EFs -Executive Functions resources - CPS , RDI

The collaborative problem solving approach addresses the many cognitive skills that a child may be lacking. When we solve problems in a collaborative way we promote executive functions, language processing skills, emotion regulation skills , social skills and cognitive flexibility. 

The RDI – relationship Development Intervention approach is very helpful in teaching kids EFs. Like CPS , EF skills are not taught directly but indirectly by being the ' guide by the side ' when engaging the child in different real life activities that require EF skills.

Here is a blog post   Executive Functions and RDI

Executive function Skills – from Thinkkids.org care givers handout 


These are the thinking skills, associated with the frontal lobe of the brain. They enable one to do the clear, organized, reflective thinking in the midst of frustration that is crucial for solving problems in an adaptive (non-impulsive) manner. The executive skills include:

• shifting cognitive set (the ability to shift gears, to make transitions in activities and thinking smoothly)

• organization and planning, and working memory (allow you to use hindsight and forethought to solve problems in a systematic fashion)

• separation of affect (the ability to put feelings on the shelf to get on with the clear thinking needed to solve problems)

When lacking, these children will have difficulty shifting from one activity to another. They will have difficulty anticipating problems. In the face of frustration, they will have difficulty staying calm enough to think clearly and will have difficulty sorting through different solutions to organize a coherent plan of action. 


Here are 2 check lists – the ALSUP Assessed Lacking Skills and unsolved problems from Dr Greene's site ' CPS – lives in the balance and a similar list from the TSI – thinking skills inventory from thinkkids.org – Dr Ablon



Dr Greene feels that categorizing the skills into executive functions etc gets in the way of focusing on the real problem , the concerns of the child and the underlying skill. It becomes a label , a diagnoses that get's in the way of helping kids. Too often , clinicians will try to promote executive functions independently of problems and the child's concerns. It is much better to work with the check list of the lacking skills together with unsolved problems. Dr Ablon reintroduced the categories at the request of parents in order to help them remember the various cognitive lacking skills. Separation of affect – putting emotions on the shelf – is now categorized by Dr Ablon under emotion regulation skills.



The various lacking cognitive skills may be found in nearly all childhood disorders and that is especially true for executive functions. So it is a bit silly to say if a kid has executive functions deficits he must have ADHD. This proves the CPS approach claim that diagnoses don't tell much and actually get into the way of a clear understanding of the underlying challenges of the child and the compatibility and responsiveness of the child's care givers.



http://www.livesinthebalance.org/sites/default/files/ALSUP%20Rev%2011-12-12%20pdf%20%282%29.pdf



From : Treating Explosive children - Executive functions 

  
Handling transitions, shifting from one mindset or task to another (shifting

cognitive set). 

Sticking with tasks requiring sustained attention (perseverance)

Doing things in a logical sequence or prescribed order (organization)

Reflecting on multiple thoughts or ideas simultaneously (working memory)

Maintaining focus for goal-directed activities (sustained attention / concentration)

Ignoring non-relevant stimuli (distractibility)

Thinking before responding, considering the likely outcomes or consequences of

actions, forecasting (reflective not impulsive thinking)

Considering a range of solutions to a problem 


We can  train kids to be  more organized, planful, intentional ( non-impulsive ) thinking when we use Plan B – taking perspectives and concerns, defining the problem , using hindsight to reflect on past solutions and their outcomes, foresight to predict likely outcomes of potential solutions , anticipating problems and proactively solving them .


Responding to changes in routines or demands to change cognitive sets from one set of rules and expectations and making transitions is a skill which relies also on the capacity to anticipate and predict the near future and thereby not being taken by surprise.


Pan B of CPS promotes executive functions as we work through unsolved problems. We can collaborate – not top down skills instruction – with the child to see how together we can formulate goals , make the day more predictable and organized –




see below resources – Sara Ward and Ann Epstein = intentional choice and planning. 



We can help kids make lists and schedules. This is also great because it gives them a sense of time and a wider time horizon. In the moment , a kid may feel that their needs are not being met , for eg not going to the swimming pool or a play date. When they check the week's schedule they are able to perceive the bigger picture. 


Supporting a kid's autonomy is very important for their development. Autonomy does not mean independence but rather interdependence. It means being in touch with your inner core values and making decisions which express your true self and not just a reaction against parents.


When a kid had made a list or schedule , we can ask ' what about brushing teeth , do you see any problems ' etc . We don't have to give orders or instructions to do things , because it is the list the kid made is creating his agenda.


In today's modern world with plenty of technology with which kids love to mediate the world we can make use of ' Assistive Technology - check my post on ' AT'


Here are some Resources

https://www.youtube.com/watch?v=qXXvqCp1Vu0   - new - interview with Sarah Ward 

here are some links - Sara Ward's pdf

http://www.executivefunctiontherapy.com/ 

Sara Ward has some ' amazing presentions ' here

http://www.abspedpac.org/Documents/Sarah_Ward_execfuncpres.pdf


http://home.comcast.net/~kskkight/ 


http://www.schoolbehavior.com/disorders/executive-dysfunction/


http://jamesdauntchandler.tripod.com/  - Chandler Papers on childhood disorders 


http://jamesdauntchandler.tripod.com/EF/executive_functioning.pdf


http://journal.naeyc.org/btj/200309/Planning&Reflection.pdf   - Ann Epstein

http://schoolnet.gov.mt/thinkingskills/thinkingtools.htm   - Edward de Bono

http://www.greatschools.net/LD/identifying/executive-function-lens-to-view-your-child.gs?content=1017

Lori Gotlieb, Barry Schwartz - Too much choice is not the problem !

Lori Gotlieb in her newspaper article ' 

How to land your kid in therapy

says            ' children today have too much choice.'

She recalls  ' As a parent, I’m all too familiar with this. I never said to my son, “Here’s your grilled-cheese sandwich.” I’d say, “Do you want the grilled cheese or the fish sticks?” On a Saturday, I’d say, “Do you want to go to the park or the beach?” Sometimes, if my preschooler was having a meltdown over the fact that we had to go to the grocery store, instead of swooping him up and wrestling him into the car, I’d give him a choice: “Do you want to go to Trader Joe’s or Ralphs?” (Once we got to the market, it was “Do you want the vanilla yogurt or the peach?”) But after I’d set up this paradigm, we couldn’t do anything unless he had a choice. One day when I said to him, “Please put your shoes on, we’re going to Trader Joe’s,” he replied matter-of-factly: “What are my other choices?” I told him there were no other choices—we needed something from Trader Joe’s. “But it’s not fair if I don’t get to decide too!” he pleaded ingenuously. He’d come to expect unlimited choice. 

She then quotes the expert Barry Schwartz  that well-meaning parents give their kids so much choice on a daily basis that the children become not entitled, but paralyzed, because they cannot cope with so much choice.

So Lori Gotlieb and Barry Swartz say the problem is too much choice. I believe that they have got it wrong.  It is not a problem of too much choice but how choices are given. 

A   Pseudo choices or Plan A –.Caregivers   direct children to a limited number of adult-selected options. Giving a choice still means ' Do it my way ', my way can still  be a  choice from  A, B, C, or D.

B   Children generating choices in the context of planning and problem   solving.

Ann Epstein – ' the intentional teacher ' says Planning is choice with intention. (Her words apply to the home as well as the classroom.)  That is, the chooser begins with a specific goal or purpose in mind that results in the choice. First we must differentiate real choices in which teachers offer multiple options (“What colors do you want to use in your painting?”) from pseudo-choices in which teachers direct children to a limited number of adult-selected options (“Do you want to use red or blue?”) But planning goes further than selecting from open-ended choices. When we engage children in planning, we encourage them to identify their goals and consider the options for achieving them. For example, they might consider what they will do, where they will do it, what materials they will use, who they will do it with, how long it will take, and whether they will need help. Planning thus involves deciding on actions and predicting interactions, recognizing problems and proposing solutions, and anticipating consequences and reactions.'

The process of collaborative problem solving means that the concerns of all parties are put on the table, the problem is defined , then  the parties put their heads together and brainstorm and generate choices and solutions that are mutually satisfactory.  A mom commented after she had been through the cps process that she felt it was the first time she was being heard. The process helps kids internalize a concern for others . Decisions and choices will  therefore take into account their impact on others. Kids learn to make their individual choices in the context of values like family, classroom of kids and community. Kids will become effective decision makers and make moral choices. 

Traditional parenting recommends giving kids choices as a way to get compliance. Because giving choices  is a clever way of imposing parental will , kids see the choice not as part of a plan or a solution to a problem but a chance for letting them express their counter -will ignoring the concern of others.

 

Kids will wish for or expect unlimited choice when they don't participate ,in real decision making , planning , problem solving and given the opportunity to generate choices. They will also have difficulty in handling choice.

Lori Gotlieb, Barry Swartz  - the problem is not too much choice but the context in which choice is given.

Allan