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Assessment and Treatment of Defiant Behavior  Using Positive Approaches “Breaking Down the Walls II ” Presented by Steven Vitto, M.A., BTC, CTCII Muskegon Area Intermediate School District 2008 Michigan MIBLSi Conference
The Face of Defiance
The Evolution of Adversarial Relationships and Subversion  ,[object Object],[object Object],[object Object]
The Reaction Continuum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Downward Spiral ,[object Object],[object Object],[object Object]
What Johnny Learns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
When Co morbidity Sets In ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THE SOLUTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Emergence of Social Maladjustment &  Oppositional Defiance
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],Center for Evidence Based Practice: Young Children with Challenging Behavior  www.challengingbehavior.org
[object Object],[object Object],Center for Evidence Based Practice: Young Children with Challenging Behavior  www.challengingbehavior.org
[object Object],[object Object],Center for Evidence Based Practice: Young Children with Challenging Behavior  www.challengingbehavior.org
[object Object],Center for Evidence Based Practice: Young Children with Challenging Behavior  www.challengingbehavior.org
THE NATURE OF ATTACHMENT
[object Object],[object Object],[object Object],[object Object]
“ He doesn’t seem to have a conscience” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ AN ATTACHMENT FORMS BETWEEN INFANT AND PRIMARY CAREGIVER SOMETIME DURING THE INFANT’S FIRST TWO YEARS OF LIFE.”
Attachment is the “lasting psychological connectedness between human beings.”
“ The quality of our attachment acts as a foundation for our future.”
Secure Attachments   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],John Bowlby and Mary Aimsworth
The Basic Function of Secure Attachment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],But, when trauma occurs…. John Bowlby and Mary Aimsworth
“ AN ATTACHMENT DISORDER OCCURS WHEN THE ATTACHMENT PERIOD IS DISRUPTED OR INADEQUATE, LEAVING THE CHILD WITH THE INABILITY TO FORM A NORMAL RELATIONSHIP WITH OTHERS AND CAUSING AN IMPAIRMENT IN DEVELOPMENT.” The Wall
Risk Factors for Developing   Attachment Disorders. ,[object Object],[object Object],[object Object],[object Object]
Risk Factors  (Continued…) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics or Symptoms of Attachment Disorder and Social Maladjustment: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ainsworth
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ATTACHMENT DISORDER CHARACTERISTICS (CONTINUED)
What the research says about overcoming the effects of insecure or interrupted attachment. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prognosis: ,[object Object],[object Object]
OPPOSITIONAL DEFIANCE DISORDER
All children are oppositional from time to time, particularly when tired, hungry, stressed or upset. They may argue, talk back, disobey, and defy parents, teachers, and other adults. Oppositional behavior is often a normal part of development for two to three year olds and early adolescents. However, openly uncooperative and hostile behavior becomes a serious concern when it is so frequent and consistent that it stands out when compared with other children of the same age and developmental level and when it affects the child’s social, family, and academic life.
What is Oppositional Defiance Disorder? ODD is a persistent pattern (lasting for at least six months) of negativistic, hostile, disobedient, and defiant behavior in a child or teen without serious violation of the basic rights of others.
What are the Symptoms of Oppositional Defiance Disorder? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oppositional Defiance Disorder ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Causes Oppositional Defiance Disorder? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ross Green, Russell Barkley, Mel Levine
It is important to distinguish between a won’t problem and a can’t problem ,[object Object],[object Object],[object Object]
OTHER DISORDERS THAT MAY MANIFEST IN DEFIANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Motivation of Behavior Functional Behavioral Assessment Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Emotionally Tasking
MOTIVATION of  DEFIANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SOCIAL MALADJUSTMENT vs.   EMOTIONAL      IMPAIRMENT The Bottom Line: Anxiety
 
 
 
Attention,  Sensory or Escape Avoidance
DSM IV Conduct Disorder Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contra-Indicated Behavioral Strategies for the ODD Child ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Marion
Circa 1996
Underlying Systems of Control in School ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evidence Based Classroom Environment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RTI- Are classroom response cost systems contributing to defiance?  ,[object Object],[object Object],[object Object],[object Object]
Are staff approach styles moving defiant students to the targeted or intensive level?
The Importance of Debriefing A  Culture of  Prevention
[object Object],[object Object]
The greatest problem with punishment is that it does not provide an appropriate model of acceptable behavior. Furthermore, in many classrooms, punishment is accompanied by an emotional response from the teacher.  Don’t do that! I don’t like that!
An Initial Line of Inquiry Strengths of student:  What the student does well.  Student’s strengths, gifts, &  talents . ? ? Events that may occur before and/or during the problem behavior, that cause the student to respond to a “typical” situation in an “atypical” way. Specific conditions, events, or activities that make the problem behavior worse  (i.e., missed medication, history of academic failure, conflict at home,  missed meals, lack of sleep, history of problems with peers, lack of relationships with staff) Events that occur immediately before the behavior (e.g., task demand, teacher direction, social interaction, presentation of worksheet etc.) Events that occur  after  the behavior (e.g., peer attention, escape task) or as a result of the behavior (e.g.,  removal of points, loss of privileges, time out,  suspension, detention, …), that make the behavior   more or less likely to occur Distancing, Power Perceived Function Actual Consequences Behavior Problem Fast Triggers (Antecedents) Slow Triggers (Setting Events)
Competing Behavior Model Setting Event Antecedent Desired Behavior Problem Behavior Replacement Behavior Reinforcing Consequence Reinforcing Consequence Academic engagement Respect and Instructional Control Defiant and disrespectful of staff Bullying others on the playground Adversarial home school partnership History of trauma and neglect Oppositional Temperament Staff demands, limits or boundaries Staff correction, social disapproval, response cost loss of privileges Staff become emotional and upset Avoids teacher demands and consequences Sent home or to the office Parent complains to principal and yells at teacher Leadership and responsibility Input into Plan Self management and reward
REPLACEMENT BEHAVIORS for Defiance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OPTIONS WHEN WE DON’T WANT TO FOLLOW DIRECTIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
REPLACEMENT BEHAVIOR Defiance ESCAPE DEMANDS SENSORY-NEGATIVE ADULT ATTENTION Function Behavior R
REPLACEMENT BEHAVIOR DEFIANCE CHOICES REFUSAL OPTION SELF MANAGEMENT X Behavior Function R ESCAPE DEMANDS SENSORY ADULT ATTENTION
Teacher Behavior that    Power Struggles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Teacher Behavior that    Power Struggles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
According to Research,  the LEAST EFFECTIVE responses to problem behavior are: ,[object Object],[object Object],[object Object],[object Object]
Why Then, Do We Educators, Resource Officers, and Counselors Employ These Procedures? ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],According to Research, the MOST EFFECTIVE responses to problem behavior are:
Ross Greene’s  Three Basket Method ,[object Object],[object Object],[object Object],[object Object],[object Object]
Three basket method: How it works ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Advantages of this Treatment Approach ,[object Object],[object Object],[object Object],[object Object]
Limitations of the 3-basket method ,[object Object],[object Object],[object Object]
The F.A.S.T. program Developed by  IRIS Media Inc . and   Martin Sheehan, Ph.D .
FAST Goal and Response
[object Object],[object Object]
Crisis Cycle TCI TRAINING [30]
Recovery Phase TCI TRAINING [6]
When Young People Will Not Comply ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TCI TRAINING [33]
I ASSIST ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TCI TRAINING [43]
How to avoid physical contact ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Strategies That Work ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Labeling Students ,[object Object],[object Object]
Strategies for defiant students
Let’s Make a Deal ,[object Object],[object Object],[object Object],[object Object]
Public, Blatant Violation of Rules ,[object Object],[object Object],[object Object],[object Object],[object Object]
Having the Last Word ,[object Object],[object Object],[object Object],[object Object],[object Object]
Staff Splitting ,[object Object],[object Object],[object Object],[object Object]
Refusal to Comply ,[object Object],[object Object],[object Object],[object Object]
Additional Suggestions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
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Steve Vittos Assessing And Treating Defiant Behavior

  • 1. Assessment and Treatment of Defiant Behavior Using Positive Approaches “Breaking Down the Walls II ” Presented by Steven Vitto, M.A., BTC, CTCII Muskegon Area Intermediate School District 2008 Michigan MIBLSi Conference
  • 2. The Face of Defiance
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  • 9. The Emergence of Social Maladjustment & Oppositional Defiance
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  • 16. THE NATURE OF ATTACHMENT
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  • 19. “ AN ATTACHMENT FORMS BETWEEN INFANT AND PRIMARY CAREGIVER SOMETIME DURING THE INFANT’S FIRST TWO YEARS OF LIFE.”
  • 20. Attachment is the “lasting psychological connectedness between human beings.”
  • 21. “ The quality of our attachment acts as a foundation for our future.”
  • 22.
  • 23.
  • 24. “ AN ATTACHMENT DISORDER OCCURS WHEN THE ATTACHMENT PERIOD IS DISRUPTED OR INADEQUATE, LEAVING THE CHILD WITH THE INABILITY TO FORM A NORMAL RELATIONSHIP WITH OTHERS AND CAUSING AN IMPAIRMENT IN DEVELOPMENT.” The Wall
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  • 33. All children are oppositional from time to time, particularly when tired, hungry, stressed or upset. They may argue, talk back, disobey, and defy parents, teachers, and other adults. Oppositional behavior is often a normal part of development for two to three year olds and early adolescents. However, openly uncooperative and hostile behavior becomes a serious concern when it is so frequent and consistent that it stands out when compared with other children of the same age and developmental level and when it affects the child’s social, family, and academic life.
  • 34. What is Oppositional Defiance Disorder? ODD is a persistent pattern (lasting for at least six months) of negativistic, hostile, disobedient, and defiant behavior in a child or teen without serious violation of the basic rights of others.
  • 35.
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  • 42. SOCIAL MALADJUSTMENT vs. EMOTIONAL IMPAIRMENT The Bottom Line: Anxiety
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  • 46. Attention, Sensory or Escape Avoidance
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  • 53. Are staff approach styles moving defiant students to the targeted or intensive level?
  • 54. The Importance of Debriefing A Culture of Prevention
  • 55.
  • 56. The greatest problem with punishment is that it does not provide an appropriate model of acceptable behavior. Furthermore, in many classrooms, punishment is accompanied by an emotional response from the teacher. Don’t do that! I don’t like that!
  • 57. An Initial Line of Inquiry Strengths of student: What the student does well. Student’s strengths, gifts, & talents . ? ? Events that may occur before and/or during the problem behavior, that cause the student to respond to a “typical” situation in an “atypical” way. Specific conditions, events, or activities that make the problem behavior worse (i.e., missed medication, history of academic failure, conflict at home, missed meals, lack of sleep, history of problems with peers, lack of relationships with staff) Events that occur immediately before the behavior (e.g., task demand, teacher direction, social interaction, presentation of worksheet etc.) Events that occur after the behavior (e.g., peer attention, escape task) or as a result of the behavior (e.g., removal of points, loss of privileges, time out, suspension, detention, …), that make the behavior more or less likely to occur Distancing, Power Perceived Function Actual Consequences Behavior Problem Fast Triggers (Antecedents) Slow Triggers (Setting Events)
  • 58. Competing Behavior Model Setting Event Antecedent Desired Behavior Problem Behavior Replacement Behavior Reinforcing Consequence Reinforcing Consequence Academic engagement Respect and Instructional Control Defiant and disrespectful of staff Bullying others on the playground Adversarial home school partnership History of trauma and neglect Oppositional Temperament Staff demands, limits or boundaries Staff correction, social disapproval, response cost loss of privileges Staff become emotional and upset Avoids teacher demands and consequences Sent home or to the office Parent complains to principal and yells at teacher Leadership and responsibility Input into Plan Self management and reward
  • 59.
  • 60.
  • 61. REPLACEMENT BEHAVIOR Defiance ESCAPE DEMANDS SENSORY-NEGATIVE ADULT ATTENTION Function Behavior R
  • 62. REPLACEMENT BEHAVIOR DEFIANCE CHOICES REFUSAL OPTION SELF MANAGEMENT X Behavior Function R ESCAPE DEMANDS SENSORY ADULT ATTENTION
  • 63.
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  • 72. The F.A.S.T. program Developed by IRIS Media Inc . and   Martin Sheehan, Ph.D .
  • 73. FAST Goal and Response
  • 74.
  • 75. Crisis Cycle TCI TRAINING [30]
  • 76. Recovery Phase TCI TRAINING [6]
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