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Encyclopedia of psychotherapy - part 8

chắc chắn rằng đứa trẻ được nhận thức của các nhãn hiệu và hành vi cụ thể nó đề cập đến, trước khi một quy tắc nhà để giảm hành vi đó được đưa vào hiệu lực. Ví dụ, mỗi lần con số truy cập cho người khác, phụ huynh sẽ nói "Bạn đang đánh. Bắt đầu từ hôm chủ nhật, mỗi lần bạn nhấn | 344 Parent-Child Interaction Therapy sure that the child is aware of the label and the specific behavior it refers to before a house rule to decrease that behavior is put into effect. For example each time the child hits another person the parent would say You are hitting. Starting on Sunday each time you hit you will go to time-out. Once a house rule is in effect the parent must use the time-out procedure when the targeted behavior occurs and must praise the child for behaviors incompatible with the target behavior for example Good job of keeping your hands to yourself when she messed up your track. Parents keep a record of each house rule and the daily frequency of rule violations so that the effectiveness of the technique can be evaluated by the therapist. A new house rule may be added when the child shows improvement in an earlier target behavior although a child should have no more than two active house rules at a time. 4. Public Behavior Toward the end of PDI another problem that may remain for some children is disruptive behavior in public places. To apply the PCIT principles to this situation parents are advised to describe to the child their expectations for the child s behavior prior to entrance into the public area. Parents are then prompted to think of ways to give positive attention to the child s appropriate public behavior and ways to implement a time-out procedure for unacceptable behavior that cannot be ignored. The parent is given the opportunity to practice the new strategy with coaching as the therapist accompanies the family to public areas such as a waiting room or parking lot. Mastery of the PDI skills is demonstrated during clinic observations when 75 of the parents commands are effective commands that allow the child time to obey and when the parent follows through correctly at least 75 of the time after the child responds to a command either with praise after compliance or initiation of time-out after noncompliance. The final PCIT session