Cov kws qhia ntawv yuav paub thiab cuam tshuam li cas thaum tus tub kawm tus cwj pwm nce ntxiv?

Cov ntawv sau tseg: Kev Ua Haujlwm Tawm Tsam - Nora

Xibfwb: Txhua tus phooj ywg, koj tau muaj sijhawm los xyuas koj cov ntawv ua tom tsev. Koj muaj lus nug dab tsi?

Xibfwb: Yog, Jordan.

Jordan: Koj puas tuaj yeem qhia kuv tias koj daws tus lej peb li cas?

Xib fwb: Number peb, tseeb. Cia saib, peb muaj 40 npaug peb. Nco ntsoov, peb ib txwm pib muab tus lej nrog tus lej hauv qhov chaw. Yog li peb muaj peb zaug xoom. Peb zaug xoom yog dab tsi?

Jordan: Peb zaug xoom sib npaug zero.

Xibfwb: Yog. Peb zaug xoom sib npaug zero. Thiab qhov twg peb sau tus xoom hauv peb cov lus teb?

Jordan: Hauv qhov chaw.

Xibfwb: Zoo. Peb zaug xoom sib npaug zero. Tom ntej no, peb yuav tsum muab ntau…

[Nora sighs hnyav heev hauv kev ntxhov siab, dov nws ob lub qhov muag, thiab hla nws txhais tes.]

Xibfwb: … peb zaug tus lej hauv kaum qhov chaw uas yog plaub. Peb yuav ua li cas ntxiv?

[Nora sighs hnyav heev hauv kev ntxhov siab, ua suab nrov tawm hauv nws lub qhov ncauj.]

Jordan: Muab peb zaug plaub, uas yog 12.

Xib fwb: Zoo, peb zaug plaub yog 12, thiab peb mus.

Xibfwb: Yog, Colin?

Colin: Koj puas tuaj yeem saib kuv?

Xibfwb: Yog lawm, kuv yuav nyob ntawd.

[Nora sighs.]

Xibfwb: [Nraug Nora] Koj paub dab tsi, kuv tsis paub yog vim li cas koj thiaj li hais lus tsis zoo hnub no. Yuav ua li cas?

Nora: Qhov no yog qhov nkim kuv lub sijhawm!

Xibfwb: Excuse me. Koj yuav tsum hais lus rau kuv nrog kev hwm.

[Nora sighs nrov.]

Xib fwb: Cov phooj ywg, muaj lus nug dab tsi ua ntej peb mus?

Nora: Kuv hais tias, qhov no yog qhov nkim kuv lub sijhawm!

Xib Fwb: Qhov no yog ib txoj kev tsis tsim nyog hais lus rau tus xib hwb. Yog tias koj tsis tau txais koj lub suab nyob rau hauv kev tswj hwm, yuav muaj qhov tshwm sim.

Xibfwb: [Rau chav kawm] Hu xovtooj zaum kawg rau cov lus nug? Txwv tsis pub, peb yuav tau pib rau hnub no qhov sov so.

Nora: [pushes over chair] Koj ntxhov siab heev! Kuv ntxub chav kawm no!

Xibfwb: [rau lwm tus menyuam kawm ntawv] Muab qhov no rau Ms. Chen, thov.

Xibfwb: [Kom chav kawm] Chav kawm, cia peb mus rau ntawm lub qhov rooj thiab mus tom ntej ntawm Ms. Chen ib yam li peb xyaum.

Xib fwb: Nora, Kuv pom koj chim siab. Koj puas xav mus rau ntawm Kev Thaj Yeeb thiab ua pa tob tob? OK. Hu zoo. Ua tsaug.

[10 feeb tom qab]

Xibfwb: Hav Nora, koj xav li cas?

Nora: me ntsis zoo dua.

Xibfwb: Auj, yog? Zoo, yog tias koj npaj txhij, koj tuaj yeem mus ua haujlwm ntawm daim ntawv txheeb xyuas lej thiab kuv yuav coj cov chav kawm rov qab.

Nora: OK.

Xibfwb: Yog lawm, txias. Ua tsaug. Ntawm no koj mus. Ua haujlwm zoo.

Nora: Kuv tiav lawm.

Xib Fwb: Nora. Ua tsaug rau koj qhov kev ua lej kom tiav. Kuv yuav muab daim ntawv qhia no rau koj, thiab koj tuaj yeem siv qhov no los qhia kuv txog dab tsi tshwm sim ua ntej, OK?

Cia li qhia rau kuv paub thaum koj ua tiav.

[3 feeb tom qab]

Nora: Kuv ua tiav.

Xibfwb: Zoo heev! Tsaug rau ua kom tiav daim ntawv debriefing, Nora.

Hav, cia peb tham txog dab tsi tshwm sim dhau los. Peb tuaj yeem pib nrog koj qhov kev xav?

Nora: OK.

Xibfwb: Zoo heev! Kuv pom tias koj ntxhov siab vim yuav tsum tau tos ua koj txoj haujlwm lej. Nws nyuaj rau hnov ​​lwm cov tub ntxhais kawm nug cov lus nug uas koj twb paub cov lus teb rau? Kuv nkag siab tag nrho qhov ntawd, tab sis koj ua dab tsi?

Nora: Kuv hais tawm. Ces kuv qw thiab kuv khob kuv lub rooj zaum.

Xibfwb: Kuv pom li ntawd thiab. Qhov ntawd ua tau li cas? Koj xav li cas txog qhov tshwm sim?

Nora: Kuv txaj muag, thiab kuv xav tias kuv tsis tau ua nws.

Xibfwb: Kuv paub. Koj xav li cas txog qhov koj tuaj yeem ua rau lwm zaus? Muab tswv yim rau kuv, kuv tuaj yeem pab koj.

Nora: Tej zaum kuv tuaj yeem thov ua haujlwm ua ntej?

Xibfwb: Zoo. Qhov ntawd yog ib lub tswv yim super. Yuav ua li cas kuv thiaj nrhiav tau qee qhov kev ua ub no nyuaj rau koj khaws ntawm koj lub rooj rau lub sijhawm zoo li no?

Nora: OK.

Xib Fwb: Tsis tas li ntawd nco ntsoov tias koj ib txwm muaj kev xaiv mus rau qhov chaw sib haum xeeb thiab siv cov dej num nyob ntawd.

Nora: OK.

Xibfwb: Zoo heev. Tam sim no, ntawm no yog qhov tseem ceeb: thaum twg tus menyuam kawm ntawv pom muaj tus cwj pwm tsis zoo hauv chav kawm, tus kws qhia ntawv yuav tsum hu mus tsev thiab sau ntawv xa mus rau chaw ua haujlwm. OK, Kuv tsuas yog xav kom koj paub txog qhov ntawd yog li nws tsis yog qhov xav tsis thoob. Koj muaj lus nug txog qhov ntawd?

Nora: Tsis yog. Kuv tau txais.

Xibfwb: Zoo heev! Ua ntej peb tsiv mus, puas muaj lwm yam uas koj xav tau lossis xav kom kuv paub? Puas muaj dab tsi ntxiv uas kuv tuaj yeem pab ua kom koj tos zoo dua lwm zaus?

Nora: Kuv tsis paub. Kuv ib txwm tos cov laus los pab lwm tus menyuam kom lawv pab tau kuv.

Xibfwb: Yog lawm. Koj muaj me nyuam.

Nora: Yeah. Nws tau txais tag nrho cov xim.

Xibfwb: thov txim kuv hnov ​​li ntawd. Qhov ntawd yuav tsum nyuaj heev. Yog tias koj xav tham txog qhov ntawd peb tuaj yeem ua tiav.

Nora: OK.

Xibfwb: Koj nyob li cas lawm?

Nora: Kuv txaj muag me ntsis, tab sis kuv zoo siab heev.

Xibfwb: Qhov no yog to taub tag nrho. Kuv zoo siab tias koj zoo siab, thiab kuv tsuas yog xav kom koj paub, Kuv zoo siab heev uas tau muaj koj hauv kuv chav kawm.

Nora: Ua tsaug.

(Kaum lub vaj huam sib luag no)

Cov ntawv sau tseg: Kev Ua Haujlwm Tawm Tsam - Kai

Xib fwb: Yog lawm, cov phooj ywg, peb tab tom yuav nyeem ib nqe lus hais txog qhov chaw nyob hauv Tennessee. Puas yog ib tus neeg xav tuaj yeem pab dawb kom dhau qhov kev nyeem ntawv?

Xibfwb: Ua tsaug, Kayla.

Xib fwb: Colin, ua hauj lwm zoo zaum ntsiag to.

Xib fwb: Kai, txoj hauj lwm zoo heev qhia kuv tias koj npaj tau nyeem los ntawm kev zaum ntsiag to.

Kai: Ua tsaug.

Xib Fwb: Okay, yog li hnub no peb yuav ua ib qho kev ua paj kws nrog kev lom zem qhov tseeb uas koj tau kawm txog Tennessee thiab yog tias koj xav tau, koj tuaj yeem nyeem tau ntawm koj phau ntawv.

Xibfwb: Okay, wb mus saib. Pob zeb diamond, koj puas tuaj yeem pib peb?

Pob zeb diamond: Yog lawm. Tennessee kov yim lwm lub xeev: Missouri, Kentucky, Virginia, North Caro-N-North Carolina, Arkansas, Georgia, Mississippi, thiab Alabama. Popcorn, Haley.

Haley: Tennessee tau khi nrog Missouri rau lub xeev uas muaj ciam teb tshaj plaws. Popcorn, Riley.

Kai: Aw [tso lub taub hau, kais xaum rau ntawm lub rooj]

Riley: Tennessee nto moo rau nws cov suab paj nruag, kub qaib, thiab dov toj. Nws hu ua "Volunteer State." Popcorn, Kai.

Kai: Aw. Nov yog tus uas kuv yuav hais. Umm… Tennessee zoo nkauj moun-mount-uhh-a [muab lub taub hau rau ntawm lub rooj].

Xibfwb: Kai, lo lus ntawd yog roob roob, thov kom koj lub taub hau thiab ua rau koj zoo tshaj plaws.

Kai: Uh kuv ua tiav nrog qhov no!

Xibfwb: Thov txim, tus tswv, qhov ntawd tsis yog qhov peb sib tham.

[Kai sawv ntawm nws lub rooj thiab thawb cov ntawv tawm ntawm nws lub rooj.]

Kai: Cia kuv nyob ib leeg! [khiav tawm ntawm chav kawm]

Xibfwb: Chav kawm, thov txuas ntxiv nrog koj qhov kev nyeem [saib lub qhov rooj chav kawm].

Xib fwb: [[ khaws lub xov tooj hauv chav kawm] nyob zoo. Kai mus rau lub tsev noj mov. Ua tsaug. [hu xov tooj]

[Qee zaum tom qab]

Xibfwb: Nyob zoo.

Thawj Tswj Hwm Sanders: Kai rov qab los, thiab nws tau txias me ntsis.

Xibfwb: Zoo heev. Ua tsaug. Koj puas tuaj yeem tuav txoj haujlwm nyeem ntawv rau kuv?

Thawj Tswj Hwm Sanders: Yog.

Xibfwb: Yog lawm. [txhais tes Thawj Tswj Hwm Sanders txoj kev nyeem ntawv]

Xibfwb: Chav kawm, Thawj Tswj Hwm Sanders yuav ua haujlwm rau kev nyeem ntawv, thiab thaum koj ua tiav, koj tuaj yeem ua haujlwm ntawm koj qhov kev nkag siab.

Xib fwb: [ntsib Kai hauv qhov rooj ntawm chav kawm] Kai, zoo siab koj rov qab los. Qhov no tej zaum yuav yog lub sijhawm zoo los mus ncaj nraim rau Lub Rooj Sib Tham. Puas yog suab txias?

Kai: Okay.

Xibfwb: Yog lawm. Ua ntej. So kom txaus.

[Kai rov qab mus rau chav kawm.]

[10 feeb tom qab]

Xibfwb: Hey, Kai. Koj puas nyob zoo?

Kai: Yog, kuv nyob zoo.

Xibfwb: Zoo heev, bud. Yog tias koj npaj txhij, kuv muaj ib qho kev ua ub no rau koj ua tiav ntawm koj lub rooj.

Kai: Okay.

Xibfwb: Okay, txias. Ua cas nej ho tsis khaws nej tej khoom thiab muab hais tseg ces kuv mam li qhia nej.

[Kai khaws nws cov khoom hauv pem teb thiab zaum hauv nws lub rooj.]

Xibfwb: Zoo heev. Ua tsaug ntau uas khaws tau qhov ntawd, Kai. [muab daim ntawv ua haujlwm rau ntawm Kai lub rooj] Cov haujlwm no yog hais txog zaj dab neeg uas peb tau nyeem nag hmo, yog li cov duab no yog cov xwm txheej hauv zaj dab neeg, thiab koj txoj haujlwm yog muab tso rau hauv.

Kai: Tau.

Xib fwb: Txias, thiab cia li qhia rau kuv paub yog tias koj muaj lus nug.

[5 feeb tom qab]

Xibfwb: Hey, Kai. Koj puas xav tias koj npaj siab muab qee qhov kev xav rau qhov tshwm sim dhau los?

Kai: Yog.

Xibfwb: Zoo heev. [muab daim ntawv qhia txog tus cwj pwm ntawm Kai lub rooj] Koj tuaj yeem siv daim foos no los tham txog qhov tshwm sim, vim li cas, thiab peb tuaj yeem ua qhov txawv ntawm lwm zaus. Okay, thiab koj tuaj yeem qhia rau kuv paub thaum koj ua tiav.

Kai: Okay.

Xibfwb: Muaj lus nug, qhia rau kuv paub.

[5 feeb tom qab]

Xibfwb: Hey, Kai. Cia peb rov mus xyuas qhov uas tau tshwm sim dhau los. Okay?

Kai: Tau.

Xibfwb: Kuv yuav siv daim foos no los coj peb kev sib tham. [kov debriefing tus cwj pwm daim ntawv]

Kai: Tau.

Xib fwb: [khaws tus cwj pwm debriefing form] Txias. Kuv pom koj chim thiab khiav tawm ntawm chav kawm. Umm koj tuaj yeem qhia kuv txog dab tsi tshwm sim los ntawm koj qhov kev xav?

Kai: Kuv paub tias kuv yuav tsum tau tig. Kuv tsis paub nyeem tag nrho cov lus, thiab sawv daws paub.

Xibfwb: kuv pom. Yog li ntawd, koj twb chim siab ua ntej koj tseem pib thiab ces thaum nws yog koj tig, koj tau khiav mus rau hauv ib lo lus tawv. Koj tau ua dab tsi los daws tag nrho cov ntawd?

Kai: Kuv tsis paub. Kuv npau taws thiab khiav tawm.

Xibfwb: Yog. Yuav ua li cas thiaj ua tau zoo rau koj?

Kai: Tsis zoo. Tam sim no kuv saib phem nyob rau hauv txhua yam ntawm txoj kev.

Xibfwb: Kuv nkag siab tag nrho koj xav li ntawd, tab sis kuv xav tias koj cov phooj ywg zoo li koj thiab txaus siab rau koj thiab koj tsis muaj dab tsi txhawj txog. Tab sis puas muaj lwm yam uas koj tuaj yeem sim lwm zaus uas yuav ua haujlwm zoo dua?

Kai: Kuv puas tuaj yeem hla kuv tig?

Xib fwb: Yog ib lub tswv yim zoo. Tom qab ntawd peb tuaj yeem pom zoo yog tias koj tuaj rau lo lus uas koj tsis paub, tsuas yog popcorn rau lwm tus. Okay?

Kai: Okay.

Xibfwb: Koj tuaj yeem thov kev pab txhua lub sijhawm. Tsis muaj kev txaj muag rau qhov ntawd. Umm, Kuv kuj tseem yuav muab sijhawm rau koj los saib cov nqe lus ua ntej yog tias koj xav tau. Okay? Tej zaum peb tuaj yeem xyaum thawj kab lus thiab kom koj pib ua paj kws ob peb zaug tom ntej.

Kai: Kuv xav li ntawd.

Xibfwb: Umm. Kuv xav kom koj sim sau cov tswv yim no. Koj tuaj yeem sau tau “Thov kom tus kws qhia ntawv pab thiab tom qab ntawd txuas ntxiv mus. Okay. [qhov chaw debriefing cwj pwm rov qab rau pem hauv ntej ntawm Kai]

Kai: Okay.

Xib fwb: Koj tuaj yeem qhia rau kuv paub yog tias koj xav tau kev pab.

Kai: Kuv ua tiav. [txhais tes piav qhia tus cwj pwm rau tus xib fwb]

Xibfwb: Okay, Kai. Ua haujlwm zoo sau cov tswv yim uas peb tau txheeb xyuas. Ib qho ntxiv peb yuav tsum tham txog. Txhua lub sij hawm tus menyuam kawm ntawv qhia txog tus cwj pwm tsis zoo hauv chav kawm, xws li tawm hauv chav tsis tau tso cai, tus kws qhia ntawv yuav tsum hu rau tsev thiab sau ntawv xa mus rau chaw ua haujlwm. Kuv tsuas yog xav kom koj paub txog qhov ntawd yog li nws tsis yog qhov xav tsis thoob. Koj puas muaj lus nug txog qhov ntawd?

Kai: Tsis yog, tab sis kuv niam yuav npau taws.

Xib Fwb: Kuv yuav ua qhov zoo tshaj plaws kom paub tseeb tias koj niam nkag siab tias qhov no yog tag nrho ntawm cov txheej txheem thiab tias koj tab tom kawm yuav ua li cas kom tau raws li koj cov kev xav tau. Okay? Yog li, tsis muaj kev txhawj xeeb txog qhov ntawd.

Kai: Ua tsaug.

Xibfwb: Txias. Thiab koj xav li cas txog kev ua qee lub sij hawm ntxiv los xyaum nyeem ntawv?

Kai: Kuv xav li ntawd.

Xibfwb: Uas suab zoo heev. Umm, kuv mam nrog koj niam tham txog qhov ntawd, thiab ua tsaug ntau ntau rau qhov kev sib tham no. Kuv xav tias koj ua tau haujlwm zoo, thiab kuv zoo siab heev uas koj nyob hauv kuv chav kawm.

Kai: Ua tsaug, Mr. S.

(Kaum lub vaj huam sib luag no)

Cov ntawv sau: Johanna Staubitz, PhD, BCBA-D

Nora's Acting-out Behavior

Yog li peb nyuam qhuav pom ib daim vis dis aus ntawm Nora lub voj voog ua yeeb yam uas peb kuj pom Mr. Santini teb rau Nora ntau txoj hauv kev sib txawv ntawm lub voj voog. Muaj ob peb yam uas yuav tsum nco ntsoov txog qhov piv txwv no. Ib qho yog tias qhov kev nce qib tau tshwm sim sai heev los ntawm pib mus rau qhov kawg. Qhov ntawd yog rooj plaub rau Nora; rau qee cov tub ntxhais kawm, muaj qhov kev nce qib qeeb dua qhov twg muaj sijhawm me ntsis ntxiv rau tus kws qhia ntawv los xav txog yuav cuam tshuam li cas thiab tej zaum yuav txo qis qhov chaw ntawm txoj kev ua ntej tus cwj pwm nce siab. Thiab yog li nws tsuas yog ib qho tseem ceeb kom paub tias qhov kev sib tw sib txawv ntawm cov tub ntxhais kawm. Tab sis rau Nora, nws tshwm sim sai thiab qhov tseem ceeb ntawm lwm yam uas tseem ceeb heev uas yuav tsum xav txog, thiab qhov ntawd yog kev paub txog koj cov tub ntxhais kawm. Qhov zoo dua Mr. Santini paub Nora, nws nkag siab zoo dua nws qhov ua rau thiab nkag siab tias nws tus cwj pwm sib txuas lus li cas, nws yuav muaj peev xwm xaiv cov tswv yim zoo uas tuaj yeem cuam tshuam lub voj voog ntawm kev nce ntxiv thiab ua kom muaj kev nyab xeeb dua.

Kev tsim kom muaj kev sib raug zoo nrog tus menyuam kawm ntawv tseem ceeb heev rau ntau yam. Ib qho ntxiv, nws pab tus kws qhia ntawv kawm paub ntxiv txog dab tsi tuaj yeem ua rau tus cwj pwm uas tuaj yeem ua rau muaj kev phom sij thiab cuam tshuam. Thiab ob, nws kuj tsim kev ntseeg siab ntawm cov tub ntxhais kawm thiab tus kws qhia ntawv xws li thaum Mr. Santini cuam tshuam, nws yuav muaj feem cuam tshuam rau Nora tus cwj pwm vim lawv muaj kev ntseeg siab txawm tias nws muaj kev ntxhov siab.

Tam sim no peb kuj pom Mr. Santini ua qee cov kauj ruam los teb rau Nora tus cwj pwm uas tsis muaj kev vam meej tshwj xeeb ntawm kev cuam tshuam qhov nce ntxiv. Ua ntej, thaum lub sij hawm Trigger Stage peb pom Nora saib khaus thiab zoo li dov nws ob lub qhov muag thiab sighing, thiab cov no yog cov cues maj mam. Lawv yooj yim rau tus xib fwb nco. Yawg Santini nco txog cov lus qhia uas Nora tus cwj pwm pib nce zuj zus. Thiab qee zaum nws yog qhov zoo rau tus kws qhia ntawv kom saib xyuas tus cwj pwm cuam tshuam me, tab sis qee zaus nws tsis yog. Thiab yog li ntawd, rau tus menyuam kawm ntawv uas nws tus cwj pwm tuaj yeem ua tau zoo li no, nws yog ib qho tseem ceeb uas yuav tsum tau cuam tshuam thaum ntxov ntawm qhov ua rau theem. Yog li ntawd, peb yuav tsum paub tias dab tsi yog qhov tshwm sim thiab nrhiav nws. Thiab hais txog nws peb yuav tsum xav txog qhov kev coj cwj pwm no ua rau tus menyuam kawm ntawv li cas.

Rau Mr. Santini los cuam tshuam rau txoj hauv kev uas muaj txiaj ntsig zoo dua, nws yuav tsum xav txog qhov ua rau yog dab tsi thiab yuav daws qhov xav tau li cas. Rau Nora, peb pom tias cov phooj ywg cov lus nug tau ua rau nws dhuav thiab pib khaus. Yog li Mr. Santini yuav tsum xav txog, "Yuav ua li cas kuv thiaj li ua rau nws tsis tshua dhuav thiab tsis khaus? Kuv yuav ua li cas txav nws tawm ntawm cov ntsiab lus no uas nws tab tom pib nce ntxiv?"

Qee qhov kev soj ntsuam dav dav yog tias thaum Mr. Santini cuam tshuam rau txhua theem ntawm lub voj voog, nws nco lub cim vim nws tsis tas yuav tsum ua raws li qhov nws ua nrog qhov xav tau uas Nora tus cwj pwm yog kev sib txuas lus lossis nrog cov xwm txheej tshwm sim. Rau Nora, nws yog hom kev qeeb qeeb, tos tus kws qhia ntawv los pab txhua tus ua ntej nws tuaj yeem txav mus rau qhov haujlwm uas nws tau npaj rau, qhov ntawd yog qhov teeb meem. Yog li cov tswv yim uas Mr. Santini xaiv kom muaj txiaj ntsig tiag tiag yuav tsum tau txo qhov teeb meem ntawd, tsis yog qee qhov teeb meem xws li qhia nws tias nws yuav tsum coj tus yam ntxwv zoo dua piv rau kev hais lus tsis zoo lossis nug nws txog tej yam ntawd. Qhov tseem ceeb tshaj plaws, Mr. Santini yuav tsum xav txog kev txo qhov xwm txheej uas ua rau muaj kev nce ntxiv hauv thawj qhov chaw, thiab yog li cov tswv yim rau qhov ntawd tuaj yeem zoo li qhov kev nce ntxiv mus ntxiv, raws li Nora nce mus txog qhov tshwm sim, Kev ntxhov siab, kev nrawm, mus txog Peak. Thiab cov tswv yim siv zog ntau dua yuav xav tau thaum nws mus txog Peak tus cwj pwm. Thiab qee zaum tus menyuam kawm ntawv tsuas yog xav tau kev khiav tawm ntawm qhov xwm txheej ntawd. Tshwj xeeb tshaj yog thaum nws tau los ze rau Peak, nws yuav dhau los ua qhov tseem ceeb dua rau Mr. Santini sim qee yam uas tsuas yog tshem tawm qhov xwm txheej tag nrho, thiab qee yam uas Mr. Santini thiab cov kws qhia yuav tsum xav txog hauv qhov xwm txheej zoo li ntawd yog tias koj muab cov tub ntxhais kawm so (uas yog lub tswv yim zoo yog tias qhov ntawd yog qhov lawv xav tau), ces qhov teeb meem tshwm sim tseem tawm mus, thiab nws tseem yuav dhau mus. Yog li ntawd, tus kws qhia ntawv yuav tsum xav txog yuav ua li cas hloov ib puag ncig uas tus menyuam kawm ntawv yuav rov qab los lossis, nyob rau lub sijhawm ntev dua, qhia cov menyuam kawm ntawv kom zam dhau qhov xwm txheej zoo li ntawd yav tom ntej.

Yog li ntawd, qee tus ntawm koj yuav xav tias, "Vim li cas kuv yuav tsum tau kho ib puag ncig, cov tub ntxhais kawm yuav tsum tsis txhob kho raws li kuv qhov kev cia siab ua tus kws qhia ntawv?" thiab qhov ntawd yog ib lo lus nug tsim nyog uas peb coob leej muaj. Tab sis qhov tseeb yog ntev npaum li qhov ib puag ncig zoo ib yam, peb yuav mus txuas ntxiv pom cov teeb meem kev coj cwj pwm zoo ib yam los ntawm cov tub ntxhais kawm uas muaj lawv. Thaum kawg, peb xav kom cov tub ntxhais kawm muaj kev txawj hloov thiab coj tus cwj pwm kom ua tau raws li qhov kev cia siab hauv txhua chav kawm. Thiab yog li ntawd, thaum peb ua haujlwm rau qhov ntawd, peb tsis xav hnov ​​​​qab tias peb lub hom phiaj kawg yog rau cov tub ntxhais kawm tuaj yeem ntsuas qhov xwm txheej thiab phim lawv tus cwj pwm rau nws. Peb yuav tsum pib los ntawm kev ua kom muaj kev zam txim rau lawv kom peb maj mam ntxiv cov khoom sib tw uas tam sim no lawv tuaj yeem kawm thiab xyaum ua raws li cov kev cov nyom, xws li mloog cov phooj ywg nug ntau cov lus nug thaum lawv tos rau cov haujlwm uas lawv npaj ua.

Cov ntawv sau: Johanna Staubitz, PhD, BCBA-D

Kai's Acting-out Behavior

Yog li koj tau pom Kai lub voj voog ua yeeb yam tag nrho. Peb pib nyob rau theem Calm uas nws tau ua tiav kev npaj rau kev nyeem ntawv uas yuav los tom ntej hauv chav kawm, thiab tus kws qhia ntawv, Mr. Santini, ua txoj haujlwm zoo tiag tiag ntawm kev lees paub tias dhau los ntawm kev qhuas tus cwj pwm tshwj xeeb thiab txhawb nqa Kai tiag tiag hauv theem Calm. Txawm li cas los xij, qhov kev nyeem ntawv tuaj thiab nws yog kev ua paj kws. Thiab koj tuaj yeem pom Kai pib maj mam txav nws cov ntaub ntawv nyob ib puag ncig nws lub rooj, thiab qhov no yog qhov hloov maj mam ua rau Mr. Santini tsis khaws nws ua ib qho kev ntxhov siab, txawm hais tias Kai tsis txaus siab me ntsis. Tom qab ntawd, qhov phem tshaj plaws tshwm sim los ntawm Kai txoj kev xav thiab paj kws tau hu rau nws. Thiab yog li nws tau tapping nws tus cwj mem, thiab nws zoo li, "Auj, zoo, ib tus neeg twb tau hais qhov kuv yuav hais," thiab cov no yog cov cim qhia ntawm kev ntxhov siab thiab kev ntxhov siab. Thiab tom qab ntawd nws yuav siv sij hawm los nyeem nws kab lus. Thiab hmoov tsis, cov txiaj ntsig no tau sib sau ua ke. Nws khiav mus rau hauv ib lo lus nyuaj thiab qhia kev ntxhov siab ntau dua nyob rau ntawd. Thiab Mr. Santini, txawm hais tias sim txhawb nqa, tsis tau txais qhov tseeb tias qee yam yuav tsum tau hloov pauv ntawm qhov kev qhia no rau Kai kom hloov mus rau txoj kev nce ntxiv. Thiab thaum kawg qhov tshwm sim yog Kai tau ntxhov siab heev los ntawm qhov yuav tsum tau ua kom nws nyeem pem hauv ntej ntawm nws cov phooj ywg tom qab ua yuam kev uas nws xaus rau qw thiab khiav tawm hauv chav, khob txhua yam ntawm nws lub rooj. Thiab Mr. Santini yuav tsum hu rau lub chaw ua haujlwm pem hauv ntej kom paub tseeb tias ib tug neeg tuaj yeem tuaj saib Kai thiab ua kom nws nyab xeeb. Ces peb pom Kai rov los rau hauv chav kawm, thiab Mr. Santini ua ib txoj hauj lwm zoo heev ntawm maj mam reintegrating thiab pib nyob rau hauv ib tug nyias muaj nyias ib cheeb tsam uas Kai muaj peev xwm mus ntxiv txias, muab nws ib tug ywj siab qhia kev ua ub no nyob rau hauv nws theem uas nws muaj peev xwm ua tau zoo ntawm re-acclimate rau chav kawm ntawv ib puag ncig. Raws li txoj kev, Kai rov kho nws ib puag ncig vim tias nws yuav xav tau cov ntaub ntawv uas nws khob hauv pem teb thiab tseem yuav tsum tau pib ua qee cov kauj ruam los kho qhov kev puas tsuaj, yog li hais, nws tau ua tiav los ntawm kev ua yeeb yam thiab thaum kawg ntawm qhov kev txiav txim siab ua tiav daim ntawv ib zaug nws tau rov ua dua rau hauv qhov kev kawm uas pab nws xav txog qhov tshwm sim. “Dab tsi ua rau kuv tus cwj pwm? Kuv tus cwj pwm yog dab tsi? Puas yog los yog tsis yog? Nws puas tau them nyiaj rau kuv? Yog, los tsis yog?” Thiab cov txheej txheem ntawd thaum kawg teeb tsa kev sib tham uas tshwm sim thaum Lub Sijhawm Rov Qab. Thaum nws ua siab mos siab muag tiag tiag, nws yog lub sijhawm cais, ib leeg nrog tus kws qhia ntawv, thiab qhov kev sib tham rov qab los kuj tseem ceeb heev thiab. Thiab hauv kev sib tham ntawd, Kai thiab Mr. Santini koom ua ke tuaj yeem txheeb xyuas qhov tshwm sim, txheeb xyuas cov qauv ntawm Kai tus cwj pwm kom Kai muaj lub tswv yim ruaj khov ntawm qhov teeb meem dab tsi, thiab tom qab ntawd lawv pib tawm tswv yim txog yam lawv tuaj yeem ua tau rau lwm zaus uas yuav ua haujlwm zoo dua rau Kai thiab ua rau nws zoo dua. Ua ntej xaus qhov kev sib tham, Mr. Santini kuj qhia meej meej txog qhov tshwm sim ntawm kev ua yeeb yam thiab ua kom Kai paub txog dab tsi yuav tshwm sim tom ntej. Tab sis thaum kawg Mr.

Cov ntawv sau: Johanna Staubitz, PhD, BCBA-D

Nora and Kai Kev sib piv

Koj tau pom cov piv txwv ntawm kev ua yeeb yam tawm mus rau ob tus tub ntxhais kawm sib txawv. Cov tub ntxhais kawm no muaj qee yam sib xws. Nkawd ob leeg yeej nyiam. Lawv ob leeg yog cov tswv cuab ntawm lawv cov zej zog hauv chav kawm. Txawm li cas los xij, lawv ob leeg muaj kev tawm tsam uas ua rau lawv ua yeeb yam tsis zoo rau lawv thiab lawv cov phooj ywg, thiab tseem ua rau muaj kev cuam tshuam hauv chav kawm. Qhov ntawd tuaj yeem yog teeb meem kev kawm thiab kev sib raug zoo rau cov tub ntxhais kawm thiab lawv cov phooj ywg.

Nora thiab Kai sib txawv ntawm ib leeg, txawm li cas los xij, qee qhov tseem ceeb. Nora, ntawm ib sab, ua tau zoo ntawm kev kawm raws li cov tub ntxhais kawm muaj zog tiag tiag thiab qhov ntawd cuam tshuam ncaj qha rau nws cov txiaj ntsig qhov twg Kai muaj lub zog kev kawm, tab sis tawm tsam ntau dua hauv qee qhov chaw thiab qhov cuam tshuam rau nws cov txiaj ntsig. Rau Nora, vim tias nws muaj zog heev, nws tau ntxhov siab heev thiab dhuav thaum cov phooj ywg xav tau kev txhawb nqa kev kawm ntau dua li nws ua, thiab nws tsis muaj peev xwm mus tom ntej mus rau ib yam dab tsi uas nyuaj rau nws, qhov kev cuam tshuam yuav luag rau qhov tsis sib xws rau Kai. Yog tias kev qhia txav nrawm dhau los yog nws yuav tsum ua qee yam uas nws qhov kev txawj ntse tsis txawj, tshwj xeeb yog nws nyob rau pem hauv ntej ntawm chav kawm, nws yuav tawm tsam. Thiab cov kev sib txawv no kuj txhais ua qhov sib txawv ntawm kev cuam tshuam tus cwj pwm. Rau Nora, nws zoo nkaus li dhuav thiab ntxhov siab, yam tsawg kawg ntawm qhov pib, thiab nws zoo li npau taws thaum nws txav mus los ntawm theem ntawm Trigger mus rau Peak. Kai, ntawm qhov tod tes, zoo li ntxhov siab thiab ntxhov siab thoob plaws hauv cov txheej txheem ntau dua li npau taws, thiab nws tus cwj pwm zoo li tsom mus rau kev khiav tawm ib puag ncig tag nrho los ntawm lub sijhawm nws mus txog Peak Stage. Thiab qhov no ua rau qee qhov sib txawv tseem ceeb hauv qhov Peak zoo li rau lawv thiab rau qhov uas Mr. Santini yuav tsum ua kom txhua tus muaj kev nyab xeeb. Rau Nora, nws nyob hauv chav kawm qhia tias nws ntxhov siab rau tus kws qhia ntawv, thiab cov chav kawm yuav tsum tau tawm mus. Rau Kai, nws tawm hauv chav kawm. Nws xav kom khiav tawm ntawm txhua lub qhov muag ntawm nws thiab nws txoj kev nyuaj siab nrog kev nyeem ntawv thiab qhov ntawd xav kom Mr. Santini hu ib tus neeg los cuam tshuam nrog nws, thaum Mr. Santini nyob nrog chav kawm. Ua ntej txhua tus ntawm cov tub ntxhais kawm no mus txog theem Peak, kev cuam tshuam sib txawv yuav yog qhov tsim nyog rau Mr. Santini kom tshem tawm ntau yam. Txawm hais tias ob qho tib si cov tub ntxhais kawm, hauv kev nkag siab, muaj qee yam ntawm cov ntsiab lus hauv chav kawm uas lawv yuav tsum tau khiav tawm, daim ntawv ntawm kev khiav tawm zoo li txawv. Nora yuav tsum tsiv mus nyob qhov twg Kai xav tau kev tawm ntawm kev ua si. Ob leeg ntawm cov tub ntxhais kawm no tuaj yeem sib txawv tau txais ntau hom kev so. Rau Nora, mus rau Kev Thaj Yeeb Kev Thaj Yeeb yog ib qho kev lees paub zoo kawg nkaus thaum nws nyob rau theem ntawd. Tab sis rau Kai, Mr. Santini txiav txim siab tias qhov ntawd tsuas yog yuav ua rau kom tsis xav xav ntau ntxiv rau qhov uas Kai xav tias yog nws qhov kev ua tsis tiav ntawm no, yog li cia kuv muab lwm txoj haujlwm rau nws, ib txoj haujlwm pab. Yog li ib zaug ntxiv, Mr. Santini yuav tsum paub nws cov tub ntxhais kawm tiag tiag thaum nws siv cov tswv yim de-escalation zoo uas haum rau lawv cov kev xav tau hauv cov xwm txheej no.