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How does parent‑child interaction therapy work? And who can use it?
Shawna Mastro Campbell, Bond University; Melanie J. Zimmer-Gembeck, Griffith University, and Tanya Hawes, Griffith University
Children thrive when parents are warm and responsive to their needs, while also providing clear guidance and setting limits. This is known as authoritative parenting.
But most parents will tell you authoritative parenting is easier said than done, especially when children have frequent intense emotions, big behaviours, meltdowns and outright defiance.
These challenges can lead parents to wish they had a parenting coach helping them know what to do and say.
Parent-child interaction therapy aims to do just that. It has been used in parts of Australia for around 20 years and is now available in some western Sydney schools.
So how does it actually work?
It focuses on the relationship
Parent-child interaction therapy is based on attachment theory, which posits that quality relationships in childhood predict wellbeing.
The parent and child play together in one room while the therapist observes in an adjacent room through a one-way mirror.
Using an ear-piece and microphone (or other communication device), the therapist acts as a coach to guide a parent’s responses to their child during play.
Coaching guides parents as they use positive attention skills to respond to their children’s behaviours and emotions as they occur. Within such a supportive environment, this reduces the child’s problematic behaviour and increases appropriate behaviours.
This guided, real-life practice gives parents the ability to use the techniques on their own, wherever they are, and enriches the parent-child connection.
How do kids experience it?
Parent-child interaction therapy was was first used in the 1970s to treat problem behaviours of children aged three to seven years. It’s now used from 15 months of age.
Although the child can’t see the therapist through the mirror window, they are aware their parent can hear the therapist through the earpiece.
From the child’s perspective, the play environment is often enjoyable and they get to spend high quality one-on-one time with their parent, enhancing the relationship.
Parents learn the importance of their attention
Throughout the therapy, the parent directly experiences the importance of their own attention.
When children get their parent’s attention for disruptive or other challenging behaviour, such as yelling, this can escalate children’s disruptive behaviour over time because parental attention makes any behaviour more likely to occur.
Children will even seek this attention if it comes in the form of a parent yelling, correcting, or negotiating, especially if they get little connection or attention when behaving appropriately.
In parent-child interaction therapy, parents use attention to reinforce their child’s positive behaviour. They practise giving positive attention for appropriate behaviour, such as praising and showing enthusiasm for children’s patience, kindness, good listening, or sharing.
The therapy also encourages parents to limit attention to unwanted behaviour when it’s safe to do so. A parent may be coached to avoid acknowledging when a child uses inappropriate language or “toilet talk”, for example.
Practising these attention strategies can increase children’s positive behaviours and interrupt the cycle of worsening behaviour and negativity.
Parents practise authoritative parenting
During parent-child interaction therapy, parents practise real-time strategies for authoritative parenting that:
- demonstrate warmth and responsiveness to their child’s needs
- fairly and clearly state expectations for behaviour
- are consistent in developmentally appropriate consequences, especially for aggressive behaviour.
Coaching focuses on responding kindly, while still setting clear boundaries and expectations for behaviour.
For example, by saying:
Thank you for following the rule of being gentle today. I really like when you do that at home with your brother, too.
Who is – and isn’t – it suitable for?
Research from Australia and abroad shows this type of therapy can be effective for behavioural and related emotion regulation problems.
It has also been shown to be effective among culturally diverse families and those who have faced adversity or have complex health and mental health challenges.
Research shows additional benefits for parents. These include reduced stress, improved parenting skills and confidence and improvements in the ability to manage difficult emotions such as anger.
Parent-child interaction therapy is most often used for children with conduct disorder, oppositional defiance disorder, and trauma-related conditions, as well as conditions where behaviour concerns can be a symptom, such as attention-deficit hyperactivity disorder (ADHD) and autism spectrum disorder.
However, it can be used for children without any mental health diagnosis
It’s not recommended when there are safety issues or unstable relationships in the family or home environment. In these instances, other interventions should be prioritised over treating children’s behaviour concerns.
The downsides
Parent-child interaction therapy is time consuming and resource intensive. Therapy typically lasts 14 to 16 weeks, with most sessions involving both parents and children. Research shows repeated practice can lead to more sustained improvements in children’s behaviour. So it can involve a big commitment from parents.
Parent-child interaction therapy is delivered by qualified mental health service providers such as registered psychologists and social workers. They require extensive training, ongoing professional development and program training from an approved provider, as well has months of supervised practice. They also require specialised rooms and equipment. This can limit access.
Currently in Australia, the program is offered at a few universities and in some school settings, with costs often offset by public funding. There are few private providers.
Behaviour problems are the most common reason parents seek support for children. Supporting them with evidence-based programs or therapies – whether that’s parent-child interaction therapy or others – can deliver wide-reaching benefits across their lifespan.![]()
Shawna Mastro Campbell, Associate Professor in Clinical Psychology, Bond University; Melanie J. Zimmer-Gembeck, Professor of Psychology, Griffith University, and Tanya Hawes, Program Co-ordinator/ Psychologist, Griffith University
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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Worried about feeding your baby solid foods? Here’s what you should know
Lillian Krikheli, La Trobe University and Samantha Turner, La Trobe University
When you have a baby, mealtimes can be messy and stressful.
If you’re a new parent you may be unsure what, when, and how to feed your little one. And you may also worry about choking, particularly when it’s time to start feeding your baby solid foods.
For babies starting solids at the recommended age of six months, it’s important to offer foods in a variety of different ways. Purees can be a helpful starting point, but they shouldn’t be the only texture a baby experiences.
Research suggests not waiting too long to introduce lumpy or textured foods. Infants who start eating lumps at 10 months or later were more likely to develop feeding difficulties and become selective eaters.
So if you’re a parent, where do you start? And what other foods are good to try?
Why texture matters
Mealtimes are crucial for a child’s development because they’re an opportunity to explore different textures and develop oral motor skills.
Imagine you’re eating a piece of toast. This involves performing a range of movements including holding, biting, chewing and swallowing. All of these actions require different muscles to work together, and only improve through practice. But that practice is only effective if it involves real food, as opposed to non-edible teething toys and isolated oral exercises like jaw opening and closing or cheek puffing.
When starting solid foods, many parents rely on purees and pouches as convenient ways to feed their babies. There’s nothing wrong with puree in itself. Many of our favourite foods resemble purees. Think of buttery mashed potato, yogurt, ricotta and applesauce.
The problem arises when purees and pouches become the only texture parents offer their babies, particularly early on. Babies who only eat pureed foods have less opportunity to develop the skills needed for eating and drinking. And research suggests children who frequently eat pouched foods are more likely to become fussy eaters.
So there’s nothing inherently bad about pureed foods. But feeding your baby varied foods gives them more opportunity to develop crucial oral motor skills.
Does it matter how I feed my baby?
There are various ways to start giving your baby solid foods.
One common approach is “baby-led weaning”. That’s where parents encourage their baby to feed themselves, rather than fully spoon-feeding them. This can encourage your baby to be more independent and explore food on their own. But it may also make mealtimes messier and more time-consuming for parents. And it can also feel daunting for parents who are concerned about choking.
However, one 2016 study found babies who feed themselves are no more likely to choke than babies who are spoon-fed. Foods which are suitable for baby-led weaning include strips of omelette, ripe avocado wedges or well-cooked corn on the cob. However, the researchers emphasised the importance of preparing foods appropriately and using risk minimisation strategies. These include avoiding high-risk foods such as popcorn, cutting round foods such as grapes and cherry tomatoes, and supervising babies whenever they eat.
An ‘in-between’ option for feeding is to offer your baby purees, while giving them a degree of independence. For example, you may pre-load a spoon for your baby to bring to their own mouth. You can also pair purees with larger foods, say a broccoli floret dipped in hummus. These combinations will help your baby develop eating skills while you become more confident with feeding your baby.
No matter what feeding approach you take, infant first aid training is a must for parents and carers. And if your child was born premature, has a developmental delay or has specific nutrition requirements, it’s best to speak to a paediatrician before giving them solid foods.
When you have a picky eater
Even if your baby transitions well to solid foods, toddlerhood can bring a new set of challenges.
Toddlers tend to be selective about what foods they do or don’t eat. They may also become more cautious around unfamiliar foods. These are both normal parts of a child’s development.
But problems can arise when parents pressure toddlers to eat food they don’t want to eat or when they aren’t hungry. Even small gestures, such as using a “spoon as aeroplane” or asking them to take “one more bite” in front of the TV or tablet, can put pressure on children. As a result your child may eat that next mouthful but, over time, they may develop a negative relationship with food and mealtimes.
As parents and carers, our role is to offer food at predictable times and in positive mealtime environments. Some ways to do that include:
- trusting they’ll eat as much as they need
- eating shared meals when possible
- modelling enjoyment of different foods during shared meals
- offering new foods alongside familiar favourites
- giving children multiple opportunities to see and try new foods, even if they don’t eat them the first time.
Unfortunately, babies and toddlers won’t love every meal you make them. But in time they’ll come to learn about, and even enjoy, a world of different textures and tastes.![]()
Lillian Krikheli, Lecturer in Speech Pathology, La Trobe University and Samantha Turner, Lecturer in Speech Pathology, La Trobe University
This article is republished from The Conversation under a Creative Commons license. Read the original article.
Health Tips for Kids!
- The diet of a child should be balanced and must meet his nutritional requirements. It should includes variety of nutritious foods offering plenty of proteins, vitamins and minerals and less of fat, sugar, cholesterol, sodium and calories. Make sure that diet of the child is light and easily digestible.
- It’s good to bake, roast or poach foods instead of cooking spicy, oily and fried foods for kids.
- Serve fruit and vegetable juices, vegetable soups and low fat milk instead of cold drinks, sweetened sodas and fruit-flavored drinks.
- Ice-cream and other desserts can be substituted with yogurt smoothies.
- For snacks in between meals, salads can be served with different delicious salad dressings.
- Drinking plenty of water keeps the body hydrated and healthy.
- Involve the child in activities like dancing, gardening and other sports of his interest.
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Babies learn a lot in their first year. But their behaviour doesn’t always tell the full story
Anyone who has spent time with a baby knows how unpredictable the first year can feel. One week a baby suddenly seems to “get” something new. The next week, that same response may disappear.
Parents often describe this as progress coming in bursts rather than in a straight line. These changes can be exciting to watch, but they can also raise questions. Did my baby forget? Did something go wrong?
Our new research, published in Language Learning and Development, suggests early language learning unfolds in much the same way. We found babies can pick up how speech sounds are made as early as four months old.
But this early ability does not simply grow stronger month by month. Instead, as babies move through the first year, the way they show what they know can change, even while learning continues quietly in the background.
Learning about speech
In earlier research, we showed babies as young as four months can learn patterns about how speech sounds are made.
After a short game involving two made-up “mini-languages”, four-month-olds could link what they had heard with what they later saw, even when the test was completely silent.
This told us babies were not just remembering individual sounds. They were picking up something more general about speech, such as whether sounds were made with the lips or with the tongue tip.
For many researchers, and for parents following this work, that raised a natural question: if babies can do this so early, what happens next?
Watching learning change over time
To find out, we followed the same babies over time and tested them again at seven and ten months. We also tested a separate group of ten-month-olds who had never seen the task before.
This allowed us to watch how learning changed within the same children, while also seeing how babies at the same age responded when everything was new.
The task itself was designed to be simple and engaging. Babies first learned links between made-up words and cartoon animals. For example, a word like “buviwa”, made using the lips, might always appear with a kangaroo, while a word like “dazolu”, made using the tongue tip, appeared with a kookaburra. Each “language” followed a clear pattern based on how its sounds were made.
Later, babies watched silent videos of a person speaking new words and then saw an animal image. Because the videos were silent, babies had to rely on what they had learned earlier, rather than matching sound and sight in the moment.
At four months, babies showed a clear response, paying closer attention when the talking face matched the animal they had learned. At seven months, this clear response was no longer there, which at first surprised us.
But at ten months, a different pattern emerged. Babies paid more attention when something did not match what they had learned. This response was especially clear in babies who were seeing the task for the first time, and became stronger when results from both ten-month-old groups were considered together.
Reorganising language systems
When we look at these findings together, the pattern starts to make sense.
Younger babies often prefer what feels familiar, while older babies tend to focus more on what is new or unexpected. Seven months appears to be a transitional period. Learning is still happening, but it is not expressed as a clear preference in either direction. Rather than signalling a loss of ability, the shift we see reflects a change in how babies respond as they mature.
This period of change fits with what is happening more broadly in babies’ lives. Between about seven and ten months, babies are becoming increasingly tuned to the sounds of the language they hear every day. They are also beginning to recognise common words and link sounds to meaning.
During this time, their language system is not just growing, it is reorganising. When that happens, learning can look uneven from the outside.
Many parents notice similar moments at home. A baby who once turned immediately toward a familiar voice may suddenly seem less responsive, only to show new signs of understanding weeks later.
These moments can be worrying, especially when progress is expected to be steady. Our findings suggest some of these changes may reflect learning in motion rather than learning lost.
Behaviour doesn’t always tell the full story
For parents, this work is a reminder that behaviour does not always tell the full story. If a baby doesn’t show a clear response at a particular age, it does not necessarily mean they have stopped learning or missed an important step.
For researchers and clinicians, the findings highlight the limits of relying on single tests at single ages. Early language learning is flexible and changing. To understand it properly, we need to look at how babies develop over time, not just how they perform at one moment.
Importantly, the results show babies don’t learn in a straight line, and quiet moments are not empty ones. Even when progress is hard to see, learning may still be unfolding, preparing the ground for what comes next.![]()
Eylem Altuntas, Researcher, Speech & Language Development, The MARCS Institute for Brain, Behaviour and Development, Western Sydney University
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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– credit Leighann Blackwood7 ways to teach little kids about body safety before they can talk
Danielle Arlanda Harris, Griffith University
Families with young children are yet again reeling after this week’s Four Corners investigation into abuse in the early childhood sector.
The program identified almost 150 childcare workers who had been convicted, charged, or accused of sexual abuse and inappropriate conduct.
System-wide changes are needed to improve standards and safety in the early childhood sector. But parents may also be wondering what they can do in the home to teach their kids about body safety.
There is increasing awareness of how to talk to children about body safety. This includes teaching kids that adults should not ask them to keep secrets and to tell a trusted adult if something feels wrong.
But what about babies and younger children who have not yet learned to talk?
According to Swiss psychologist Jean Piaget, children under two can understand language and even communicate before they develop speech. It is never too early to teach them about body autonomy, normalise safety, and model trustworthiness in relationships.
How can parents and caregivers do this?
1. Use the correct words
When you’re talking to a child about their body, you may want to use “baby talk”.
But it is important to use the correct anatomical words for their genitals, the same way that we teach them about other parts of the body.
This reduces shame and normalises body boundaries. It also ensures children grow up being able to describe any experiences clearly if there is a problem.
2. Narrate what you are doing
We teach older children that people should not touch their penis, vagina, or bottom.
But obviously for younger children, parents and carers need to touch their genital areas at nappy changes.
When changing a nappy, you can talk to little children in straightforward language and narrate what you’re doing in simple and easy steps. This is so they understand what a “normal” nappy change looks like.
For example,
I’m going to pick you up now. We need to change your nappy. We change your nappy when it’s dirty. First, I’m going to get a new nappy out of the drawer. Now I’m going to take off your pants. Remember, we only touch your bottom when we need to clean it.
3. Would you like to go to Tickletown?
You can normalise consent around touching from the beginning.
For example, teach consent around tickling. Practice using language that invites them to respond: “Would you like to go to Tickletown? Would you like me to tickle you?”
Then teach and demonstrate “yes/no” or “happy/sad” with a smile/frown, or thumbs up/thumbs down.
As they get older this can develop into having a safe word or modelling safe touch and unsafe touch.
4. Respect ‘push-away’ body language
Even very young children can send clear messages when they don’t want to be touched or held.
Where possible, respect their “push-away” body language such as pushing back, turning away, wriggling to get down, or arching their back. This teaches them they have autonomy of their bodies.
You can say things like: “Do you want to be put down? Your body belongs to you”.
5. Don’t force affection
Family and friends may be eager to hug or kiss your child, especially if they don’t see them often.
Resist the temptation to force your child to hug or kiss adults (“go on, give Grandad a kiss”) – even if it is a special occasion or visit. This teaches children about body boundaries and lets them know they can make decisions about their own bodies
6. What if a child doesn’t want a nappy change?
The “my body, my rules” message can be complicated when a child does not want a bath or when they don’t feel like having their nappy changed.
If you meet resistance during these times, calmly explain and narrate what you are doing and why. It will help form a foundation for them to understand healthy and necessary touching and recognise if someone is touching them inappropriately.
For example,
we need to have a bath to wash off all the dirt from the park. Let’s put some soap on your feet where they went in the sandpit.
7. Recognise nonverbal signs of distress
Preverbal children communicate through gestures and behaviour. Parents can learn to recognise nonverbal cues that might indicate signs of general distress.
In preverbal children such signs might include increased meltdowns or tantrums, withdrawal, unexplained genital pain or redness, changes in appetite, regression in toileting or sleeping, sudden fear or dislike of people or places, and even sudden mood changes or changes in personality.
Learning these signs can improve parent-child interactions and make it easier to recognise early signs of abuse.
If this article has raised issues for you, or if you’re concerned about someone you know, you can call 1800 Respect on 1800 737 732, Lifeline on 131 114, Kids Helpline on 1800 55 1800, or Bravehearts (counselling and support for survivors of child sexual abuse) on 1800 272.![]()
Danielle Arlanda Harris, Associate Professor in Criminology and Criminal Justice, Griffith University
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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