HELP FOR PARENTS WITH STRONG-WILLED, OUT-OF-CONTROL CHILDREN AND ADOLESCENTS

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WELCOME! Feel free to post a question in the chat room above. For information regarding psychiatric medication, please address your question to David McLaughlin, MD (Consultant: Psychiatry). For information regarding psychiatric testing, please address your question to Julie Kennedy, Psy.D (Consultant: Clinical Psychology). For all other questions, please address Mark Hutten, M.A. (Counseling Psychology). Someone will respond to your inquiry within 12 to 24 hours.

Parenting Out-of-Control Children & Teens - Part 1 of 25

Live PowerPoint Presentation by Mark Hutten, M.A. presented during the Parenting Seminar (2010) .......................................................Click Here for more PowerPoint Presentations

Tired of endless arguments? Wish your teen would listen to you? Are you at your wit’s end!?

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  • How to diffuse an especially explosive situation through humor, flexibility, and the ability to think outside the box
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  • How to manage hot points such as clothes, driving, Internet, and other topics
  • How to understand the way your teenager perceives the world
  • What you should never say to your teen
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With each Instructional Video, Mark will help you look inside your teen's mind and gain perspective into their world, while giving you insight to the motivations behind their actions and behavior.


Parenting adolescents can be extremely frustrating at times, but you are not alone.


Although there is no magic bullet that will make teens act differently, you can achieve the same drastic change by learning how to deal with and approach your teenager in order to get the results you want.


Author, Mark Hutten, M.A., writes from experience to help parents of teenagers like you.


After 20 years of performing home-based family therapy, Mark set out to understand the mind of the strong-willed, out-of-control teen in order to help parents create a better relationship with their teenagers. Not only did he get answers, he got results.


Mark’s eBook entitled “My Out-of-Control Teen” is the all time best selling eBook in ClickBank, and his "live" seminars are widely acclaimed.


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Interview with Mark Hutten, M.A. [Psychology Today]

A quote from an interview with Mark Hutten, M.A. [Psychology Today]:

“Strong-willed, out-of-control children will rehabilitate themselves when they are ready, and not a minute sooner. They will change their behavior when – and only when – they choose to. The job of parents is not to get children to obey. It is to simply teach them that responsible behavior results in one sort of consequence while irresponsible behavior results in quite another. Oppositional, defiant kids refuse to accept this fundamental reality until they are forced to experience a significant degree of discomfort related to their poor choices. Discomfort comes from parents’ implementation of tough love – and unfortunately, tough love is often tougher on the parent than the child, especially if the parent has adopted an over-indulgent parenting style over the years.”

Wednesday, July 08, 2009

When to Ignore Child Behavior

"Ignoring" behavior is an over-rated parenting strategy -- however, in some cases, it is the best strategy. Thanks to more than 50 years of research, we know how to change kid’s behavior. In brief, you identify the problem-behavior, define its positive opposite (the desirable behavior you want to replace it with), and then make sure that your youngster engages in a lot of reinforced practice of the new behavior until it replaces the unwanted one. Reinforced practice means that you pay as much attention as possible to the positive opposite so that your youngster falls into a pattern: Do the right behavior, get a reward (praise or a token); do the behavior, get a reward. Real life is never as mechanically predictable as that formula makes it sound, and many other factors will bear on your success—including your relationship with your youngster, what behaviors you model in your home, and what influences your youngster is exposed to in other relationships—but, still, we know that reinforced practice usually works. If you handle the details properly, in most cases a relatively brief period of intense attention to the problem, lasting perhaps a few weeks, should be enough to work a permanent change in behavior.

So, yes, you can change your youngster's conduct, but that doesn't mean you always should. When faced with a problem-behavior, first ask yourself, Can I let this go? Sometimes the answer is Hell, no! If your kid likes to spend hours at his window in full-body camo and a Sad Clown mask, tracking the neighbors in the sights of his BB gun, you'll probably want to put a stop to that right now. But a lot of behaviors fall into the lesser category of annoying but not necessarily worth addressing. Ask yourself if changing a behavior will really make a worthwhile difference in your youngster's life and your own.

Many problem-behaviors, including some that disturb moms & dads, tend to drop out on their own, especially if you don't overreact to them and reinforce them with a great deal of excited attention. Take thumb sucking, which is quite common up to age 5. At that point it drops off sharply and continues to decline. Unless the dentist tells you that you need to do something about it right now, you can probably let thumb sucking go. The same principle applies for most stuttering. Approximately 5 percent of all kids stutter, usually at some point between ages 2 and 5. Moms & dads get understandably nervous when their kids stutter, but the vast majority of these kids (approximately 80 percent) stop stuttering on their own by age 6. If stuttering persists past that point or lasts for a period extending more than six months, then it's time to do something about it.

There are a lot more behaviors, running the range from annoying to unacceptable, in this category. Approximately 60 percent of 4- and 5-year-old males can't sit still as long as adults want them to, and approximately 50 percent of 4- and 5-year-old males and females whine to the extent that their moms & dads consider it a significant problem. Both fidgeting and whining tend to decrease on their own with age, especially if you don't reinforce these annoying behaviors by showing your youngster that they're a surefire way to get your (exasperated) attention. Thirty to 40 percent of 10- and 11-year-old males and females lie in a way that their moms & dads identify as a significant problem, but this age seems to be the peak, and the rate of problem lying tends to plummet thereafter and cease to be an issue. By adolescence, more than 50 percent of males and 20 percent to 35 percent of females have engaged in one delinquent behavior—typically theft or vandalism. For most kids, it does not turn into a continuing problem.

Now, we're not saying that you should ignore lying or stealing or some other potentially serious misbehavior just because it will probably drop out on its own in good time. There's an important distinction to be made here between managing behavior and other parental motives and duties. Moms & dads punish for several reasons—to teach right and wrong, to satisfy the demands of justice, to establish their authority—that have little to do with changing behavior. You can't just let vandalism go without consequences, and it's reasonable to refuse to put up with even a lesser offense such as undue whining, but don't confuse punishing misbehavior with taking effective steps to eliminate it. Punishment on its own (that is, not supplemented by reinforced practice of the positive opposite) has been proven again and again to be a fairly weak method for changing behavior. The misbehaviors in question, minor or serious, are more likely to drop out on their own than they are to be eliminated through punishment.

Especially as your youngster gets older, more independent, and more capable of holding her own in a household struggle over behavior, you will need to practice parenting triage—asking, Is it worth drawing the line here? Be especially wary of slippery slopes, falling dominoes, and other common but not necessarily relevant rationales for intervening in your youngster's behavior.

Consider, for example, an adolescent's fantastically messy room, a typical flash point for household conflicts about things that really matter to kids and moms & dads, like autonomy and respect and the rights of the individual in relation to the family. Messiness is a habit, a set of behaviors, so it would not be difficult to define a positive opposite of mess-making, set up a system of rewards for cleaning up, and replace a bad habit with a better one. But let's first ask a basic question: Why focus on the messiness of your youngster's room? There may be good reasons to. It may be that your youngster never has presentable clothes to wear because they pile up dirty on her floor. Or her room could present a real sanitation problem, if there are dirty dishes or discarded food in there. Maybe there aren't enough clean forks in the house because they're all on her floor, in empty TV dinner trays.

These are significant matters that would need to be addressed right away, but what if the problem is not presentable clothing or sanitation or the household fork supply but just sloppiness? You could fix it, probably, but is it really that big a deal?

When you ask yourself, Why focus on it?, you may decide that it's not worth addressing the problem. Or asking Why focus on it? may help you to narrow down the problem to those elements that really do need to be addressed. Some aspects of a sloppy room may really be nonnegotiable: candles and incense near flammable material or rotting food or some other potential biohazard. If the mess is dangerous, if there are consequences for other people in the household, then it's certainly worth addressing. And, guided by your own answer to Why focus on it?, be prepared to trade an inessential for an essential. Let her keep her clothes on the floor if she does her own laundry and cleans up food mess as soon as she makes it.

Moms & dads frequently respond to Why focus on it? by expressing a worry that if they let their youngster be sloppy in her room she will be sloppy everywhere: in her personal appearance, in her schoolwork, in her career. They have fantasies about her getting fired in middle age for having a messy office. But when it comes to messiness, the slippery-slope argument is a fallacy. Having a messy room is an identifiable stage that tends to appear in adolescence and then go away. After the messy interlude of the preteen and teen years, most people return to or rise to some basic standard of neatness—a standard very likely resembling the one you have modeled in your own housekeeping.

So if your adolescent youngster keeps herself reasonably clean and presentable, and if the problem's not so severe that it's causing other problems, consider letting slide the messiness of her room as a stage she's going through. Yes, every mom or dad will always have a story of an adult who's a genuine slob to back up the claim that not everybody recovers from adolescent messiness, but those cases are exceptions. Really, how many adults do you know who have rooms like your kid's? Not many. They grew out of it. So why move heaven and earth—and increase the amount of conflict in the house, and use up energy and goodwill perhaps better reserved for more significant matters—to correct a problem that will almost certainly self-correct?

Of course, moms & dads can have their own real reasons to object to even a little messiness in a youngster's room. It could be that you're a very tidy person, and you just can't abide it. That's a legitimate complaint, but recognize that it's not about any abnormal behavior on the part of your youngster. Be straight about it with her. Tell her that you can't live with such a mess in the house, and that, together, you're going to have to compromise on some middle ground between your standard (no mess ever, anywhere) and hers (let the clothes fall where they may). As you work out the compromise, consider that, especially if the rest of your house is neat, your youngster's messy room is an expression of autonomy and independence, normal for her stage of development. And try to remember that clutter, however much it offends you, may not belong in the same category of urgency as things that can lead to permanent consequences—like those candles right under the curtains.

What if you just ignore a problem-behavior but don't reinforce its positive opposite? Extinction—eliminating an unwanted behavior just by ignoring it—does have the virtue of not reinforcing the problem-behavior by attending to it, but it's not a very effective way to change behavior. The research shows that extinction on its own is likely to fail. And even if extinction works in the long run, the problem-behavior you're ignoring often gets worse before it starts its slow decline, so you'll need to be disciplined and patient.

When the problem-behavior does get worse before it begins to go away—a recognized effect called "extinction burst"—moms & dads often become prematurely convinced that ignoring has failed and switch over to attending to the behavior again, explaining why it's bad, punishing it, yelling, and so on. This attention to the extinction burst unwittingly makes the behavior worse in two ways. First, the mom or dad attended to a more extreme example of the behavior than usual—so, for instance, if you're trying to eliminate tantrums, you've now reinforced tantrums that register on the Richter scale. Second, the mom or dad attended to the behavior after a period of ignoring it, which is called intermittent reinforcement and helps to maintain it. Yes, you can get back on track, but you have now made your task more difficult, and ignoring is more likely than ever to fail.

Let's say you have exercised yogic self-discipline and have successfully ignored an annoying behavior to the point that it begins to go away. As you continue to ignore the behavior and it declines (very slowly), one final nasty surprise lies in wait: Just when you think success is assured, the behavior may return out of the blue, almost as bad as ever. This temporary return, a predictable late spike, makes most moms & dads who get this far decide that they have failed and go back to attending to the behavior, returning them to square one. But the final spontaneous return of the behavior, a last gasp before it disappears for good, would be short-lived if you could tie yourself to the mast and ignore it. In some especially frustrating cases, a forewarned mom or dad does find the strength to ignore even this last onslaught, only to be undermined by a grandparent, spouse, or someone else in the house who feeds the futility by declaring defeat and jumping in to attend to the behavior.

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Interview with Mark Hutten, M.A. [Parents Magazine]

Interview with Mark Hutten, M.A. [Excerpts from Parents Magazine: American’s leading family magazine for parents offering proven tips, sure-fire techniques and straightforward advice from America’s foremost childcare experts]:


Question 1:



In what way do parenting and parent-child relationships differ from late childhood (age 10-11 years) through mid-adolescence (15 years)?


Although moms are less involved in kid's school activity as they grow older, kids feel their parents continue to provide school support in other ways. Moms & dads of older kids do not report different parenting practices than parents of younger kids. Nonetheless, as they grow older, kids feel the quality of their relationship with parents declines. Older kids report that their moms & dads understand them less and that they argue with parents significantly more. Older kids feel their moms & dads are less warm and more rejecting, and feel less at ease confiding in their moms and their dads than younger kids.


Question 2:



How do child adjustment and social relationships change over this period?


Age changes in social relationships were consistent across the two samples. Smoking, alcohol use and affiliation with peers who use drugs increase with age whereas self-esteem decreases. Older kids are less likely to use helmets and seat belts than younger kids. The quality of sibling relationships remains stable, but older kids have more positive relationships with friends than younger kids. Older kids are less victimized by others and feel safer around school than younger kids.


Question 3:



Do parenting practices, parent-child relationships and child adjustment differ for males and females during this period of development?


Moms & dads report similar practices in parenting sons and daughters. Nonetheless, females perceive their moms & dads as less rejecting and warmer than males. Males and females are equally at ease confiding in their moms, but females confide less in their dads than males.


Question 4:



Do effective parenting practices contribute to a positive parent-child relationship and, in turn, to healthy child development?


Harsher parenting (more yelling and use of physical punishment, less reasoning) leads kids to feel their moms & dads are more rejecting and cold toward them. How kids perceive their relationship with their moms & dads is related to child adjustment. Kids who enjoy a more positive relationship with their moms & dads are more likely to invest in school, to use seat belts and helmets, and to experience fewer serious injuries. They have higher self-esteem, feel less depressed and are less anxious. Kids who perceive their moms & dads as more rejecting are more likely to smoke and use alcohol; they are more aggressive, bully others more, commit more property offenses and affiliate more with deviant friends. They are also more likely to be victimized by others.


Question 5:



Do parenting practices influence child adjustment differently for females versus males or for younger versus older kids?


Overall, females are less aggressive, commit fewer property offenses, bully others less and are less often victimized by others than males. Moreover, although females have lower self-esteem and more internalizing problems, they have better relationships with friends, are more pro-social and are more involved in school than males. Nonetheless, the impact of parenting practices on females and males is similar. Parenting is also associated with adjustment in younger and older kids in similar ways. That is, for both females and males of all ages, angry, arbitrary parenting (i.e. low use of reasoning) is associated with a poorer parent-child relationship (i.e. child perceptions of moms & dads as less warm and more rejecting) which in turn is associated with poor child adjustment.


Question 6:



Do the influences of parenting and/or the quality of the parent-child relationship differ in social contexts traditionally thought to put kids at risk for maladjustment?


Although few social contexts (i.e. maternal education, family income, maternal employment and single-parent family) directly affect child adjustment, some influence the quality of parent-child relationships. Kids of moms with less education and kids in families with lower income tend to perceive their relationships with their moms & dads more negatively. These negative perceptions in turn are associated with poorer adjustment. Maternal employment and single-parent status do not affect child adjustment independent of parenting and the parent-child relationship.


Question 7:



Is there evidence that relationships with moms and dads differ in their contribution to adjustment?


Daughters and sons feel equally at ease confiding in their moms, but daughters confide less in their dads than sons. Kids who feel comfortable confiding in their dads are better adjusted in a number of ways.


Question 8:


Is adolescence naturally a period of strife and storm?


A vulnerability to negative health outcomes increases between late childhood and mid-adolescence. Adolescence is a challenging developmental period. Transition to high school is frequently associated with increased vulnerability to low self-esteem and feelings of incompetence, combined with greater risk for depression and antisocial behavior. Engagement in some types of delinquent activity is normative during adolescence and may be related to adolescent exploration of social rules and norms. Social pressures on teens to conform to peer group expectations also contribute to engagement in delinquent activity.


Most teens do not suffer from significant negative health outcomes. The quality of parent-child relationships plays an important role in adolescent adjustment. Secure attachment is important in providing a safe haven during times of stress and in promoting exploration during times of growth. Evidence shows that secure attachment buffers teens from the stress associated with transitions such as high school entry. Teens benefit from parental accessibility for emotional support, structure and monitoring regarding their engagement in delinquent behavior and their association with peers who support this behavior.


Question 9:


In what ways do moms & dads contribute to healthy adolescent development?


Parenting practices are an important determinant of adjustment in late childhood and adolescence. Moms & dads who use harsh discipline are perceived by their kids as cold and more rejecting. Kids who perceive their moms & dads as cold and more rejecting suffer from a wide range of poorer adjustment outcomes, including aggression, bullying, property offenses, smoking and alcohol use.


Teens need to feel that their moms & dads are engaged and supportive of them. Teens are more independent than kids in many aspects of their lives. Nonetheless, parents should support their teens by remaining psychologically available to them while, at the same time, fostering their autonomy. Specific parenting skills include warmth, acceptance of individuality, active listening, behavior monitoring, limit setting and negotiation.


Question 10:


Do moms and dads each play important roles in promoting healthy child adjustment?


The data limited how deeply we could investigate the unique roles of moms and dads in determining the adjustment of their kids. Nonetheless, our findings point out that dads play an important role in child adjustment, but that females find it harder than males to confide in their dads. If families can take steps to support the relationship between dads and daughters, females may benefit from this.


Question 11:


Is the influence of parenting on child adjustment the same in high- versus low-risk contexts? Do some factors like poverty and maternal employment cause poor child adjustment independent of what moms & dads do?


Many moms & dads worry that their child may suffer because of low family income or maternal employment. Our findings show that the impact of risk factors like low income and low maternal education on child adjustment is related in large part to how these risk factors influence parenting practices.


Question 12:


Are females or males more vulnerable during adolescence? Do moms & dads need to use different strategies in parenting their daughters versus their sons?


Some differences in child adjustment were observed between females and males. Nonetheless, the impact of parenting was similar for females and males. Effective parenting produces positive outcomes for both females and males alike.


Parenting is important for adjustment in adolescence.


A common misperception in society is that adolescence is a time of moving toward detachment from moms & dads. Many moms & dads believe that because the amount of time that teens spend with their families decreases dramatically, parents no longer matter and have little effect on how their teens function. Our findings show that although parent-child relationships undergo transformation during adolescence, the adjustment of teens depends in good measure on the quality of their relationships with their moms & dads.


Moms & dads need to recognize the continued importance of their relationship with their teens, despite the changes that occur in the nature of their interactions.


Recommendations for parents:


  • Teens need to feel that their moms & dads are engaged and supportive of them. Teens are more independent than kids in many aspects of their lives. Nonetheless, they require ongoing parental support in terms of moms & dads remaining open to communication and responsive if help is needed, while, at the same time, fostering adolescent autonomy. Specific parenting skills include warmth, acceptance of individuality, active listening, behavior monitoring, limit setting and negotiation.
  • Kids are more vulnerable to adjustment problems in adolescence than in childhood. Moms & dads need to anticipate that their adolescent requires increased support during periods of transition, such as entry into high school.
  • Obviously, adolescent adjustment is also determined by factors outside the family and the parent-child relationship. Even though moms & dads may only indirectly affect how peers, romantic partners and other social influences determine the adjustment of their kids, moms & dads' support through the stressful challenges of adolescence remains important.
  • Moms & dads need to recognize the continued importance of their relationship with their teens. Although the parent-child relationship undergoes transformation during adolescence, the adjustment of teens depends in good measure on the quality of their relationship with their moms & dads.
  • Parents need to recognize the special role of dads in supporting the well-being of their kids. Dads' increased psychological support of daughters may be particularly beneficial to them.



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