Assessment of a new procedure to prevent timeout escape in preschoolers

Hanf-model parent training programs (e.g., Forehand, Eyberg, Barkley) include a spank as the primary consequence for timeout escape. Because many agencies provide services to groups for whom a spank is not an option (e.g., foster parents), an alternative back-up was developed, the “two-chair hold” technique. Children referred for treatment of behavior problems (n=22) were assessed using the Eyberg Child Behavior Inventory, parent interview, and behavioral observations in the clinic. Related measures t-tests comparing pre- and post-treatment scores indicate that the two-chair technique was successful for decreasing timeout escape and improving overall behavior. However, a greater number of therapy sessions was required to obtain the desired effects than is typical in interventions using a spank as the escape consequence. Clinical issues regarding the use of the two-chair hold technique with defiant preschoolers are discussed. © Taylor & Francis Group, LLC.

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Author Robin Gurwitch Psychiatry, Child & Family Mental Health & Community Psychia ...