This document summarizes a presentation about managing passive-aggressive behavior. It discusses features of passive-aggressive behavior such as unexpressed anger and need for control. It also outlines common passive-aggressive behaviors like obstruction, pouting, and procrastination. The document provides approaches to addressing these behaviors, such as bringing conflicts into the open, creating a "no-whining zone", dividing large tasks, and maintaining self-care and boundaries. It concludes with case studies and a reminder about not ignoring passivity in oneself or others.
Psychology 102: Social processes, society & cultureJames Neill
This lecture provides an overview of several social psychology topics, particularly: what is social psychology, social influence (including conformity, obedience, and resistance), group decision-making, aggression, pro-social behaviour, altruism, conflict, and peace psychology
Psychology 102: Social processes, society & cultureJames Neill
This lecture provides an overview of several social psychology topics, particularly: what is social psychology, social influence (including conformity, obedience, and resistance), group decision-making, aggression, pro-social behaviour, altruism, conflict, and peace psychology
Group therapy is a type of psychotherapy wherein therapisr treats a group of people together. Group members meet at regular sessions to resolve their symptoms or conflicts.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
CEs can be earned for this presentation at https://www.allceus.com/member/cart/index/search?q=family+dynamics
Pinterest: drsnipes
YouTUBE: https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
Family Dynamics of Addiction
Objectives
Define the Family
Examine how addiction impacts the family
Emotionally
Socially
Physically
Spiritually
Why I Care/How It Impacts Recovery
The identified patient does not exist in isolation
As the IPs behaviors/problems developed, the family’s behaviors changed to try and maintain stability
When the IP begins to change in recovery, that disrupts the balance.
When the IP did _____ the family members always reacted with ____
Example:
When John was late coming home from work….
When Sally started sleeping late and going to bed early…
When Jane starts cleaning a lot and getting irritable…
The family needs to
Understand the impact of the IPs behavior on the family
What the function of the IPs behavior was
How to examine old behaviors in a new context
This check list is an early version of a self-reflection tool for students to explore clinical CBT skills they have used regularly and feel more comfortable with.
This PPT shares some-self help tools for clients with trauma. Clients with Complex trauma, PTSD and attachments disorders usually find self-regulation extremely challenging. This presentation shares some commonly used therapy tools that can be taught to clients for use in between sessions.
Definition
Subtype of specific phobia
Age of onset
Signs and Symptoms
DSM V Criteria
Comorbidity
Prevelance and Epidemiology
Etiology and Pathogenesis
Treatment
Group therapy is a type of psychotherapy wherein therapisr treats a group of people together. Group members meet at regular sessions to resolve their symptoms or conflicts.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
CEs can be earned for this presentation at https://www.allceus.com/member/cart/index/search?q=family+dynamics
Pinterest: drsnipes
YouTUBE: https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
Family Dynamics of Addiction
Objectives
Define the Family
Examine how addiction impacts the family
Emotionally
Socially
Physically
Spiritually
Why I Care/How It Impacts Recovery
The identified patient does not exist in isolation
As the IPs behaviors/problems developed, the family’s behaviors changed to try and maintain stability
When the IP begins to change in recovery, that disrupts the balance.
When the IP did _____ the family members always reacted with ____
Example:
When John was late coming home from work….
When Sally started sleeping late and going to bed early…
When Jane starts cleaning a lot and getting irritable…
The family needs to
Understand the impact of the IPs behavior on the family
What the function of the IPs behavior was
How to examine old behaviors in a new context
This check list is an early version of a self-reflection tool for students to explore clinical CBT skills they have used regularly and feel more comfortable with.
This PPT shares some-self help tools for clients with trauma. Clients with Complex trauma, PTSD and attachments disorders usually find self-regulation extremely challenging. This presentation shares some commonly used therapy tools that can be taught to clients for use in between sessions.
Definition
Subtype of specific phobia
Age of onset
Signs and Symptoms
DSM V Criteria
Comorbidity
Prevelance and Epidemiology
Etiology and Pathogenesis
Treatment
Creating A Positive Parenting EnvironmentJoan Young
This presentation was for foster parents at a recent training. It has valuable information for any parent looking to re-frame the challenges of parenting in order to feel more effective.
This is a talk given to third year parents of La Salle Academy, Iligan City, Philippines on October 3, 2009 during their Parent-Child Dialogue Level Day.
An overview of Positive Parenting
Strategies for raising children through positive approaches. Contains strategies for preventing and treating challenging behavior
Steve Vitto Challeng of the Children Breaking Down the WallsSteve Vitto
Steve Vitto's presentation at the 2011 Challenge of the Children Conference at Hope College in Holland Michigan
Strategies for Defiant Students
svitto@muskegonisd.org
Divorce and Parental Alienation: Understanding the Risks
September 30, 2023 by vinaykumarsadanand
Introduction
Divorce and Parental Alienation: Understanding the Risks
Table of Contents
Introduction
Understanding Parental Alienation
Question: What are some key strategies and advice for parents seeking to maintain positive and healthy relationships with their adult children?
Conclusion
Divorce and Parental Alienation: Understanding the Risks
Divorce is a challenging and often emotionally charged process, especially when children are involved. In some cases, a troubling phenomenon known as parental alienation can emerge, causing significant harm to the children and the relationships they have with one or both parents. In this article, we’ll delve into the complex issue of parental alienation, exploring what it is, its potential consequences, and strategies for identifying and addressing this damaging behavior.
Understanding Parental Alienation
Parental alienation refers to the systematic and unwarranted manipulation of a child’s feelings and beliefs about one of their parents by the other parent. It often involves tactics aimed at discrediting or vilifying one parent, resulting in the child aligning with the alienating parent and rejecting the other. This can manifest in various ways, including:
Parental alienation refers to the systematic and unwarranted manipulation of a child's feelings and beliefs about one of their parents by the other parent. It often involves tactics aimed at discrediting or vilifying one parent, resulting in the child aligning with the alienating parent and rejecting the other. This can manifest in various ways, including
Negative Influence: The alienating parent may speak negatively about the other parent in front of the child, portraying them as irresponsible, unloving, or dangerous.
Restrictions on Contact: The alienating parent may limit or obstruct the child’s contact with the other parent, making visitation difficult or even impossible.
False Accusations: Accusations of abuse, neglect, or harm may be fabricated against the other parent to damage their reputation and relationship with the child.
Potential Consequences of Parental Alienation
Parental alienation can have profound and lasting effects on children and the family dynamic. Some potential consequences include:
Emotional Distress: Children subjected to parental alienation may experience anxiety, depression, and confusion as they grapple with divided loyalties and conflicting emotions.
Damaged Parent-Child Relationships: Alienation can lead to strained or broken relationships between the child and the targeted parent, often lasting well into adulthood.
Identity Confusion: Children may struggle to form a clear sense of identity when manipulated into adopting one parent’s perspective over the other’s.
Long-Term Effects: The effects of parental alienation can persist into adulthood, affecting the child’
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
1. Managing
the needs
of the
Passive-
Aggressive Adult
This presentation is made available to CMIS members only for their reference
use. Author retains rights for further distribution or other uses.
2. Managing the needs of the
Passive-aggressive adult
Mark Evans, LCPC, DAPA
Passive-aggressive behavior is marked
passive, sometimes obstructionist resistance
to following authoritative instructions in
interpersonal or occupational situations.
Educators and administrators will encounter
passive-aggressive behaviors among parents,
co-workers, allied professionals, as well as
children in the classroom who have learned
and imitated these behaviors.
3. A touchstone for today’s
discussion
“To ignore passivity in ourselves and others
equals passivity on our part; To ignore
opportunities for assertiveness with others
may be to encourage aggressiveness from
others, and at a time and place not of our
choosing.”
-- "Black Children: Coping in a Racist Society"
by Alvin F. Poussaint, Voices of Multicultural America: Notable Speeches
Delivered by African, Asian, Hispanic and Native Americans, 1790-1995, ed.
Deborah Gillan Straub, Detroit: Gale Research, 1996)
4. Topics We’ll Cover Today
Features of passive-aggressive behavior
How passive-aggressive behavior is learned
and enabled
Parenting styles of the passive-aggressive
caregiver
Coping styles of the child who has learned
passive-aggressive behavior
Common passive-aggressive behaviors
Approaches to minimizing the effects of
passive-aggressive behaviors
Maintaining self-care and boundaries
Case studies and some open discussion
5. The Black Box Warning
This topic can lead to casual diagnosis
and judgment
Let’s get honest and open with the
challenges we face with passive-aggressive
behavior
Let’s avoid specific and identifiable student,
parent, or colleague information
Let’s make everything we say be aimed at:
Illuminating a problem
Raising a question for shared learning
Offering an intervention
Let’s provide information and experiences,
and avoid judgmental or broad statements
6. Features of passive-
aggressive behavior
Unexpressed anger
Fear of failure or exposure
Difficulty submitting to authority
despite historical need to do so
Need for control or influence
over the actions of others
7. Why passive-aggressive
behavior bears attention
A simple formula….
Passive-aggressive =
PASSIVE + AGGRESSIVE
Passive behavior without
aggression still = ANGER
8. How passive-aggressive
behavior is learned and
enabled
Parents who were aggressive and exercised
complete control over their child did not let the
child express himself or herself.
This may have pushed the child into adopting
passive-aggressive behavior patterns to cope.
If, for example, the child openly disagreed
with the parent and was punished for doing
so, the child learned to substitute passive
resistance for active resistance.
9. Parenting styles of the
caregiver that can lead to
passive-aggressive
behavior
Controlling
Intolerant of complaints or discussion
Rigid
Could be abusive physically, verbally
or sexually
10. Coping styles of the child
who has learned passive-
aggressive behavior
Irritability, defensiveness, and
resentfulness
Lacking self-confidence
Difficulty experiencing pleasure
from relationships with others
Tendency to give up quickly
Prone to pouting or sulking
11. More coping styles of the
child who has learned
passive-aggressive behavior
Feeling that others are making
unreasonable demands on him or her,
but thinks he or she is doing a better job
than what they are given credit for
Blaming others for his or her problems
Not aware that his or her self-
defeating behaviors are part of their
personality
12. The most common
passive-aggressive
behaviors
Obstruction
Pouting
Procrastination
“People-pleasing”
Addictive behaviors
13. What does obstruction
look like?
Obstructionism is a pattern of behavior
through which progress or accomplishment of
others is hindered or blocked by slowing
down or displaying inefficiency.
In Japan this tactic is known as a "cow walk",
and in Hawaii it's known as a "Devil's Gambit“.
Therapists and managers on the west coast
have been known to use these terms as
short-hand for obstruction.
14. What does pouting by
adults look like?
Sulking and pouting are really just silent
forms of tantrums. People use this form of
behavior to get their way, to get attention, or to
seek revenge. Adults who feel they have been
over-controlled sulk or pout when they
encounter adults who establish limits.
Children who have permissive parents sulk
because…it works.
15. What does procrastination
look like?
20% of people are chronic procrastinators
It requires excuses that are acceptable to
others.
Procrastination is not a problem of time
management or of planning.
Procrastination is learned in the family milieu,
but not directly.
Procrastinators tell lies to themselves (e.g, "I
work best under pressure“).
16. What does procrastination
look like?
Procrastinators actively look for distractions,
particularly ones that don't take a lot of
commitment on their part. Checking e-mail is
almost perfect for this purpose.
There are three types of passive-aggressive
procrastination (Ferrari, 2002):
Arousal types, or thrill-seekers, who wait to
the last minute for the euphoric rush.
Avoiders, who are very concerned with
what others think of them
Decisional procrastinators
17. What does procrastination
look like?
There are big costs to procrastination:
Health effects
Insomnia
Provocation of anger in others
Destroyed teamwork and relationships
Procrastinators can change their behavior—but
doing so consumes a lot of psychic energy. It
can be done with highly structured cognitive
behavioral therapy.
18. What does ‘people-
pleasing’ look like?
The features:
Self-sacrifice, martyrdom
Dependency upon others, difficulty making decisions
Need for approval
Self-deprecation
The effects:
Resentment
Employee burn-out
Emergence of other passive-aggressive behaviors
19. What do addictive
behaviors look like?
Substances: alcohol, cigarettes, prescription
medications, drugs
Hobbies that are overdone: videogames, television
shows, sports, gym workouts, cars, collectibles
High-risk activities: gambling, unprotected sex,
shopping
Pro-social activities that are overdone: Overwork,
cleaning, home care, self-care
20. Approaches to minimizing
the effects of passive-
aggressive behaviors
General practices that reduce opportunities for
passive-aggressive behaviors
Bringing conflict into the open: Managing
obstruction
Creating a “no-whining” zone: Managing pouting
The never-ending deadline: Managing
procrastination
Managing “People-pleasing” behavior
Spotting and addressing addictive behaviors
21. A Multi-systemic approach to
addressing passive or aggressive
behavior: Finding the “Fit”
Fit Factor: Low tolerance for conflict with the
student 1
Evidence: ______________________
Target
Fit Factor: Father displays low tolerance for
negotiation, conflict related to child 2 Behavior:
behavior. FATHER NOT
Evidence: _____________________ ENSURING
SCHOOL
ATTENDANCE
Fit Factor: Father does not believe
education and school attendance are 3
important
Evidence: _____________________
5
Fit Factor: Father works nights and sleeps in the Fit Factor: Father supports non-
morning 4 compliance with adult supervision
Evidence:_______________________ Evidence: ____________________
Fit Factors: Based on observable, measurable information.
22. General practices that
reduce opportunities for
passive-aggressive
behaviors
Communicate clear expectations
Have a ‘Plan-B’ not dependent upon the other
person
Maintain good boundaries
23. Bringing conflict into the
open: Managing
obstruction
Widen the team: Bring a ‘committee’ or work team
approach to tasks, such as that of the PET;
supervisors or colleagues can also help
Avoid personal statements: Describe behavior,
expectations, and alternatives
Be positive: Combine praise or support with
expressions of expectations
Track steps and outcomes in processes
24. Creating a “no-whining”
zone: Managing pouting
Never make their problem seem more important to you than to
them. Don't reprimand, threaten, punish, or tease a sulking person.
Just let others work their problems out on their own. If you feel
compelled to interfere, leave the room.
Role-play situations that tend to incite others to sulk or pout.
Use questioning: "What are you trying to tell me? I need words to
understand you." "Do you think your behavior will accomplish
what you want it to?" "Do you like it when other are upset with
you?" "How do you feel about them when they are?"
Give choices: “Would you prefer to check in with me or the
assistant principal each week?”
Do you want to pout in your room or stay here and think of a
solution to your problem?“
25. The never-ending deadline:
Managing procrastination
Define the problem as precisely as possible
Describe the behavior, not your judgment
Communicate the problem directly
Create an air of friendly competition
Track progress in writing in easily-visible settings
Solicit commitment, NOT compliance
Divide work into ‘chunks’ or segments
Offer assistance, or ask others to help mentor the
individual
26. Managing “People-
pleasing” behavior
Praise teamwork as much as self-sacrifice
Challenge self-deprecation with a challenge to complete
the task
Encourage key team participants to share positive
experiences they have had with a ‘people-pleasing’
individual when they worked well with others (e.g., “Sally,
I heard from Bill that you did a great job working with
Ted to finish the plan for the student we saw today”)
27. Spotting and addressing
addictive behaviors
Trends in behavior that reflect an addiction
Chronic stress despite the individual describing or
displaying activities that should reduce stress
Emotional lability or over-reactions
Failure to access support
Self-sabotage or self-defeating behaviors
Expressions of hopelessness
How to address addictive behaviors:
Speak with your supervisor!
28. Maintaining self-care and
boundaries
Notice your emotional reactions to passive
behaviors and give voice to them
Check your perceptions with others
Judge the effects of the behavior, not other
individuals
“It takes one to know one”: Accept the possibility
that you are noticing a need of your own when you
encounter passive-aggressive behaviors in others
Seek supervision, training, and teamwork
opportunities
29. Maintaining self-care and
boundaries:
Revisiting Dr. Poussaint
“To ignore passivity in ourselves and others
equals passivity on our part; To ignore
opportunities for assertiveness with others
may be to encourage aggressiveness from
others, and at a time and place not of our
choosing.”
-- "Black Children: Coping in a Racist Society"
by Alvin F. Poussaint, Voices of Multicultural America: Notable Speeches
Delivered by African, Asian, Hispanic and Native Americans, 1790-1995, ed.
Deborah Gillan Straub, Detroit: Gale Research, 1996)
30. Case studies
A parent who is angry at her children’s principal due
to the disciplining of her child on a Friday, has been
invited to meet with school staff on Monday morning.
The meeting is confirmed for 10am. The parent
arrives at 10:45, explaining that she experienced
difficulty finding her shoes, then stopped at Dunkin’
Donuts since “you people never serve coffee at these
meetings”.
31. Case studies
A teacher named Ed volunteers to help complete a
project, despite telling co-workers that he feels over-
extended. He makes a date to work after school, but
does not show up or call. The next day, when this is
mentioned, he tells his co-workers that he had to
assist a friend whose car broke down, and that the
friend did not have a cell phone. Ed re-schedules the
meeting, but comes late to the meeting, interrupting
the group with a story about his youth coaching
commitments and his busy schedule.
32. Case studies
A parent’s complaints about the ‘uncaring school
district’ escalates until she screams at you during a
meeting that you are the reason her son is truant and
missing school. She tells others that she doesn’t
want to meet because you are “targeting” her and her
son “because we’re poor and don’t dress up like
some people”. When you try to ask questions or
share your perceptions, she folds her arms, rolls her
eyes, and taps her feet on the floor. When the
meeting ends, she apologizes for becoming upset
but, later that day, she tells her son that his teacher
is ‘worthless and out to get students because they
have special needs’.