Why Children Misbehave —- Under Construction

“In his McKenzie’s book: Theory and Practice with Adolescents he understood that adolescent acting out was related to their search for love and structure not only in the outside world but within themselves”. (p138)”
What does this mean to you?
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A1: This was a surprisingly tricky question/concept for me to address. (Note: As I am by no means an expert in child development I have quoted directly from others. )

I) Why do teens “act out”?:

a) Frontal Lobes:
“For many years it was thought that brain development was set at a fairly early age. By the time teen years were reached the brain was thought to be largely finished. However, scientists doing cutting-edge research using magnetic resonance imaging, or MRI, have mapped the brain from early childhood into adulthood and found data contrary to these beliefs. It now appears the brain continues to change into the early 20’s with the frontal lobes, responsible for reasoning and problem solving, developing last.”
(source: http://www.edinformatics.com/news/teenage_brains.htm)

b) The Prefrontal Cortex:
“Every parent of a teenager is familiar with the special behavior that puberty seems to induce – mood swings, slammed doors, rash decisions. Parents often blame such erratic temperament on surging adolescent hormones, but it turns out that the brain has something to do with it, too.
Silvia Bunge, assistant professor of psychology, tells about her research team’s work, showing that adolescent minds haven’t yet developed the same reasoning abilities as adults, and her hopes that this research can improve education methods, as well as the legal system.
Specifically, a teen’s prefrontal cortex – the piece of brain right behind the forehead that is involved in complex decision making – is not capable of the kind of reasoning that allows most grown-ups to make rational decisions.
Neuroscience research has shown that while teenagers’ feet may be done growing by the end of high school, their brains are not. The prefrontal cortex of a 15-year-old is very different from that of a 30-year-old, both physically and in how it’s used. For many teens, the output of their underdeveloped decision processing centers may be as mild as choosing a bag of cheese puffs for lunch or a new purple hairdo. But some youngsters take bigger risks – such as stealing a car or trying drugs. More 17-year-olds commit crimes than any other age group, according to recent studies by psychiatrists.”
(source: http://www.berkeley.edu/news/media/releases/2008/10/16_neurolaw.shtml)

c) The Amygdala:
“When looking at a picture of an individual expressing an emotion “(t)he teens were using a part of the brain called the amygdala, which largely controls emotions, while the most active part of the adult brain was the part controlling logic and reason. That means that if you are expressing an emotion—say, disappointment—a teen’s brain has a 50% chance of misinterpreting it as a different emotion, like anger. Then, since the emotional part of their brain is already active from making that (incorrect) judgment, they become more likely to react irrationally and over the top.”
(source: http://mentalfloss.com/article/29895/5-reasons-teenagers-act-way-they-do)
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d) Other factors may include:

  • hormones
  • family & peer relations
  • identification of the self
  • self-acceptance
  • executive functioning (development of) (i.e. managing frustration, monitoring & regulating actions, etc.)
  • media messages

II) The Search for Love & Structure:

Ultimately  “(a)ll behaviour serves a function’.” It follows then that, “that adolescent acting out was related to their search for love and structure not only in the outside world but within themselves.”
Taking the above into account, and keeping in mind that this is a time when both internal and external factors are ever changing, confusing, developing, etc., the need for love and structure, for acceptance and guidance, for affection and supervision may well be at an obvious high.
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Q2: “How do you see evidence of this in your practice and/or the world around you?”  

A2:  In the classroom, students may act out in order to find and define that “line in he sand”; they are testing limits in order to establish boundaries.
At times they may be acting out in order to best impress others; to try to establish some kind of pecking order.

At times they may simply misinterpret the actions/messages of peers and or teachers (see: c) The Amygdala above) .
Students may have difficulty with the concept of “fair” vs. “equal”, and become quite “agitated” when it appears that someone is receiving special privileges. They may also confuse “tattling vs. telling”.
In my practice it is ever important for me to make accommodations that best provided a structured and supportive environment for my students … one in which students feel supported, valued and are able to take safe risks. In this way they are best able to achieve individual goals.

Our classroom accommodations include (but are in no way limited) to the following:

  • Timetable clearly posted
  • Classroom rules & expectations clearly posted
  • Alerting students to any changes our timetable
  • Structured breaks
  • Preferential seating
  • The use of a study carol if desired / or a “safe” time out space
  • Breaking assignments and concepts in manageable chunks
  • Having students repeat instructions in order to ensure for understanding
  • Allowing for additional processing time
  • A cueing system (i.e. before giving instructions, to redirect to task, etc.)
  • Modelling and reviewing organizational skills
  • Setting students up for success
  • Being consistent with expectations, rewards & discipline
  • Additional time for tests
  • Colour-code for binders and notebooks

Additional “Classroom Accommodations for Specific Behaviour” can be found here: http://www.caddac.ca/cms/page.php?66
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References (in addition to those sited above)

Websites:

 A Neuroscientist’s Survival Guide to the teenage brain
“The Globe and Mail”
Published Thursday, Jan. 08, 2015 3:03PM EST
Last updated Thursday, Jan. 08, 2015 3:16PM ESTSource: http://www.theglobeandmail.com/life/parenting/a-neuroscientists-survival-guide-to-the-teenage-brain/article22363180/

Inside your teenager’s scary brain – New research shows incredible cognitive potential—and vulnerability—during adolescence. For parents, the stakes couldn’t be higher.
http://www.macleans.ca/society/life/inside-your-teenagers-scary-brain/

The Teen Brain: Still Under Construction
http://www.nimh.nih.gov/health/publications/the-teen-brain-still-under-construction/index.shtml?utm_source=LifeSiteNews.com+Daily+Newsletter&utm_campaign=2c0fa9560b-LifeSiteNews_com_Intl_Full_Text_12_18_2012

Readings:

Rogers, K., Rose, H. (2002).  Risk and  Resilience Factors among Adolescents Who Experience Marital Transitions. The Journal of Marriage and Family.

Shapiro, Lawrence. (2010) The ADHD Workbook for Kids: Helping Children Gain Self-Confidence, Social Skills, and Self-Control.

Schab, Lisa M. (2013). The Self-Esteem Workbook for Teens: Activities to Help You Build Confidence and Achieve Your Goals .
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Resilience

Resilience

According to A. S. Masten and J. Obradović, “(r)esilience refers to the process of, capacity for, or outcome of successful adaptation despite challenging or threatening circumstances..” (http://bit.ly/1C6ON1v).

“Some of characteristics or dispositions of resilience include:

  • Bouncing Back
  • Managing Emotions
  • Awareness of Strengths and Assets
  • Passion-Driven Focus
  • Resourcefulness
  • Sense of Personal Agency
  • Ability to Reach Out to Others
  • Problem-Solving Skills”

(source: https://usergeneratededucation.wordpress.com/2013/06/30/resilience-the-other-21st-century-skills/)

I personally believe that “(f)amilies and individuals are (more often than not) resilient and have strengths and resources that can be leveraged / used in building positive courses of action, (and) solution(s) (in order to achieve) client change”. (Pleaase note that I admit that I have changed the phrasing of the aforementioned!!!!!!) I further believe that in order to honour both the individual and the process, all those invested in an individual’s life (including – although not limited to – friends, family, health professionals, teachers, etc.) must rally around the individual in crisis. They must work together with the “client” in order to identify the cause(s) of “dis-comfort” and/or “dis-ease”. They ought to spend as much – and yet as little – time as possible on the identification process, and then move forward ASAP. The “team” must move on, and say to one another, “& …. So now what? Where do we all go from here?” Furthermore, in order to fully be there for an individual, the parent(s), health professionals, friends, teachers, etc. must come together to identify not only the “client’s” needs but also their individual strengths. For these strengths, these talents, areas of resilience, assets, gifts, strong points, etc. are surely invaluable; they are assets/integral parts of the healing process. They provide authentic/believable/trustworthy hope, optimism, anticipation, courage, confidence,

Those seeking to aid an individual must truly understand them/the strengths, value them, and use them in order to address individual needs. They are points of leverage. Furthermore, I do not believe that it is appropriate or healthy to “build a therapeutic alliance without” this “team” & their recognition firmly place.

Please indulege me in a little bit of personal refelction, as a result of living with a sister who is bipolar, and teaching children who are on the spectrum, have anxiety disorders, depresssion, ADHD etc. . Please know, that it is from what I have seen and felt first hand that I come to you with this:
If I were ever a patient – and was “ready”- I would want to feel a part of the recovery process -a strong, significant part of that process. I imagine that once “I was” ready, I would want to truly know/believe that I have some sense of control, some sense of value both during and after the process. I would want to be heard and respected (wrong or right I would want to be respected … it is my body, my experience, my life). I would want those professionals who support me to not simply view me as a “patient/illness”, but rather as someone who is capable of being a part of he process. I would want them to help me to identify, recognize and mostly accept my strengths and those who have my best interests at heart. I would want them to know both professionally and personally that “I have undeniable strengths – that I am not “a complete failure” (my sister’s words) – and that one day I will be able to handle this on my own”. Surely, this must be integral any recovery process — an undeniable inner strength. (Having said that, I know that for my sister who is bio-polar, rational thought can be difficult, and impossible at times. While on the one hand she knows that we are there for her, on the other …. she has moments of anger, distrust, irrational though, and even at times a sense of betrayal.)

Were I in her shoes, I would want those around me to understand my strengths and use them in order to address/build upon to “correct” my needs. I would want them to recognize those around me – on my daily life – whom I feel connected to and trust; who understand me and can support me without judgment.

3.Is there evidence of resiliency-based practice in your workplace? Explain.

As a teacher, I see “evidence of resiliency based practice in (my) workplace” all the time. Please find several examples below:

  1. instruction with regard to physical health
  2. social emotional education by professionals (& teachers who have had P.D.). These sessions address: Identification of strengths & needs; Type of Learner; Stress Management techniques; Self-regulation techniques; Goal Setting; Understanding/Developing Resiliency; TRIBES; Second Steps; Perseverance;
  3. Family involvement: Constant communication; “No one knows your child as well as you do.”; Understanding & respect for family dynamics, traditions & dynamics.
  4. “social Groups” lead by social workers.
  5. Social Workers, Psychologists, Language Therapists, OTs on staff to support students, families and teachers/staff.
  6. I also witness first hand (at my school) (m)any of the things that support healthy development in young children also help build their resilience. These things include:
    a secure bond with a caring adult
    • relationships with positive role models
    • opportunities to learn skills
    • opportunities to participate in meaningful activities “ source: http://www.beststart.org/resources/hlthy_chld_dev/pdf/BSRC_Resilience_English_fnl.pdf

 

 

Helpful Sites (ultimately geared toward teachers such as myself):

Teaching Students the ABCs of Resilience
(approximately 21 “links to programs regarding student resilience and resources your can use in your teaching”
http://www.edutopia.org/blog/teaching-the-abcs-of-resilience-renee-jain

Resilience Guide for Parents & Children http://www.apa.org/helpcenter/resilience.aspx

Resilience and Grit: Resource Roundup

Explore a curated collection of videos, interviews, and articles from around the web for adults looking to build resilience and grit in young people.
http://www.edutopia.org/resilience-grit-resources

 

Resilience and Learning
http://www.ascd.org/publications/educational-leadership/sept13/vol71/num01/abstract.aspx

 

Resilience: The Other 21st Century Skill https://usergeneratededucation.wordpress.com/2013/06/30/resilience-the-other-21st-century-skills/

 

Is Resilience the Secret to Student Success?

http://www.wholechildeducation.org/podcast/is-resilience-the-secret-to-student-success

Educating the Heart: 6 Steps to Build Kindness & Resilience in Children (In this six-part video series)(Dalai Lama Center, 2012)
http://www.edutopia.org/resilience-grit-resources

 

“Building Resilience in Young Children”
http://www.beststart.org/resources/hlthy_chld_dev/pdf/BSRC_Resilience_English_fnl.pdf

The You Matter Manifesto
http://www.angelamaiers.com/2012/01/the-you-matter-manifesto.html

Bolstering Resilience in Students: Teachers as Protective Factors
https://www.edu.gov.on.ca/eng/literacynumeracy/inspire/research/WW_bolstering_students.pdf

CAMH: Growing Up Resilient: Ways to Build Resilience in Children and Youth
http://www.camh.ca/en/education/teachers_school_programs/resources_for_teachers_and_schools/growing_up_resilient_ways_to_build_resilience_in_children_and_youth/Pages/growing_up_resilient_ways_to_build_resilience_in_children_and_youth.aspx

Resilience for Teens: Got Bounce?
http://www.apa.org/helpcenter/bounce.aspx

Resilience for Parents & Teachers
http://www.apa.org/helpcenter/resilience.aspx

Screening & Assessment Tools

Screening Tools

The purpose of a screening tool is to determine whether or not an individual requires further assessment.
The screening “tools” that I use as a teacher alert me to the possible presence of a disorder or problem that may well require further attention, assessment, intervention &/or treatment. They indicate whether further consultations &/or outside intervention may well be warranted, following an assessment.
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Assessment Tools

The purpose of an assessment tool is to gather as much information as possible, from as many significant individuals as possible (e.g. the client, parents, pediatricians, social workers, SLPs, OTs, teachers, etc.).

The desired outcome of any assessment is to identify – & if warranted – understand a diagnosis, and following that administer the appropriate treatment(s).
(http://www.psych-ed.ca/html/what_is_a_psycho-educational_a.html)

As a teacher I often refer students for psycho-educational assessments. These assessments “consist(s) of an assessment of psychological aspects of learning and of academic skills.” (Source: http://www.psych-ed.ca/html/what_is_a_psycho-educational_a.html)

& include the following/share the following characteristics/factors:

  1. Birth, biographical information, medical history, client self-report, parent observations, teacher observations, behavioural observations, validity indicator findings, recommendations for self-care, diagnoses, clear explanations of the various tools, classroom /testing/ environmental accommodations
  2. Honesty; a willingness on the part of the individual to be as honest, open and comfortable as possible.
  3. Parental, teacher, pediatrician “buy in”; honesty & openness;
  4. The team involved in the assessment process must ensure that all those involved feel comfortable. Ideally, there must be a sense of trust. There must be as little guilt, defensiveness, sense of denial, anger and/or sadness. Any of these in “the extreme” are counter productive, and must be noted/taken into account. (I have found this difficult to achieve at times.)
  5. Choosing the individual to administer the assessment must be done so with care. For example, I have a list of individuals whom I trust to complete psychoedcuational assessments. I am mindful when it comes to the “matching process”. I am careful to them with children and families.
  6. A good assessment takes diversity and family resources into account.
  7. Acknowledge & take into account any previous assessments.
  8. Goal: a clear, accurate diagnosis/explanation.
  9. A thorough follow-up with families. (As a side note: I have often found that parents come to me to “explain the results” as they are often in shock and the results are not presented in “parent/people friendly language”.
  10. A thorough follow-up in “person friendly” language. Too much jargon is confusing, counterproductive, and scary at times.
  11. A list of further resources and support that take into account the family resources
  12. Roundtable follow up meetings with all those concerned (i.e. the child, the parents, the teachers, the assessor(s), etc.)

A “good” (i.e. valid) assessment will point the client in the right direction in the shortest possible period of time. It will get the ball rolling so to speak.

As a teacher the screening and assessment tools that I use are both formative and observational. (It is important to note that teachers often refer to screening tools as assessment tools.) In addition, I find that with each passing year my observational notes (backed-up by concrete data) prove more valuable than any checklist could ever be when speaking with parents and staff.

The screening & assessment tools that I have been exposed to include – but are not limited to – the following:

http://www.ncte.org/library/NCTEFiles/Resources/Positions/formative-assessment_single.pdf

http://www.edutopia.org/assessment-guide-description

https://www.edu.gov.on.ca/eng/general/elemsec/speced/asdfirst.pdf

http://www.pbis.org/blueprint/evaluation-tools

http://kewa.camh.net/amhspecialists/Screening_Assessment/screening/screen_CD_youth/Pages/CBCL.aspx

Teacher rating Scales for ADHD:
Vanderbilt ADHD Diagnostic Teacher Rating Scale
ADHD Rating Scale-IV (ADHD-IV)
Conners Rating Scale
Wechsler Intelligence Scale for Children (WISC) Wechsler Intelligence Scale for Children (WISC)
SNAP-IV Rating Scale – Revised (SNAP-IV-R)
CADDRA ADHD ASSESSMENT TOOLKIT (CAAT) FORMS

SNAP-IV Teacher and Parent Rating Scale

Autism Spectrum Rating Scales™

Spence Children’s Anxiety Scale (SCAS)

Self-Report for Childhood Anxiety Related Emotional Disorders (SCARED)

Strengths and Difficulties Questionnaire (SDQ)

Depression and Anxiety in Youth Scale (DAYS)

Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS)

Children’s Nonverbal Learning Disabilities Scale (C-NLD)

Conduct Disorder Scale (CDS)

Today’s Focus: The Child Behaviour Checklist

Today I have chosen to look further into The Child Behavior Checklist (CBCL) which “is part of the Achenbach System of Empirically Based Assessment (ASEBA) & …(t)here are two other components of the ASEBA – the Teacher’s Report Form (TRF) … to be completed by teachers and the Youth Self-Report (YSR) by the child or adolescent.

How it works

The CBCL/6-18 is to be used with children aged 6 to 18. It consists of 113 questions, scored on a three-point Likert scale (0=absent, 1= occurs sometimes, 2=occurs often). The time frame for item responses is the past six months.

The 2001 revision of the CBCL/6-18, is made up of eight syndrome scales:

  • anxious/depressed
  • depressed
  • somatic complaints
  • social problems
  • thought problems
  • attention problems
  • rule-breaking behaviour
  • aggressive behaviour.

These group into two higher order factors–internalizing and externalizing.

The 2001 revision also added six DSM-oriented scales consistent with DSM diagnostic categories:

  • affective problems
  • anxiety problems
  • somatic problems
  • ADHD
  • oppositional defiant problems
  • conduct problems.

The CBCL (and the YSR) are also scored on (optional) competence scales for activities, social relations, school and total competence. In 2001, options for multicultural norms were added allowing scale scores to be displayed in relation to different sets of cultural/societal norms. Scales were also added for obsessive compulsive disorder (OCD) and posttraumatic stress disorder (PTSD). “
(source: http://knowledgex.camh.net/amhspecialists/Screening_Assessment/screening/screen_CD_youth/Pages/CBCL.aspx)

According to Every Day Life, the pros and cons of such checklists are as follows:
Pro: Ease of Use…
Pro: Early Detection…

Con: Individual Differences…
Con: Reporter Bias…

(Source: “http://everydaylife.globalpost.com/pros-cons-child-behavior-checklists-3794.html)

  

Sources:

camh Knowledge exchange: Selecting screening tools 

http://knowledgex.camh.net/amhspecialists/Screening_Assessment/screening/screen_CD_youth/Pages/selecting_screening_tools.aspx

camh Screening tools: Databases
http://knowledgex.camh.net/amhspecialists/Screening_Assessment/screening/Pages/screening_databases.aspx

Differences between screening and – diagnostic tests, case finding
http://www.healthknowledge.org.uk/public-health-textbook/disease-causation-diagnostic/2c-diagnosis-screening/screening-diagnostic-case-finding
McCabe, P., Altamura, M., (2011) Empirically Valid Strategies to Improve Social and Emotional Competence of Preschool Children. Psychology in the Schools, Vol. 48(5), pp 513-540.

CHILD BEHAVIOR CHECKLIST FOR AGES 6-18 http://www.aseba.org/forms/schoolagecbcl.pdf

Achenbach System of Empirically Based Assessment (ASEBA)

http://www.aseba.org

Child Behavior Checklist Scores for School-Aged Children with Autism: Preliminary Evidence of Patterns Suggesting the Need for Referral
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3362998/

Pros and Cons of Child Behavior Checklists
http://www.ehow.com/info_8223365_pros-cons-child-behavior-checklists.html

The Pros and Cons of Child Behavior Checklists
http://www.livestrong.com/article/556848-pros-and-cons-of-child-behavior-checklists/
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