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General Parenting
The Residential Treatment Facility (RTF) Just Ain't Cuttin' It
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<blockquote data-quote="Marguerite" data-source="post: 73984" data-attributes="member: 1991"><p>Busywend, I think you misunderstood what Janna was saying. What I understood she meant was that in THIS place, ODD seems to be getting used as a blanket diagnosis as well as a blanket excuse for not making these kids do anything, when in a lot of the cases in THIS place, it seems to be bad parenting rather than genuine, properly assessed ODD.</p><p></p><p>I do not see ODD as bad parenting, nor do I think Janna does. But I've seen garbage bin diagnoses before (other conditions, not related to learning problems) and it sounds to me that in THIS particular Residential Treatment Center (RTC), this is how they're using the ODD label.</p><p></p><p>She said something about a lot of these kids needing their parents to get off their backsides and get involved - this is not the same thing as saying this is the cause of ODD. It sure isn't.</p><p></p><p>difficult child 3 was never formally diagnosed as ODD, but he sure fitted the label. And in his case, he fitted the label because the way we were handling him, was wrong - for him. It had been great for his siblings, it just doesn't work for him. Some kids - it makes them worse. But also, the ODD label came form a teacher who was having a vary difficult time with him and in her frustration and anger, she said, "That kid! You should investigate ODD, I can't understand any other reason why he would be so difficult! he just seems to do it on purpose!"</p><p>And that's another thing - I do not see ODD as the child being deliberately naughty, purely for the sake of it. And yet this is implied, in the label. And it is what some people believe - which could be why they stop trying, once they meet this label in a child.</p><p></p><p>I do not see ODD as a distinct mood disorder in its own right - I think if you dig deep enough, you will find a cause. It could be a simple reason, it could be complex. It could have an easy answer; it could be incurable. It will vary from child to child. I do not see it as a parental flaw, but I DO see it as often a mismatch between the child and the discipline technique. Although that is simplistic. And sometimes, the mismatch is as good as you can get it, because what some kids need simply doesn't exist. Hence - their parents try absolutely everything to help reduce the ODD, but get nowhere.</p><p></p><p>This doesn't mean I don't consider ODD to be a serious problem - I think it is, a HUGE problem. But I also think that in some cases it's too readily diagnosed and then the child stops getting a lot of help they could benefit from, because the perception is that ODD is incurable.</p><p></p><p>I think, from what Janna describes here, that this Residential Treatment Center (RTC) seems to have a revolving door for diagnosing ODD. Not accurate, not helpful and in fact very deceptive. But it potentially makes this place look good - because when a kid like Dylan eventually leaves and is assessed by someone else, he has a chance of having his ODD label dropped. Wow! he's been cured! (of a condition he actually never had).</p><p></p><p>Busywend, I didn't hear Janna call you a bad parent. I don't think she would ever do that, not even by implication. But when you live with a difficult child and you hear what sounds like a generalisation which seems to be aimed at your child, you tend to hear more into it than was ever intended.</p><p></p><p>Those of us who bother coming to this site - almost by definition, that makes us caring, determined, loving and concerned parents. And it's the teamwork which I meet when I come to this site that holds us together collectively and individually.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 73984, member: 1991"] Busywend, I think you misunderstood what Janna was saying. What I understood she meant was that in THIS place, ODD seems to be getting used as a blanket diagnosis as well as a blanket excuse for not making these kids do anything, when in a lot of the cases in THIS place, it seems to be bad parenting rather than genuine, properly assessed ODD. I do not see ODD as bad parenting, nor do I think Janna does. But I've seen garbage bin diagnoses before (other conditions, not related to learning problems) and it sounds to me that in THIS particular Residential Treatment Center (RTC), this is how they're using the ODD label. She said something about a lot of these kids needing their parents to get off their backsides and get involved - this is not the same thing as saying this is the cause of ODD. It sure isn't. difficult child 3 was never formally diagnosed as ODD, but he sure fitted the label. And in his case, he fitted the label because the way we were handling him, was wrong - for him. It had been great for his siblings, it just doesn't work for him. Some kids - it makes them worse. But also, the ODD label came form a teacher who was having a vary difficult time with him and in her frustration and anger, she said, "That kid! You should investigate ODD, I can't understand any other reason why he would be so difficult! he just seems to do it on purpose!" And that's another thing - I do not see ODD as the child being deliberately naughty, purely for the sake of it. And yet this is implied, in the label. And it is what some people believe - which could be why they stop trying, once they meet this label in a child. I do not see ODD as a distinct mood disorder in its own right - I think if you dig deep enough, you will find a cause. It could be a simple reason, it could be complex. It could have an easy answer; it could be incurable. It will vary from child to child. I do not see it as a parental flaw, but I DO see it as often a mismatch between the child and the discipline technique. Although that is simplistic. And sometimes, the mismatch is as good as you can get it, because what some kids need simply doesn't exist. Hence - their parents try absolutely everything to help reduce the ODD, but get nowhere. This doesn't mean I don't consider ODD to be a serious problem - I think it is, a HUGE problem. But I also think that in some cases it's too readily diagnosed and then the child stops getting a lot of help they could benefit from, because the perception is that ODD is incurable. I think, from what Janna describes here, that this Residential Treatment Center (RTC) seems to have a revolving door for diagnosing ODD. Not accurate, not helpful and in fact very deceptive. But it potentially makes this place look good - because when a kid like Dylan eventually leaves and is assessed by someone else, he has a chance of having his ODD label dropped. Wow! he's been cured! (of a condition he actually never had). Busywend, I didn't hear Janna call you a bad parent. I don't think she would ever do that, not even by implication. But when you live with a difficult child and you hear what sounds like a generalisation which seems to be aimed at your child, you tend to hear more into it than was ever intended. Those of us who bother coming to this site - almost by definition, that makes us caring, determined, loving and concerned parents. And it's the teamwork which I meet when I come to this site that holds us together collectively and individually. Marg [/QUOTE]
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