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Kevin D. Arnold, PhD, ABPP
The Center for Cognitive and Behavioral Therapy
www.ccbtcolumbus.com
Basic Principles
of Positive
Parenting:
Starting Out on
the Right Foot
What we will Cover
• Positive Parenting
• Learning about Behaviors
• Using Rewards
• Using Time Out from Rewards
• Purposeful Attention and Ignoring
• Planning for Homework and School Performance
• Managing Parental Stress
• When, and If, to Talk to Your Pediatrician about
Medication
Positive Parenting: The Basics from Parent
Management Training and the Yale Based
Kazdin Model
What to Do at Home
• Use of Positive Parenting
Behavioral Program
• Kazdin’s Parent Management
Training Strategies
• http://yaleparentingcenter.ya
le.edu
Positive Parenting Using
the Kazdin Method
Positive Parenting Using
the Kazdin Method
• Approach is Positive
• Focus is on Teaching Parents not
Individual Therapy for Child
• Learning Skills to Increase the
Behaviors You Want to See
• Takes Time, Effort, and Practice
• Working to Improve, Not Cure
• Psychologist is a Coach and
Teacher
Positive Parenting Using
the Kazdin Method
• Step One: Learning About Behavior
• What is a Behavior, and What Isn’t
• The Positive Opposite
• Learning to See What You Reward
• How to Keep Track of Behaviors
Positive Parenting Using
the Kazdin Method
• Step Two: Using Rewards
• Types are material objects, activities and
privileges, praise/attention, and tokens
• Always define the behavior you plan to
reward
• Deliver rewards immediately and
consistently—continuously at first
• Use the points consistently with verbal
reminders
• Understanding contingency as a rule of
life
• Use a point chart, with bigger rewards
and frequent exchanges
• If behaviors don’t change, rewards
should change
Positive Parenting Using
the Kazdin Method
• Step Two: Using Rewards
• Giving a Prompt
• Define the Behavior to Work on That
Week
• Give Clear Instructions (not a
request)
• Be polite and Respectful
• Use a two-time rule
• How to express disappointment
positively
• Always come back later for another
try
Positive Parenting Using
the Kazdin Method
• Step Three: Time-Out from Reinforcement:
How to Reduce Negative Behaviors
• Rule 1: Always Work to Reward Positive
Opposites First
• Rule 2: Never Use Harsh or Physical
Punishments
• Rule 3: Time-Out Must be Specific to a
Behavior
• Rule 4: Time-Out is Not Isolation, It is
Removal from Rewards of Praise and
Attention
• Rule 5: Use it Immediately in a Calmly
• Rule 6: Reward for Going and Staying
• Rule 7: Short-Duration
Positive Parenting Using
the Kazdin Method
• Step Four: Planning Attention and Ignoring
• Always plan to pay attention to the
positive opposite (during or after?)
• Mix it up—non-verbal, attention,
approval
• Be specific with praise: I see you….,
that’s great, thank you!—Be animated
• Plan what to ignore
• Plan when to ignore, how much to
ignore
• Ignore by a) awayness, b) no facial
reactions, c) no conversation, d) leave
room
• Pay attention to any Positive Opposite
Positive Parenting Using
the Kazdin Method
• Step Five: Homework
• Shaping—”From start to finish”
• Define the sequence
• Reward start until mastered, then next
step, etc.
• Rewards should be continuous and
consistent
• Rewards progress to the next step, not
every step
• Once the goal is accomplished, always
reward it.
Positive Parenting Using
the Kazdin Method
• Step Five: Homework
• The Daily Report Card
• Define a Behavior for Compliance
• Make Sure You Define the Behavior
Clearly
• Designate a Setting/Class
• Teacher Rates Most, Some or Very
Little
• Define These to Overcome
Teacher’s Possible Negative
Perceptual Bias
• Rewards for Progressive Steps at
Home (Coordinate with Teacher)
Positive Parenting Using
the Kazdin Method
• Step Five: Homework
• Homework Program
• Set up a daily assignment sheet with
the teacher reviewing it and initials
• Praise and Points for Brining Home
the Assignment Sheet
• Set Up Homework Place
• Routine Times for Homework
• Define Specific Homework Behaviors
to Praise and Give Points to
• Define Privileges or Activities for
Homework Completion
• Communicate each day with the
teacher to see if turned in
Positive Parenting Using
the Kazdin Method
• Other Features include…..
• Low Frequency Aggressive Behaviors
• Use of Reprimands
• Use of Cost-Response Activities
• How to Compromise
Why We Forget the
Skills
• Parenting Stress/Anxiety
• Learned in Situations Before New Skills
• Ideas about Impending Doom
• Reactions from the Diagram (Negative Reinforcement,
Punitive Talk, Physical Reactions)
• Anticipate Bad Behavior, Guard Stands at the Ready
• Antidote for Learned Parenting Anxiety/Punitive Reactions
• Listen to the Impending Doom Ideas, Write Them Down, Test
Them Out by the Evidence
• Practice Reacting Differently, both in Cognitive Rehearsal and
Real Life Practice Sessions
• Rethink “Failure” as “Mistake,” “Threat” as “Opportunity”
What About Medication: Partnering
with your Pediatrician
• Always Consult your
• Typically Medication Improves Self-
Regulation, but Doesn’t Overcome
Habits Already Developed
• Pros and Cons of Extended Release
• Tracking Effectiveness at School
• Tracking Side Effects at School
• Appetite Suppression and the Evening
Bounce
• Bump Dose Pros and Cons
• Adderall vs. Ritalin (Efron Studies)
• Some Studies Suggest Positive Parenting
can work without medication for mild
ADHD if delivered early (ages 3 or 4)
Starting off on the Right Foot: CCBT Dr. Arnold Basics of Behavioral Parenting

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Starting off on the Right Foot: CCBT Dr. Arnold Basics of Behavioral Parenting

  • 1. Kevin D. Arnold, PhD, ABPP The Center for Cognitive and Behavioral Therapy www.ccbtcolumbus.com Basic Principles of Positive Parenting: Starting Out on the Right Foot
  • 2. What we will Cover • Positive Parenting • Learning about Behaviors • Using Rewards • Using Time Out from Rewards • Purposeful Attention and Ignoring • Planning for Homework and School Performance • Managing Parental Stress • When, and If, to Talk to Your Pediatrician about Medication Positive Parenting: The Basics from Parent Management Training and the Yale Based Kazdin Model
  • 3. What to Do at Home • Use of Positive Parenting Behavioral Program • Kazdin’s Parent Management Training Strategies • http://yaleparentingcenter.ya le.edu
  • 5. Positive Parenting Using the Kazdin Method • Approach is Positive • Focus is on Teaching Parents not Individual Therapy for Child • Learning Skills to Increase the Behaviors You Want to See • Takes Time, Effort, and Practice • Working to Improve, Not Cure • Psychologist is a Coach and Teacher
  • 6. Positive Parenting Using the Kazdin Method • Step One: Learning About Behavior • What is a Behavior, and What Isn’t • The Positive Opposite • Learning to See What You Reward • How to Keep Track of Behaviors
  • 7. Positive Parenting Using the Kazdin Method • Step Two: Using Rewards • Types are material objects, activities and privileges, praise/attention, and tokens • Always define the behavior you plan to reward • Deliver rewards immediately and consistently—continuously at first • Use the points consistently with verbal reminders • Understanding contingency as a rule of life • Use a point chart, with bigger rewards and frequent exchanges • If behaviors don’t change, rewards should change
  • 8. Positive Parenting Using the Kazdin Method • Step Two: Using Rewards • Giving a Prompt • Define the Behavior to Work on That Week • Give Clear Instructions (not a request) • Be polite and Respectful • Use a two-time rule • How to express disappointment positively • Always come back later for another try
  • 9. Positive Parenting Using the Kazdin Method • Step Three: Time-Out from Reinforcement: How to Reduce Negative Behaviors • Rule 1: Always Work to Reward Positive Opposites First • Rule 2: Never Use Harsh or Physical Punishments • Rule 3: Time-Out Must be Specific to a Behavior • Rule 4: Time-Out is Not Isolation, It is Removal from Rewards of Praise and Attention • Rule 5: Use it Immediately in a Calmly • Rule 6: Reward for Going and Staying • Rule 7: Short-Duration
  • 10. Positive Parenting Using the Kazdin Method • Step Four: Planning Attention and Ignoring • Always plan to pay attention to the positive opposite (during or after?) • Mix it up—non-verbal, attention, approval • Be specific with praise: I see you…., that’s great, thank you!—Be animated • Plan what to ignore • Plan when to ignore, how much to ignore • Ignore by a) awayness, b) no facial reactions, c) no conversation, d) leave room • Pay attention to any Positive Opposite
  • 11. Positive Parenting Using the Kazdin Method • Step Five: Homework • Shaping—”From start to finish” • Define the sequence • Reward start until mastered, then next step, etc. • Rewards should be continuous and consistent • Rewards progress to the next step, not every step • Once the goal is accomplished, always reward it.
  • 12. Positive Parenting Using the Kazdin Method • Step Five: Homework • The Daily Report Card • Define a Behavior for Compliance • Make Sure You Define the Behavior Clearly • Designate a Setting/Class • Teacher Rates Most, Some or Very Little • Define These to Overcome Teacher’s Possible Negative Perceptual Bias • Rewards for Progressive Steps at Home (Coordinate with Teacher)
  • 13. Positive Parenting Using the Kazdin Method • Step Five: Homework • Homework Program • Set up a daily assignment sheet with the teacher reviewing it and initials • Praise and Points for Brining Home the Assignment Sheet • Set Up Homework Place • Routine Times for Homework • Define Specific Homework Behaviors to Praise and Give Points to • Define Privileges or Activities for Homework Completion • Communicate each day with the teacher to see if turned in
  • 14. Positive Parenting Using the Kazdin Method • Other Features include….. • Low Frequency Aggressive Behaviors • Use of Reprimands • Use of Cost-Response Activities • How to Compromise
  • 15. Why We Forget the Skills • Parenting Stress/Anxiety • Learned in Situations Before New Skills • Ideas about Impending Doom • Reactions from the Diagram (Negative Reinforcement, Punitive Talk, Physical Reactions) • Anticipate Bad Behavior, Guard Stands at the Ready • Antidote for Learned Parenting Anxiety/Punitive Reactions • Listen to the Impending Doom Ideas, Write Them Down, Test Them Out by the Evidence • Practice Reacting Differently, both in Cognitive Rehearsal and Real Life Practice Sessions • Rethink “Failure” as “Mistake,” “Threat” as “Opportunity”
  • 16. What About Medication: Partnering with your Pediatrician • Always Consult your • Typically Medication Improves Self- Regulation, but Doesn’t Overcome Habits Already Developed • Pros and Cons of Extended Release • Tracking Effectiveness at School • Tracking Side Effects at School • Appetite Suppression and the Evening Bounce • Bump Dose Pros and Cons • Adderall vs. Ritalin (Efron Studies) • Some Studies Suggest Positive Parenting can work without medication for mild ADHD if delivered early (ages 3 or 4)