ear plugs
Just put her in the shower when she needs it and lather her up.
My daughter did the same thing around that age. She got over it. I was glad that our neighbors weren't too close, lol.
I made sure the water was just barely warm and used a handheld shower so I could wet her down quickly, put the spray aside and lather her up, and then grab it and quickly rinse her.
OP - PLEASE don't tell your sister about this option. Take the advice of others here....ask her pediatrician.
No!! Absolutely DON'T do this!! This is not a well-adjusted, emotionally stabile child you're dealing with! There's a HUGE difference between the child mentioned above, who just didn't like to take a bath, and the child in question who was (as others have said) SEVERELY traumatized in some way, most likely in an incident involving the bathtub. This is a child who has been so severely neglected that she likely doesn't even know what it feels like to trust a grownup person to meet her needs. The "cry-it-out" method WILL NOT work for a child in this situation...It will just create more trauma in this poor baby's already broken life...
Poor baby. It will be a slow process. We have a 3-yr old who came to us at 21 months, and had a similar situation. It took a long time and a lot of soothing words. The child just needs to be constantly reassured that she's safe now, and that mommy is going to do EVERYTHING she can to keep her safe. She does need to be persistent with it, but gently persistent. She needs to move slowly, use a calming, soothing voice. Eye contact is VERY important. We just repeated the slow, soothing mantra, "I love you and I will keep you safe. No one here will ever hurt you." To this day, she still will look me in the eyes and repeat that back to me (because even after 2 years, she still needs that reassurance), "Mama, you and Mommy (my partner) will always keep me safe?" And I answer, "Always."


Also, I know that in our case, transitions tend to be a big deal for her. Understandably, change does not come easily for her. So every transition, whether it be bedtime, going from play to mealtime, or transitioning to bath time, has to be like a "ritual". We have to ease her slowly from one activity to the next or she will lose it. So we give her a 5 minute warning (obviously, at 3, she doesn't really know what 5 minutes means, but she now has that 5 minutes to prepare herself mentally for the change that's about to take place). We then give her a 1 minute warning, during which we guide her to put her toys away, or turn off the TV, go potty before bed, or go to the bathroom to wash her hands for dinner...
It's all a slow, sometimes gruelling process, but when you make baby steps in progress, it's SO worth it!! It's amazing the kind of change a loving, caring, nurturing environment can do for a child's emotional well being and self confidence!!
Anyway, sorry for the length, but kudos to your sister! Is she going through DCFS, childrens' division in her state with the foster/adoption process? If so, she has MANY resources available to her. That baby NEEDS therapy!! Our 3 yr ld is doing exceptionally well, but she still has therapy for an hour 4 days a week!! And the state pays for all of it. If she's not already, she needs to contact them about the services available. It's very important!
Also, there are many great books out there that deal with these things, but 2 EXCELLENT books that I have and I recommend to ALL foster/adoptive families are:
"Parenting the Hurt Child"
http://www.amazon.com/Parenting-Hurt-Child-Adoptive-Families/dp/1576833143
and
"When Love is not Enough"
http://books.google.com/books?id=yF...sult&ct=result&resnum=3&sqi=2&ved=0CD0Q6AEwAg
Good luck to your sister, and please feel free to PM me if you have any questions!
-Christal
ETA...I see that while I was writing my "novel", many more really great responses came in, so I'm sorry if I just reapeated a bunch of stuff...LOL
Oh! And as far as hair washing, we still have to do that in the kitchen sink with the sprayer. She just DOES NOT like having the shower running over her head.