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Paeds Casesgrowth-development-and-behaviour

Paeds Cases · growth-development-and-behaviour

Tantrums and aggression OSCE — assessment, parenting counsel and safety

OSCE on preschool multi-setting tantrums/aggression: structured history, ABC function, positive parenting without corporal punishment, safety planning and closed-loop referral.

osce communication and behavioural-counselling station2 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Study tools

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is history and formulation with a parent of a 3-year-old with multi-setting aggression. Station B is counselling on parenting strategies, no corporal punishment, safety plan and referral.

Station objectives

  1. Take a structured tantrum/aggression history with severity metrics and multi-setting data. [1] [4]
  2. Map likely behavioural function using ABC language. [15]
  3. Counsel positive parenting and explicitly advise against corporal punishment. [2] [3]
  4. Create a practical safety plan and closed-loop referral to parent training/supports. [1] [6]
  5. Recognise conversion triggers (medical red flags, safeguarding, acute injury risk). [1]
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References6ShowHide
  1. [1]Gleason MM Addressing Early Childhood Emotional and Behavioral Problems. Pediatrics, 2016.PMID 27940734
  2. [2]Sege RD Effective Discipline to Raise Healthy Children. Pediatrics, 2018.PMID 30397164
  3. [3]Gershoff ET Spanking and child outcomes: Old controversies and new meta-analyses. J Fam Psychol, 2016.PMID 27055181
  4. [4]Wakschlag LS Defining the developmental parameters of temper loss in early childhood: implications for developmental psychopathology. J Child Psychol Psychiatry, 2012.PMID 22928674
  5. [6]Furlong M Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years. Cochrane Database Syst Rev, 2012.PMID 22336837
  6. [15]Hanley GP Functional analysis of problem behavior: a review. J Appl Behav Anal, 2003.PMID 12858983
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