Russell Barkley at the
recent keynote speech for CHADD Atlanta Annual Conference said: “The arguing,
defiance, refusal is a learned behavior – not genetic, not biological. It
arises out of a pattern of behavior we have understood for 40 years. The way parents
manage the emotional gambits of the child may make the emotions of the child
better or worse and may teach the child that emotions are a tool to use on
others. This is known as Coercion Theory. What the child is learning is how to
use negative emotion to coerce another into doing what they want, usually
leaving them alone."
The difference between
Barkley and CPS
Barkley - behaviorist – behaviors are learned through
external reinforcement and motivation
CPS – behaviors - demanding situations outstrip skills ,
already motivated , intrinsic motivation improved by supporting autonomy = kid
generates solutions , competence = acquisition of skills using cps and
relatedness= non confrontational – addressing both needs
Coercion theory created
by Patterson is part of Social Learning theory which explains how behaviors are
learned and reinforced. It is essentially behaviorist - that kids are the sum total of the external
stimuli they experience. Behavior is
shaped by consequences which punish or
reward behavior . The child-parent dynamic usually described is the child being
aggressive and the parent then fails to be firm and enforce a consequence. Parents
who don't follow through with consequences teach kid that their behavior pays
to help them get what they want. The theory ignores the whole child, one that
has feelings, makes meaning of experiences , his temperament, developmental
stage etc and the contribution of the parent to the interaction.
I agree to some extent
with the idea that parents model behavior and kids can learn from them. If
parents always use Plan A on their kids, kids will respond with Plan A. In most
cases parents are also lacking the skills that are needed for Plan B and
continue to use Plan A not because it is working for them , but like children
they are doing as well as they can. Even if we say kids perceive these
behaviors as working for them , we still need to ask why are they responding in
such a maladaptive way. We all try to get attention, avoid uncomfortable tasks
and try to get what we want – the difference is how we go about it.
Barkley himself talks
about ADHD kids having a problem with executive functions - the skill of inhibition. The arguing,
defiance and refusal can be attributed to the lack of executive functions.
Self Determination
theory researchers Deci and Ryan have disproved Patterson's and other
behaviorist research that rewards and punishments can reinforce or discourage
behaviors. Behaviorists have moved away from punishments – ' honey catches a
lot more flies than vinegar' .
SDT has
shown that rewards undermine intrinsic motivation. Barkley sees ADHD as a deficit
in intrinsic motivation and we need external motivators to compensate this lack
of intrinsic motivation. But rewards undermine intrinsic motivation. SDT - we promote intrinsic motivation by supporting
the needs for autonomy, competence and relatedness . Instead we should use CPS –
Barkley does recommend CPS for older kids-
. It promotes skills , relationship
and autonomy .
Allan
Allan
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