Children who are inflexible-explosive don't choose non-compliance but are delayed in developing skill. The reason why has to do with multiple and complex interwoven factors, but primarily temperament, neurobiological and genetic factors and
comorbid disorders (see p. 13, 37, 55) These children fail to develop flexibility and frustration tolerance which normally develop at about age three. The consequences are that even in benign circumstances they: 1) Can't delay gratification; impulsive2) Can't control emotions 3) Can't shift gears 4) Can't solve problems5)  :)o not have the skills to express their needs6)  :)o not have the skills to move from black and white thinking7)  :)o not have the skills to work out disagreements8) Have sudden outbursts and prolonged tantrums9) Are verbally and physically aggressive This leads to an adverse impact on relationships with parents, teachers, siblings, peers, parents. If you (parent) interpret these behaviors as willful (such as oppositional-defiant disorder which has many of the same signs) you may try to resolve the problem by teaching the child “who is boss†and attempt to command more authority.However, this backfires and fuels an adversarial pattern that often makes things worse. Ask yourself why a child, if they had a choice, would intentionally behave in a way that makes other people respond in a way that makes him miserable? If you can gain a comprehensive, in-depth understanding of your child's explosive behavior, seeing it as unintentional and a result of developmental delays, you can get a clearer idea of how to be helpful and better intervene. Common Characteristics of Inflexible-Explosive Children Note: Thinking affects emotions, and then emotions affect reasoning. Not linear but circular pattern. Primarily Cognitive Characteristics 1)  :)ifficulty remembering how to problem solve and compromise. 2) May not be responsive to rational and very reasonable attempts to problem solve and is disorganized in their thinking. When asked why they are behaving as they are, they don't know. Frustration lessens the child's ability to think (brain "short-circuts" p. 21. Intense emotions makes rational thinking nearly impossible. 3) Sees people and situations in black and white and has no memory of previous satisfaction with these people and situations. Primarily Emotional Characteristics 4)  :)ifficulty managing and controlling emotions; inability to stay calm made worse when there is already an underlying negative state such as a bad mood, tired or hungry, or irritable. 5) Constantly irritable, agitated, cranky state of mind.6) Frustration over trivial events out of the blue with an intensity unlike other children and tolerates them less adaptively. Can't shift gears. Certain issues seem to be high triggers.7) Severe anxiety8) Has little ability in her faith to handle frustration and so sees the world as one filled with insurmountable frustration beyond her control Primarily Behavioral Characteristics 9) Unskilled at social interactions, has trouble recognizing the effect of their behavior on others (Goldman calls this "social illiteracy"10) Unpredictable behavior11) Comes off as manipulative, demanding, self-centered, and lacking in empathy and social tact.12) Behavior gets worse when parents try limit setting and punishment, even when it is of a high level. Poor impulse control and high volatility  :)r. Stanly Turecki (With Others) Temperament Theory Temperament (rather than “personalityâ€) is a "natural, inborn style of behavior that is innate and not produced by the environment." (p. 26). May be present at infancy. In addition to qualities above, he finds they also: 1. Have a high activity level (behavior)2. Are easily distracted (thinking)3. Poor reaction to new or unfamiliar things4. Poor reactions to changes in routine5. Negative persistence, e.g. strong-willed, whiny, rigid Temperament and inflexibility-explosiveness exacerbate each other. He says, "Inflexibility-explosiveness may best be viewed as the most toxic manifestation of a difficult temperament." (But combination not universal.) He says much of this overlaps with ADD (what are the differences?) Inflexibility and low frustration tolerance can look different in different children. The World From The Child's Point of View 1. They don't understand their behavior and are sure no one else does, either. (think)2. They are angry at being misunderstood (feel)3. They are incredibly frustrated at inability to think clearly and communicate. (feel) Finding Treatment "Children may exhibit such behavior for any of a wide variety of reasons, so there is no right or wrong way to explain it and no one-size-fits-all approach to changing it: (p. 86) Treatment Goals 1. Help children manage their emotions and think clearly in the midst of frustration by providing "roadmaps that help him stay rational “ (p.49)2. Stay calm enough to help child achieve goal number one. Search Method (p. 106)1. Pick a child psychiatrist or neuropsychologist 2. Have an assessment, bringing required info to doctor (very involved procedure) MedicationSee qualities needed in physician, p. 181. Addresses biological causes and paves the way for teaching child (below, see Basket B). Medication can address cognitive, emotional, and behavior problems. Communication Intervention Strategies Usual Pattern is as Follows: 1. The child expresses inappropriate behavior caused by “brain lockâ€2. The parent responds by screaming, berating, trying to reason, insisting, rewarding, and punishment3. This leads to the child's further frustration and lapse into even more destructive, abusive behavior (meltdown).  :)uring and after this, parents put their energy into "reactive intervention" which is not productive ("after" also goes against shaping recommendations). This is unproductive because the child cannot learn or be receptive to learning in an incoherent stage. This pattern becomes "stuck." Alternative Pattern:1. Reinterpret behavior, depersonalize, understanding that they have real biological differences that cause their behavior. This helps prevent the parent from becoming emotional and having unrealistic expectations. All adults child interacts with need to be on the same page, eg teachers. Help change thinking by changing words (p. 126) 2. Recognize situations that routinely lead to brain lock and if you can help avoid them. He calls this creating a more user-friendly environment. Keep a record of meltdowns to determine patterns and triggers. (p. 110)3. If this is unworkable or unavoidable, intervene at stage 2 above by responding in a way that prevents further deterioration and (best case) facilitates communication, problem solving, and collaborative problem solution. This includes:a. Empathyb. Help child think though the situation c. Redirect child into another activity (distract) eg humord. Slowly “downshift†child (this is not well-explained) (p. 114)Se page 226 for many other suggestionsDont ignore. If child too emotional, go to basket technique, which has to do with setting priorities. Basket Method for Prioritizing Flexibility-Explosion GoalsThree goals:1. Maintain adults as authority figures2. Teach flexibility and frustration tolerance3. Understand childs limitations BASKET A: Crucial behaviors worth risking a meltdown. Helps achieve goal 1. Always includes safety. (p. 133). Child must be capable of performance and parent must be willing and enable to force the issue. This doesnt actually teach the child anything; its just a must situation.BASKET B:Important but not worth a meltdown. The basket that helps child learn 2. The roadmap basket. Area where you can help child think, communicate and problem solve. First: empathy. Then invite problemsolving together. See roadmap discussion below.BASKET C: Off radar for now; helps you understand 3. Helps with safety because you are not risking meltdowns. This is not “giving in.†Its just you deciding to put your time and energy in the teaching involved in basket B and avoid situations that create major problems yet have little return. Parents, not children, determine what is in each basket.Roadmaps A ROADMAP is “a mental script that can provide a child with a way to think more clearly and stay calm while in situations that might otherwise cause them to be irrational or explosive.†(p. 193)Part of the childs difficulties that make roadmaps hard to use are:1. Cant tell or communicate about their emotional states. May be in the habit of saying nasty things to parents when generally upset about something else. This causes frustration and miscommunication. 2. Distorted interpretation about what is happening. (Gets back to schemas). The point is for the child to see the parent as someone who doesnt take it personally but tries to problemsolve with them. You might say “I know you think/feel………but I think…….â€a) You check to see if whats really bothering them is x. b) See if that is it. c) Ask what they need from you (p 215)d) Try to get kid to go right to what they need or want directly rather than say nasty things; no attacking, swearing, hitting, hurting the other persons feelings. Other family members: 236FAQ: 243Schools-chapter 12Residential, etc. chapter 13How parents feel, chapter 14