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Behavior/Aggression


Vraag

Our 5-year-old is very aggressive in school. When they don't do what she wants she tends to react very aggressively. What is happening with her? We don’t know what to do. Sometimes I bring it to her attention but she doesn't seem to understand.

Antwoord van onze experts

There can be a number of reasons for your child being aggressive in school and it is not uncommon for children with an intellectual disability to show aggression and other difficult behaviors when they are asked to do things that they do not want to do. When this seems to be a trigger it is important to consider the type of task that the child is being presented with. Tasks that are too difficult, presented in a way that the child does not understand, are not very rewarding or occur when the child is engaged in highly preferred activities will all lead to incidents of difficult behavior. If the aggression then occurs and the task is removed the child will learn that aggression is one way of saying "no!" as the behavior is rewarded by the removal of the task. In this scenario it is important to break tasks into small steps, present tasks in a way that the child understands what is required and to present very high levels of reward for compliance. These rewards can be faded over time. We have given some advice on helping children with behavior that is shown under these circumstances in the attached book and particularly in sections 7.5.2 through 7.6.4. Although these sections in the book refer to self-injurious behavior the ideas are equally applicable to aggression.

Link:

CO/ TK 7-13-10

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Aanbeveling(en)

Zelfbeschadigend en agressief gedrag

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Om de oorzaak van zelfbeschadigend gedrag bij individuen met CdLS te identificeren, dient medische beoordeling gericht op bronnen van pijn gevolgd te worden door gedragsbeoordeling van zelfbeheersing en vervolgens functionele analyse.
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Behandeling van zelfbeschadigend gedrag dient zowel medische als gedragsmatige strategieën te omvatten.

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