A new Approach for Understanding and Parenting Easily Frustrated
Mother: So I blew it, right? Therapist
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The Explosive Child A New Approach for Understanding and Parenting Easily Frustrated, Chronically I ( PDFDrive )
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Mother: So I blew it, right?
Therapist: No, you didn’t blow it . . . this is really hard. Your understandable knee-jerk instinct is to punish your kid when he swears at you, and I’m asking you to do something different because punishing him isn’t working. It’s hard to do. Mother: Yes, it is. How will he learn that swearing’s not OK? Therapist: First of all, I think he knows swearing’s not OK. He swears under only one condition: when he’s frustrated. If he thought swearing was OK, he’d be swearing at other times, too. But even if he did think swearing was OK, you’re still letting him know it’s not by giving him different words to use. I think it’s worth pointing out that Derrick did something very adaptive in the incident you described. Mother: He did? What? Therapist: Instead of going toe-to-toe with you in the kitchen, he detached himself from the situation. In 194 The Explosive Child other words, he left. He went into the other room. That’s something he would never have done before. But you followed him. Mother: I did, didn’t I. Therapist: So we have some more work to do. But we’re getting there. For children with linguistic impairments, language therapists can also be very helpful at facilitating many of the pragmatic skills discussed in this and the preceding chapter; specifically, helping children label their emo- tions, identify and articulate their frustrations, and think through solutions. Executive Skills Let’s think back on some of the executive skills re- viewed in chapter 3: organization and planning, shifting cog- nitive set, and separation of affect. How does Plan B address difficulties a child might be having in these domains? Well, Plan B provides your child with an organized, struc- tured, predictable framework for solving problems and helps him consider a range of possible solutions (besides the first thing that pops into his head) and anticipate the likely outcomes of alternative solutions. Proactive B can help you and your child solve the predictable problems Teach Your Children Well 195 that arise with respect to the shifts or transitions that are required throughout the day in your household (for exam- ple, from sleeping to waking, getting dressed to eating breakfast, eating breakfast to catching the bus, school to home, free time to homework, and TV time to dinner or bedtime). And of all the things Plan B does well, helping your child suspend his emotional response to a problem so that he can stay calm enough to think (separation of af- fect) would be high on the list. Many children who have difficulties with executive skills are also hyperactive and/or inattentive, and, as described in Chapter 10, these children may also be helped by medication. Emotion Regulation Skills As you read in Chapter 3, kids who have difficulties regulating their emotions are often more irritable or anx- ious than other kids. And, as you also read, irritability and anxiety can make it hard for any of us to think clearly under duress. There is a very strong tendency (es- pecially in the United States) to use medication to re- duce children’s irritability and anxiety, and for some children medication is truly indispensable. But one rea- son such medications are overused is that a lot of pre- scribers don’t know about the pathways and haven’t really gotten to the bottom of a child’s irritability or anx- 196 The Explosive Child iety. Can Plan B reduce a child’s anxiety and irritability? Absolutely—by helping parent and child solve the prob- lems that are contributing to the irritability and anxiety in the first place. In other words, many children’s irri- tability and anxiety can be traced back to chronic prob- lems that have perpetually gone unsolved. Might the child be less anxious if we finally found a way to solve the problem of the monster under the bed? Might the child’s anxiety be reduced and mood be enhanced if the problem of being bullied at school was finally durably solved? If the problem of an unrecognized learning dis- ability that has been adversely affecting his academic performance was finally durably solved? If his father’s alcoholism was finally acknowledged and addressed? Medicine doesn’t solve these problems, and neither do con- sequences. Only solving problems solves problems. Cognitive Flexibility Skills. As you may recall, children whose difficulties stem from the cognitive flexibility pathway typically approach the world in a very black-and-white, literal, rigid manner. They have difficulties with grayer aspects of living, such as problem solving, social interactions, and unpredictable circumstances. In different ways, each of the three steps of Plan B can be extremely useful in helping these chil- Teach Your Children Well 197 dren handle demands for flexibility and frustration toler- ance more adaptively. The first step—Empathy/Reassurance—is crucial for such children, since they often overreact when faced with the realization that their rigid notions about how events should unfold will not be fulfilled. In many in- stances, these children are putting rigid solutions on the table rather than concerns, so clarifying their concerns can free up some wiggle room in the solution depart- ment. But because the concerns of these children can seem quite unreasonable—even bizarre—to the un- trained listener, these children have grown accustomed to having adults (and often peers as well) instanta- neously blow their concerns off the table. Rule number one: No matter how bizarre or illogical their concerns may be to you, they’re not bizarre or illogical to the child, so it’s extremely important to make sure that the child’s concerns make it onto the table. This can be very reassuring to a child who’s become convinced that his concerns are never taken into account. The second step of Plan B—Define the Problem— helps the child do something he’s never been very good at: taking another person’s concerns into account. Once again, the child doesn’t have to own your concern to as- sist in solving the problem, and he doesn’t have to care about it; he merely needs to take it into account. Some- times, helping a rigid, inflexible child simply hear some- 198 The Explosive Child one else’s concern without instantaneously exploding is a major achievement. Finally, the third step of Plan B—the Invitation— helps the child do something else he’s never been very good at: adjusting to the idea that there might be some shades of gray somewhere between black and white and that there might be a variety of ways to solve a problem besides the way he originally configured. Early on, this often requires massive doses of reassurance (that the child’s concern will be taken into account). And such children often benefit from being reminded about how they have solved similar problems in the past. Social Skills In Chapter 3, the different social skills that contribute to a child’s capacity for flexibility and frustration toler- ance were reviewed, including attending to appropriate social cues and nuances; accurately interpreting those cues; connecting cues with past experience; having a broad repertoire of responses; and recognizing how they’re coming across and appreciating how their behav- ior is affecting others. These skills can take a very long time to learn. Just remember, teaching these skills always takes less time than not teaching them. We won’t cover all of the above skills, but let’s sample Teach Your Children Well 199 a few, starting with accurately interpreting social cues. Some kids trip into some very automatic but inaccurate interpretations of their experiences and the intentions of others, including “It’s not fair!,” “You always blame me!,” “Nobody likes me,” and “I’m stupid.” These interpretations can cause spontaneous combustion if left unattended. Download 0.7 Mb. Do'stlaringiz bilan baham: |
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