Sometimes, It’s Not Just a Tantrum

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When a child exhibits intense refusal, anger, or fear in response to a seemingly innocuous situation, it is often dismissed as a mere “tantrum.” However, these behaviors can be indicative of a much more complex underlying process: a painful memory that remains trapped within their cognitive and emotional systems.

This phenomenon is particularly evident in children with neurodevelopmental disorders, who may struggle to process and contextualize negative experiences. Nevertheless, it can occur in anyone, shaping the way they respond to certain situations.

In this article, we will explore in detail how the brain encodes and stores negative experiences, why some memories become trapped, and how targeted interventions can help unlock them.

1. How Does the Brain Encode Painful Memories?

When an individual experiences a negative event, several brain systems are activated:

• Amygdala → Registers the emotional intensity of the event (fear, anxiety, stress).

• Hippocampus → Encodes contextual details (where it happened, who was present, what occurred).

• Prefrontal Cortex → Typically helps rationalize the memory and diminish its emotional impact over time, but when the experience is too intense, this function may be impaired.

If the event is highly stressful or traumatic, the brain stores it as a persistent “alert.” In other words, when an individual encounters something reminiscent of that event, an automatic fear or anxiety response is triggered.

2. Why Do Some Painful Memories Remain Trapped?

Certain negative memories are not properly integrated into regular memory processing; instead, they remain “alive,” as if the event is still occurring. This can happen for several reasons:

A. Hyperactivation of the Amygdala

If a negative experience is particularly intense, the amygdala may become overactive, preventing the hippocampus from encoding it as a “normal” memory. Consequently:

• The brain continues to perceive the memory as an ongoing threat, even though it belongs to the past.

• The memory is automatically recalled in similar situations, triggering fear and anxiety even in the absence of real danger.

B. Impaired Emotional Processing

If the child (or adult) is unable to process the event emotionally, the memory can become trapped in a mental “loop.” This often occurs in autistic children, who may have difficulty verbalizing or fully understanding their emotions.

C. Strong Sensory Associations

For children with autism or heightened sensory sensitivity, a negative experience can become linked to specific stimuli (sounds, smells, colors, textures). This leads to:

• Even minor details (e.g., the sound of a specific type of engine) reactivating the painful memory.

• Anxiety generalizing across many similar situations, creating a cascading effect.

D. Implicit Memory and Difficulty in Generalization

In young children (especially those with autism), memory is often more implicit than explicit. This means they remember the emotions and sensations without necessarily recalling the event in a narrative form.

Example:

A child who was bitten by a dog may not remember the event explicitly but could react with intense fear whenever they see a dog, regardless of its size or demeanor.

3. What Happens When a Painful Memory Is Reactivated?

When the brain encounters a stimulus resembling the original event, an automatic stress response is triggered:

1. The body releases cortisol and adrenaline → increased heart rate, muscle tension, heightened readiness for flight or defense.

2. The prefrontal cortex shuts down → the individual struggles to think rationally and self-regulate.

3. The brain fixates on the perceived threat → making it difficult to shift focus or reframe the situation.

This reaction can be intense and challenging to control, particularly in children who have not yet developed effective emotional regulation strategies.

While completely erasing a painful memory is unlikely, several strategies can reduce its impact:

4. How Can a Painful Memory Be “Unlocked”?

A. Gradual Desensitization

• Progressively exposing the child to similar situations in a positive and controlled environment.

• Example: If a child fears hospitals, start with pictures, followed by a brief visit without medical procedures, gradually increasing exposure.

B. Emotional Regulation Techniques

• Deep breathing and muscle relaxation → help mitigate the stress response.

• Personalized sensory strategies → comfort objects, white noise, or deep pressure techniques (e.g., a firm hug).

C. Memory Reprocessing

• Using symbolic play or social stories to help the child relive the experience in a more manageable way.

• Creating an alternative narrative that reduces the emotional intensity of the event.

D. Cognitive Techniques

• Helping the child distinguish between past and present (“That happened before, but you are safe now”).

• Applying reframing to shift the perception of the event.

What Is Reframing?

Reframing is a cognitive technique that alters the perspective through which a negative experience is viewed. It does not deny the event but changes its interpretation to make it less distressing or frightening.

Examples of reframing:

• A child who had a negative experience with a teacher can be guided to understand that not all teachers are the same and that they have since learned how to handle such situations better.

• An event perceived as a “failure” can be reinterpreted as an opportunity for growth.

Conclusion

When a negative experience remains trapped within the pain memory system, the brain continues to perceive it as an ongoing threat. This phenomenon is particularly common in autistic or hypersensitive children, who may struggle to process and contextualize emotions.

However, with appropriate strategies, it is possible to reduce the fear associated with the memory and help the individual respond more calmly in future situations. Techniques such as gradual desensitization and reframing can be pivotal in transforming a painful experience into an opportunity for resilience and personal growth.

Article: Due to Dr. Maria Signorile