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.
On this page & 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
- Take a structured tantrum/aggression history with severity metrics and multi-setting data. [1] [4]
- Map likely behavioural function using ABC language. [15]
- Counsel positive parenting and explicitly advise against corporal punishment. [2] [3]
- Create a practical safety plan and closed-loop referral to parent training/supports. [1] [6]
- Recognise conversion triggers (medical red flags, safeguarding, acute injury risk). [1]
Continue reading
Paediatrics Fellowship Pro
You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.
References6Show ledgerHide ledger
- [1]Gleason MM Addressing Early Childhood Emotional and Behavioral Problems. Pediatrics, 2016.PMID 27940734
- [2]Sege RD Effective Discipline to Raise Healthy Children. Pediatrics, 2018.PMID 30397164
- [3]Gershoff ET Spanking and child outcomes: Old controversies and new meta-analyses. J Fam Psychol, 2016.PMID 27055181
- [4]Wakschlag LS Defining the developmental parameters of temper loss in early childhood: implications for developmental psychopathology. J Child Psychol Psychiatry, 2012.PMID 22928674
- [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
- [15]Hanley GP Functional analysis of problem behavior: a review. J Appl Behav Anal, 2003.PMID 12858983