Growing Together

Growing Together

Lawrence Pradell, MDStaff Pediatrician, Nemours Pediatrics at Peoples PlazaClinical Assistant Professor of Pediatrics, Jefferson Medical College

Discipline and Time Out


Goals for Tonight’s Talk: Discipline and the Rules Children Learn, as

a set of Laws or Guidelines Perspective and its importance on this

subject:– From the parent– From the child– From the health care provider


Behavior and the “Quick Fix”

What we will not do tonight


Discipline:

The application of social rules in response to behavior(a working definition)


Children learn through observation, discovering patterns in the environment around them, both with objects and with

people.


Children apply their knowledge:

– Learn to navigate the environment,

– The “Rules” of how things work allow the child to master tasks to meet their needs.


Perspective:

Behavior Problem

Parent


Perspective:

Behavior Problem

Child


Perspective:

Behavior Problem

Pediatrician

Discipline and Time OutPediatrician’s Foremost Concerns:

Does the behavior concern brought by the caregiver suggest an underlying problem in the development or behavior of the child?

OrDoes the behavior concern suggest a problem in

the caregiving of the parent that carries significant impact for this child’s progress and safety?


Specifics of the behavior concern:

– Who– What– Where– When


What is the response the child is getting for the current behavior?

Could this response be rewarding, from the child’s point of view?


Desirable Qualities of a Response:

– Immediate

– Intense


TIME OUT: Features of a Successful Program

Initiated by the Specific Unwanted Behavior Immediate and Certain Attention Witholding Performed by a Calm and Neutral Adult


Questions?

Growing Together

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