Oppositional children: a quest for parental reinforcement control

The present study attempted to examine changes in parental reinforcement value as a function of parental use of timeout and differential attention. Subjects were two children classified by their parents as highly oppositional to parental requests or commands. Results showed that the children's oppositional behavior varied predictably with the presence and absence of parental use of timeout and differential attention. As expected, parental reinforcement value for the children was higher during treatment periods than during baseline periods.     

Adult discipline as a factor in childhood imitation

The present study examined changes in two children's imitative behavior as a function of the model's use of timeout and differential attention. Subjects were two children, one classified by her parents, the other classified by his teacher, as highly oppositional to adult requests or commands. The former child was treated by the parents in the home setting; the latter child was treated by the teacher in a preschool setting. Results showed that the children's oppositional behavior varied predictably with the presence and absence of adult use of time-out and differential attention. As expected, imitative behavior of both children was greater during treatment periods than during baseline periods.This research was funded in part by a Faculty Research Grant from the Graduate School, University of Tennessee, Knoxville. We would like to extend our appreciation to Nancy Williams, Andrea Warming, Ursula Botbyl, Diane Childress, Tom Hunter, and Edward Fowler who served as observers, and to Ronda Warner who worked with Ernest in the University Nursery School.     

Speech acquisition in a nonverbal isolate child

The present study attempted to evaluate experimentally the relationship between two response classes: cooperative play and speech. One child was observed in a preschool free-play setting. Base rates of speech and play with peers indicated that the child never spoke to or played with peers during free-play periods. Base rates of teacher attention were observed to fluctuate directly with the child's isolate play. When differential attention and extinction operations were presented, removed and presented again, the frequency of cooperative play with peers increased, decreased and increased accordingly. Moderate fluctuations in verbal behavior also correlated with the presence and absence of the differential attention and extinction operations, even though the operations were applied only to cooperative play. The results suggest that some nonverbal isolate children may begin producing speech when play behaviors with peers are reinforced by teachers.     

The Importance of Parental Attributions in Families of Children with Attention-Deficit/Hyperactivity and Disruptive Behavior Disorders

Presents a social-cognitive model outlining the role of parental attributions for child behavior in parent–child interactions. Examples of studies providing evidence for the basic model are presented, with particular reference to applications of the model in families of children with Attention-Deficit/Hyperactivity Disorder (ADHD) and/or oppositional defiant/conduct disordered behavior. Parent or child factors that may moderate the operation of links within the model are suggested, and evidence of such moderator effects is presented. The conceptualization and measurement of parental attributions also are discussed. The limitations of the model and existing evidence, as well as recommendations for future research in this area are presented throughout the paper. The paper concludes with a summary of the clinical implications of the model and research on parental attributions with regards to improving interventions for families of children with attentional and disruptive behavior problems.     

Examining Influences on Problem Recognition and Help-Seeking for Child Externalizing Behaviors Among African American Mothers

Childhood behavior problems are one of the most common clinical referrals. If left untreated, these behaviors can result in detrimental consequences to the child’s development (Wehmeier et al., 2010; Scholtens et al., 2012). Behavior parent training has been identified as first-line treatment for oppositional behavior; however, many racial minority families fail to enroll in behavior parent training. The current study examines maternal help-seeking for children displaying oppositional behavior in hopes to delineate variables that might influence parent training enrollment among African American families. Participants were 112 African American mothers who were provided child behavior vignettes and completed measures assessing factors related to problem recognition, parental attributions, child rearing values, mental health stigmatization, racial identity, and treatment utilization. Results found that when presented with a child displaying clinically significant externalizing child behaviors, slightly more than half of African American mothers recognized clinically significant child behavior problems. Mothers were more likely to engage in behavioral parent training if problematic behavior was recognized. Additionally, mothers’ attributions of child behavior, cultural values, and mental health stigmatization were influential to help seeking. This study supports the importance of considering cultural variables that impact problem recognition and subsequent treatment utilization among African American families.     

The Relation of Parent and Child Gender to Parental Tolerance of Child Disruptive Behaviors

Parental tolerance has been defined as the degree to which a parent tends to be annoyed by his or her child’s disruptive behavior. The purpose of the current study is to examine the relation of both parent and child gender to parental tolerance of child disruptive behaviors. Participants were 150 parents with 3–6 year-old at-risk children (47.5 % girls) who sought help with parenting of their child’s oppositional defiant behaviors. Tolerance was measured by the difference between parent ratings of intensity on 36 disruptive behaviors and whether each behavior was identified as a problem (resulting in a score of either high, expected, or low tolerance). A 2 (child gender) by 2 (parent gender) analysis of variance was conducted on the tolerance score. A significant interaction between child and parent gender emerged: Mothers were equally tolerant of boys’ and girls’ oppositional defiant behavior but fathers were more tolerant of boys’ than girls’ oppositional behavior. Exploratory analyses suggested that this interaction may be qualified by clinical status of the child. Implications and future directions are discussed.     

Father Involvement in Parent Training for Oppositional Child Behavior

Outcome literature (1981 to 1988) on behavioral parent training interventions for nonhandicapped children with oppositional behavior is reviewed to assess the extent and effects of father involvement in parent training. Thirteen studies were found that included some father involvement. Weaknesses of these studies include a failure to observe and measure changed in father-child interactions, a lack of emphasis on the impact of the marital relationship, a lack of attention to similarities in parental child management strategies, and a lack of assessment of paternal characteristics. Further research to assess the effects of including fathers on parent training outcomes can improve the efficiency and effectiveness of these interventions.     

Early Exposure to Parental Depression and Parenting: Associations with Young Offspring’s Stress Physiology and Oppositional Behavior

Hypothalamic-pituitary-adrenal (HPA) axis reactivity to stress is posited to play a role in the intergenerational transmission of risk for psychopathology and other negative outcomes in the offspring of depressed parents. We tested the hypothesis that the joint, interactive effects of exposure to parental depression during early childhood and parental hostility impact the development of young children’s stress physiology and early emerging behavior problems. A sample of 165 preschool-age children (81 boys, 84 girls), of whom 103 had a parent with a history of depression, was exposed to a stress-inducing laboratory task, and five salivary cortisol samples were obtained. Parents completed clinical interviews and an observational parent–child interaction task. We found that the offspring exposed to maternal depression during early childhood and whose parents displayed hostile parenting behaviors during an observational task evidenced high and increasing cortisol levels in response to a laboratory stressor. In addition, the total amount of exposure to maternal depression over the child’s life exerted a dose–response effect on the positive relation between parental hostility and child observed oppositional behavior. This study underscores the importance of the early rearing environment on young children’s stress physiology and early emerging behavior problems.     

THE TIMEOUT RIBBON: A NONEXCLUSIONARY TIMEOUT PROCEDURE1

Recently, the use of timeout rooms has been questioned by various agencies, and some have adopted policies that prohibit or greatly restrict exclusionary timeout. The present study developed a timeout procedure that did not require removal of the misbehaver from the learning environment. The procedure was applied to the disruptive behaviors of five severely retarded children in an institutional special-education classroom. An observer prompted all teacher behaviors related to the procedures to assure their precise implementation. After baseline, a reinforcement-only condition was implemented. Each child was given a different colored ribbon to wear as a tie and received edibles and praise every few minutes for good behavior and for wearing the ribbon. When timeout was added, a child's ribbon was removed for any instance of misbehavior and teacher attention and participation in activities ceased for three minutes or until the misbehavior stopped. Reinforcement continued at other times for appropriate behavior. An ABCBC reversal design was used to demonstrate control of the behavior by the conditions applied. On average, the children misbehaved 42% and 32% of the time during the baseline and reinforcement conditions respectively but only 6% of the time during the timeout conditions. A followup probe during the new school year revealed that the teacher was able to conduct the procedure independently and that the children's disruptive behaviors were maintained at low levels. The practicality and acceptability of the procedure were supported further by the successful implementation of the procedure by a teacher in another state and by responses to a questionnaire given to 40 mental health professionals. The ribbon procedure appears to be a viable form of timeout, provided that disruptive behaviors during timeout can be tolerated within the setting, or a backup procedure such as exclusionary timeout is available when needed.     

AN ANALYSIS OF MULTIPLE MISPLACED PARENTAL SOCIAL CONTINGENCIES1

This study analyzed the training of a mother to modify five subclasses of her attention to her young child's noncompliance with instructions, and also displayed the changes in her child's behavior correlated with these events. Training in four subclasses consisted of teaching the mother to withhold various forms of social attention to her daughter's undesired behavior; training in the fifth subclass involved introduction of a brief room-timeout procedure for noncompliance. The effectiveness of the parent-training procedure, consisting of initial instructions and daily feedback, was demonstrated through a multiple-baseline design across the five subclasses of parent behavior. Sequential decreases in the first three subclasses of the mother's social attention to undesired child behavior resulted in incomplete improvements in some child responses; however, a decrease in the fourth subclass resulted in a significant increase in undesired child behavior. Complete remediation of all child behaviors was achieved following the training of a timeout procedure for noncompliance. Postchecks conducted up to 16 weeks later showed that these effects were durable.     

REDUCING AGGRESSIVE AND SELF-INJURIOUS BEHAVIOR OF INSTITUTIONALIZED RETARDED CHILDREN THROUGH REINFORCEMENT OF OTHER BEHAVIORS1

Aggressive and self-injurious behaviors of four retarded children were reduced by combining various techniques with the differential reinforcement of other behaviors (DRO). In one study, aggressive responses of a severely retarded child were reduced when DRO was combined with a 30-sec timeout. In a second study, various aggressive classroom behaviors were reduced when the child was told “no” for an inappropriate response but earned puzzle pieces for periods of time when inappropriate responses did not occur. Exchangeable tokens were given to a third subject for every 15 min in which aggressive responding did not occur, while each inappropriate response resulted in the loss of all tokens accrued. Responding was decreased to a level far below baseline. For a fourth child, self-injurious responses were followed by “no”, and intervals of time in which no self-injurious responding occurred earned candy. The rate of this behavior reduced significantly. In each case, the DRO procedure combined with the other techniques proved to be manageable for the teacher and successful in reducing the inappropriate behavior.     

Control of responding by stimulus duration

Pigeons were trained on a procedure in which the key was white for 30 sec, alternating with periods of darkness, or timeout. In a nondifferential training procedure, timeout duration was held constant at either 9 or 21 sec for different animals, and pecks on the white key were reinforced on a variable-interval 36-sec schedule. After 30 sessions an extinction generalization test was conducted where the duration of the timeout was varied from 3 to 27 sec. This test showed no differences in responding following timeouts of different durations. In a differential training procedure, timeout durations of either 9 or 21 sec were randomly scheduled for each animal. The variable-internal schedule was in effect following the same timeout duration as in the prior nondifferential procedure. No pecks were reinforced after the other timeout duration. In 40 sessions, differences in response rates following the two durations gradually developed. A maintained generalization procedure was then imposed in which timeout durations were varied from 3 to 27 sec, with the variable-interval schedule in effect following only the same duration as in the previous procedures. The first maintained generalization session showed that the prior differential training had established control of the animals' behavior by the timeout duration. In continued training on the maintained generalization procedure, control by the timeout duration decreased.     

Preschoolers at risk for attention-deficit hyperactivity disorder and oppositional defiant disorder: family,parenting, and behavioral correlates

This community study assigned 129 4-year-olds to groups at risk for attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), both ADHD and ODD, or no problems. Mothers of children at risk for ODD reported more family dysfunction, felt less competent as parents, suggested fewer solutions to child behavior problems, demonstrated a less assertive approach to child management, and reported more child internalizing problems than did mothers of children not elevated on ODD symptoms. Mothers of children at risk for ADHD reported higher personal depression scores than did those of the non-ADHD subgroup. Children at risk for ADHD evidenced the most difficulties in school where teachers reported more social behavior, classroom management, and internalizing problems relative to other children not at risk for ADHD. When solving child management problems, mothers of children in all groups suggested twice as many controlling/negative management strategies as positive/preventive strategies. In addition, faced with oppositional and conduct problems, mothers of children in all groups increased controlling/negative suggestions and decreased positive/preventive suggestions. Mothers of girls at risk for ADHD, ODD, and ADHD/ODD gave more rewards per positive behavior than did mothers of boys.     

Parenting in mothers with and without attention-deficit/hyperactivity disorder

The authors examined the impact of maternal attention-deficit/hyperactivity disorder (ADHD) on parenting behaviors. Sixty mothers between the ages of 31 and 50 with (n = 30) and without (n = 30) ADHD and their 8- to 14-year-old children with ADHD completed self-report and laboratory measures of monitoring of child behavior, consistency in parenting, and parenting problem-solving abilities. These parenting behaviors were selected because of their established links to the development of child behavior problems. As predicted, mothers with ADHD were found to be poorer at monitoring child behavior and less consistent disciplinarians compared with mothers without ADHD. There was some evidence to support the prediction that mothers with ADHD were less effective at problem solving about childrearing issues than control mothers. The differences between the 2 groups of mothers persisted after child oppositional and conduct-disordered behavior were controlled. These results indicate that parenting is an area of functioning that requires more attention in adult ADHD research.     

The effects of warned loss magnitude and timeout duration on human avoidance behavior

This study experimentally investigated the determinants of avoidance behavior when participants are forewarned of aversive outcomes. The effects of 3 variables on avoidance behavior were examined: point-loss amount (5 levels, from 20 to 100 points), duration of timeout from positive reinforcement (5 levels, 20 to 100 s), and 3 predictive accuracy levels (100%, 50%, and 0%) of warning stimuli. Twelve participants completed 3 sessions, each comprising 25 discrete trials, that differed in predictive accuracy level. Throughout a session, a participant engaged in button press responses that were reinforced by points under a conjunctive fixed-ratio fixed-interval schedule. During each trial, a warning stimulus that indicated a loss amount and a timeout duration was presented. If the participant pressed the avoidance button, then the timeout started, otherwise the loss occurred. The trial ended with termination of timeout or an occurrence of the loss. Results showed that avoidance responses increased when the loss amount increased and decreased when the timeout duration increased. The frequency of avoidance responses was lowest when the predictive accuracy of warning stimuli was 0%. These findings demonstrated that this experimental procedure could be useful for investigating human avoidance behavior outside the laboratory.     

Differential Attention as a Mechanism of Change in Parent–Child Interaction Therapy: Support from Time-Series Analysis

Although many interventions address children’s externalizing behavior problems, negative treatment outcomes remain common. Reasons for success or failure are frequently unclear, due in part to a lack of research identifying treatment change mechanisms. The current study evaluated differential attention as a mechanism of change in Parent–Child Interaction Therapy (PCIT), a treatment for children with externalizing problems. Using sequential coding and time-series analysis, we examined parent–child interactions across treatment for three families. Contrary to hypotheses, child prosocial behaviors and parent skill use held steady or decreased across coaching periods, with the exception of one family, where the parent’s skill use increased during coaching. Partial support was found for the hypothesis that parent differential attention would predict child prosocial behavior in the next minute. These results provide support for differential attention as a mechanism of change, but also demonstrate that this factor is not the only such mechanism.     

Parent Expectancies for Child Therapy: Assessment and Relation to Participation in Treatment

Two studies examined parents' pre-treatment expectancies for their child's psychotherapy among children (N = 405, ages 2–15) referred for oppositional, aggressive, and antisocial behavior. Study I focused on the development of a measure to assess expectancies. The results indicated that the measure was internally consistent. Moreover, socioeconomic disadvantage and ethnic minority status, severity of child dysfunction, child age, and parental stress and depression were significant predictors of lower parent expectancies for child therapy. Study II examined the relation of parent expectancies and participation in therapy. The results indicated that parent expectancies predicted subsequent barriers to treatment participation, treatment attendance, and premature termination from therapy. Overall, these findings have implications for the study of expectancies for therapy, for identifying families at risk for premature termination from treatment, and for the development of interventions designed to increase parent participation in child therapy.     

Making faces: testing the relation between child behavior problems and mothers' interpretations of child emotion expressions

We examined the relations between preschool boys' behavior problems and mothers' interpretations of children's emotion expressions. A sample of 31 mothers of oppositional boys and 28 control mothers responded to standard stimuli depicting child emotional reactions to maternal control attempts; mothers were instructed to think of the stimuli as either (a) their own child or (b) an unfamiliar child. Mothers of oppositional boys were more likely to generate negative interpretations than were control mothers when thinking of their own children; however, this difference did not generalize to the explicitly unfamiliar child condition. Mothers of oppositional boys demonstrated negative and comparison mothers demonstrated positive interpretive tendencies toward their own children. Findings suggest that child emotion cues may trigger biased maternal cognitions even in the absence of child misbehavior.     

Adverse effects of differential parental attention

In two independent parent training projects (Kansas and Mississippi), mothers of deviant young children were observed to follow almost all child behaviors with attention. The mothers were then trained to use differential attention procedures to increase their child's appropriate behaviors and to decrease deviant behaviors. Contrary to expectations, the differential attention procedure produced substantial increases in deviant behavior for four of the children. This adverse effect was maintained over many sessions and was replicated in single organism, reversal designs. A fifth child showed no change. A sixth child showed some improvement. However, this effect was not recovered in a second application of differential attention, and the child became worse. The results underline the importance of subject generality in applied behavior analysis and strongly suggest that service programs using operant techniques must carefully evaluate their effects on behavior.