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BREAKING DOWN THE WALLS: REACHING THE DEFIANT CHILD
Without love or caring in a child’s life, a disconnected hollow shell is likely to evolve- a living cavity without conscience, values, or character. The lost heart begins to construct a wall one brick at a time. While waiting for someone to care, someone to reach out, someone to make a difference, the wall gets bigger and bigger. The lost heart begins to use the wall to shield it from the pain of rejection and failure. It becomes easier to attack and alienate, to blame and defend, than to risk the pain of not feeling as though you have something special, something others would value, something others would care about. And if we miss the window of opportunity to nourish this hungry heart before the wall is completed, we only have to look to the streets or to our prisons, collection grounds for empty hearts who were never fully nourished, to see what the absence of this emotion can do to a child.  So, before we  talk about kids needing to be intrinsically motivated or “just do the right thing for the sake of doing the right thing,” we need to recognize that we might be mistaken when we assume we can walk in a child’s shoes or view the world through his eyes.  Every child needs to feel that he has value, that he is cared for, that he is loved. Today we hope we will start you on your journey to “breaking down the walls.” Breaking Down the Walls From “In Search of a Heart”
ATTACHMENT DISORDER OPPOSITIONAL DEFIANCE DISORDER CONDUCT DISORDER ATTENTION DEFICIT HYPERACTIVITY DISORDER EMOTIONAL IMPAIRMENT ANXIETY DISORDERS FETAL ALCOHOL SYNDROME ASPERGERS SYNDROME Conditions Effecting Behavior
THE NATURE OF ATTACHMENT Presented by Steven Vitto
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“ 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.”
The Basic Function of Secure Attachment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ 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.”
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]
DSM-IV RAD DEFINITION ,[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics or Symptoms of Attachment Disorder: ,[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],[object Object],[object Object],[object Object],[object Object],[object Object],ATTACHMENT DISORDER CHARACTERISTICS (CONTINUED)
Diagnosing Attachment Disorder
Attachment Checklists ,[object Object],[object Object],[object Object],[object Object],[object Object]
Compromised Brain Development ,[object Object],[object Object],[object Object],[object Object]
DIAGNOSIS??? It is  important to remember that a diagnosis is not a scientific fact. It is a considered opinion based upon the behavior of the child over time, what is known of the child's family history, the child's response to medications, his or her developmental stage, the current state of scientific knowledge and the training and experience of the doctor making the diagnosis.
Prognosis: ,[object Object],[object Object]
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]
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.
ODD DEFINED ,[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 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],[object Object]
It is important to distinguish between a won’t problem and a can’t problem ,[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]
What Causes Oppositional Defiance Disorder? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contributing Factors ,[object Object],[object Object]
Russell Barkley’s 4-Factor Method: Etiology of ODD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Factor #1: The child or teen’s characteristics-Temperament ,[object Object],[object Object]
Responding to Temperament   ,[object Object],[object Object],[object Object]
Temperament   ,[object Object],[object Object],[object Object],[object Object]
Nine traits that Contribute to Temperament  ,[object Object],[object Object],[object Object]
Temperamental Traits  ,[object Object],[object Object],[object Object]
Temperamental Traits   ,[object Object],[object Object],[object Object]
Child Unhappy at Her Own Birthday Party
Why was this little girl’s party a failure? Overlooking Temperament  ,[object Object],[object Object],[object Object]
Temperamental Traits of This Particular Child  ,[object Object],[object Object],[object Object]
Factor 2 The Parent’s Characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Factor 3 The Family’s Environment and Family Stress ,[object Object],[object Object],[object Object],[object Object],[object Object]
Factor 4 Parenting/Teaching Style ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Our Need for Power and Control
Underlying Systems of Control in School ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How should ODD be evaluated? ,[object Object],[object Object],[object Object],[object Object]
What Is Bullying? Bullying in its truest form is comprised of a series of repeated intentionally cruel incidents, involving the same children, in the same bully and victim roles.
“ The scars of being bullied last a life time”
Kinds of Bullies Physical Bullies Verbal Bullies Relational Bullies Reactive Bullies
By age 24, up to sixty percent of people who are identified as childhood bullies have at least one criminal conviction. A study spanning 35 years by psychologist E. Eron at the University of Michigan found that children who were named by their school mates, at age eight, as the bullies of the school were often bullies throughout their lives
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RESEARCH ON BULLYING
Most Children with ODD have an ADHD component
ADHD ,[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics of ADHD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONDUCT DISORDER AND EMOTIONAL IMPAIRMENT
WHAT IS EI? What is Social Maladjustment or Behavioral Disturbance?..and where does Conduct Disorder fit in?  ,[object Object],[object Object],[object Object]
Social Maladjustment; Conduct Disorder
Social Maladjustment and Emotional Impairment are two distinct behavioral disorders.
According to educational guidelines, students with social maladjustment are not truly disabled. (This however, does not mean that they do not have needs!)
Students with conduct disorder engage in deliberate acts of self-interest to gain attention or to intimidate others.  They experience no distress or self-devaluation or internalized distress.
Conduct Disorder is best understood as a distinctive pattern of antisocial behavior that violates the rights of others. Individuals with conduct disorder break rules/violate norms across settings.  Conduct Disorder
[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]
Social Maladjustment/Conduct Disorder; In Search of a Heart ,[object Object],[object Object],[object Object],[object Object]
Co-Morbidity and C.D. ,[object Object],[object Object]
The comorbidity rate for CD and ADHD in the community population is 23 %. The comorbidity rate for CD and major depression in the community population is 17 %. The comorbidity rate for CD and anxiety disorders in the community population is 15 % (Carr, 2000).
Students with Emotional Impairment engage in  involuntary  patterns of behavior and experience  internalized distress  about their behaviors.
SOMETIMES THEY JUST  REALLY  CAN NOT HELP IT!  It is hard to pick a direction….
What is Michigan’s Criteria for an Emotional Impairment? ,[object Object]
Emotional Impairment MET Form Continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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[object Object]
It is possible for a student to exhibit behaviors characteristic of both disorders and then certified appropriately as Emotionally Impaired. A thorough, objective evaluation is the key to an appropriate outcome.
[object Object],[object Object],[object Object]
For the child with an Emotional Impairment, diffusing a crisis will often involve reducing anxiety.  For the child with Conduct Disorder and effective response should increase anxiety
[object Object]
Internal vs. External Behaviors  ,[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]
Things that you already know that will help with EI and CD students: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The ODD and CD Child ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Our most challenging children ,[object Object],[object Object],[object Object],[object Object],[object Object]
To Reach the 1-7%  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Problems with Punishment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Best Practice Interventions   To be covered this afternoon ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Finding the Heart: Breaking Down the Walls ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Supportive Interventions for the child with RAD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General Approach Strategies for the RAD,ODD,CD Child ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommended General Strategies for the RAD,ODD, CD child ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SEARCH FOR THEIR TALENTS
BUILDING RELATIONSHIPS The Hidden Variable
Protective Factors ,[object Object]
External Protective Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Internal Protective Factors ,[object Object],[object Object],[object Object],[object Object],[object Object]
Building Community is About Relationships ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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]
Life-Spaced Crisis Intervention Presented by Lisa Cobb
Life-Spaced Crisis Intervention ,[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]
These concepts are anchored in supporting, caring relationships  between the student and the staff.
[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]
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
Individual Positive Behavior Supports and Functional Assessment
“ If you know why, you can figure out how….” W. Edward Deming
 
Functional Assessment or Investigating the Behavior ,[object Object],[object Object],[object Object],[object Object],[object Object]
Functional Assessment or Investigating the Behavior ,[object Object],[object Object],[object Object],[object Object],[object Object]
“ Just the facts, mam.”
Individual Child Behavior ,[object Object],[object Object]
 
The Function of RAD,ODD, and CD Behaviors
Needs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Behavior Plan ,[object Object],[object Object],[object Object],[object Object]
Reinforcement Strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Consequences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Positive Behavioral Supports & Balanced & Restorative Justice “P roviding Consequences that  Teach and Restore”
Typical reactive responses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parallels to School-based and Community-based Retributive Justice
Balanced and Restorative Justice (BARJ)
View behavioral errors as opportunities to teach ,[object Object],[object Object]
What is BARJ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Restoration teaches self control   through modeling, mediation, and   community restoration Punishment teaches external control through punishment, loss, and exclusion.
Behavioral offences are wounds… Consequences should heal
Restorative Justice in School Communities ,[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]
References and other Resources to Consider ,[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]
Question and Answer Time ,[object Object]
Evaluations
“ If you treat an individual as he is, he will stay as he is, but if you treat him as if he were what he ought to be and could be he will become what he ought to be and could be.”   Wolfgang Goethe

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Steve Vitto Breaking Down The Walls With Attachment, Social Maladjustment And Oppositional Defiance Disorder

  • 1. BREAKING DOWN THE WALLS: REACHING THE DEFIANT CHILD
  • 2. Without love or caring in a child’s life, a disconnected hollow shell is likely to evolve- a living cavity without conscience, values, or character. The lost heart begins to construct a wall one brick at a time. While waiting for someone to care, someone to reach out, someone to make a difference, the wall gets bigger and bigger. The lost heart begins to use the wall to shield it from the pain of rejection and failure. It becomes easier to attack and alienate, to blame and defend, than to risk the pain of not feeling as though you have something special, something others would value, something others would care about. And if we miss the window of opportunity to nourish this hungry heart before the wall is completed, we only have to look to the streets or to our prisons, collection grounds for empty hearts who were never fully nourished, to see what the absence of this emotion can do to a child. So, before we talk about kids needing to be intrinsically motivated or “just do the right thing for the sake of doing the right thing,” we need to recognize that we might be mistaken when we assume we can walk in a child’s shoes or view the world through his eyes. Every child needs to feel that he has value, that he is cared for, that he is loved. Today we hope we will start you on your journey to “breaking down the walls.” Breaking Down the Walls From “In Search of a Heart”
  • 3. ATTACHMENT DISORDER OPPOSITIONAL DEFIANCE DISORDER CONDUCT DISORDER ATTENTION DEFICIT HYPERACTIVITY DISORDER EMOTIONAL IMPAIRMENT ANXIETY DISORDERS FETAL ALCOHOL SYNDROME ASPERGERS SYNDROME Conditions Effecting Behavior
  • 4. THE NATURE OF ATTACHMENT Presented by Steven Vitto
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  • 6. “ AN ATTACHMENT FORMS BETWEEN INFANT AND PRIMARY CAREGIVER SOMETIME DURING THE INFANT’S FIRST TWO YEARS OF LIFE.”
  • 7. Attachment is the “lasting psychological connectedness between human beings.”
  • 8. “ The quality of our attachment acts as a foundation for our future.”
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  • 10. “ 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.”
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  • 19. DIAGNOSIS??? It is important to remember that a diagnosis is not a scientific fact. It is a considered opinion based upon the behavior of the child over time, what is known of the child's family history, the child's response to medications, his or her developmental stage, the current state of scientific knowledge and the training and experience of the doctor making the diagnosis.
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  • 23. 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.
  • 24. 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.
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  • 40. Child Unhappy at Her Own Birthday Party
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  • 46. Our Need for Power and Control
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  • 49. What Is Bullying? Bullying in its truest form is comprised of a series of repeated intentionally cruel incidents, involving the same children, in the same bully and victim roles.
  • 50. “ The scars of being bullied last a life time”
  • 51. Kinds of Bullies Physical Bullies Verbal Bullies Relational Bullies Reactive Bullies
  • 52. By age 24, up to sixty percent of people who are identified as childhood bullies have at least one criminal conviction. A study spanning 35 years by psychologist E. Eron at the University of Michigan found that children who were named by their school mates, at age eight, as the bullies of the school were often bullies throughout their lives
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  • 54. Most Children with ODD have an ADHD component
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  • 57. CONDUCT DISORDER AND EMOTIONAL IMPAIRMENT
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  • 60. Social Maladjustment and Emotional Impairment are two distinct behavioral disorders.
  • 61. According to educational guidelines, students with social maladjustment are not truly disabled. (This however, does not mean that they do not have needs!)
  • 62. Students with conduct disorder engage in deliberate acts of self-interest to gain attention or to intimidate others. They experience no distress or self-devaluation or internalized distress.
  • 63. Conduct Disorder is best understood as a distinctive pattern of antisocial behavior that violates the rights of others. Individuals with conduct disorder break rules/violate norms across settings. Conduct Disorder
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  • 68. The comorbidity rate for CD and ADHD in the community population is 23 %. The comorbidity rate for CD and major depression in the community population is 17 %. The comorbidity rate for CD and anxiety disorders in the community population is 15 % (Carr, 2000).
  • 69. Students with Emotional Impairment engage in involuntary patterns of behavior and experience internalized distress about their behaviors.
  • 70. SOMETIMES THEY JUST REALLY CAN NOT HELP IT! It is hard to pick a direction….
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  • 75. It is possible for a student to exhibit behaviors characteristic of both disorders and then certified appropriately as Emotionally Impaired. A thorough, objective evaluation is the key to an appropriate outcome.
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  • 77. For the child with an Emotional Impairment, diffusing a crisis will often involve reducing anxiety. For the child with Conduct Disorder and effective response should increase anxiety
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  • 92. SEARCH FOR THEIR TALENTS
  • 93. BUILDING RELATIONSHIPS The Hidden Variable
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  • 102. Life-Spaced Crisis Intervention Presented by Lisa Cobb
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  • 108. These concepts are anchored in supporting, caring relationships between the student and the staff.
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  • 117. Individual Positive Behavior Supports and Functional Assessment
  • 118. “ If you know why, you can figure out how….” W. Edward Deming
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  • 122. “ Just the facts, mam.”
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  • 125. The Function of RAD,ODD, and CD Behaviors
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  • 131. Positive Behavioral Supports & Balanced & Restorative Justice “P roviding Consequences that Teach and Restore”
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  • 133. Parallels to School-based and Community-based Retributive Justice
  • 134. Balanced and Restorative Justice (BARJ)
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  • 137. Restoration teaches self control through modeling, mediation, and community restoration Punishment teaches external control through punishment, loss, and exclusion.
  • 138. Behavioral offences are wounds… Consequences should heal
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  • 143. “ If you treat an individual as he is, he will stay as he is, but if you treat him as if he were what he ought to be and could be he will become what he ought to be and could be.” Wolfgang Goethe