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<blockquote data-quote="Dr. Douglas Riley" data-source="post: 247498" data-attributes="member: 6888"><p>Let me see if I can try to respond to most of these questions.</p><p> </p><p>For Janna: First, anxiety, while complex, is not the only cause of explosive behavior. Anxiety cannot be treated using the same methods that you would use for depression, which in turn cannot be used for treating definat behaivor, and so on. As you are no doubt aware, some children have multiple "disorders." They can have ADHD, can be oppositional, and can be depressed. There is no one universal cure for all of this. The research on this is very clear that each set of symptoms must be addressed using methods specific to it. It is also true that some explosive behavior has a biological basis, such as bipolar disorder, and medications may be useful in these situations.</p><p> </p><p>My approach is so different from Dr. Greene's that it probably takes reading both books to get the flavor of our differences. Dr. Greene is a highly regarded academic psychologist. Within the academic world there is a huge push to develop what is known as "evidence based treatments," or EBT. The idea is that each disorder should be treated with methods that have been shown through research to work well with that disorder. The attempt is to standardize treatment, much as the medical field has standardized treatments for various disorders. Dr. Greene's approach is to view explosive behavior as a unitary disorder, with no specific underlying cause other than cognitive distortions, and to treat all explosive behavior using collaborative problem solving. </p><p> </p><p>I am a practicing child psychologist (in the chair going on 32 years), and take the approach that while all explosions look the same on the surface, the underlying causes for each child's explosion can be quite varied. Due to this, there cannot be a one size fits all approach. For example, some of the children I work with are so intolerrant of unexpected chages in schedule, or unexpected routine, that they are literally phobic of changes and blow up repeatedly when things do not go as they expected. The fastest way to treat phobic responding is with exposure therapy, as well as teaching the child to do various types of self-talk whenever they are in the face of an unexpected transition. Exposure therapy is obviously not the treatment of choice for children whose explosive behavior is due to underlying depression. The treatment of choice for this is cognitive behavior therapy. However, cognitive behavior therapy will do nothing for children whose explosive behavior is closely tied to undiagnosed food reactions. And so on. Using my approach, you will see that there are multiple "types" of explosions. Again, each is best treated by using methods that are highly specific to it. </p><p> </p><p>I will clearly encourage people not to somehow pit my book and Dr. Greene's book against each other. This has happened frequently with my earlier book about defiant children (if you read my newest book, you will see that there are vast differences between defiant children and explosive children, and that their symptoms cannnot be treated using the same methods). Both Dr. Greene and I, as well as other writers, are really in the business of trying to improve a child's life. My own viewpoint is that each of the writers out there has something to teach me, and that a broad viewpoint is much better in helping children than a narrow one.</p><p> </p><p>Hope this helps, and I will continue to visit.</p><p> </p><p>Doug Riley</p></blockquote><p></p>
[QUOTE="Dr. Douglas Riley, post: 247498, member: 6888"] Let me see if I can try to respond to most of these questions. For Janna: First, anxiety, while complex, is not the only cause of explosive behavior. Anxiety cannot be treated using the same methods that you would use for depression, which in turn cannot be used for treating definat behaivor, and so on. As you are no doubt aware, some children have multiple "disorders." They can have ADHD, can be oppositional, and can be depressed. There is no one universal cure for all of this. The research on this is very clear that each set of symptoms must be addressed using methods specific to it. It is also true that some explosive behavior has a biological basis, such as bipolar disorder, and medications may be useful in these situations. My approach is so different from Dr. Greene's that it probably takes reading both books to get the flavor of our differences. Dr. Greene is a highly regarded academic psychologist. Within the academic world there is a huge push to develop what is known as "evidence based treatments," or EBT. The idea is that each disorder should be treated with methods that have been shown through research to work well with that disorder. The attempt is to standardize treatment, much as the medical field has standardized treatments for various disorders. Dr. Greene's approach is to view explosive behavior as a unitary disorder, with no specific underlying cause other than cognitive distortions, and to treat all explosive behavior using collaborative problem solving. I am a practicing child psychologist (in the chair going on 32 years), and take the approach that while all explosions look the same on the surface, the underlying causes for each child's explosion can be quite varied. Due to this, there cannot be a one size fits all approach. For example, some of the children I work with are so intolerrant of unexpected chages in schedule, or unexpected routine, that they are literally phobic of changes and blow up repeatedly when things do not go as they expected. The fastest way to treat phobic responding is with exposure therapy, as well as teaching the child to do various types of self-talk whenever they are in the face of an unexpected transition. Exposure therapy is obviously not the treatment of choice for children whose explosive behavior is due to underlying depression. The treatment of choice for this is cognitive behavior therapy. However, cognitive behavior therapy will do nothing for children whose explosive behavior is closely tied to undiagnosed food reactions. And so on. Using my approach, you will see that there are multiple "types" of explosions. Again, each is best treated by using methods that are highly specific to it. I will clearly encourage people not to somehow pit my book and Dr. Greene's book against each other. This has happened frequently with my earlier book about defiant children (if you read my newest book, you will see that there are vast differences between defiant children and explosive children, and that their symptoms cannnot be treated using the same methods). Both Dr. Greene and I, as well as other writers, are really in the business of trying to improve a child's life. My own viewpoint is that each of the writers out there has something to teach me, and that a broad viewpoint is much better in helping children than a narrow one. Hope this helps, and I will continue to visit. Doug Riley [/QUOTE]
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