The Explosive Child â Dr. Ross Greene - GSSD Blogs
The Explosive Child â Dr. Ross Greene - GSSD Blogs
The Explosive Child â Dr. Ross Greene - GSSD Blogs
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Tracy’s Notes from <strong>Dr</strong>. <strong>Ross</strong> Green’s <strong>Explosive</strong> <strong>Child</strong> Conference<br />
May 2008<br />
3 <strong>The</strong>mes…<br />
<strong>The</strong> Collaborative Problem Solving Approach (CPS)<br />
1) Kids do well if they can…. We need to adopt this as a philosophy. If they can’t<br />
do well, we need to figure out what’s getting in the way, so we can help. Don’t<br />
use ‘kids do well if they want to’, because we all choose to do well if we can.<br />
2) Your explanation guides your intervention… How we explain what’s going on<br />
tells us what we’re going to do about it.<br />
3) Definition of “Good Parenting”, “Good Teaching” and “Good Treatment”…<br />
Being responsive to the hand you’ve been dealt. Don’t treat kids exactly the<br />
same; if you do, your not giving them what they need. Kids need different things.<br />
Conventional Wisdom: It’s not working - we often blame passive, permissive,<br />
inconsistent parenting and say the kid has learned that challenging behavior is an<br />
effective means of getting what they want (attention, or avoiding something such as<br />
homework). We need to question this traditional philosophy.<br />
Logical Intervention for our Conventional Wisdom: This is what we usually do -<br />
Train and motivate adaptive behavior through an intensive, consistent program of<br />
consequences and ignoring. This is what we’re doing, but is it working? We commonly<br />
suspend these students who don’t comply. We put too much energy into trying to make<br />
kids ‘want to…”<br />
Unconventional Wisdom - It’s a Developmental Delay: <strong>The</strong> child is<br />
delayed in the development of crucial cognitive skills – often including<br />
flexibility/adaptability, frustration tolerance, and problem solving ….or has significant<br />
difficulty applying these skills when they are most needed. (<strong>The</strong>y are lacking the skills to<br />
do thing in an adaptive way when they exhibit maladaptive behavior.) <strong>The</strong> belief is that<br />
these kids are deficit in skills, not in motivation.<br />
Maladaptive Behavior – includes, but not limited to, explosions. It occurs when the<br />
demands being placed on the person are higher than the person’s capacity to respond<br />
adaptively. <strong>The</strong>re is a spectrum of maladaptive behaviors ranging from pouting/sulking,<br />
to self injury to killing self or others. <strong>The</strong>se people are lacking skills. Challenging<br />
behavior is a learning disability just like reading – it is a deficit in skills so we should<br />
apply the same philosophy – teach them the skills they are lacking. Don’t treat them as if<br />
they could do better, but just don’t want to.
So the logical intervention…. Identify the lagging skills that are<br />
contributing to the maladaptive behavior and teach them; identify the<br />
problems precipitating maladaptive behavior and work toward solving them (while<br />
maintaining adults as authority figures). An authority figure is someone who identifies<br />
the problem and fixes it.<br />
Mantra… behind every challenging behavior is either an unsolved<br />
problem or a lagging skill. Let’s not just blame parents for challenging behavior<br />
that we’re not handling any better than they are.<br />
CPS Overview<br />
<strong>The</strong> CPS model views maladaptive behavior as a developmental delay and so the<br />
emphasis is on…<br />
• Different assessment (cognition, not behavior)<br />
o What’s going on in this kid’s head that we wish wasn’t?<br />
o What’s not going on in this kids’ head that we wish was?<br />
• Different goals of intervention - teaching lacking skills and solving problems, not<br />
teaching adults to be more effective at imposing their will and ensuring that kids<br />
have the incentive to comply.<br />
CPS Treatment Ingredients<br />
• Answer the question, “What lagging thinking skills and unsolved problems are<br />
setting the stage for the negative behavior in this child?”<br />
• Be aware of what your options are – for pursuing expectations, creating a helping<br />
relationship, teaching skills, solving problems, and reducing challenging behavior,<br />
and what each option accomplishes.<br />
• Successfully execute Plan B<br />
Pathways: <strong>The</strong> Hand You’ve Been Dealt (each of these categories contain a number<br />
of skills):<br />
• Executive Skills (often our kids with ADHD)<br />
• Language Processing Skills<br />
• Emotion Regulation Skills (kids with depression or anxiety)<br />
• Cognitive flexibility skills (Autism Spectrum Disorder)<br />
• Social Skills (Autism Spectrum Disorder)<br />
Lagging Skills:<br />
• Difficulty handling transitions, shifting from one mindset or task to another<br />
(shifting cognitive set) – the demands of their environment are hard on them. We<br />
want them to comply immediately and we demand this often of children lacking<br />
the skills to change/shift mindset. Kids need a chance to process the instructions<br />
or demands placed upon them. When rushed, the child will likely exhibit a<br />
behavior on the spectrum of maladaptive behavior because they can’t live up to<br />
the expectations placed on them.
• Difficulty reflecting on multiple thoughts or ideas simultaneously<br />
• Difficulty considering a range of solutions to a problem – they need to learn<br />
organized, planful problem solving (help them define the problem, consider<br />
possible solutions, and anticipate likely outcomes). When you ask them what the<br />
problem is, they often say “I don’t know” – help them sort out what the problem<br />
is.<br />
• Disorganized, impulsive problem solving – Kids who often can’t think of<br />
anything past their first solution, or they are so impulsive that they do the first<br />
thing that pops into their head. And often, the minute there’s a change in<br />
schedule or a ‘bump in the road’, these kids resist. Give them time and they may<br />
respond. Teach these kids to say “Can you give me a minute?” instead of “No”.<br />
And teach adults to ‘give them a minute”. Challenging behavior takes much<br />
longer to deal with than giving a kid a moment to comply. Be proactive rather<br />
than reactive. Prevention rather than intervention.<br />
• Difficulty considering the likely outcomes or consequences of actions<br />
(impulsive) Help them realize that the first solution is often not the right one. It<br />
usually takes more in-depth thinking to find a good solution.<br />
• Difficulty expressing concerns, needs or thoughts in words – We think through<br />
language. When language is challenged, humans can resemble dogs. For<br />
example, when upset and lacking language, we have three options – to bark at you<br />
(swearing is the ‘human bark’), lash out, or run away. <strong>The</strong> ability to express<br />
one’s self through language is a critical factor in behavior. If you think of adults,<br />
don’t we swear when we are frustrated and can’t think of a better way to express<br />
ourselves?<br />
Non-verbal children have difficulty letting others know what’s going on in their<br />
heads. <strong>The</strong>y often can’t tell us what’s bugging them so they revert to maladaptive<br />
behavior. Even non-verbal kids can use CPS to learn adaptive behavior.<br />
Remember, rewarding and punishing doesn’t teach kids language skills. If<br />
they are lacking language, we have to find ways to help them express themselves.<br />
• Difficulty managing emotional response to frustration so as to think<br />
rationally – kids need to be able to separate their emotions from the thinking they<br />
need to do to solve a problem. We need to do that to be able to actually solve<br />
problems. Teach them to think clearly in the midst of frustration and to stay calm<br />
enough to make this happen.<br />
• Chronic irritability and/or anxiety significantly impedes capacity for<br />
problem solving – when you treat an irritable kid like a pain in the butt, he’ll just<br />
get more irritable. Sometimes mood drugs can help, but remember, ‘pills don’t<br />
teach skills’, they just open the door for skills to be taught. Medication<br />
doesn’t fix bullying, learning disabilities etc. That’s why these kids need<br />
counselling as well. Many challenging kids are also sleep deprived – something<br />
to keep in mind as well.
Medication helps well with these conditions:<br />
• Inattention/disorganized thinking<br />
• Hyperactivity-impulsivity<br />
• Irritability/obsessiveness<br />
• Mood instability<br />
• General anxiety<br />
• Sleep<br />
• Tics<br />
More Lagging Skills:<br />
• Difficulty seeing the ‘greys’. <strong>The</strong>se are concrete, literal black and white<br />
thinkers – black and white thinkers are stuck in a grey world. As kids mature<br />
and develop, we expect more ‘grey thinking’, but some kids don’t develop this.<br />
<strong>The</strong>se are often our ASD kids. <strong>The</strong>y do much better with factual information and<br />
that’s why they seem so bright, because they can recall facts and all kinds of<br />
information. We have to be careful not to expect them to just understand our<br />
‘grey world’ and try to understand why they are having difficulty. <strong>The</strong>y do not<br />
choose to be this way – no one would choose to be this way.<br />
• Difficulty deviating from rules, routines, original plan – often our ASD kids<br />
• Difficulty handling unpredictability, ambiguity, uncertainty – they have<br />
difficulty being able to modify their thinking – they need to realize that you can’t<br />
solve each problem with the same solution. Different problem = different<br />
solution.<br />
• Difficulty taking into account situational factors that would suggest the need<br />
to adjust a plan of action.<br />
• Difficulty appreciating how his/her behavior is affecting other people; these<br />
kids are often surprised by others’ responses to his/her behavior – Social<br />
skills difficulty; many people in prison lack this skill. <strong>The</strong>y can’t interpret<br />
feedback from others – the smiles, the frowns of disapproval etc. <strong>The</strong>y don’t<br />
know how to adjust their behavior depending on the reaction they get from others.<br />
Teach them what various facial expressions and body language indicates.<br />
• Inflexible, inaccurate interpretation/cognitive distortion or bias – <strong>The</strong>se are<br />
the kids who think, “I’m stupid, things will never work out for me, it’s not fair,<br />
nobody likes me, you always blame me, people are out to get me etc.” This is an<br />
example of “what’s going on in their heads that we wish wasn’t.” <strong>The</strong>y interpret<br />
things as others are out to get them and then they retaliate.<br />
Bottom line – don’t punish these kids for what they can’t help!<br />
Challenging behavior is set in motion by lagging skills.<br />
Assessment Tools for assessing lagging skills:<br />
• Assessment of Lagging Skills and Unsolved Problems (ALSUP) – attached<br />
• Situational Analysis<br />
• Formal Testing (sometimes)
Most of the information can be gathered from the first two. Don’t try to make a<br />
diagnosis, but rather try to find the skills that are lacking and then materials needed to<br />
teach the skills. We need to transform school discipline and make it more proactive by<br />
identifying the skills that the challenging kids are lacking.<br />
ALSUP<br />
• Is a list of skills that are frequently found to be lacking in kids with social,<br />
emotional and behavioral challenges.<br />
• It is meant to be used as a discussion guide for achieving a plan – not simply a<br />
checklist.<br />
• Use the ALSUP in case meetings and have all collaborative team members fill it<br />
out together. <strong>The</strong>n come to a consensus on the lagging skills in the child. This<br />
helps the team focus on developing a proactive plan to teach skills that are<br />
lacking.<br />
Situational Analysis<br />
In what circumstances does this kid exhibit challenging behavior?<br />
• Triggers (the who, what and when of challenging behavior)<br />
o Home – homework, screen time, diet, interactions with a particular<br />
family member, going to bed, morning routine, sensory issues etc.<br />
o School – circle time, getting down to work, staying on task, riding the<br />
bus, recess, lunch, interactions with a specific person, sensory issues<br />
etc.<br />
o 10% rule – if it causes trouble 10% or more of the time, write it down<br />
as a problem. List the unsolved problems.<br />
Challenging behaviors are highly predictable. It is not true that you never know when<br />
he is going to blow – you’ll find this out if you document the unsolved problems through<br />
situational analysis. If you find out, then you can intervene proactively rather than<br />
reactively to a blowup.<br />
<strong>The</strong> following are dead-end explanations that don’t allow us to intervene because we<br />
don’t know what skills the kid is lacking. eg. “He has bipolar disease, she’s adopted, he<br />
just wants attention, he wants his own way, he wants control, he’s manipulating us, she<br />
has a bad attitude, she makes bad choices, she won’t cooperate.”<br />
Actually many of us want control and want things our way, BUT we learn to<br />
do it in adaptive ways rather than maladaptive ways. If a child is using maladaptive<br />
behavior to get what he wants, we have to assume that he doesn’t have adaptive skills.<br />
If the explanation guides the intervention, all of these excuses lead to dead ends<br />
because these are things we can’t change, BUT we can TEACH SKILLS, so let’s focus<br />
on the skills that are lacking.<br />
It’s so important to make this a collaborative process with the parents, however, if<br />
parents choose not to implement a proactive plan at home, it’s still important to have one<br />
environment doing the right thing and teaching the skills the child is lacking.
Are we really giving kids the opportunity to cooperate and collaborate? We are<br />
quick to say they won’t cooperative, but make sure they have the opportunity.<br />
Our traditional method is to teach kids right from wrong and employ consequences.<br />
Sometimes natural consequences also teach kids lessons. Most kids actually know right<br />
from wrong, they just can’t deliver due to their lack of skills. If you employ<br />
consequences, don’t make them unnatural and illogical, and expect them to be effective.<br />
Instead, ask yourself, what skills is this kid lacking?<br />
Think twice about using a reward program where the good kids are always rewarded in<br />
the class and the ones who have challenging behavior often don’t get the reward. You<br />
don’t have to teach the good kids how to behave – they already know. All this does is<br />
cause frustration to the child who is lacking the skills to do well. Teach them the skills<br />
he is lacking and make adaptations to allow him to achieve and succeed. Decrease his<br />
frustration and you’ll decrease the maladaptive behavior.<br />
Don’t say a child isn’t motivated. Believe that every child wants to do well, they’re<br />
just lacking skills to get them there. Imagine if a child was drowning (obviously lacks<br />
swimming skills), would you say “He’s not motivated to live.” Would you offer him a<br />
sticker if he saves himself? Would you say he’s just seeking attention? Would you<br />
threaten him with a time out if he doesn’t save himself? How silly!! We can’t let kids<br />
drown!<br />
Three Plans:<br />
Plan A – impose adult will – this is the most popular and the way we usually operate.<br />
Plan A works for some kids, but it causes challenging behavior in challenging kids.<br />
It’s also Plan A when we say, “You need to do this or else…..you have to leave the class<br />
etc.)<br />
Plan B – collaborative problem solving – will accomplish all goals below. This is a<br />
model where you do something ‘with the kid’, not ‘to the kid.”<br />
Plan C – <strong>Dr</strong>op it (for now, at least) For example, “I know the skills this kid is lacking<br />
from doing the ALSUP. I’ll remove some expectations for now so I can focus on the<br />
priorities. I can’t fix all the problems at once.” This is one way to reduce challenging<br />
behavior because you remove expectations that the kid can’t meet.<br />
Only Plan B addresses all of the following:<br />
- pursues unmet expectations<br />
- creates a helping relationship<br />
- identifies and teaches lagging thinking skills<br />
- collaboratively solves problems<br />
- reduces challenging behavior<br />
* If all you’re using is Plan A and C, then you’re just picking your battles, but you’re<br />
still battling!
We need to use Plan B because the child has shown he needs someone to serve as his<br />
‘tour guide’ for navigating problems and regulating emotions. Over time, this plan<br />
will teach kids skills so they won’t need help for the rest of their life. Once they learn the<br />
skills they are lacking, the problems can be solved. We wouldn’t say that we can’t give a<br />
child in Gr. 2 reading help because he might need it for the rest of his life. Instead, we<br />
would develop a plan to teach him the skills he is lacking. We need to do the same with<br />
behavior – treat it like a learning disability and teach skills that are lacking.<br />
Remember, an unrealistic expectation is a challenging behavior waiting to happen.<br />
Have realistic expectations.<br />
Two forms of Plan B:<br />
• Emergency – takes place in the midst of maladaptive behavior; can be used<br />
for solving problems, but more useful for crisis management or de-escalation.<br />
<strong>The</strong> hard way is starting with this plan - don’t wait to talk about homework<br />
issues until your child’s in the middle of a hard assignment that’s due<br />
tomorrow.<br />
• Proactive B – This is the most preferable and most important. It takes place<br />
well before the maladaptive behavior recurs; you are more likely to solve<br />
problems durably here.<br />
Plan B Entry Steps<br />
1. Empathy - the goal of this stage is to gather information and achieve an<br />
understanding of the kid’s concern or perspective on an issue.<br />
a. Begin with a neutral observation ie. ‘I’ve noticed that…’ and end with<br />
‘what’s up?’<br />
b. Use reassurance for additional calming – “I’m not saying you must”, “I’m<br />
not mad at you”, I’m just trying to understand”, “I’m not saying you<br />
can’t.”<br />
c. You must get a very clear understanding of the child’s perspective. Don’t<br />
rush – you’re not done with this step until you have a clear understanding<br />
of the kid’s concern or perspective<br />
d. May require ‘drilling down’ or further clarification – “How so?”, “I don’t<br />
quite understand”, “Can you tell me more about that?”, “I’m confused.”<br />
e. Be prepared for surprises – we are often wrong in what we think the<br />
problem is. Problems you’re not aware of can surface here.<br />
f. Be neutral and blameless.<br />
2. Define the problem – the goal is to ensure that the adult’s concern or perspective<br />
is entered into consideration (possibly with “<strong>The</strong> thing is…” or “My concern<br />
is…”<br />
a. Just get concerns on the table right now, don’t worry about solutions yet.<br />
We’re quick to try to put solutions out – let them be part of coming up<br />
with solutions later.<br />
b. Reminder – dueling solutions = a power struggle. CPS is a win/win<br />
situation where dueling solutions is a win/lose or power struggle.
c. If there are only adult concerns on the table, it’s Plan A.<br />
d. If there are only child concerns on the table, it’s Plan C.<br />
e. If there’s both, then it’s Plan B.<br />
f. Good adult concerns – safety, learning, how behavior is affecting others<br />
g. What if the kid doesn’t care about your concerns? You could thank him<br />
for being honest, and tell him that you’re really trying to take his concerns<br />
into account, and if he could try to take yours into account, maybe we<br />
could get somewhere and not always be fighting. “Let’s be on the same<br />
team” or “Let’s work together to solve this problem”.<br />
3. Invitation – Goal is to brainstorm solutions together so as to address both<br />
concerns.<br />
a. Let the child know that this is something you’re doing with him rather<br />
than to him.<br />
b. Invite the kid to help you solve the problem. Give him a chance to express<br />
his ideas so he knows you value his opinion.<br />
c. “Let’s think of how we can work that out.”, “Let’s see if we can solve that<br />
problem.”, or “I wonder if there’s a way...”<br />
d. Give the child first opportunity to generate solutions – “Do you have any<br />
ideas on how we could…” but resolution of the problem is part of a team<br />
effort.<br />
e. Don’t think adults are the only ones who can come up with good ideas. If<br />
you are truly doing Plan B, you will have no idea where things will end<br />
up.<br />
f. Don’t be fearful of this process because any solution that the two parties<br />
agree upon must be realistic and mutually satisfactory. Your concerns<br />
and various solutions will be addressed just as the child’s. He won’t<br />
explode because he feels like part of the plan and that his concerns are<br />
being heard. <strong>The</strong> skills he needs are being taught to him through this<br />
process. Don’t agree to do something you don’t agree with. Keep<br />
talking until you can find a solution that works for both of you.<br />
Beginning B<br />
• Start with triggers – “I noticed that when you lose points in class, it’s very<br />
upsetting for you. What’s up?<br />
• Start with triggers rather than lagging skills as it’s too hard to start this way. Only<br />
start with lagging skills when kids are lacking the skills to do Plan B in the first<br />
place.<br />
• Choose triggers that are contributing to the kid’s worst moments and the<br />
maladaptive behavior most often, and those that would be most conducive to<br />
success.<br />
• Plan B always ends with an agreement that we’ll keep talking and address<br />
concerns as they arise.
Emergency B<br />
• Only difference is timing and the wording of the Empathy step (reflective<br />
listening)<br />
• Biggest challenges for schools in transforming school discipline<br />
o Improving adult’s understanding of challenging behavior<br />
o Shifting from reactive to proactive mechanisms<br />
o Involving kids in solving the problem – hearing their perspective<br />
o Principals need to get staffs to collaborate with kids using Plan B rather<br />
than just bringing the student to the principal and expecting them to fix the<br />
problem using Plan A. This is not effective.<br />
Trouble Shooting Plan B<br />
Factors to consider if Plan B isn’t going well:<br />
• Missing steps – empathy or invitation<br />
• Using A instead of B<br />
• Steps out of order<br />
• Failure to drill down – the problem is not as explicit as you need. A poorly<br />
described problem will affect the outcomes/solutions that will arise. Go back if<br />
you have to and gather more information if needed.<br />
• Solutions, rather than concerns are on the table.<br />
• Over-reliance on Emergency B – proactive B is calmer, you get more information<br />
and you have more time.<br />
This is Hard!<br />
• Early on it feels like slogging through mud<br />
• Over time a rhythm should develop<br />
• Very difficult problems will require more than one discussion<br />
• Sometimes it’s necessary to take a break from the discussion and return to it later,<br />
after both parties have had more time to think<br />
• Initially, the kid is likely to propose solutions that are not realistic or mutually<br />
satisfactory<br />
• <strong>The</strong> first solution seldom solves the problem durably<br />
• This is a process, not a technique. Things are not solved in an instant.<br />
• By achieving a clear understanding of the kid’s lagging skills, challenging<br />
episodes are reduced.<br />
• By decreasing the use of Plan A, you further reduce challenging episodes<br />
• By increasing the use of Plan C, you also further reduce challenging episodes<br />
• By increasing the use of Plan B, many problems are being solved and skills being<br />
trained … and again you further reduce challenging episodes<br />
What if the kid can’t or won’t talk?<br />
• Identify and articulate concerns so as to identify the problem to be solved<br />
o Educated guessing – there’s only a certain number of possibilities or<br />
reasons for the problem. If you make an educated guess, you may be<br />
able to guess the problem.
o Have kids understand their triggers and then point to pictures or learn<br />
to use phrases to communicate the problem. Have a list of common<br />
triggers with related pictures they can use ie. Hungry, too hot,<br />
someone’s teasing me, someone’s mad at me, don’t feel good etc.<br />
o Train a rudimentary vocabulary for verbalizing concerns. Teach them<br />
to say, “Something is wrong”, “Give me a minute”, “I don’t know<br />
what to do”, “I need a break,” or have a picture cue that they can use to<br />
relay this. This will help them lengthen their fuse so they don’t resort<br />
to maladaptive behavior when they can’t express what’s wrong.<br />
• Consider possible solutions<br />
o If the kid has no ideas, you could say, “Well, I have some. Want to<br />
hear them?” Phrase them as proposals, not directives.<br />
o Train a rote problem solving vocabulary – ask for help, give a<br />
little (compromise), do it in a different way. Teach kids they can<br />
use these three steps to solve problems in all environments.<br />
Powerful Quotes<br />
• Fair does not mean equal.<br />
• In our classroom, everyone gets what they need.<br />
• In our classroom, we help each other.<br />
o Teach kids to empathize with others.<br />
o When teachers do the same for all kids, they have little to show for their<br />
efforts.<br />
o Would a doctor give each patient the same treatment, or would they give<br />
each patient what they needed? That’s what teachers need to do too.<br />
Important <strong>The</strong>mes<br />
• Remain calmly optimistic and relentlessly persistent in the face of all odds<br />
• All change is incremental (and collaborative)<br />
• To implement this, you need staffs to recognize that what they are doing isn’t<br />
working and they need to try something different – Plan B.<br />
• Plan B sets limits as much as Plan A – just without the challenging behavior<br />
• Our world is a Plan B world – kids need to learn how to share their ideas and<br />
concerns in an appropriate way and to compromise/collaborate if they are to be<br />
successful as an adult.<br />
• Just punishing them doesn’t teach them real world skills. Our role is to ‘figure<br />
out what’s getting in the way’ of a child doing well.<br />
• All challenging behavior tells us is that we have something to fix, but we have to<br />
figure out what needs fixing.<br />
• <strong>The</strong>re are way too many suspensions and expulsions because we haven’t learned<br />
how to effectively deal with kids who are lacking skills.<br />
• All behavior, no matter how bad, is due to kids not being able to meet the<br />
demands placed on them.<br />
• Never forget – it’s about the kids!<br />
Additional information at www.thinkkids.org