Results (
Thai) 1:
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Child-directed interaction
In the CDI phase of treatment, parents allow the
child to lead the play and learn to use differential
social attention to apply the nondirective PRIDE
skills to the child’s positive behaviors (see Fig 1).
The acronym PRIDE helps parents remember the
skills that convey positive attention: “P” stands for
praising the child’s appropriate behavior, “R”
stands for reflecting or repeating acceptable talk,
“I” involves imitating suitable child play, “D” represents
describing appropriate play, and “E” stands
for being enthusiastic. Parents also learn to avoid
attempting to control the interaction with commands,
questions, or criticisms, which can lead to
resistance and negative exchanges. They learn to
ignore annoying child behavior and to distinguish
negative behaviors that are potentially dangerous
and cannot be ignored. Before they have learned
the PDI, parents are instructed to stop the play if
they are faced with behavior that could become
dangerous and deal with it as they normally would.
Parents practice the CDI skills during the weekly
PCIT sessions as well as 5 minutes each day
between sessions. The 5-minute daily home sessions
(called “special time”) are long enough to
produce a therapeutic effect while remaining short
enough not to exhaust parents. As children begin
to enjoy the relationship with their parents created
by the CDI, they are less resistant to the limits and
rules that their parents learn to set in the second
phase of treatment.
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