Truths about Time Out

8/29/2017

Julie

2/28/2019 09:01:44 am

This is incredibly disturbing. It's our responsibility to ensure therapy is always trauma informed. The behaviorist methods of 50 years ago, although well researched to be effective, it lacks our current understanding of developmental neurology and psychology. Operant conditioning is extremely effective, but damages intrinsic motivation and psychological wellbeing. These are children, not to dogs.

Time out is nothing more than social isolation and rejection. Social isolation and rejection manifest as the same pain as physical punishment in the brain as shown by neuroimaging. The long term psychological effects of acts of social isolation follow through the duration of adulthood. Our goal should no longer be to just extinguish unwanted behavior but to build pathways to the prefrontal cortex and support the whole child.

There are so many healthy, non punitive alternatives available. Time ins, calming corners, safe spaces, etc...
The assertion that time out treats children respectfully is highly questionable. Imagine your spouse social isolated you because of an unwanted behavior and then told you they were being respectable.

The use of time out with any child that has experienced an isolation trauma, especially children who have been adopted or fostered, should be viewed as malpractice. I would appreciate pcit.org reviewing and updating this practice before more harm is done.

Vivek Patel link

8/30/2019 06:52:01 pm

Thank you for saying this Julie.
There is no need to treat children this way in order to work with them. trying to get a child to behave better by making them afraid of the consequence they will receive if they don't align with our expectations doesn't teach them anything other than fear, out doesn't make them trust us and it creates deeper pain.

It doesn't address the underlying feelings and unmet needs that are causing the behaviour.

Please pcit, reconsider this and all punitive approaches.

Tom

7/6/2023 06:51:42 pm

Dear Julie,

While many professionals have adopted similar concerns to the above related to time-out practices research largely supports the use of time-out when used in a calm, brief and predictable manner and when used in combination with other positive relationship oriented practices. PCIT has release a statement summarising this research in more depth: https://www.pcit.org/pcit-blog/pcit-international-position-statement-on-time-out

The information you are referring to in your post regarding the neurobiological research originates from some of Dan Siegal's work which set the stage for the emotion coaching movement. While the mentioned strategies are indeed important for supporting children with their emotion regulation skills, organisations such as the Gottman Institute that advocate for emotion coaching warn that without appropriate limits for inappropriate behaviour (e.g. time-out, consequences) children will continue to behave aggressively even with the effective implementation of the strategies you have mentioned. It should also be noted that the information you have provided originates from a misrepresentation of Dan Siegal's work by Time Magazine which he has since clarified on his website including the promotion of time-out practices when used correctly: https://drdansiegel.com/you-said-what-about-time-outs/

It is also worth noting that some PCIT protocols (e.g. PCIT-CU) use the strategies you have mentioned in conjunction with practices such as time out. They key distinction being that time out is used when the child has behaved inappropriately while the other approach is used when the child is emotional but has not behaved inappropriately.

In summary both approaches are important for effective outcomes when managing child behaviour and can complement each other when implemented appropriately.

Tom

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Truths about Time Out

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