scholarly journals Time-Out with Young Children: A Parent-Child Interaction Therapy (PCIT) Practitioner Review

Author(s):  
Melanie Woodfield ◽  
Irene Brodd ◽  
Sarah Hetrick

Time-out is a component of many evidence-based parent training programmes for the treatment of childhood conduct problems. Existing comprehensive reviews suggest that time-out is both safe and effective when used predictably, infrequently, calmly and as one component of a collection of parenting strategies—i.e., when utilised in the manner advocated by most parent training programmes. However, this research evidence has been largely oriented towards the academic community and is often in conflict with the widespread misinformation about time-out within communities of parents, and within groups of treatment practitioners. This dissonance has the potential to undermine the dissemination and implementation of an effective suite of treatments for common and disabling childhood conditions. The parent-practitioner relationship is integral to the success of Parent-Child Interaction Therapy (PCIT), an evidence-based treatment which involves live coaching of parent(s) with their young child(ren). Yet this relationship, and practitioner perspectives, attitudes and values as they relate to time-out, are often overlooked. This practitioner review explores the dynamics of the parent-practitioner relationship as they apply to the teaching and coaching of time-out to parents. It also acknowledges factors within the clinical setting that impact on time-out’s use, such as the views of administrators and professional colleagues. The paper is oriented toward practitioners of PCIT but is of relevance to all providers of parent training interventions for young children.

2012 ◽  
Vol 17 (1) ◽  
pp. 47-55 ◽  
Author(s):  
Melanie McDiarmid Nelson ◽  
Jenelle R. Shanley ◽  
Beverly W. Funderburk ◽  
Elizabeth Bard

Child abuse and neglect affects many families each year, but evidence-based parent training programs can be instrumental in reducing maltreatment. Parent–Child Interaction Therapy, a parent training program developed for treatment of disruptive child behavior, has demonstrated effectiveness with families at risk of or exposed to child maltreatment. However, methods for disseminating this evidence-based intervention in community settings are not well understood. This study examined the association between community-based therapists’ attitudes toward evidence-based practices (EBPs) and their participation in an implementation research project in which they received two forms of consultation. Results showed that therapists’ self-reported unwillingness to diverge from EBPs was positively associated with their use of phone consultation and satisfaction with consultation. The degree to which therapists found EBPs appealing was positively associated with satisfaction as well. Open therapist attitudes toward EBPs were associated with greater attendance for online consultation. The next step in this line of research is to examine how therapists’ attitudes toward EBPs can be improved, if changing attitudes affects therapist acquisition of treatment skills, and if such improvements enhance implementation efforts.


2021 ◽  
Author(s):  
Andrew J. Kelly

Brown and Heathers (2017) introduced a mathematical technique to detect statistical irregularities in reported statistics in scientific articles, which they named Granularity-Related Inconsistency of Means (GRIM). Focusing mostly on social psychology, the technique revealed nearly a third of published manuscripts in respected journals contained statistical anomalies. To this point, there has been no survey using the GRIM technique in clinical psychology. Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment for child behavior problems with a long record of research with many impressive findings. PCIT presents a new context within which to further test the GRIM technique and to better understand how widespread statistical irregularities occur throughout psychological science. Of the PCIT manuscripts that I evaluated (N = 24), over half (N = 17; 70.83%) contained at least one statistical anomaly. From these 17 manuscripts, only 4 (23.53%) of corresponding authors who were contacted responded to an inquiry about that anomaly. These results slightly differ from the original GRIM paper, with a higher percentage of PCIT manuscripts containing GRIM inconsistencies and with a lower rate of sharing data.


1982 ◽  
Vol 10 (2) ◽  
pp. 146-161 ◽  
Author(s):  
Geoff Thorley ◽  
William Yule

A test instrument is presented which utilises role-play techniques to assess parenting skills in terms of behaviour modification techniques. The validity of the test is confirmed by its ability to measure established parenting skills as well as those acquired in a parent training exercise. The test should prove to be particularly useful in evaluating parent training programmes.


2017 ◽  
Vol 85 (9) ◽  
pp. 909-917 ◽  
Author(s):  
Jonathan S. Comer ◽  
Jami M. Furr ◽  
Elizabeth M. Miguel ◽  
Christine E. Cooper-Vince ◽  
Aubrey L. Carpenter ◽  
...  

2020 ◽  
Vol 19 (5) ◽  
pp. 370-385
Author(s):  
Heather Agazzi ◽  
Kimberly Knap ◽  
Eva R. Kimonis

Young children with conduct problems (CPs) and elevated callous unemotional (CU) traits (CP+CU) show more severe, stable, and aggressive CPs relative to children with CP traits alone. Children with CP+CU tend to benefit less from traditional treatment modalities for child CPs that rely on social attention and punishments compared with children with CP-alone, but respond well to reward-based behavioral management strategies. Emerging research suggests that the Parent–Child Interaction Therapy-Callous Unemotional adaptation (PCIT-CU) may be a compelling mechanistically targeted intervention for young children with CP+CU. This case study presents the treatment of a 4½-year-old boy with oppositional defiant disorder (ODD), attention-deficit/hyperactivity disorder–combined presentation (ADHD-C), and CU traits using PCIT-CU. Findings from this case study include (a) improvement in CP that was maintained at 4-month follow-up, (b) reduced parent ratings of CU traits over the course of treatment, (c) reduced negative parenting practices, and (d) preliminary support for adapting parent behavioral management training interventions for young children with CP+CU and comorbid ADHD-C.


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