Amy Speech & Language Therapy, Inc.
  • Home
  • Speech Therapy Materials Store
    • Free SLP Downloads
  • Dysphagia
    • The Normal Swallowing Process
    • Brain & Cranial Nerves
    • Guidelines for Safe Swallowing
    • Imaging Examinations
    • Dysphagia Diagnosis
    • Hydration
    • Dysphagia Diets
    • Oral Care/Oral Hygiene
    • Predictors of Aspiration Pneumonia (AP)
    • Dysphagia Treatment Strategies >
      • Tube Feeding
  • Language
    • Developmental Milestones
    • Early Language Learning
    • Enhance Your Child's Communication
  • Aphasia
    • Symptoms of a Stroke
    • Language After Stroke
    • Aphasia Treatment
  • AAC
  • Autism
    • Therapy
    • Sensorimotor
    • Stimulation
  • Feeding
    • Oral Motor
    • GI Disorders in Pediatric Feeding
    • Drooling
  • Articulation vs Phonological
    • Speech Sound Development
    • Articulation Therapy Materials
  • Literacy
    • Reading
    • Processing Disorders
    • Literacy Treatment
    • Phonemic Awareness Treatment
  • Voice
    • Voice Tips
    • Voice Therapy
    • Voice Modifications
  • Motor Speech Disorders/Dysarthrias
    • Classifications of the Dysarthrias
  • Stuttering
    • Normal Fluency Development
    • Enhance Fluency at Home
    • Deal with Stuttering Effectively
  • Speech & Language Therapy Treatment Materials
    • Speech Therapy Material Links >
      • AAC
      • Speech Therapy APPS
  • Resources
  • Blog/News
  • Patient Advance Directives
  • The Speech & Swallow Clinic of South Florida
    • Speech and Language Services & Payment Options
    • Client History Forms
    • About Us >
      • Contact Us
      • Sponsorship & Collaboration
  • Contact Us
  • Speech Store

Are we Discriminating? Do Our Interventions Differ for Typical Children with Challenging Behaviors and those Children with Special needs and Challenging Behavior? Guest Blog by Adam Holstein P.D., L.P.

4/3/2014

 

How is it that we come to understand a child’s challenging behaviors?  In addressing a typical child’s challenging behaviors we do not jump to implement an ABA program, although one could ask; “Why not?”  With typical children and typical “challenging behaviors” the clinical approach utilizes a psycho-dynamic understanding.  We examine the history of the child’s emotional world and come to understand his behavior in the context of that world.  That is in the context of; who the parentsare and how they address or fail to address the child’s needs is examined.  How the child with the challenging behaviors views his parents is examined, understood and addressed in therapy.  A great many interventions also include behavioral interventionssuch as changing parent to child interactions and/or the environment.

I have spoken with hundreds of administrators and clinicians over the years and when we talk about a child’s challenging behaviors we refer to the interactions between themselves and the child along with their feelings and what we think the child isfeeling.  The dialogue invariably includes the impact pro and con of the parents and how they contribute to the child’s behavior, albeit unaware and unintentionally.  We understand the parents’ contributions of a child’s behavior in large part based on our understanding of the emotional world of the child.  Thisemotional world includes all significant adults and siblings.  

Yet, this emotional world is not addressed frequently enough in the world of child who has special needs and who is receivingservices via, early intervention, CPSE and CSE.  When working with children we address the developmental delays most often with interventions consistent with Applied Behavior Analysis.  When a special needs child is demonstrating Challenging Behaviors we have many issues to sort out.  We have to considerhow much of the behavior can be assign to;

•the biological disability, i.e., Autism, PDD, SID, ADD, ADHD developmental delays and so on?

•other potential underlying developmental issues?

•the child's feelings.  What feeling is the child trying to communicate?

•the child’s thoughts?

•the dynamics between all significant others?

•the physical and social environment?

•the child identifying with either parent and being like the parent?

Based on our understanding of the primary contributors of any given challenging behavior we begin to intervene in a systemic manner addressing the causes of the challenging behaviors.  Inthe world of typical children the approach is psychodynamicverses the world of children with special needs, the approach is behavioral.  Dare I ask; “Is the educational system discriminating?  Where is the therapy, psychodynamic intervention for the child with special needs?  

If you have a child in your practice who is demonstrating challenging behaviors and need help understanding the behavior and how to intervene please consider the emotional communication of the behaviors.  Parents too have to be willing to examine what the challenging behaviors are about beyond the manifest diagnosis their child has been given.    

As always I am available for consultation.

Adam J. Holstein, P.D., L.P.

Psychoanalyst/Behavior Therapist

Cell:  516.297.5705

www.BehaviorTherapists.org

Adam@BehaviorTherapists.org

 



Comments are closed.
    Amy Speech & Language Therapy, Inc

    RSS Feed

    View my profile on LinkedIn

    Amy Reinstein, M.S., CCC - SLP
    SIG 13 Affiliate

    Passion for all things Speech and learning to be a techie too!  Would love to hear feedback from viewers and if you have things you would like to see on the website, please contact me and I would be happy to oblige!


    Archives

    April 2015
    March 2015
    July 2014
    June 2014
    May 2014
    April 2014
    January 2014
    December 2013
    November 2013
    October 2013
    September 2013
    August 2013
    July 2013
    June 2013
    May 2013
    March 2013
    February 2013
    January 2013
    September 2012
    August 2012
    July 2012
    June 2012
    May 2012
    April 2012
    March 2012
    February 2012
    December 2011

    Categories

    All
    Alzheimers
    Applied Behavior Analysis (ABA)
    Autism
    CEU's
    Developmentally Delayed
    Dysphagia
    Hearing Loss
    Language Development
    Media
    Pediatrics
    Resources: Disabilities
    Resources: Disabilities
    Sensorimotor
    Skilled Nursing Facility
    Social Media
    Treatment


Amy Speech & Language Therapy, Inc.
amyreinsteinslp@gmail.com
​
ph: 561-739-2024



Copyright © 2020 Amy Speech Language Therapy. All Rights Reserved.
  • Home
  • Speech Therapy Materials Store
    • Free SLP Downloads
  • Dysphagia
    • The Normal Swallowing Process
    • Brain & Cranial Nerves
    • Guidelines for Safe Swallowing
    • Imaging Examinations
    • Dysphagia Diagnosis
    • Hydration
    • Dysphagia Diets
    • Oral Care/Oral Hygiene
    • Predictors of Aspiration Pneumonia (AP)
    • Dysphagia Treatment Strategies >
      • Tube Feeding
  • Language
    • Developmental Milestones
    • Early Language Learning
    • Enhance Your Child's Communication
  • Aphasia
    • Symptoms of a Stroke
    • Language After Stroke
    • Aphasia Treatment
  • AAC
  • Autism
    • Therapy
    • Sensorimotor
    • Stimulation
  • Feeding
    • Oral Motor
    • GI Disorders in Pediatric Feeding
    • Drooling
  • Articulation vs Phonological
    • Speech Sound Development
    • Articulation Therapy Materials
  • Literacy
    • Reading
    • Processing Disorders
    • Literacy Treatment
    • Phonemic Awareness Treatment
  • Voice
    • Voice Tips
    • Voice Therapy
    • Voice Modifications
  • Motor Speech Disorders/Dysarthrias
    • Classifications of the Dysarthrias
  • Stuttering
    • Normal Fluency Development
    • Enhance Fluency at Home
    • Deal with Stuttering Effectively
  • Speech & Language Therapy Treatment Materials
    • Speech Therapy Material Links >
      • AAC
      • Speech Therapy APPS
  • Resources
  • Blog/News
  • Patient Advance Directives
  • The Speech & Swallow Clinic of South Florida
    • Speech and Language Services & Payment Options
    • Client History Forms
    • About Us >
      • Contact Us
      • Sponsorship & Collaboration
  • Contact Us
  • Speech Store