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Discipline Health Article

Positive reinforcement

Positive reinforcement focuses on good behavior rather than on undesirable behavior. Parents should identify appropriate behaviors and give frequent feedback, rewarding good behavior quickly so that the child associates the "prize" with the wanted behavior. A reward can be a word of praise, a special activity, additional privileges, or material items. Many desirable behavioral patterns start to emerge as a part of the child's normal development. The role of parents is to notice these behaviors and provide positive attention to them. Some other desirable behaviors are not part of a child's normal development and need to be modeled and taught by their parents. These behaviors include sharing, good manners, effective study habits, among others. Parents need to identify those skills and behaviors they want their children to demonstrate and then make a concerted effort to teach and strengthen those behaviors. Children who learn through positive reinforcement tend to internalize the newly learned behaviors.

Extinction

Extinction is a type of discipline that seeks to prevent inadvertent positive reinforcement for negative behavior. "Time-out" is one of the most common methods in this category. For younger children, time out usually involves removing parental attention and praise or placing the child a chair or some other place for a specified time with no parental interaction. The environment should be neutral, boring, and safe. Time-out works well for children from 18 months up to five or six years of age and is particularly useful for temper tantrums, yelling, whining, and fighting. The session should end only when the child has been calm and quiet for at least 15 seconds. Time out should last for a specified time, usually one minute per year of life (to a maximum of five minutes). Withholding privileges is another form of extinction that is more appropriate for older children and adolescents. This strategy requires the removal of a valued privilege and works best if it is used infrequently.

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Author Info:

Deanna M. Swartout-Corbeil RN, Thomson Gale, Gale, Detroit, 2006

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