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Oppositional/Defiant Disorder
What
makes the oppositional child that way?
Some
physiological correlates appear, primarily involving
difficulties in soothing and in responding appropriately to
stimulation in the early years of life.
A high co-morbidity rate with ADHD and learning
disabilities suggests that an underlying subtle brain
dysfunction may be related to this problematic behavior and
response pattern.
One clear element that creates and sustains a pattern
of oppositional behavior is an effort on the child’s part to
maintain a sense of control and efficacy within his or her
environment.
What this means is that the child has a stronger than
average need to feel that interactions and events in her or
his life are predictable and that he or she is able to
produce predictable events through specific personal
behaviors.
Unfortunately, for the oppositional individual the
short-term sense of comfort and strength derived from
successfully frustrating adults and avoiding unpleasant
tasks often outweighs the long-term costs associated with
the behaviors.
In
addition to the variables within the oppositional
individual, many factors in the people and environment
around that individual can contribute directly to a pattern
of oppositional and defiant behaviors that interfere with
normal functioning. Foremost among these factors is the style of
discipline that has typically been used with the individual.
Inconsistent and/or harsh discipline and interaction
styles will increase the likelihood ODD developing.
In your
setting, there should be clear, simple and consistent
behavioral expectations across settings within the school.
Teachers and support staff must work together as much
as possible to reduce variability in enforcement patterns
across classes and areas.
All individuals responsible for the behavior of
students should use a similar set of warnings and
consequences.
This does not mean that there should be no use of individual
judgment in dealing with different students or different
circumstances.
It just means that everyone should be very clear on what the
order of behavioral intervention should be and there should
be general consensus among the staff on what behaviors merit
intervention.
This consensus can be built through meetings and discussions
regarding behavior management and violence prevention, or
through an internal document that is examined and
responded to by all of the staff members at the beginning of
the year and updated regularly.
When any
authority figure sets limits, it should be done in a direct,
firm but not angry manner.
Tell the student in a calm voice what he or she can
do that will replace the inappropriate behavior.
For example, rather than saying “Stop yelling” say
“Please walk in the hall.”
Instead of saying “Don’t yank on her hair” say “Keep
your hands in your pockets.”
If the student does not comply within a few seconds,
give the student a warning, indicating that he or she must
choose to either comply with your instruction or choose to
accept some negative consequence, such as standing against
the wall or missing out on five minutes of recess, or going
to the back of the line for lunch.
Give the student a little bit of distance and a few
moments to choose.
If they choose to comply, give a brief labeled praise
“Thanks for minding, you made a good decision.”
If they choose the consequence, enforce it
immediately saying “All right, you have chosen to ______.”
Remember that actively teaching coping skills
is the responsibility of all teachers and support staff to
all students, not just their own.
An essential element of teaching this is to emphasize
in all interactions the fact that the student can only be in
control of a situation by making adaptive choices rather
than fighting the established rules.
Remember, though, that the student can only make the
adaptive choice if there is no way that the maladaptive
choice will result in positive or negative reinforcement.
Copyright 2004-2008 by Edward L. Coyle, Ph.D. All rights reserved. May be reproduced only for personal use and may not be distributed without written permission under penalty of law.