This study evaluated the effectiveness of eye contact in reducing ADHD children’s problems with compliance. Seventy-six parents of ADHD boys between ages 5 and 10 were randomized into two treatment groups and a control group. Repeated-measures ANOVA revealed that, as hypothesized, eye contact was effective in reducing ADHD children’s problems with non-compliance to their parents’ commands. In addition, those parents who subsequently used a stare technique for 20 to 30 seconds following the command reported even greater reduction in problems with compliance. It is possible that the additional time following the command allows the child to process the situation and decide whether compliance or non-compliance is the better option. It is apparent that parent - training programs should consider the inclusion of this technique in their treatment paradigms.
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References
1.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision) (DSM-IV-TR). Washington, DC: Author.
2.
Anastopoulos, A., & Barkley, R.A. (1990). Counseling and training parents. In R.A. Barkley (Ed.), Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment (pp. 373-393). New York: Guilford Press.
3.
August, G. J., Realmuto, G. M., Joyce, T., & Hektner, J. M. (1999). Persistence and desistance of oppositional defiant disorder in a community sample of children with ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1262-1270.
4.
Barkley, R. A. (1987). Defiant children: A clinician’s manual for parent training. New York: Guilford.
5.
Barkley, R. A. (1997a). Defiant children: A clinician’s manual for assessment and parent training (2nd ed.). New York: Guilford Press.
6.
Barkley, R. A. (1997b). ADHD and the nature of self-control. New York: Guilford Press.
7.
Barkley, R. A. (1998). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment (2nd ed.). New York: Guilford.
8.
Bowlby, J. (1983). Attachment (2nd ed.). New York: Basic Books.
9.
Brown, R. T., & Alford, N. (1984). Ameliorating attentional deficits and concomitant academic deficiencies in learning disabled children through cognitive training. Journal of Learning Disabilities, 17, 20-26.
10.
Forehand, R. (1977). Child noncompliance to parental requests: Behavioral analysis and treatment. In M. Hersen, R. M. Eislet, & P. M. Miller (Eds.), Progress in behavior modification (vol. 5). New York: Basic Books.
11.
Forehand, R., Sturgis, E. T., McMahon, R. J., Aguar, D., Green, K., & Wells, K. C. (1979). Parent behavioral training to modify child noncompliance: Treatment generalization across time and from home to school. Behavior Modification, 3, 3-25.
12.
Greenhill, L. L. (2002). Stimulant medication treatment of children with Attention Deficit Hyperactivity Disorder. In P. S. Jensen & J. R. Cooper (Eds.), Attention Deficit Hyperactivity Disorder: State of the science, best practices (pp. 9.1-9.27). Kingston, NJ: Civic Research Institute.
13.
Holmes, R. (1969). The psychology of authority. In C. O. Rhodes (Ed.), Authority in a changing society (pp. 16-27). London: Constable Press.
14.
Johnson, S. M., & Lobitz, G. K. (1974). Parental manipulation of child behavior in home observations. Journal of Applied Behavior Analysis, 7, 23-31.
15.
Kapalka, G. M. (in press). Longer eye contact improves ADHD children’s compliance with teachers commands. Annals of the Association for the Advancement of Educational Research.
16.
Kendall, P. C., & Braswell, L. (1985). Cognitive-behavioral therapy for impulsive children. New York: Guilford Press.
17.
McMahon, R. J., & Wells, K. C. (1989). Conduct disorders. In E. J. Marsh & R. A. Barkley (Eds.), Treatment of childhood disorders (pp. 73-134). New York: Guilford Press.
18.
Patterson, G. R. (1982). A social learning approach, vol. 3: Coercive family process. Eugene, OR: Castalia.
19.
Patterson, G. R., Ray, R. S., Shaw, D. A., & Cobb, J. A. (1969). Manual for coding of family interactions. New York: Microfiche.
20.
Pisterman, S., McGrath, P., Firestone P., Goodman, J. T., Webster, I., & Mallory, P. (1989). Outcome of parent-mediated treatment of preschoolers with Attention Deficit Disorder. Journal of Consulting and Clinical Psychology, 57, 628-635.
21.
Roberts, M. W., Hatzenbuehler, L. C., & Bean, A. W. (1981). The effects of differential attention and time-out on child noncompliance. Behavior Therapy, 12, 93-99.
22.
Rooney, K. J., Hallahan, D. P., & Lloyd, J. W. (1984). Self-recording of attention by learning disabled students in the regular classroom. Journal of Learning Disabilities, 17, 360-364.
23.
Strain, P. S., Steele, P., Ellis, T., & Timm, M. A. (1986). Long term effects of treating noncompliant children. In C. E. Schaefer, H. L. Millman, S. M. Sichel, & J. Riegelhaupt Zwilling (Eds.), Advances in therapies for children (pp. 422-426). San Francisco, CA: Jossey-Bass.
