Week 2 Flashcards
According to our lecture, what is the single most empirically supported treatment strategy for increasing food acceptance in a child with a feeding disorder? And what is a limitation of this tactic?
- Tactic: Escape Extinction
- Limitation: Difficult to do (extinction burst) and harmful if done wrong and it is also emotionally difficult for parents to implement
It might be possible to get a child with a feeding disorder, who does not accept new foods, to try a bite by doing the following… Find a food that she likes (e.g., M&Ms), put the chocolate on a spoon, and feed it to her. She will be likely to accept it. Proceed to feed her 5-6 M&Ms in a row. Then, load next spoon with the non-preferred food (e.g., a pea) and deliver the instruction to eat. If the child accepts the non-preferred bite, this is an example of which tactic? What is a potential limitation of this tactic?
- Tactic (hint: it has 2 different names): High-Probability Instructional Sequence or Behavioral Momentum
- Limitation: The task may be overly complex, and the child may lack the motivation to comply or complete the task. Also, the rate of reinforcement
According to our text (Chapter 4), there are several tactics for treating expulsion and packing behaviors. Name 2 of them
- Escape Extinction
- Stimulus Fading or Differential Reinforcement
According to Richard and Dr. Binnendyk, WHO should begin an intensive feeding intervention with a child and who should not? Why?
- WHO: ABA or Feeding Therapist/Pediatrician
- WHY? Parents because it could lead to failure before they come and see an ABA or a Feeding Therapist/Pediatrician
Describe 2 potential side-effects or problems that might result from a child experiencing sleep disturbance. That is, how might a sleep problem impact the child and/or family before it is treated?
- Problem behaviors during bedtime and at night
- Impact on schedule/school/etc
- Daytime sleepiness
- Collateral damage to family or others… they aren’t sleeping either or have to deal with a grumpy person
Freddy is a 4 year old child with a sleep problem. His parents put him to bed at 7:00 PM but he usually stays up, causes problems, and does not fall asleep until 10 PM. Describe what a program of bedtime fading might look like
Put the child to bed later than their usual bedtime, and then gradually move the bedtime earlier each day until you reach the desired time. If the child doesn’t fall asleep within 15 minutes, take them out of bed and put them in a calm, distraction-free environment. After 30 minutes, put the child back to bed, and if they still don’t fall asleep, repeat the routine until they do
Two broad categories of sleep problems are: 1) problems going to bed, and 2) problems staying asleep. When it comes to behavioral treatment for sleep problems, it’s usually easiest to address which problem first? Why?
- Which problem first? Sleep onset
- Why? It’s usually easiest to address the sleep onset problem first because it can develop with specific objects, settings or activities that they start to rely on during bedtime. A few examples include keeping the bedroom lights on, listening to music, and sleeping with mom or dad in bed with stuffies all around