Advisory Panel > Ann Wheeler

Coaxing and Motivating

2 Sep 09
 
Coaxing and Motivating

Children with Down syndrome are often labeled as “stubborn” because of the common reluctance to comply with instructions and transitions.  This is understandable when one simply considers what the behavior looks like from an outsider’s point of view.  However, often the stubbornness does not come out of choice like it would be if I displayed the behavior, but out of a lack of behavior choices to solve a problem.  For example, if I am deeply involved with writing this blog and a friend coaxes me to play a board game and I shout “no!” and hold on to the computer for dear life, my friend might think I was rude and stubborn.  And I would be because I have knowledge of LOTS of ways to politely decline or negotiate myself out of something I do not want to do.  And it was a choice, right? 

Our kids, however, often do not have knowledge and experience with lots of ways to negotiate and get out of things they do not want to do.  AND, often they are not given choices but forced to do things, or transitioned to new activities with little warning.  I do not like to leave pleasurable activities but I have learned ways to calm myself, ease the transition, negotiate more time, evaluate if I really do need to leave at that moment, etc.  Basically, because I have the internal and external ability to be in control of the situation, I do not need to try to seize control.  When young children do not feel like they are involved in what is going on in their lives they often react adversely.  When two year olds do exactly the same thing for the same reason, we call it “normal.”  It is not “stubborn”, it is about wanting some control, being involved in what is going on, and having some skills in how to negotiate.  Here are some ideas about how to help “coax” and “motivate” when your child appears “stubborn”:

• Give your child a warning before a desired activity is due to end.  Do not suddenly tell her that it is time to go and expect her to quietly comply.

• Teach your child “first… then…”  For example, “first we’ll sing then you can draw.”  Do this many times with enjoyable activities that occur in quick succession.  When she understands this contingency you can then explain what will happen next in the daily schedule.  If she is having trouble leaving an activity, share with her some pleasurable aspect of what is coming next (e.g., “when we get to the doctor’s office you can read your new book.”)

• Give your child many opportunities throughout the day to make suitable choices (e.g., “do you want the red shirt or the blue shirt today?”)  This makes the times when he can’t have a choice easier to bear. 

• Try to not physically manipulate your child by picking up or pulling a child who is able to walk independently.  If someone picked you up and moved you, or pulled on you to come with them, you would probably not like it, even if you were going somewhere nice.  It may take longer, but model using words that explain to your child where you are going and when in a way she will understand .  Give them the time and opportunity to organise themselves to transition.  Support them to do this in whatever way necessary rather than physically manipulating (unless it is a dangerous situation and your child needs to be moved promptly.)  When you rely on physically moving your child it can become an expected pattern and denies your child the opportunity to learn and practice transitioning skills.

• Praise your child for coming when it is time to go.  Tell him what a big boy he is and how proud you are.  Give more attention to complying than to noncomplying.

• Believe that frequent noncompliance is simply a normal stage of development that your child will “grow out of” and not an aspect of Down syndrome that you have to endure.

© Ann Haig Wheeler, DSC 2009

All rights reserved. No part of this work can be reproduced in any form, or by any means without the express permission of the author or by Down Syndrome Centre info@downsyndromecentre.ie

 

Got a question for Ann Wheeler? If so, drop her an email here.

 
 

I am an assistant in a public school. We have a 15 year old female DS student who is beyond being slow-moving in any sense of the word. She is also very stubborn and unmotivated to do absolutely anything. She loves her dolls and movies which we have tried of no avail to use as a type of reward if she will do her work and move faster. She is required to set up chairs around 5 tables. Most of the time she will hide out in the bathroom or linger getting down to the Commons area to do her job. It takes her more than 1/2 and hour to when it takes the others only 15 minutes. She seems to live in her own little world. Her slow, stubborn behavior has been a huge problem and we need help resolving this issue with her. Thank you for any advice you can give us.


Posted on September 30, 2010
by dkotecki

Dear Dkotecki,

I do not know this student, but there are 3 possible considerations that spring to mind. Firstly, she may have a thyroid condition which is common in people with Down syndrome and this can cause extreme lethargy; I think it would be well worth checking this out before doing anything else. Other indicators of a thyroid condition would be putting on weight, slower speech than normal and hair loss, among another things. It can be hard to detect clinically in people with Down syndrome so a trip to the doctor is in order. Another condition which is sadly common in teenagers and young adults with Down syndrome is depression. Again, a doctor can advise. Secondly, she may be trying to express her displeasure with the chore you have set her. Perhaps you could contract with her acceptable chores and suitable rewards. Ask her what she wants to work for- all of us have to do things we don't want to at times and sometimes we do it only because we want the pay off (e.g., scrubbing floors at McDonalds for money.) Thirdly, the dolls and movies may not be a strong enough reinforcer for the behavior you want to elicit. Again, I would make out a contract with her about what she needs to do, and make sure that you give her some real choices where permissible. Then ask her what she believes would be a suitable activity or thing to work for. I find it helpful to come up with a list the person can choose from so that I can give suitable ideas from which to choose. When people feel included they are usually far more motivated to comply. Please feel free to contact me if I can be of further assistance.
Kind Regards,
Ann


Posted on November 8, 2010
by Ann Wheeler

Hi, I work with a 8 year old DS in a public school setting. The class is very unstructured and the teacher hardly organizes one-on-one teaching. I have a hard time convincing this boy to do anything. all he wants to do is nap! I know he doesnt sleep well at home. I have tried the contract, I have tried rewarding him but nothing seems motivating. I am the aide ...so I feel limited as to what I can do. I work with older women who view "yelling" as the only method. I have heard them often say "spanking" would help. I can't seem to motivate this kid. Sometimes he won't even leave the class to go to his bus at the end of the day. I decided to play a game of "race" to see who can get there first. He ran in the halls and got in trouble ...as well as I. I am lost.

I have worked with autistic kids before and done aba . I like structure and routine. I can't sit around watching the kids nap and eat. Help!


Posted on January 21, 2011
by sima
 

Leave a comment

This is just to verify you're a real person posting this comment and will not be displayed on the website or used without your permission.
captcha Please type the characters you see in the picture above.