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Getting a Grip on Out-of-Control Behaviors: A Parent’s Guide to Maintaining Winning Influence Over Children (page 4)

By Tony Madril, M.S.W., B.C.D.
Education.com Member Contribution

Guideline #4: All adult caregivers will consistently reinforce family rules.

Over the years, I have met several parents who have an expressed disbelief that behavior modification programs actually work, especially in children with hard-totreat symptoms. They say, "I've tried that already, it doesn't help." A close look into these situations typically revealed a problem with the timing and delivery of the proposed behavioral interventions, not with the behavioral program itself. In many cases, the rewards and behavioral consequences were delivered too late, or too infrequently to have any significant impact upon the child. Therefore, it is important that all parents understand the key role consistency plays in creating positive outcomes for children whenever behavior modification techniques are used.

Although there are a number of evidence-based, behavioral techniques available to treat conduct problems in children, none of them are effective alone: appropriate timing and consistent delivery of behavioral reinforcements over time must accompany the behavior modification program for change to follow. One study of behavioral techniques and children found that continuous reinforcement (reinforcement every time a desired behavior occurred) most often led to higher levels of performance of new behaviors, whereas inconsistent reinforcement led to problematic behaviors that were more difficult to extinguish.2 In other words, parental diligence to follow through with treatment recommendations must always accompany the implementation of any behavior modification program. This helps ensure that best possible outcomes for children and families are met.

Behavioral management problems in children remain a problem for many parents today. For example, in the report, America's Children: Key National Indicators of Well-Being 2008, "five percent of parents in the United States reported that their child had definite or severe difficulties with emotions, concentration, behavior, or being able to get along with other people." While this figure may sound discouraging, now, more than ever before, we are bound to hope: Most of the symptoms and distress associated with childhood and adolescent behavioral disorders are treatable with timely and appropriate interventions. Behavioral therapy combined with treatments from other forms of psychotherapy is highly effective in successfully resolving hard-to-treat behavior problems in children. It is therefore imperative that parents learn effective strategies to make practical use of these treatments: understanding how to apply these therapeutic concepts is the key to establishing and maintaining winning influence over children.

I recommend that parents begin this process by prioritizing their child's problematic behaviors according to the risk of a particular behavior to cause harm or disruption. Next, it is important that parents set a strong foundation for behavioral modification by establishing a set of family rules that addresses the developmental needs of children. The ability to interpret your child's "acting-out" behavior as a developmentally appropriate way of communicating his need to learn the skill of self-control (not to punish you) can be liberating. Moreover, the thoughtful development and consistent application of meaningful rewards and consequences to your child's behaviors is a powerful way to strengthen adherence to family rules and other behavioral expectations. Lastly, it is important to remember the benefits of working together with your parenting partners to affect positive change on behalf of your child: without this type of cooperation, the behavior modification techniques discussed in this article may simply, not work.

In closing, I would like to encourage struggling parents by noting that researchers are working to gain new scientific insights that will lead to better treatments for mental, emotional, and behavioral disorders in children. Innovative studies are also exploring new ways of delivering services to prevent and treat these problems; and research efforts are expected to lead to more effective uses of existing treatments, so children and their families can live happier, healthier, and more fulfilling lives. Be well!

Table 1: Safety Tools for Children, Adolescents and Their Families

Tool

Definition

Stop, Think and Choose

Stop what you are doing, be aware of your thoughts, and carefully consider your choices and the consequences of each possible choice.

Personal Time-out

Briefly excuse yourself from a situation that may cause you to make a decision that you could regret

Talk About Feelings

Talk to someone who you feel you can trust. Name your feelings and explain to the person how these feelings are affecting you.

Positive Self-talk

Use your mind like a tape player: repeat the positive statements you have created for yourself when you are going through a stressful time.

One-minute Vacation

Imagine a special place where you can feel safe,relaxed, and free from all of your problems. Use your imagination to create the details. Stay in this special place for least one minute.

Check Boundaries

Check to see if you are invading the personal space of others around you. Ask someone, if you are not sure.

Deep Breathing

Take several, long and deep breaths when you are having a hard time managing your feelings.

References

1 Masten, A.S., & Coatsworth, J.D. (1998). The development of competence in favorable and unfavorable environments: Lessons from successful children. American Psychologist, 53, (pp. 205-220).

2 Kazdin, A. (2005). Parent Management Training: Treatment for Oppositional, Aggressive, and Antisocial Behavior in Children and Adolescents (pp. 75-77). Oxford University Press

About the Author

Tony Madril, M.S.W., B.C.D. is a board-certified clinical social worker licensed to practice psychotherapy in the State of California. He has thirteen years of experience treating children and adolescents with an array of psychological and behavioral impairments. He is an active member of the National Association of Social Workers (N.A.S.W.) and serves on the field faculty of several University Graduate Schools of Social Welfare. His private practice office is located in Los Angeles, California where he specializes in working with children and families of culturally diverse backgrounds. You may e-mail at Tony@tonymadriltherapy.com, or visit him on the web at www.tonymadriltherapy.com.

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