1 of 28

Great Info for Parents:

About Behavior

    • With assistance from Edward A. Bos, M.A.

Alex Smith, Psy.D.

Providence Gateway Family Medicine Clinic

2 of 28

Informed Consent

MANDATORY REPORTS ARE STILL REQUIRED FOR:

IF YOU’D LIKE THERAPY:

THIS ISN’T THERAPY:

Even though there are trained mental health providers here, it’s important to keep this an educational setting

Contact your PCP to make an appointment with a behavioral health provider

Threats of imminent harm toward anyone, �or any abuse of a child or vulnerable adult

3 of 28

Expectations

1. Questions are welcome

2. Try to stay on topic

3. Share the mic

4. Keep things kind, respectful, & open-minded

5. We will start and stop on time

6. Please put your devices on silent or vibrate

What other expectations do you have?

4 of 28

  • Behavior Overview

  • Needs

  • Positive Reinforcement

  • Reinforcement Schedules

  • Questions & Answers

  • Additional Resources

5 of 28

(Polly Bath, 2020)

6 of 28

Maslow’s Hierarchy of Needs

  • A model for thinking about needs

  • Helps us match behavior to getting those needs met

SELF-ACTUALIZATION

ESTEEM

LOVE, SOCIAL, & BELONGING

SAFETY

PHYSIOLOGICAL

(Kaufman, 2024)

7 of 28

SELF-ACTUALIZATION

ESTEEM

LOVE, SOCIAL, & BELONGING

SAFETY

PHYSIOLOGICAL

8 of 28

Hierarchy of Needs: Physiological

  • Activities of Daily Living (ADLs)
    • Eating
    • Drinking
    • Using the Bathroom
    • Hygiene
    • Sleep

SELF-ACTUALIZATION

ESTEEM

LOVE, SOCIAL, & BELONGING

SAFETY

PHYSIOLOGICAL

(Libretexts, 2023; Kaufman, 2024)

9 of 28

Hierarchy of Needs: Safety

  • Hazards outside the home
    • Weather
    • Animals
    • Other people

  • Hazards inside the home
    • Tripping/falling
    • Ingesting
    • Utilities

SELF-ACTUALIZATION

ESTEEM

LOVE, SOCIAL, & BELONGING

SAFETY

PHYSIOLOGICAL

(Libretexts, 2023; Kaufman, 2024)

10 of 28

Hierarchy of Needs: Love, Social, & Belonging

  • Tools to show this
    • Patience
    • Kindness
    • Understanding (not always agreement)
    • Dependability

  • Ways to cultivate this
    • Active Listening
    • Encouraging playing with peers
    • Being mostly consistent

SELF-ACTUALIZATION

ESTEEM

LOVE, SOCIAL, & BELONGING

SAFETY

PHYSIOLOGICAL

(Libretexts, 2023; Kaufman, 2024)

11 of 28

Hierarchy of Needs: Esteem

  • Not the same as belonging
    • Being in the group is good
    • Knowing the group respects you is important too

  • Self-esteem too
    • Behavior is not identity �(no “bad kids”)
    • Help to recognize strengths
    • Being a good loser
    • Encourage independence

SELF-ACTUALIZATION

ESTEEM

LOVE, SOCIAL, & BELONGING

SAFETY

PHYSIOLOGICAL

(Libretexts, 2023; Kaufman, 2024)

12 of 28

Hierarchy of Needs: Self-Actualization

(Libretexts, 2023; Kaufman, 2024)

SELF-ACTUALIZATION

ESTEEM

LOVE, SOCIAL, & BELONGING

SAFETY

PHYSIOLOGICAL

  • Being OUR best
    • Achieving one’s own goals
    • Helping to achieve the group’s goals

13 of 28

Hierarchy of Needs: Examples

  • How have you seen your child�trying to get their needs met?

  • Can you think of any other needs?
    • To learn (cognitive needs)
    • For beauty (aesthetic needs)
    • To help others (transcendence)

SELF-ACTUALIZATION

ESTEEM

LOVE, SOCIAL, & BELONGING

SAFETY

PHYSIOLOGICAL

(Kaufman, 2024; Simply Psychology, 2024)

14 of 28

Reinforcement

15 of 28

Content

Positive reinforcement

Add something�the dog wants

Feeling = Joy

Negative reinforcement

Remove something the�dog doesn’t want

Feeling = Relief

Positive punishment

Add something the�dog doesn’t want

Feeling = Fear

Negative punishment

Remove something�the dog wants

Feeling = Frustration

Punishment

= behavior decreases

Negative

= Removing Something

Extinction

The behavior doesn’t have a connected consequence (“doesn’t work”) and therefore disappears

Reinforcement

= behavior increases

Let’s Start with

a Simpler Model

(Blomster, 2018)

Positive

= Adding Something

16 of 28

Positive reinforcement example:

Praise

Feeling = Joy

Negative reinforcement example:

A weekend�without chores

Feeling = Relief

Positive punishment example:

Yelling

Feeling = Fear

Negative punishment

Example:

Taking away TV

Feeling = Frustration

Punishment

= behavior decreases

Negative

= Removing Something

Extinction

Ignoring a tantrum in the grocery store.

Positive

= Adding Something

Reinforcement

= behavior increases

How does it�look for parents?

(Oquendo, n.d.)

17 of 28

  • Why do you think we focus on positive reinforcement?

  • What reinforces your daily behaviors?

  • How have you successfully used positive reinforcement in the past?

Hot Seat

(AI-generated image, courtesy of Picsart)

18 of 28

Extinction Burst

  • Watch out!

  • Behavior can get worse before it gets better

!

19 of 28

(Lagorio, 2013)

20 of 28

Reinforcement Schedule: Fixed Ratio

  • Ratio schedules are when the reinforcement (reward) is provided after your child demonstrated a skill or behavior

  • Fixed means that it’s very consistent

  • A 1:1 fixed ratio is also called a continuous schedule

Buy One

Get One

--- FREE ---

CUSTOMER LOYALTY

1

2

3

4

5

6

7

8

9

FREE

(Frank Porter Graham Child Development Institute, n.d.)

21 of 28

Reinforcement Schedule: Variable Ratio

  • In a variable ratio schedule, the number of behaviors between rewards is inconsistent

  • Moving from a continuous to a less consistent intermittent reinforcement schedule is called reinforcement fading.

  • This can be used so your child learns to use the skill without the reinforcers

JACKPOT 9000

B A R

7

(Frank Porter Graham Child Development Institute, n.d.)

22 of 28

Reinforcement Schedule: Fixed Interval

  • Interval schedules are when the reinforcement (reward) is provided after a certain amount of time passes after demonstrating the behavior

  • A fixed interval uses the same amount of time in between the behavior and the reinforcer

(Frank Porter Graham Child Development Institute, n.d.)

23 of 28

Reinforcement Schedule: Variable Interval

  • A variable interval schedule is when the reinforcement is provided after an inconsistent amount of time passes

  • This could be “about 10 minutes,” and end up being a little more or a little less

12

6

9

3

1

2

4

5

7

8

10

11

(Frank Porter Graham Child Development Institute, n.d.)

24 of 28

Q&A

(Digital Storm, n.d.)

25 of 28

Additional Resource:��Pocket PCIT

Free on

Apple Books

26 of 28

Additional Resource:��Pocket PCIT

Free on

Apple Books

27 of 28

��Additional Resource:��Reinforcement Schedule Examples

(Bypass Publishing, 2013)

28 of 28

References

Blomster, E. (2018, September 14). Operant learning vs clicker training vs ”traditional” training [Consequences.jpg image file]. Retrieving for All Occasions. https://www.retrievingforalloccasions.com/operant-learning-vs-clicker-training-vs-traditional-training/

Bypass Publishing. (2013, October 13). Learning: Schedules of Reinforcement [Video]. https://youtu.be/GLx5yl0sxeM?feature=shared

Digital Storm. (n.d.) ANY-QUESTIONS-PNG-7.JPG [image file]. https://clipground.com/pics/get

Frank Porter Graham Child Development Institute. (n.d.). Step 1.7: Select a schedule of reinforcement. https://asdtoddler.fpg.unc.edu/reinforcement/implementation-steps/positive-reinforcement/step-1-planning-ebp/step-17-select-schedul.html 

Kaufman, S. B. (2024, February 20). Who created Maslow’s iconic pyramid? Scientific American. https://www.scientificamerican.com/blog/beautiful-minds/who-created-maslows-iconic-pyramid/

Lagorio, C. (2013, May 12). Extinction Burst [Video]. YouTube. https://youtu.be/rKrh5uytRKY?feature=shared 

Libretexts. (2023, February 6). 4.2: Maslow’s hierarchy of needs applied to children. Medicine LibreTexts. https://med.libretexts.org/Bookshelves/Allied_Health/�Foundations_for_Assisting_in_Home_Care_(McLain_O%27Hara-Leslie_and_Wade)/04%3A_Working_with_Children/4.02%3A_Maslows_Hierarchy_of_Needs_�Applied_to_Children 

Oquendo, C. (2019, October 4). Photo of Family Standing Outdoors During Golden Hour. https://www.pexels.com/photo/photo-of-family-standing-outdoors-during-golden-hour-3030090/

Polly Bath. (2020, July 24). Every Behavior Meets a Need! [Video]. YouTube. https://www.youtube.com/watch?v=kvFhDnFmKVM

Simply Psychology. (2024, January 24). Maslow's Hierarchy of Needs. https://www.simplypsychology.org/maslow.html#The-expanded-hierarchy-of-needs