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ACTers of the
Month!
February
Rachel Hronec was chosen ACTer of the
month for her care and consideration for everychild
and excellent behavioral skills. W hen Rachel is
not working or going to school, she enjoys eating
sushi, playing games, going to concerts and spending
time with fri,ends and
family.
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March
Kristen Anderson was chosen as
an ACTer of the month because of
her great energy, positive attitude and
ability to develop genuine rapport with the
families she works with. In Kristen's spare time, she
enjoys surfing, mountain biking, coaching
cheeleadering, and anything
outdoors.
Francine Botacchi was chosen as ACTer of the
month for her caring and compassionate
pesonality, and all of the hard work she has done for
ACT and the families she works with over the
years. When Francine isn't working, she likes
to practice yoga, cook meals, and spend time at the
beach. |
Attention! New ACT Social Skills
Groups are
Beginning Soon!
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An ACT Social Skills
Group is a great place for your child to practice
hissocial skills! Fun, exciting, and creative
group activites are led by experienced ACT therapists
and supervisors. Please contact the front office
for more information.
(805)
529-5265 |
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Dear ACT readers,
ACT welcomes you to another
issue of the ACT Newsletter! In this Spring
issue we are presenting an article that
describes some of the coping skills that have been
found to decrease parental stress and increase
parents' positive feelings.
Additionally, we are offering you another tool for
your behavior toolbox:
How to Decrease Attention-Seeking
Behaviors. We are also going to
introduce you to a very cool kid, Johnny.
Please take a look
at three more outstanding therapists who were
chosen to be our ACTers of the month! Join us
in congratulating our ACTers of the month for
February, Rachel Hronec, March, Kristen Anderson,
and April, Francine Botacchi.
We hope you enjoy this
issue!
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How to
Decrease Attention-Seeking
Behaviors
Some of the most
challenging behaviors to decrease are
attention-seeking behaviors. Many children
on the Autism Spectrum engage in specific
behaviors designed to get reactions from parents,
siblings, teachers, and other caregivers.
The behaviors can range from silly to oppositional
and aggressive in nature. This article
will discuss how to identify attention-seeking
behaviors, the functions of these behaviors, and
strategies for decreasing these behaviors.
It is not always obvious that
children are engaging in attention-seeking
behaviors. There are several ways
to determine if your child's behaviors are
designed to get your attention and reaction.
Some indicators are: 1) Your
child looks directly at you while engaging in
an
undesirable behavior.
2) He gets your
attention before engaging in a behavior he knows
is not allowed.
3) When you
don't react to a behavior, he engages in it a
second time or until he gets your
attention.
4) He talks
about the undesirable behavior at the same time
he's engaging in it (e.g., "I'm tasting the icing,
Mom.").
5) He reports
undesirable behaviors to you that you may not have
seen (e.g., "I just put your keys in the
trash.").
6) He tries to
engage you in a conversation about his behaviors
(e.g., "Did I lose a point when I pushed the
dog?", or, "Remember when I had a
tantrum?"). The primary function of
attention seeking-behaviors is to get attention
and reactions; however, there can be a secondary
function for these behaviors. Engaging in
attention-seeking behaviors may serve to help the
child avoid non-preferred activities or
demands. For example, if your child wants to
avoid bath time, he may engage in an
attention-seeking behavior because he knows it
will result in a "talk" or timeout, which delays
bath time even longer. Alleviating boredom
may also be a motivation for
attention-seeking behaviors. It is very
important to determine the function of any
behavior before implementing a strategy to reduce
it. There are a variety of
antecedent-control and consequence-control
strategies that can effectively decrease
attention-seeking behaviors. The key is to
choose strategies that provide
minimal or no attention
to the behavior itself. Any attention given to the
behavior will reinforce it and increase the
likelihood that your child will engage in that
behavior in the future.
Antecedent-control strategies are
very useful because they focus on changing the
child's environment before the behavior occurs
and do not provide any attention to the
behavior itself. Conditioned reinforcement systems
are very useful. Conditioned reinforcement
systems provide positive consequences contingent
upon a child's behavior and are classified as
a consequence-control strategy;
however, setting up this type of system, and
priming your child about ways to earn a
reinforcer are
useful antecedent-control
strategies. If your child is earning a valued
reward for good behavior, and you regularly remind
him of what he is earning, the motivation to earn
the reinforcer may keep him from engaging in
attention-seeking behaviors. These systems can
also be useful for decreasing attention-seeking
behaviors in classroom setting. (See our
August, 2008 article How to Use a Conditioned
Reinforcsement System for more information.)
If you can predict when your child may engage in
attention-seeking behaviors, you can engage him in
activities that will prevent him from doing these
behaviors. For example, if he usually acts
up at the grocery store, he may be looking for
attentino because he's bored. Giving him
small manageable tasks to complete (e.g., finding
the strawberry jam), will keep him from getting
bored and acting out.
Consequence-control strategies are
also useful for decreasing attention-seeking
behaviors; however, it is important to choose a
consequence that will not give attention to the
behavior. Typically, the most effective
consequence for an attention-seeking behavior is
ignoring the behavior. For behaviors such as
being inappropriately silly, loud or some mild
inappropriate language (e.g., potty talk),
actively ignoring the behavior can be the very
best consequence. Active ignoring is also
called extinction. Be aware that when you
try to extinguish a behavior, the behavior often
increases in frequency and intensity before it
decreases. This temporary increase is called
an extinction burst. Extinction bursts occur
because your child has been accustomed to getting
a reaction for certain behaviors. When
you take away the reaction, he will engage in
the behavior more frequently or with more
intensity in an attempt to get a reaction
again. Before you decide to actively ignore
a behavior, you should decide if you can withstand
the extinction burst. If you anticipate
difficulty doing this, you can choose another
consequence. If you can withstand the
extinction burst, however, the behavior will begin
to decrease over time. When possible, you
can also teach siblings to ignore behaviors as
well. Of course, there are many
situations when ignoring the behavior is not
appropriate. Dangerous, aggressive,
self-njurious, and disruptive behaviors would
all constitute situations in which you would
not want to ignore the behavior.
Response cost can be a very useful tool for these
types of behaviors. Response cost is when
you take away a preferred activity or object
contingent upon an undesirable
behavior. For example, when your
child engages in a mild
attention-seeking behavior (e.g., loud
singing), you can take away a preferred toy.
Without addressing the singing, you
can calmly, and with few
words, tell the child that he's lost the
toy. Additionally, timeouts can be used
(with caution). You should not use timeout
if it requires significant interaction to get
your child into, or keep him in, timeout.
This interaction may be the attention that he was
trying to get. Remember, negative attention,
such as yelling, is still attention.
Also, timeout should not be used if your child was
trying to avoid a non-preferred activity. (See our
May, 2008 article Time to Learn More About
Timeouts! for more information.)
Positive punishers, such as contingent work, can
also be used with caution. Often contingent
work requires significant interaction between
parent and child to ensure follow through.
This interaction may be the attention that your
child was trying to get. If you are applying
consequences to an attention-seeking be sure the
consequence is meaningful enugh to counteract any
attention the child might be getting in the
process. Here are a few tips
for successfully decreasing attention-seeking
behaviors: 1) Don't let these
behaviors get the better of you!
Attention- seeking behaviors can be
bothersome, to say the least. You may feel tempted
to react or repeatedly ask your child to stop the
behavior. Remind yourself that he
wants your attention, so that should be
the last thing you give him.
2) When ignoring a
behavior, turning your back or actually leaving
the room can be useful (as long as the child is
safe by himself).
3) If you are
using response cost to punish a behavior, use as
few words as possible to tell your child what he
lost. (e.g., "You lost your dinosaur for
hitting.") Ignore any arguing or complaints
about the object or activity you removed.
4) When
delivering a consequence keep all emotion out of
your voice and facial expression. Even
looking or sounding upset can be reinforcing for
some children!
5) Make sure you
give your child a lot of attention and positive
reinforcement for good behavior. We often
foucs on the undesirable behaviors and forget to
praise them for
desirable behaviors! Good
luck!
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Daily Stress, Well-Being and Coping
for Parents of Children with Autism (Pottie & Ingram,
2008)
Few studies have
attempted to understand how parents of children
with Autism cope with the daily demands of raising
a child with special needs. Pottie and
Ingram state that the goal of this study was to
identify the ways parents adapt to raising a child
with special needs and determine the effectiveness
of certain coping skills. Much of the
knowledge about coping with stressors has been
guided by the transactional model of stress and
coping proposed by Lazarus and Folkman
(1984). This transactional model
conceptualizes coping as an ever-changing process
that involves the parent's perspective of the
stressor, his or her personality characteristics,
the availability of personal or family resources,
situational factors, and cognitive-behavioral
responses (i.e., coping skills; Pottie &
Ingram, 2008).
Research on parents of children with
disabilities has demonstrated that coping skills
tend to have a direct effect on the psychological
well-being of the parent independent of the
stressor's effect or its estimated stressfulness
(Pottie & Ingram, 2008). Pottie and
Ingram state that one study, Abbeduto, Seltzer,
Shattuck, Krauss, Orsmond and Murphy (2004), found
that problem-focused coping was predictive of less
psychological distress and a closer mother-child
relationship, whereas emotion-based coping was
predictive of more psychological distress and a
less close mother-child relationship.
The present study by Pottie and
Ingram examined the relationship between daily
parental stress, coping and mood in mothers and
fathers raising a child with Autism. The
participants in this study were recruited from the
Central Virginia and Pennsylvania chapters of the
Autism Society of America. Ninety-three
parents were eligible to participate in the
study. Sixty were mothers and thirty-three
were fathers. All of the participants'
children had been diagnosed with Autism, Pervasive
Developmental Disorder, NOS, or Asperger's
Syndrome. Most parents were caring for more
than two children. Parents completed
questionnaires and daily records two days per week
for twelve weeks. These questionnaires
assessed their child's level of ASD
symptomatology, demographic factors of the family,
the parent's personality characteristics, daily
stress, daily mood, and reported coping skills
used. Eleven types of coping skills
were identified:
1) Seeking
support - reaching out to other s
for emotional support or practical
assistance.
2) Escape/avoidance
- removing or disengaging oneself from the
stressful situation.
3) Problem
solving - taking action to deal with the
stressful situation.
4) Seeking
distraction - engaging in alternative
pleasurable activities or self-care.
5) Blaming -
directing anger or frustration at someone
else.
6) Focusing
on the positive or accepting - seeing a
stressful situation in a more positive
light.
7) Worrying -
constant or frequent thoughts about the stressful
event.
8) Expressing and
controlling emotions - expressing
emotions in a constructive way.
9) Withdrawing
socially - staying away from certain
people or preventing people from knowing about the
stressful situation.
10)
Compromising or negotiating -
compromising between the needs of the individual
and the limits of the stressor.
11) Feeling
helpless/letting go - giving up or
surrendering because the stress was too
overwhelming.
After accounting for
personality and contextual factors, significantly
higher levels of daily positive mood were
associated with seeking support, problem solving,
focusing on the positive, controlling emotions,
and compromising. Significantly lower levels
of daily positive mood were associated with
escaping/avoiding, blaming, withdrawing, and
helplessness. Significantly lower levels of daily
negative mood were associated with emotional
regulation, and higher levels of daily negative
mood were associated with blaming, worrying,
withdrawing, and helplessness. It was found that
ASD symptomatology was not predictive of parent
daily negative or positive mood. There was
marginal evidence to support the effect of time
since diagnosis upon a parent's daily negative
mood. Increased time since diagnosis was
slightly predictive of less daily negative mood.
Lastly, gender did not moderate a parent's
reported daily
moods.
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Johnny's Story
ACT would like to introduce
our readers to another very cool kid,
Johnny. Johnny is a sweet, funny and bright
nine year old boy who loves sports and has been
diagnosed with Asperger's Syndrome. When
Johnny was younger, his mother says that his
challenges revolved around anxiety and
phobias. She says that he was extremely
sensitive to any type of sensory stimuli.
Certain noises and the sight of a "jumpy-jump"
bothered him; he would tantrum when he encountered
them. The feeling of his feet being off of
the ground was so scary for him that he never
played on a swing. Certain textures bothered
him so it was difficult to find clothes and shoes
that he would tolerate wearing. Johnny also
had significant difficulty with peer
interactions. His mother recalls that during
many of his birthday parties he would run into
another room and hide. Johnny
began occupational therapy, during which he was
gradually exposed to all types of sensory
stimuli. As time went by, he became
increasingly able to tolerate more movement,
textures and sounds. He also began to do
gymnastics at a gym that used behavioral
techniques during lessons. Johnny's mother
was pleasantly surprised when he began to swing,
jump on a trampoline, and do other gymnastic
activities. She credits the combination of
the occupational therapy and his gymnastics
classes for helping him overcome many of his
sensitivities to sensory stimuli. As
Johnny got older he faced different
challenges. He had difficulty understanding
other people's perspectives, using pragmatic
language, navigating social situations, trying new
activities, and complying with rules and
instructions. He also engaged in frequent
attention-seeking behaviors, was extremely
competitive, and was occasionally aggressive
toward his brother. When Johnny was almost
six years old ACT therapists began to work with
him and his family. His mother recalls that
she knew she was doing the best thing for him by
starting behavior therapy; however, beginning
therapy was difficult for her. She explained
that following rules and limits was very
challenging for Johnny during the first few weeks
of therapy, and she occasionally felt guilty for
not yet having the tools to set those limits
herself. During his three
years of treatment, ACT therapists worked to
improve Johnny's social and auditory processing
skills, use of pragmatic language, problem solving
ability, ability to manage anger and anxiety, and
compliance with verbal requests. They worked
to decrease his anxiety, aggressive behaviors, and
attention-seeking behaviors. They also
facilitated play dates. Currently, Johnny is
much more able to navigate social situations
successfully, can have good conversations with
peers, is more compliant, and less aggressive
towards his brother, demonstrates fewer
attention-seeking behaviors, is willing to try new
activities, and is able to manage some of his
anxiety. Johnny's parents and brother
were often included in sessions so that his new
skills would generalize to them. ACT therapists
often went on outings with his family to help
generalize the skills that he was learning in
sessions. Johnny's family took part in
parent education so that they could successfully
implement behavior management strategies at
home. Currently, they are successfully using
a conditioned reinforcement system to increase
Johnny's compliant behaviors and decrease his
non-complaint, oppositional behaviors. They
also take Johnny to a Cognitive Behavior Therapist
to decrease his anxiety and help him better
understand the connection between his emotions and
behaviors. ACT therapists have been
accompanying Johnny at school since he was in
first grade, and now, in third grade, he is much
more independent at school. He regularly
participates in class, plays very well with his
classmates, tries to resolve conflicts calmly, and
is doing extremely well academically.
Therapists assist Johnny only when he needs help
to manage his anxiety, resolve a conflict with a
peer, or try a new activity. They give him
subtle cues to help him decrease his
self-stimulatory behaviors, competitive speech,
and non-compliant behaviors, and they provide his
teacher with education about which strategies work
best for him. Looking back on his
treatment, Johnny's mother says that he has come a
long way and made very significant progress.
During the past three years, she recalls that
there were times when he would plateau for awhile,
but would always "pull through" and continue to
make improvements. Johnny is currently
taking a break from home therapy and continues to
have ACT therapists support him at school.
His mother states that his most significant
improvements are his compliance at home with his
parents and his ability to navigate complex social
situations. Johnny's mother also says that
ACT therapists gave her and her husband the tools
and education necessary to manage Johnny's
behaviors at home, and she feels confident that
she can handle any behaviors that may arise in the
future.
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We hope that you have enjoyed this issue of
ACT's Newsletter and found it useful! Please
contact us if there are topics you would like to
see addressed in the newsletter in the
future. You may suggest topics by sending an
email to: Sarah.Pashalides@AutismCenterforTreatment.com
Look for our next issue in
Summer,
2009!
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