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Most trauma research focuses on individual pathology. However, children embedded in shared adverse environments often develop complementary survival strategies (Lyons-Ruth et al., 2016). Kitti and Uri, two siblings referred to our university-affiliated child guidance clinic, exemplify this phenomenon. Despite identical environmental stressors, their presenting problems were nearly opposites. This paper asks: How does an internalizing-externalizing dyad maintain homeostasis, and what therapeutic mechanisms can shift it toward mutual regulation?

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By month 34, CBCL scores for both fell within normative ranges. Cortisol concordance shifted to positive synchronous (both low or both moderate during stress), a pattern linked to secure attachment. Most trauma research focuses on individual pathology