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Toddler Behavior Rick Brandt-Kreutz, LICSW Providence Medical Group – St. Peter Family Medicine
Objectives ,[object Object],[object Object],[object Object],[object Object]
When is a toddler  a toddler? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Toddler Psychosocial  Development
Four key  parenting concepts ,[object Object],[object Object],[object Object],[object Object]
1. Understanding    Temperament ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Temperament activity  (handout) ,[object Object],[object Object]
Nine Traits of  temperament ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Ask yourself:
Three Types  of Temperament ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Temperament traits Easy (40%) Spirited (10%) Slow-to-Warm-up (15%) 1.  Sensitivity Low High 2.  Activity level Low High Low 3.  Regularity Regular Irregular 4.  Intensity Low High Low 5.  Approach/ Withdrawal Outgoing Withdrawl Withdrawal 6.  Adaptability Quickly Slowly Slowly 7.  Persistence Low High 8.  Distractibility Low or High High or Low 9.  Mood Positive  “ Serious”
“ Goodness of Fit” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Temperament helps me to understand my child ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2. Behavior is purposeful ,[object Object],[object Object],[object Object]
Cycle of behavior Remember: There is  REASON  for the behavior you see interpretation belief perception decision (private logic)
Look for MEANING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Developmental context  of behavior  (Milestone and Meaning Card) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why Tantrums? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tantrums ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tantrums: What to do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tantrums: What to do?
When should I ask my doctor for help? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3. Discipline with kindness and firmness (handout) High kindness  (respect for  child)   Low kindness (mean) Authoritative (democratic) Authoritarian/Abuse Low firmness High firmness (respect for self)  Neglect Permissive Rigid
4.  Enforce standards    consistently  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rules for Rules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Avoid Power Struggles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],How  the parent does it makes all the difference 
No Need to Yell ,[object Object],[object Object],[object Object]
Time out  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Time out
Spanking?
Use Time-In! ,[object Object],[object Object],[object Object],[object Object],[object Object]
Reduce undesired behaviors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],QUESTION: HOW might the parent reduce this undesirable behavior?  http:// www.youtube.com/watch?v =Gk- OfmmRaqs
SUMMARY: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Toilet Training ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
When is my child ready?  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Steps to toilet training ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Toilet training refusal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Toddler Sleep ,[object Object],[object Object],[object Object],[object Object]
Bedtime struggles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Toddler picky eating ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Picky eaters ,[object Object],[object Object],[object Object]
Toddler Eating Basics #1 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Toddler Eating Basics #2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],When should I ask my doctor for help?
 
Quality Child Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(NICHD)
Tips for Child Care  In-home or out ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Do I Look for  Safe, Quality Child Care? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Child Care and Parenting  Resources CHILD CARE  Child Care Action Council  360-754-0810 or 1-800-845-0956 or (360) 786-8907 Crisis short-term child care and assistance, referrals to child care.   Head Start:  360-464-6800. Español 464-6827  Free quality preschool for children 3-5 years old from low-income families. Sites located in Olympia, Lacey, Tumwater, Rainier, Rochester and Yelm.   DSHS Olympia Community Services Office (CSO)  360-725-6650 or 1-877-501-2233 Working Connections program 6860 Capitol Blvd, Tumwater, WA 98501 Show up at 7:30AM and apply for subsidized child care for low income persons
Child Care and Parenting  Resources
Child Care and Parenting  Resources
Questions?
References ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Parenting U: Toddler Behavior

  • 1. Toddler Behavior Rick Brandt-Kreutz, LICSW Providence Medical Group – St. Peter Family Medicine
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  • 4. Toddler Psychosocial Development
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  • 11. Temperament traits Easy (40%) Spirited (10%) Slow-to-Warm-up (15%) 1. Sensitivity Low High 2. Activity level Low High Low 3. Regularity Regular Irregular 4. Intensity Low High Low 5. Approach/ Withdrawal Outgoing Withdrawl Withdrawal 6. Adaptability Quickly Slowly Slowly 7. Persistence Low High 8. Distractibility Low or High High or Low 9. Mood Positive “ Serious”
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  • 15. Cycle of behavior Remember: There is REASON for the behavior you see interpretation belief perception decision (private logic)
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  • 23. 3. Discipline with kindness and firmness (handout) High kindness (respect for child) Low kindness (mean) Authoritative (democratic) Authoritarian/Abuse Low firmness High firmness (respect for self) Neglect Permissive Rigid
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  • 49. Child Care and Parenting Resources CHILD CARE Child Care Action Council 360-754-0810 or 1-800-845-0956 or (360) 786-8907 Crisis short-term child care and assistance, referrals to child care.   Head Start: 360-464-6800. Español 464-6827 Free quality preschool for children 3-5 years old from low-income families. Sites located in Olympia, Lacey, Tumwater, Rainier, Rochester and Yelm.   DSHS Olympia Community Services Office (CSO) 360-725-6650 or 1-877-501-2233 Working Connections program 6860 Capitol Blvd, Tumwater, WA 98501 Show up at 7:30AM and apply for subsidized child care for low income persons
  • 50. Child Care and Parenting Resources
  • 51. Child Care and Parenting Resources
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Notas del editor

  1. Of all the ‘lenses’ by which we can help parents to understand their children, temperament is one of the most useful and understandable as it individualizes the child, takes the onus off the parent for challenging traits, takes the blame off the child for challenging traits, helps parents to see what might be the most salutary environment for their child (i.e., improve “goodness of fit”).
  2. Any parent with a temperamentally difficult child looks bad. Don ’t blame the victim!
  3. One of main long-term goals of pediatric primary care: to improve “goodness of fit” between parent and child.
  4. Mis-behavior comes from mistaken belief of how to find belonging and significance
  5. Mis-behavior comes from mistaken belief of how to find belonging and significance
  6. consistency – can avoid in the 1 st place with routines many times -Give them a chance to learn the rules Studies show a reinforcer should be applied within 5 seconds of a target behavior Children who receive inconsistent and delayed consequences are similar to employees who are paid on an inconsistent and arbitrary schedule Behavioral principle of extinction- stopping the delivery of a reinforcer that previously followed a behavior resulting in the decrease in future probability of the behavior Like scribbling with a pen that has run out of ink Also works well for swearing
  7. Example: ??
  8. (begin rule setting after 6-8 months, prior to this the baby ’s cognative abilities are not developed enough) Set only rules that you will enforce Set your child up for success Set as few rules as possible Give as many choices as possible But, not unlimited choices "What do you want for breakfast?" will lead to hassles. "Do you want eggs or cereal?" Much better. Give children a choice when they misbehave: Do you want to stop playing or leave the table? If no decision is made, make the decision for them. Explain rules ahead of time: “ Tell me what the rule is?” Different rules at different ages and stages E.g., before 6-7, children do not have the capability of abstraction, i.e., “don’t go into the street” is because “mommy says so,” versus later, “because I need to keep myself safe.” Younger children need repetition and consistent discipline.
  9. Verbal abuse. The greatest mistake is using methods that cause permanent damage to our children. Emotional abuse may be even more disastrous than physical abuse.
  10. Generally as a last resort , often with yelling 93% Justify it…85% Would use something else 54% Feel guilty about it
  11. Decide words you will use Set out the potty chair Begin a routine (after naps, before baths) Let them watch you/siblings Praise all their efforts Consider going without the pull-ups