Helping the Noncompliant Child Family-Based Treatment for Oppositional Behavior

by McMahon, Robert J.; Forehand, Rex L.

• ISBN13: 9781572306127
• ISBN10: 1572306122
• Edition: 2nd
• Format: Hardcover
• Copyright: 2003-08-08
• Publisher: The Guilford Press

Summary

Now in a revised and greatly expanded second edition, this popular treatment manual and text presents an empirically validated program for teaching parents to manage noncompliance in 3- to 8-year-olds. Practitioners are provided with step-by-step guidelines for child and family assessment, detailed descriptions of parent training procedures, effective adjunctive treatment strategies, and complete protocols for conducting and evaluating the program. Cited as among the Best Practices for treating conduct problems, the program is supported by a substantial body of treatment research.

Author Biography

Robert J. McMahon, PhD, is Professor of Psychology at the University of Washington in Seattle. He is also a member of the Conduct Problems Prevention Research Group and Principal Investigator at the Seattle site of the Fast Track Project, an NIMH-funded multisite, longitudinal investigation of the prevention of early-starting conduct problems in high-risk children. Dr. McMahon has coedited a number of books and serves on the editorial boards of several journals.

Rex L. Forehand, PhD, is Professor of Psychology at the University of Vermont and Regents Professor Emeritus at the University of Georgia. He is also Principal Investigator of a CDC-funded parenting project. Dr. Forehand's publications include two coauthored parenting guides. He is a member of 10 editorial boards.

Table of Contents

1. Child Compliance and Noncompliance	1	(19)
Definitions of Compliance and Noncompliance	1	(2)
The Significance of Compliance and Noncompliance	3	(1)
The Development of Compliance and Noncompliance in Normal (Nonreferred) Children	4	(1)
Compliance and Noncompliance as "Deviant" Development	5	(14)
Final Thoughts	19	(1)
2. Parent Training	20	(8)
The Development of Parent Training	21	(2)
Common Catalog of Parenting Skills	23	(1)
Limitations of Parent Training	23	(1)
The Hanf Model of Parent Training	24	(4)
3. Overview of the "Helping the Noncompliant Child" (HNC) Parent Training Program	28	(14)
The Training Setting	28	(2)
Who Should Attend Sessions	30	(1)
Parenting Skills	30	(1)
Method of Teaching	31	(1)
Overview of Skills Taught in the Parent Training Program	32	(2)
When to Progress to the Next Skill: Behavioral Criteria	34	(1)
Structure of Sessions	35	(1)
Training Materials	36	(1)
Ethical Considerations	37	(1)
Engaging Families in the Intervention	37	(1)
Therapists	38	(2)
Final Thoughts	40	(2)
4. Assessment Methods and Procedures	42	(39)
The Interview	43	(6)
The Parent Interview	49	(6)
Direct Observation	55	(14)
Parent-Completed Questionnaires	69	(6)
Parent-Recorded Behavior	75	(1)
Assessment of School Problems	76	(4)
Posttreatment and Follow-Up Assessments	80	(1)
5. The Feedback Session and Sample Program Outline	81	(25)
The Feedback Session	81	(11)
Sample Outline of the Parent Training Program	92	(12)
Commonly Encountered Problems	104	(2)
6. Phase I: The Skills of Differential Attention	106	(24)
Facilitating Child Cooperation and Participation during
the First Intervention Session: The Use of Setting Instructions	106	(2)
Rationale and Overview of Phase I	108	(3)
Parenting Skills	111	(9)
Combining Phase I Skills: Differential Attention	120	(2)
Homework Assignments	122	(4)
Sample Session	126	(1)
Commonly Encountered Problems	127	(3)
7. Phase II: The Skills of Compliance Training	130	(33)
Rationale and Overview o f Phase II	130	(1)
The Clear Instructions Sequence	131	(19)
Extending Phase II Skills: Standing Rules	150	(4)
Extending Phase I and Phase II Skills	154	(3)
Sample Session	157	(2)
Commonly Encountered Problems	159	(2)
The Final Session(s)	161	(2)
8. Adjunctive Interventions	163	(19)
Rationale for Enhancing Parent Training	163	(1)
Use of a Self-Control Program with Parents	164	(2)
Teaching Parents Social Learning Principles	166	(11)
Parent Enhancement Therapy	177	(2)
Toward the Development of a Self-Administered Version of the HNC Parent Training Program	179	(3)
9. Adaptations for Specific Populations	182	(19)
Karen C. Wells
Attention-Deficit/Hyperactivity Disorder	183	(1)
Adaptations of Parent Training for ADHD	184	(6)
Child Abuse and Neglect	190	(2)
Developmental Disabilities	192	(3)
Other Populations	195	(3)
Adherence to Medical Regimens	198	(2)
Final Thoughts	200	(1)
10. Review of Treatment Research and Current Directions	201	(26)
Laboratory Investigations	201	(3)
Immediate Outcome Studies	204	(4)
Outcome Studies Examining Generalization and Social Validity	208	(6)
Enhancement of Generalization	214	(3)
Self-Administered Interventions	217	(2)
Comparisons with Other Interventions	219	(1)
Current Directions: Moving Toward Prevention	220	(4)
Conclusions	224	(3)
Appendix A. Parent's Consumer Satisfaction Questionnaire	227	(8)
Appendix B. Parent Handouts and Record Sheets	235	(32)
Parent Handout 1: Introduction to Phase I	237	(2)
Parent Handout 2: Attends and the Child's Game	239	(2)
Parent Handout 3: Parent Record Sheet: Child's Game	241	(1)
Parent Handout 4: Rewards	242	(2)
Parent Handout 5: Parent Record Sheet: Identifying "OK" Behaviors to Increase	244	(1)
Parent Handout 6: Ignoring	245	(1)
Parent Handout 7: Combining Positive Attention and Ignoring (Differential Attention)	246	(1)
Parent Handout 8: Introduction to Phase II	247	(1)
Parent Handout 9: The Clear Instructions Sequence: Path A	248	(3)
Parent Handout 10: Parent Record Sheet: Clear Instructions and Child Compliance	251	(1)
Parent Handout 11: The Clear Instructions Sequence: Path B	252	(2)
Parent Handout 12: The Clear Instructions Sequence: Path C	254	(3)
Parent Handout 13: Challenges in the Use of the Clear Instructions Sequence	257	(3)
Parent Handout 14: Parent Record Sheet: Clear Instructions Sequence	260	(1)
Parent Handout 15: Standing Rules	261	(2)
Parent Handout 16: Parent Record Sheet: Standing Rules	263	(1)
Parent Handout 17: Dealing with Situations Outside the Home	264	(3)
Appendix C. Social Learning Criterion Tests and Scoring Keys	267	(6)
Appendix D. Mealtime Brochure	273	(4)
References	277	(28)
Index	305