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Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical College Discipline and Time Out

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Page 1: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Growing Together

Lawrence Pradell, MDStaff Pediatrician, Nemours Pediatrics at Peoples Plaza

Clinical Assistant Professor of Pediatrics, Jefferson Medical College

Discipline and Time Out

Page 2: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

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

Page 3: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

Behavior and the “Quick Fix”

What we will not do tonight

Page 4: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

Discipline:

The application of social rules in

response to behavior

(a working definition)

Page 5: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

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

people.

Page 6: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

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.

Page 7: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

Perspective:

Behavior Problem

Parent

Page 8: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

Perspective:

Behavior Problem

Child

Page 9: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

Perspective:

Behavior Problem

Pediatrician

Page 10: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

Pediatrician’s Foremost Concerns:

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

Or

Does the behavior concern suggest a problem in the caregiving of the parent that carries significant impact for this child’s progress and safety?

Page 11: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

Specifics of the behavior concern:

– Who– What– Where– When

Page 12: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

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

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

Page 13: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

Desirable Qualities of a Response:

– Immediate

– Intense

Page 14: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

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

Page 15: Growing Together Lawrence Pradell, MD Staff Pediatrician, Nemours Pediatrics at Peoples Plaza Clinical Assistant Professor of Pediatrics, Jefferson Medical

Discipline and Time Out

Questions?


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