Showing posts with label patience. Show all posts
Showing posts with label patience. Show all posts

There is another option...

  • Punishment = Last Choice
  • What is DRO?
  • Ok, So What Do I Do with the Inappropriate Behaviors Then?
  • Patience
  • Consistency & Immediacy
Punishment = Last Choice
In my previous post, you noticed that I talked a lot about punishment, and how it's the least effective form of long term results.  Meaning, no timeouts, spanking, yelling extremely loud, grounding your child for a month, etc.  And with all the frustration that I had with this (because I used to do it), what other option do I have?  The thing that frustrate some parents is that they were raised to use such teaching methods for their kids, and most of them are labeled under punishment.  And if you can't use these "punishments", it might feel like you've been doing things all wrong and now you have to start all over.  Change is hard, but of course if we look at the big picture we will learn it's for the better.  So instead of punishment we use reinforcement. And a great way to do this is with DRO.

What is DRO?
DRO stands for Differential Reinforcement of Other Behaviors.   Which basically means you will immediately pay more attention in a positive manner to appropriate behaviors that your child will present.  For example: your child puts their shoes on, throws something in the garbage, says "pleases" and "thank you", you get visually excited about it.  You are showing them which behavior are accepted and which ones that are not by showing obvious visual differences.  You can have them keep track of these accepted behaviors through the use of charts and tangibles (items they can have physically).

Ok, So What Do I Do with the Inappropriate Behaviors Then?
A great way to handle these unacceptable behaviors is through a learning technique.  Generally you would be blocking the behavior through interrupting it and redirecting the behavior to something more acceptable.  For example, she/he has  a tantrum.  They begin to yell, cry and scream.  Immediately show them the appropriate behavior during this inappropriate behavior (interrupting them) and say (redirecting) "If you feel mad...say you are mad.  If you want something...say what you want" or if they are too young to understand that, say "Say 'I'm sad'" to try to have them repeat "I'm sad".  Then have them say "I want my toy".  The point of this is to have them replace that problem behavior with something that is socially more acceptable.  So that when they are in school or playing with other children, their interaction with others will be in a more acceptable manner. At the end causing less chaos and less phone calls of your child hitting someone else, bitting, etc.

Patience
Just like in my previous post, remember the importance of patience.  Some children learn fast, while for others it may take some time.  Every child is different and that is ok.  You know your child.

Consistency & Immediacy
And the most important thing with all this is: Consistency and immediacy.  Always providing the same consequence after the behavior and right away.


Your patience vs their treament plan...

  • ABA Therapist
  • Your Patience
  • Prioritize
  • Functional Analysis/ Assessment
  • Treatment Plan
  • How long? Forever?

ABA Therapist
As a person who practices applied behavior analysis, I can say for my colleagues that parents are so excited to finally get a chance to meet us and can't wait for us to work on their child's behavior problems.  But we can't forget that all factors can affect the child's behavior.

Your Patience
How much are you willing to put in for the best result?  Are you interested in the quickest method to get rid of a problem behavior now that only last a short time or are you willing to test your patience for a behavior treatment plan that takes time and will last longer?  That's a tough question, especially if you deal with it on a daily basis and it effects your child and your daily living.

Prioritize
One thing I always suggested is to place all behaviors on a scale.  Which behaviors need immediate intervention and which ones do you wish to work on, but can still tolerate?  In addition, the most important question when you are "picking" the behaviors to work on is: Is it a significant social problem?  Does it disrupt his daily life?  Impairs his/hers social interactions?  Is he/she distressed by it?  Because, what maybe annoying to you may not be OK to intervene, just because "you" are annoyed by it.

Functional Analysis/ Assessment
All behaviors have a function (a reason).  All behaviors need to be assessed to find out the function. Because, a good treatment plan depends on the function of the behavior. 

Treatment Plan
Once this has been figured out.  A treatment plan will be implemented (applied) and monitored with data collection  (is the frequency of the behavior staying the same, decreasing or increasing?).  Frequency of behaviors can be affect by events in the environment (death, separation, new stimulus, etc.).  So some treatment plans may take months with  a whole lot of data collect.  But all of this is done to make sure we are doing the right thing with concrete evidence. 

How long?  Forever?
So is my child going to be in treatment forever?  No.  We will be able to determine if it's working or not.  If not, we choose a different treatment plan.  In addition, during the treatment process your child is taught new or alternative behavior to help him/her apply their new skills in different situation (generalization).  But it takes time.  It takes time to learn to ride a bike.  It takes time to drive a car.  It's going to take some time for your child to learn the new behaviors.  But are you ready and willing to go along with the process, step by step?

For further reading check out this article based on a research study that observed parent patience whose children were going through behavior treatment programs : http://news.emory.edu/stories/2014/10/marcus_delayed_discounting/
or the actual research article (with subscription) http://www.ncbi.nlm.nih.gov/pubmed/?term=call+n+AND+delay