Set of family intervention using evidence-based strategies in family behavior therapy that addresses:

- Family formation and adaptation (Family Check-Up Model
- Family disruption and maladaptation (Parent Management Training - Oregon Model)
- Family attenuation and dissolution (Treatment Foster Care - Oregon Model)

Arizona State University

Patterson (1982, as cited in Kramer, 2013) argued that parental behavior alters the probability of child responses. Differences in family interactions of nonaggressive and aggressive children were found that aggressive children were twice as likely as nonaggressive children to persist in behavior following parental punishment.  Parent-child interaction is reciprocal and “teach” each other behaviors that lead to child aggression.  


Parent-Child Interaction Patterns

Dishion, T., Forgatch, M., Chamberlain, P., & Pelham, W. E., 3rd (2016). The Oregon Model of Behavior Family Therapy: From Intervention Design to Promoting Large-Scale System Change. Behavior therapy, 47(6), 812–837. https://doi.org/10.1016/j.beth.2016.02.002

Reference for Oregon Model

Shermerhorn, Chow & Cummings  (2010, as cited in Kramer, 2013) described that when parental conflict effect children and adolescents, there is an increase emotional and behavioral problems. Additionally, during high levels of negative exchange, the children tend to blame themselves for their parent’s conflicts and feel emotionally insecure.


Inter-parental Conflict

Parent training worked better for younger than older children from. The understanding of the importance of intervening early in the developmental cycle, childhood to middle adolescence.

Importance of Parent Training

Oregon Model of Behavior Family Therapy (OM)

Hyperactive & Antisocial Behaviors, in Preschoolers

10-18 months
- Unresponsive Mother & Irritable Infant

24-32 Months
- Child is coercive & unskilled & Ineffective parenting and discipline, ineffective teaching, uninvolved parenting

48 Months
- Labelled “Hyperactive”

72 Months 
- Labeled “Antisocial” & Parents are antisocial

Progression Model

Strong correlation with hyperactivity and antisocial behavior. However, the relationship between the two is mediated by parental discipline practices.

Parent Discipline

Parental beliefs, values, norms, standards, attitudes about parenting are directly related to child outcomes. 

Consequently, failures in parenting such as parental rejection, parental depression, parental anger, parental low self-esteem, negative perceptions of the child are directly related to child deviant outcomes.

Parental Beliefs

Inadequate discipline and poor parental monitoring are key factors in the antisocial behavior. Discipline and the use of positive reinforcement play a central role in the development of a child’s competence.

Role in Coercion Theory

Fear tendencies for children and adolescents 

- Children ages 2-4, imaginary creatures and the dark
- Children ages 5-7, natural disasters, injury, animals
- Children ages 8-11, poor academic and athletic performance
- Adolescents 12-18, peer rejection



Developmental Considerations for Clinical Child Psychology

Beginning as early as 1 year old, the child’s ability to pick up emotional cues from others in their environment.

Social Referencing in Children

Insecure-Ambivalent - No interest in exploration, ineffective in receiving comfort from caregiver when angry or resists contact from them.

Insecure-Avoidant - Explores but does not seek affection when reunited with parent.

Secure - explore freely when parent is present. Looks to parent for emotional cues during signs of distress.


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