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Reply to "Question on kazdin method"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Funny. I just paid a behavioral therapist who wanted to talk through the Kazdin method and start from scratch on basic parenting. I went and just read the book and am frankly insulted that this is all that there is. It is not rocket science and does not answer specific questions I have about the intersection of ADHD and behavior. I’m surprised that this is basically all that is pushed for parents to follow, when this is a reasonable approach for any parents to use anyway. [/quote] Working through it weekly with a clinician was invaluable. You can’t compare it to reading the books.[/quote] +100. What Kazdin does is give a blueprint for how to implement skills that are actually hard to implement correctly - like correctly calibrating negative consequences. He also is quite good at discussing the positive consequences that work for different ages - like advised that teens need much more low-key praise and appreciation, but they still need it. These books are practical methods that apply to a range of underlying diagnoses (or no diagnosis). If you want a more theoretical understanding of ADHD you’ll have to look elsewhere. And also, the whole point of behavioral methods is that you sort of experiment and look at the behavior right in front of you. [b]You don’t say “well I cannot do anything until I know the root cause”. You don’t necessarily need any diagnosis.[/b] [/quote] And this is where Kazdin and Greene are opposites, because Greene's philosophy is you MUST know the cause before you can solve the real problem.[/quote] Because Greene is a genius.[/quote] Kazdin method works for a lot of kids. It ended up being a band aid for mine which is why we switched to CPS/ Greene which got us long term improvements. [/quote] I think some of this must have to do with age and underlying issues. My HFA child at 6 responded to Kazdin (which is really just traditional behavioral modification) and trying to “problem solve” why he was throwing things at me would have been pointless. Now as an articulate and calmer 13 year old, and approach like Kazdin wouldn’t work as well I think and it makes much more sense to include discussion and collaboration. But sometimes I still have to pull rank and issue commands. I worry that Greene gives the impression that parents are powerless to just … tell the kid what to do. [/quote] I think its very individualized. In our case we got about 5 months of improvement from our AuDHD 5 year old using Kazdin and we thought we had turned the corner. Then we hit a wall and fell into a downwards spiral with outbursts increasing in both frequency and violence. With the help of a therapist we analyzed and made a changes to what we where doing to try get back on track and it just did not work for our little guy any longer. Our therapist was at the point to be recommending Looking back the reasons I think it didn't work for us was: 1. Our child felt like his voice wasn't being heard. Working through the CPS process we've discovered a lot of unmet needs that he wasn't quick to verbalize in the moment that led to much of the conflict. 2. There wasn't enough we could do to positively reinforce good behavior. We got so desperate for improvement at the end that he was being offered ridiculous things (shopping cart full of whatever he wanted at Target/ weekend trip to Disney) for essentially not going out of his way to hurt us or destroy our home for a week. And no he never earned those things, thank God! The swap to CPS/Greene is what got us sustained long term success. Look they call it a spectrum for a reason and there plenty of real world results and academic research that support both methods. For whatever reason we found out our kid values having input over whatever praise/ prize/ etc. we could reinforce good behavior with. [/quote]
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