focused planning and intervention.

  • PATCH Pathway: Adoption Crisis Brought Into Focus

A comprehensive exploration of what’s going wrong — and what needs to change. It captures the voices of adopters, insights from experts, and the reality of lived experience.

  • PATCH Pathway: Executive Summary

A concise overview for time-pressed professionals. It lays out the key challenges and introduces ideas for real, preventative change.

  • PATCH Impact Pathway: Prevention in Practice (this is highlight in full in both documents above)

A practical approach to ensure support before breakdown — for families, carers, and systems alike.

The truth is simple: we are failing families. Trauma is being ignored. Systems designed to protect are instead contributing to breakdown — and the cost is paid by children, families, society, and the future of social care itself.

If you’re a professional, you already know: recruitment is low, disruptions are rising, and families are breaking down. You know change is needed.

I write to you as an adoptee, an adopter, a social worker, and the founder of PATCH. This work is born from personal experience and professional commitment. It doesn’t claim to have all the answers — but it’s a start. A conversation. A catalyst.

At its core is a simple message: if we don’t change how we treat adopters and foster carers, we won’t have any. And if we don’t support caregivers, parents, and families — we are not supporting children.

One cannot be done without the other.

We invite you to read, reflect, and join us in driving the change that children and families urgently need.

Warmly,

  Fiona Wells 

& The PATCH Steering Group

1 Comment

Filed under Uncategorized

Therapeutically Parenting Teens, book review time

Julie Selwyn’s groundbreaking report into adoption breakdown  found that around one third of adoptions pass smoothly, around a third of families were mostly getting on OK but with ups and downs, and the other third were having significant difficulties. If you’ve found it as far as my website then I’m assuming you’re probably not in the first third, and if that’s the case you may well be interested in what Sally Donovan has to say in her latest book: The Unofficial Guide to Therapeutic Parenting, The Teen Years. Continue reading

Leave a comment

Filed under Book review

#CPV: What does it look like, part 2. Intent stuff

One of the issues that makes it difficult for us all to talk about child to parent violence and abuse is the fact that there is no one agreed definition. The one I tend to use when speaking to people is that proposed by Amanda Holt:

“A pattern of behaviour, instigated by a child or young person, which involves using verbal, financial, physical and /or emotional means to practice power and exert control over a parent”, and “the power that is practised is, to some extent, intentional, and the control that is exerted over a parent is achieved through fear, such that a parent unhealthily adapts his / her own behaviour to accommodate the child.” Continue reading

6 Comments

Filed under Discussion

Discussion about CPV going mainstream?

When the Guardian carries two pieces in a weekend alluding to violence and abuse from child to parent, (A letter to my teenage girl who hates me so very much and My ten year old daughter was bullied – is this why she has tantrums?) I think we can safely say that we are beginning to go mainstream.

Neither of these pieces is entirely straightforward – but isn’t that the point? Relationships within families are complex and varied. Violence and abuse has roots in so many different places. The tipping point between normal reaction and abusive behaviour can be hard to identify other than retrospectively. In both cases we see parents who are unimaginably sad for their children and at what is happening in their families, looking for answers and hoping for a better future. Continue reading

Leave a comment

Filed under Discussion

Trauma and resilience conference

Where is our outrage?

Lisa Cherry and Jane Evans hosted an inaugural conference on Trauma, Resilience and Recovery on June 2nd 2015. You can see a short video summarising the conference here.

Their work is concerned with raising awareness of the effects of early trauma and changing the way we work with children and families to take account of this, building an attachment focused and trauma aware society more able to support and heal those impacted by early (and ongoing) adversity. This is an issue that both Jane and Lisa are passionate about, and both speak and write extensively about it. Each has written a summary of the conference on their blog (Jane here and Lisa here).

Some would say this is timely as the National Institute for Health and Care Excellence (NICE), has issued guidelines, currently up for consultation, arguing that health and social care providers should train all key workers in assessing attachment difficulties and parenting quality, for children in – or on the edge of – care. You can read more about this here.

Leave a comment

Filed under conference report

Parenting a Violent Child: book review

What do you do if you are a parent experiencing violence and abuse from your child but there is no help available where you live? So many parents speak of a lack of understanding from non-specialists, and regular parenting groups that can make the situation worse rather than better. Up until now the only recourse might have been to online message boards, helplines or friends. Now there is a “virtual group” in the shape of a step-by-step guide to understanding behaviours that can hinder or help the restoration of a healthy family relationship. Continue reading

Leave a comment

Filed under Book review

My Violent Child: “everything revolves around him”

So this week saw the start of the return series of My Violent Child, the Channel 5 documentary made by Popkorn TV about children’s violence to parents, which first aired in Britain in June 2014. I was tempted to post something in the run up to the first episode (of 3) but decided to watch first before committing myself – always good practice I find! Continue reading

Leave a comment

Filed under TV

A brighter future for families experiencing child to parent violence

Continuing a mini series of interviews about different projects around the country, I have been speaking with Sian Taylor at Wish for a Brighter Future in Bristol.

Wish header

 

Wish for a Brighter Future (WISH) has been in operation since 2003, when a small group of Hartcliffe residents identified a need to provide domestic abuse support in their community. WISH worked for many years supporting men, women and children affected by domestic violence and abuse (DVA) within the local community before developing their parent abuse project. They found their understanding and experience of DVA were vital in making the transition from domestic to parent abuse support. While the original expectation was that the work would be with young people, delivering domestic abuse prevention work through education and group work support – and the funding* supported this plan – once the doors opened the organisation was inundated with referrals for parent abuse, and for the last year this has been the sole focus of the work. Continue reading

1 Comment

Filed under projects