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Behavior Strategies


The Exposive Child
Time In
Timer
Picture Magnets
Dry Erase Board
Eating
Token System
Discipline Without Damage
OCD Books and Articles
Cognitive Behavioral Therapy

The Explosive Child

The Explosive Child: An New Approach for Understanding and Parenting Easily Frustrated, Chronically Inflexible Children, a book by Ross W. Greene, Ph.D. available at www.amazon.com and major booksellers.  I highly recommend this book and video for parents of children who don't respond to the methods listed below, or,  jump straight to Dr. Greene's methods first for especially inflexible children.  The book/video teaches the parent how to prioritize what situations to deal with and shows how to teach your child the skills to be more flexible.  The reviews at amazon are helpful in previewing the book. 

Time In

This is the first behavior strategy I used that helped with any consistency before the diet or enzymes, and I had tried many forms of discipline.  Tantruming was a way of life with a few breaks here and there.  Dr. Edward Christophersen, child psychologist at Children's Mercy Hospital in Kansas City, Missouri, taught me this method of “Time-Out”.  The typical time-out method I was using (and the one most parents and teachers are familiar with) was not effective with my older son. 

The emphasis is to provide plenty of “Time-In,” to insure the “Time-Out” is effective.  To do this, you give the child 100 touches a day.  The touches should be something like a quick touch or rub on the shoulder or stroking of the hair, lasting only 1 to 2 seconds so as not to distract the child from what they are doing.  When the child does some misbehavior, such as whining, the parent should immediately say, “Time-out whining.” If the misbehavior was throwing a tantrum, you would say, “Time-out tantruming.”  And then completely ignore the child.  Really ignore them – don’t run off where they can’t see you, but stay right there and pretend the child does not exist until they stop misbehaving.  You should act like their misbehavior is of no interest to you, but you need to be there where the child can observe you.   As soon as the misbehavior stops, reinforce it with a “Time-In.”   If the problem is something like a child saying something rude, I will say, “Time-out rudeness” and I will ignore the child for several seconds and if the child is playing with a toy while he said the rude thing, I will remove the toy for those several seconds.  Dr. Christophersen’s emphasis is, "You don't add time-out, you take away time-in.  It's designed to make the point that time-out is the removal of time-in, not some place that you send a child.”

Not only did we see immediate progress with our son’s behavior, but my stress level dropped to a new low because ignoring is such a calm way to react.  Because I had a consistent plan of how to handle behavior through ignoring, I didn’t have to anticipate every little potential problem.  The key is to truly ignore.  Keep your mouth shut and act calm while you are not responding to the child’s negative behavior, until it stops, no matter how long it takes.  I was surprised to find it only took a few hours to improve my son’s behavior.  For most parents, it takes a few days to convince the child.  

This interview includes some explanation of handling tantrums: http://thekansan.com/stories/011000/acc_0110000001.shtml

'Time-In Before Time-Out'
http://www.parenthood.com/articles.html?article_id=4236

To break it down:
1.  Give 100 touches a day to make sure your child is getting enough time-in, such as a quick rub on the shoulder.
2.  Catch your child being good and praise appropriately.
3.  Say, “Time-out” and a single word to identify the problem behavior as soon as it happens.
4.  Ignore as long as the misbehavior occurs, which includes keeping your mouth shut.
5.  As soon as the misbehavior stops, give some time-in.

Video about Parenting, with Dr. Christophersen: http://www.apa.org/videos/4310603.html
Books by Dr. Edward R. Christophersen: http://ourworld.compuserve.com/homepages/echrist/
Many studies on discipline, toilet training, and other topics http://www.pubmed.com, search under Christophersen ER.

Timer

You can’t argue with a timer.  I use a timer for just about any time I need to control how long my sons get to do something that may be a problem.  I first state the expected behavior, such as, “You may play the computer game for 30 minutes.”  I then state the consequence, such as, “If you do not stop when the timer goes off, you lose some of tomorrow’s time.”  I may set the timer for a few minutes short of the target time to give my son a warning, then reset the timer for the remainder, or I set the timer right by the computer so he can see how much time is left.  If he reacts negatively when his time is up, I say, “You have lost five minutes of tomorrow’s time.”  If he continues, I may subtract a few more minutes from the next day.  I use a digital timer, because my sons are able to understand how it works.  For some children, a round timer where they can see the markings move may be a better visual.  Watch out for kids that change the timer!  How ever much they add on is what they lose the next day (at least)!

I usually use a timer to help our kids get ready for bed.  I may tell my kids, “If you have your pajamas on in ten minutes, you get to have two stories read to you.”  If they are not ready by the time the timer goes off, no stories and they go to bed dressed as is, which they do not like to do. This works for trying to leave the house, too.

Time Timer

The Time Timer is a new timer I discovered being sold at a conference.  This timer is a clock with a red disc that gets smaller as the time disappears.  It allows the child to easily see how much time is available.  It helps to alleviate worries about how much time is left because the child (or adult!) can do their task while the bright red, which represents time, is in their peripheral vision.  This could be helpful in a testing situation, using the larger version of the clock at the front of the classroom.  The smallest timer can go with the child if they need to keep it in different classroom situations, such as in the cafeteria.  The timer is completely visual, no beeper version is currently available except on the Time Timer CD.  We are currently using the 8 inch timer for home use, such as for eating breakfast and computer time.   

Picture Magnets


www.do2learn.com is an excellent resource for pictures.  Picture schedules can be a great help for non-readers and readers alike.  I have made them into magnets and put them on the refrigerator to help control TV time.  My older son even drew some pictures of his Playstation on 3x5 cards that I covered with clear contact paper and put sticky magnet tape on the back.  I wrote “30 minutes” on the cards and put them on the fridge for each boy as they earned them.  They then turned them into me when they were ready to play.

Dry Erase Board

I have a small dry erase message board on the front of my refrigerator where I can map out anything that has been a problem topic.  For example, I found myself negotiating “screen time” too often, and as my kids get older, I am wanting to move up from the picture magnets, so I wrote out each day of the week and how much screen time is appropriate for that day.  It makes it easy to erase and rewrite the minutes, too, if one of my kids has misbehaved.  When they argue about having to stop screen time (because the timer went off), I simply subtract a minute or more from the next day's time and rewrite the new time on the board.  I am now also using a bigger board to list my kids' daily chores. 


Eating

My disclaimer:  Under some circumstances, it is possible a child with major sensory issues would deprive themselves of food for an extended period.  You should consider talking to your pediatrician about an appropriate plan for eating strategies. 

Our eating difficulties were helped tremendously, again under guidance by Dr. Christophersen, when we gave our kids a simple choice.  I set out a reasonable amount of food on each boy’s plate and say, “Here is your meal.  You may ask for more, but if don’t eat this food, there is no more food till lunch (or dinner or breakfast).”  I never force them to eat all the food on their plates, but if they choose not to eat the food, they do not get any more food till the next offer at the next meal.  I do not make special orders of food for individual members of the family.  I make one meal for everyone, although I may make a few choices of vegetables or fruit within that meal, but generally the same for everyone.  Whether or not I give a snack between meals is decided by me.

Token System

I use a token system for my kids to encourage good behavior and table manners.  The token economies used in classrooms are usually more structured than what a parent needs for younger children.  My system is very flexible and simple.
 

For my kids, "good" behavior earns a token, which is a plastic link, and when the chain of links hanging on the refrigerator reaches the floor, they get a small prize.  I avoid removing links for “bad” behavior, and find the best results are gained by the earning of links.  I always identify the good behavior and immediately give them the link.  For example, "You came when I called you the first time.  You earned a link!"    The first few days you do this, you should watch for the target behavior and reward it as much as possible, then start rewarding more randomly.  You’ll have to explain to your child that they won’t always know which time they will get a link.  It’s up to you to decide what the reward is, but I find it doesn’t have to be much.  Older kids can be expected to earn more links over a longer period of time for bigger rewards.    

Some parents require the child to pay tokens for any privilege.  For example, to watch TV, they pay a predetermined number of links.  I think this is a good system, too, but I have a variation for that.  I have brightly colored cards with pictures of a TV, Playstation, or computer and "30 minutes" written below.  I award them two cards a day as long as their rooms are picked up.  On weekends, I give them three cards or if I'm feeling really generous, four.  The cards have a magnet on the back.  I put the card on the fridge under their school pictures when they earn it so we can keep track of who has done what.  They turn in a card for each 30 minutes of time and I set a timer.  I find this cuts down on arguing about TV/computer time.

The links we use for tokens are about 1 inch long and can be purchased anywhere that sells teaching supplies (try Office Max and Wal-Mart).  You can also use poker chips, although they are loud, or even a point system for a much older child, and of course, real money.  

This system does not solve all our problems by any means, but it does
help.  It is not a perfect system and my kids still misbehave at times, but I think it helps reinforce their target behaviors.  One rule you must enforce is that if they ask for a link, they lose a link so begging does not become an issue.  Remember that since you are the parent, you can change the rules as you go if something about the system doesn't work!  I like the fact that the links and cards are visual and right there in the kitchen hanging where we can all see.

I’ve broken this down into steps:

1.   Explain your system as simply as possible.  Tell the child specifically what behaviors you are watching for.  Discuss what the prize will be and how long the chain must be before they cash in the links.  If you wish, you can require the child pays links or tokens for all privileges, such as watching TV.  The number of links required should be pre-determined.  For example, five links might be turned in for 30 minutes of TV.  You might have a chart that shows the “price” of each privilege.  For my kids, when the chain touches the floor, they get a prize.  I use the card system described above for TV and computer time, but using the links is another option.  


2.   The first day, reward the target behavior every time you see it or as much as is reasonable.  If the behavior desired is to come when called, have a link ready when you call the child’s name.  If the child takes a step toward you when you call his name, immediately say, “You came when I called you!  You earned a link.”  Put the link or token where it will be seen.  Set up some more situations where you call the child from nearby and continue to reward them.  Set them up to be successful as much as possible at first, and then raise your expectations.  For example, eventually, you would expect the child to come when you call from another room.

3.   After a day or two, depending on your child’s level, you might start rewarding randomly.  If your older child asks for a link after they do the target behavior on their own, explain they will not receive it every time and they will not receive it when asked for.  For very young children, or those who will be distressed by this because they don’t comprehend, you should only choose one or two target behaviors and you SHOULD reward those behaviors every time.  As their development progresses, you can reward intermittently.  If they do not comprehend the delayed gratification of the prize, you may find you either need to plan for a small reward more often or try a completely different method of rewarding behavior.  

4.   Change the system to suit you and your child’s needs.  It may take a few days to determine how many links/tokens you want them to earn over what length of time.  Just simply explain the change in rules and follow through.  

5.   Only remove a link for the worst offenses.  I rarely remove a link because it usually results in further deterioration of behavior, such as tantruming.  Giving links like for the desired behavior works best.  Removal of a privilege or ignoring the child works better than removing links.  


6.   Rewarding a sibling for good behavior makes an impact.  If one child whines about washing up before dinner, ignore that child and calmly give the other child who did wash up nicely and say, “You earned a link for washing up cheerfully when asked.”  NEVER say to the misbehaving child, “Why didn’t you wash up like your brother?  He gets a link.”  This will cause resentment of the sibling.  The focus should be on the desired behavior, not what may be perceived as the desired sibling.  My kids almost never complain about the other child getting a link when I choose my words carefully.  

7.   Dinnertime:  I am working on my kids chewing with their mouths closed, which has been difficult.  I discovered saying over and over, “Please chew with your mouth closed,” works for about five seconds.  I have had the most success with keeping a pile of links at hand.  When I see someone chewing appropriately, I put a link by his plate and say, “You were chewing with your mouth closed.”  I might give another one ten seconds later or ten minutes later.  They don’t know when, but they make a big effort to chew appropriately.  I intend to continue this rewarding until chewing with their mouths closed becomes natural.    


8.   You can keep a chain in the car or in your purse if you wish for rewarding away from home.  

9.   You can put a link in your child’s backpack or lunchbox to motivate them to remember to bring home the backpack or lunchbox.  If they bring it home, they get to put up the link.  Last year when my son had difficulty remembering to deliver notes to his teacher, I hooked a red, coated paperclip to the zipper of his backpack where it was visible to him.  We called it his “red reminder”.  If he remembered to empty his backpack at school, he could turn in the red reminder for a link at home.  When he was in kindergarten, I stuck a red star sticker on his hand and called that his “red reminder” for taking notes out of the backpack.  The younger the child, the more visible the reminder needs to be.  Now that he is older, I can put the link in his backpack or lunchbox.  I rarely need to do this now.

10.  As your child gets older, your system can change.  If the child is able to handle delayed gratification, he can earn a large number of links over many days for special outings such as going to a local amusement park.  If the links seem too juvenile for older children, a search for “token economies” on www.google.com will give you more sophisticated systems.

Here are some links that discuss token economies and give more options on implementing them:

http://www.cet.fsu.edu/cpt/TREE/myles.html


http://www.polyxo.com/visualsupport/tokeneconomies.html

Here is a link that discourages the use of token economies:

http://seamonkey.ed.asu.edu/~jimbo/RIBARY_Folder/problems.htm

My goal is to NOT have to use our link system someday.  Some days, and even weeks,  we don’t even think about the links, yet other days I give out many links to reinforce a behavior that needs attention.  I do not want tokens or money to control our daily life, but only help with a few problem behaviors until they become habit.  A token system should be a tool that helps and if your child does not have the awareness to be motivated by the tokens and the resulting reward, then you need to use another way to reinforce behavior or extinguish undesirable behavior.  My son’s responsiveness to the link system improved significantly once he started taking the enzymes that alleviated his autistic symptoms – so remember that underlying problems can hinder the effectiveness of discipline.  Special thanks to Beth Bowers for first suggesting a token system and to Tara Deckard for her guidance on implementing it.

Discipline Without Damage

This site has several articles about discipline.  From the site: Discipline Without Damage is a coordinated system of communication that is both technically sound and user friendly. It offers direct and practical methods of positive communication that can actually produce the results you are seeking.

OCD Books and Articles

Freeing Your Child From Obsessive Compulsive Disorder
Freeing Your Child From Anxiety
By Tamar E. Chansky, Ph.D.

Up and Down the Worry Hill: A children's book about obsessive-compulsive disorder
By Aureen Pinto Wagner, Ph.D.

Cognitive-Bahvioral Therapy for Children and Adolescents with Obsessive-Compulsive Disorder

Paper by Aureen Pinto Wagner

Articles by Western Suffolk Psychological Services Practitioners

 

Cognitive Behavioral Therapy
The Academy of Cognitive Therapy
SM,a non-profit organization, was founded in 1999 by a group of leading clinicians, educators, and researchers in the field of cognitive therapy.

Three Part Series on Cognitive Behavior Therapy on NPR
Cognitive Behavior Therapy: Thinking Positive
Cognitive Behavioral Therapy's Controversial Founder
Treating Adolescents with CBT

Cognitive-Bahvioral Therapy for Children and Adolescents with Obsessive-Compulsive Disorder

Paper by Aureen Pinto Wagner
Freeing Your Child From Obsessive Compulsive Disorder
Freeing Your Child From Anxiety
By Tamar E. Chansky, Ph.D.

Up and Down the Worry Hill: A children's book about obsessive-compulsive disorder
By  Aureen Pinto Wagner






Disclaimer: The information on this site is intended for information and education only. It is not intended to be construed as medical or legal advice, nor do I endorse any of the material contained in the outside sites I have included as links.  Each individual and parent is responsible for exercising his/her own judgment in researching information relevant to his/her own situation.  The contents of this site and all original material are copyright © and are the property of the respective writers.