9- Main stream behavior analysis Flashcards Preview

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Flashcards in 9- Main stream behavior analysis Deck (57)
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1

A collective term for anything a living
organism does

Occurs as a function of genetic-physiological predispositions + environmental events


Behavior

2

Determining the environmental events

Behavior analysis

3

Manipulating environmental events to bring about desired changes in behavior

Applied Behavior Analysis

4

The application of behavioral analysis and developmental psychology to child behavioral problems presenting in primary care settings

Behavioral Pediatrics in Primary Care

5

One major emphasis
• Prevention over cure or rehabilitation

Behavioral Pediatrics in Primary Care

6

Two types of intervention
• Supportive health education
• Prescriptive treatment

Behavioral Pediatrics in Primary Care

7

Three domains of care

• Common behavior problems
• Behavior problems with significant medical (biological) dimensions
• Medical (biological) problems with significant
behavioral dimensions

Behavioral Pediatrics in Primary Care

8

Approximately 50% of all primary
care child visits involve behavior problems.

High frequency, low intensity problems

Responsive to prescriptive behavioral treatments

Common Behavior Problems Presenting in Primary Care

9

Girls

1. Night wetting
2. Poor appetite
3. Fears
4. Night waking
5. Sleep with parents
6. Day wetting
7. Picky eating
8. Sibling rivalry
9. Overactive
10.Bedtime struggles
11.Attention seeking

Ranked Behavior Problems:
3 Year Old Children

10

1. Night wetting
2. Day wetting
3. Soiling
4. Poor appetite
5. Overactive
6. Bedtime resistance
7. Night waking
8. Non compliance
9. Picky eating
10.Sleep with parents
11.Sibling rivalry

Ranked Behavior Problems:
3 Year Old Children

11

Common behavior problems are not
pathologies, they are skill deficits. So
parents are on their own with these.

Common Tactics

12

Ignoring,

Warning,

Yelling

Spanking,

Rewarding

Reasoning

Placating or Indulging

Rule of thirds

Tactics commonly employed to reduce
typical child problem behavior include:

13

Behavior is largely a function of circumstances

Core of Behavior Analysis

14

Percent of Sample


11-25%

Incidence/Prevalence of Psychiatric
Problems in Community-based Children

15

Gap In Behavioral Health Care for
Children

 Primary care pediatrics on one side
 Conventional mental health services for
children on the other
 Vast range of behavioral health
problems in the gap

B

16

Average Office Time with Patients

11 to 15 minutes

17

Average Time Spent in Anticipatory
Guidance Birth to 18 years old

Seven to 97 seconds

18

Pediatricians don’t address common
behavior problems. Why? 3 X

1. Limited or no time
2. Limited or no training
3. Lack of inclination

Gap In Behavioral Health Care for
Children

19

Conventional mental health services
don’t address those problem very
well either. Why? 2x

1. Parents are reluctant to go because of a low and variable quality of care.

2. Stigma


Gap In Behavioral Health Care for
Children

20

Over interpretation in practice


Research Practices


Public Impressions

Why parents are reluctant to seek mental health services for children:

21

Evidence based or empirically supported treatment

Parents like it

Physicians like it

It works

We have a specialized standard of
care. (Behavior Analysts)

22

Sample Topics

Learning

Crying

Sleep

Toileting readiness

Supportive Health Education-

Behavioral Pediatrics for Common
Behavior Problems

23

Learning: Children Learn Through ..

Repetition with Contrast

24

•Underlying problem syndrome

• Berkson’s bias

•Textbook case bias


Over interpretation in practice:

Why parents are reluctant to seek mental health services for children

25

Correlative theory building over intervention

Research Practices

Why parents are reluctant to seek
mental health services for children

26

Not flattering

Public Impressions

Why parents are reluctant to seek mental health services for children

27

Change in experience-Two types of change

1. Quality—determines DIRECTION of learning
• Pleasant—
-Reward (positive reinforcement)
-Relief—(negative reinforcement)
• Unpleasant –
- Pain (positive punishment)
-Loss (negative punishment)

2. Quantity—determines NEED for repetition
•Large—large change, less repetition
•Small—small change, more repetition

Clarifying Contrast

28

Average sleep requirements by age.l; See hand out or instructor notes

 Fatigue deteriorates neural controls

 Sleep associations
To bed sleepy but awake

See instructors notes or handout

29

Physical readiness
 Raise and lower pants
 Pincer grasp
 Fully ambulatory
 Sit independently

Bladder readiness
 Dry for several hours

Language readiness
 Toileting words

Instructional readiness
 Follow simple instructions

Proprioceptive readiness
 Awareness of urge

Emotional-social readiness
 Assess for clinical
significance

Toileting readiness

30

Drink, Undress, Play and Pay

Toileting Program