Behavior modification is a scary term…. But it really should not be – as it is something that we do EVERY day… just without realizing it! When a typical child is not keeping their room clean, we may encourage them to keep it clean by offering a reward at the end of the week. This is behavior modification! When a typical child goes to an appointment with us and has previously acted inappropriately, we offer them rewards to act appropriately at the next appointment. This is behavior modification. When a spouse neglects to clean up after themselves, we may ask them nicely to clean up the next time and reward them with a simple “thank you, that was a big help to me.” We inherently modify behaviors all the time, we just don’t know we are doing it!
Definition: psychotherapy that is concerned with the treatment (as by desensitization or aversion therapy) of observable behaviors rather than underlying psychological processes and that applies principles of learning to substitute desirable responses for undesirable ones (as phobias or obsessions) —called also behavioral therapy behavior therapy
SOURCE:
http://www.merriam-webster.com/dictionary/behavior+modification
NOTE: this definition states that behavior modification is not concerned with the treatment of the underlying psychological process. In simple terms, behavior modification uses principles of learning to change the behavior itself ONLY – it does not take into account underlying psychological process that may be causing the behavior. If a behavior is caused by a physical problem, behavior modification may not work to change the behavior. This is important because developmentally delayed children often are physically ill and illnesses may actually be the cause of the behaviors. This is the reason that behavior modification is not always successful – as it is not always addressing the actual cause of the problem behavior.
Behavior Modification is a term that is used by professionals – so then it becomes more serious to the average person. But truth be told – it is not all that complex and it is something that we can all do with success as long as physical impairments do not impede the benefit of modification. It is certainly helpful and recommended to get training from a professional behaviorist along with advice from a medical professional before proceeding with an intensive behavior modification program.
Lay-man’s definition of behavior modification: observing behaviors and substituting desirable responses for less desirable responses without the consideration or treatment of underlying causes due to psychological issues.
Examples of inappropriate behaviors:
1. A child starts inappropriate making noises when he is in a noisy environment like a playground
Modification: substitute the inappropriate noises with something appropriate – like appropriate commenting, playing on equipment, playing in sand, etc….
2. A child is constantly shaking or waving his hands while in public environments. Modification: decrease the hand shaking by substituting different uses of hands with the eventual goal of having child be able to completely control hand shaking and not depend on different uses. i.e. holding a squeeze ball, putting hands in pocket, etc…
3. Child is fearful of a birthday party and puts his hands over his ears during song. Modification: decrease the child’s auditory sensitivity and replace this behavior with child being able to sit at party and quietly listen to song and possibly participate.
How do we attain these modifications? The answer is with patience, work and love!
Behavior modification is generally accomplished as follows:
1. Identify inappropriate behavior
2. Identify the cause or “antecedent” of behavior – what is happening to cause the behavior
(this could be excessive noise, anxiety, excess energy, upsetting incidence, lack of understanding of situation, tasks, expectations, social setting, etc….
3. Develop a plan to address the behavior and ultimately modify/eliminate inappropriate behavior.
This can be a VERY slow process, but if positive results are seen relatively early on in the intervention process, continuing the modification is recommended and with patience should result in success.
You have identified the behavior. Now, look at what is causing the behavior. This is where the education process takes place.
As an example, you see a behavior that you have determined is being caused by a child’s anxiety with a certain situation. If the child is verbal, the obvious task is to ask the child what about that situation is causing discomfort to him. If the child is unable to tell you, use common sense to determine cause – by watching the child, you can usually determine what it is that is bothering him. Hopefully you will be able to determine the cause or “antecedent” that is displayed prior to inappropriate behavior.
If it is the commotion of the situation – like at a playground. Prior to having success with modifying behaviors at the playground, you need to get a child used to a playground, familiarize him with the environment, activities and commotion of the playground environment.
You can do this in many ways.
Following is a list of ideas to familiarize a child with cause of behavior:
· Show photos of the playground
· Read stories about playing at the playground
· Show videos about playing at the playground
· Talk about the playground
· Listen to stories about the playground
· Listen to a recording of noise at the playground (record your own or search online for sound downloads)
Teach the child about the environment as follows:
· Teach the child the items he will see at the playground – what they are called, what they are used for, why they are fun, etc…
· Teach the child about the people at the playground – who the children are, what they are doing, why they are having fun, what they are playing, etc…
· Teach the child about the activities at the playground – how to participate, what to do, what to say, how to share, etc… You may start this in the backyard, at a quiet playground during off hours or in a controlled environment where this equipment is available.
· Use similar tactics in teaching as in familiarizing – utilize the 5 senses – let the child see the environment (many media options available), let the child touch the items in environment, let the child listen to the environment, and if appropriate, let the child taste and smell the environment or items in the environment.
During this period of familiarization and teaching, begin the modification process.
Take small steps as inappropriate behaviors are a display of discomfort to the child. To relieve discomfort in this type of situation, you must take a slow and steady course to be successful.
IMPORTANT: Always remember to REWARD even the smallest step in the right direction!
Modification:
· After and during the familiarization process, start with a walk by the playground.
· Walk by the playground and stop to watch
· Watch the children for longer periods of time and discuss what they are doing and how much fund the are having
· Make a very short visit to the playground to accomplish one objective – it may be as small as entering the playground and then leaving.
· Make more frequent visits to the playground and gradually increase the visit time
· Expand the activities at the playground child participates in
· Expand the objectives at the playground – add a new objective of child having a social interaction with another child.
This is only one example. The same principles can be used and tailored to modify any behaviors as long as the root of the behavior is not interfering with modification.
REWARDS – as in all behavior modification, rewards must be faded if you want the child to be able to independently perform the “new” behavior. This is done by gradually decreasing the amount of rewards and the size of rewards. Basically, reward heavily in the beginning and then begin to decrease the availability of rewards as long as child is still responding and acting appropriately.
This article is written based on personal experience. I am not a doctor or certified behaviorist, but have had nine years experience in working on behavior modification with my son. This is in no way meant to be taken as professional medical advice, certified behaviorist advice or psychological advice. It is advice from one parent to another parent!