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A Preliminary Investigation of the Assessment and Treatment of Tantrums With Two Post-Institutionalized Romanian Adoptees
Authors:Mark O'Reilly  Claire Lacey  Giulio Lancioni
Abstract:

A functional analysis of tantrums was carried out with 2 children who were adopted from state-run Romanian orphanages. Tantrums included such behaviours as screaming, property destruction, self-injury and aggression. The functional analysis was conducted in an outpatient treatment unit and consisted of exposing the child and mother to a number of specific social contexts that were designed to identify social consequences maintaining tantrums. These social contexts were alternated rapidly in a multi-element design fashion during the outpatient assessment to demonstrate experimental control. Results indicated that tantrums were maintained by attention from the mother when the mother's attention was diverted away from the child (i.e. when the mother was interacting with another person). A treatment plan, which consisted of the mother delivering frequent but brief attention statements to the child during diverted attention contexts eliminated tantrums during the assessment. Follow-up evaluations for up to 6 months indicated that parents used the treatment plan and that tantrums were no longer a difficulty with these children.
Keywords:Aggression  Functional Analysis  Romanian Adoptees  Self-INJURY  Tantrums
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