ADHD

Behavior 101: Understanding Positive and Negative Reinforcement

 
 

In the often complex world of behavioral analysis, the simplest and most fundamental question is this: what variables influence behavior? Every adult who interacts with children finds themselves faced with this question as they work to encourage desirable behaviors and discourage undesirable ones.

While many parents have heard terms like ‘positive’ and ‘negative reinforcement’ before, they are often associated with misconceptions about what they truly mean. When the basic principles of behavioral modification are understood, they can be used to craft a more informed and intentional approach to discipline. Similarly, knowing how these variables differ for children with ADHD supports a more nuanced grasp of how they work in action and what strategies will lead to improved outcomes. 

4 KEY TERMS FOR BEHAVIORAL INFLUENCE

First, there are two modes of influence: 

  1. Reinforcement, which aims to ‘reinforce’ or increase a desired behavior

  2. Punishment, which aims to decrease undesirable behavior

Second, there are two ways of approaching both reinforcement and punishment:

  1. Positive, which adds a stimulus (environmental change)

  2. Negative, which removes a stimulus

See a visual example here.

REINFORCEMENT: INCREASING DESIRED BEHAVIORS

Positive reinforcement means that if you want to increase the frequency of a certain behavior, you would add (positive) a stimulus (ie. reward). Some examples of positive reinforcers include verbal/written praise, tokens/points that can be redeemed for something of value, and tangible items like candy, toys, treats, etc.

Positive reinforcers should be:

  1. Carefully selected - using food has unfortunately been linked to negative effects, whereas more ‘natural’ consequences create a stronger connection between the action and the result (ex. cleaning a room quickly/completely might mean that now there is enough time to go to the park or to play an extra game together)

  2. Quickly delivered - reinforcement patterns have a tremendous influence on behavioral outcomes; wherever possible, avoid overly delayed reinforcers (the sooner, the better) 

  3. Consistent - results take time, and inconsistency may unintentionally lead to worsening behavior

  4. Directly linked to the behavior - explain precisely why the desired behavior was important and how/why it is linked to receiving the reward/reinforcer

Interestingly, deciding how to implement positive reinforcement is particularly important for children with ADHD, as they demonstrate higher sensitivity to both punishment and rewards (Clinical Child and Family Psychology Review, 2020). Behavior modification for these children should take into consideration the strong preference for immediate over delayed rewards and the heightened need for consistent, high-value reinforcers. 

On the other hand, while negative reinforcement also aims to increase the frequency of a desired behavior, it achieves this through the removal (negative) of a stimulus (something unwanted). For example, if a class is well-behaved, the teacher may waive a homework assignment.

The term negative reinforcement is often mistakenly used to refer to the reduction of undesirable behaviors; however, the correct term for this is punishment.

It is widely understood that positive reinforcement works better and faster - by far - than punishment does (National Library of Medicine). When adults are frustrated that ‘nothing is working’ for behavioral change, this is often directly associated with multiple forms of punishment for undesirable behaviors without positive rewards in place for good behavior.

PUNISHMENT: DECREASING UNDESIRABLE BEHAVIORS

In contrast to reinforcement, punishment aims to reduce undesirable behavior, and positive/negative still refers to the addition or removal of a stimulus. Positive punishment, then, is the addition of an aversive stimulus, such as being given extra chores or having to write an essay about a poor choice, and negative punishment is the removal of a desired stimulus, such as taking away privileges, attention, or toys. 

When it comes to positive punishment, or the addition of a stimulus to decrease a behavior, this often is associated with physical punishment. It is now widely understood that all forms of physical punishment are discouraged, due to its strong association with antisocial behaviors, aggression, and negatively impacted child development.

While some mild forms of negative punishment (such as losing privileges) may “increase on-task behavior and reduce undesirable behaviors effectively in the short-term… its long-term use and/or the use of positive punishment may have unanticipated and unwanted side-effects in children with ADHD” (Clinical Child and Family Psychology Review, 2020). This approach can also lead to children being motivated by a desire to avoid punishment, rather than an intrinsic drive to perform well or a sense of true engagement with the desired behavior.

KEY TAKEAWAYS

  • Positive reinforcement - or the addition of a stimulus/reward in response to ‘good behavior’ - is regarded as the most effective approach to influencing behavior.

  • Punishment is less effective in the long term and is associated with potentially negative effects.

  • When it comes to children with ADHD, it is especially important to use positive reinforcers that are a) consistent, b) immediate, and c) high-value.

  • Using this understanding to promote better outcomes in children’s behavior leads to improved performance in school, at home, in relationships, and in emotional regulation.

Written by Brandi R.

Summer Survival Guide: How to Create an Activities Menu for Kids with ADHD

 
 

It can be hard enough to reduce screen time for kids in general, but the often unstructured and indoor nature of summers in the Phoenix Valley can unlock a new level of difficulty for parents of children with ADHD. While getting out of the house is a great way to spend the break, it isn’t always a sustainable choice for the long haul.

For many parents, hearing comments like ‘I’m bored’ and ‘There’s nothing to do’ signals a familiar struggle: decision fatigue. This is particularly true for children with executive function disorders. Decision fatigue occurs because “ADHDers struggle to filter out irrelevant information to focus on what’s most important. The struggle can lead to a significant cognitive load as information is weighed, making even small decisions feel big” (Michael Ascher, M.D., and Lauren Ascher, J.D. M.S.T., 2024). 

ENTER: THE ACTIVITIES MENU

Feeling overwhelmed by the task of choosing what to do during the day, amplified by a reduced sense of structure in general, can be a recipe for meltdowns and conflict. Fortunately, simplifying daily decisions with an activities menu can help prevent them. Working together with your child, brainstorm as many activities as you can. Providing a guided list of non-electronic activities offers a simple resource that encourages them to get creative about how to keep themselves entertained and empowers them with the gift of both structure and choice.

CREATE CATEGORIES

Aim for a variety of activity types, such as physical movement, art, music, reading, play, etc. Movement might include dancing to music, playing hide and seek, or following guided exercise videos for children. If reading and writing are generally a challenge, these can be more exciting after a trip to the library for new material, or when writing a letter to a family member who lives far away. For playtime, they might list the toys currently in their room, such as legos, blocks, and puzzles. If encouraging your child to entertain themselves more independently is a priority, it can also be helpful to create a list of activities that can be done alone versus collaboratively, such as coloring on their own or playing a board game together. 

ON THE HUNT FOR IDEAS

Running out of ideas? Check out Peak’s article on Summer Boredom Busters. Make a research project out of it on Google to see what new ideas you can read about. An adventure together around the house might discover an old pack of bubbles from a birthday party, some cake mix that hasn’t been baked yet, or other small surprises lying around. Even a sheet in the hall closet could become ‘Build a fort’ on the activity menu. Is the list getting too long? Write the ideas on slips of paper in a jar to be pulled as needed throughout the day. Or, the menu can be spread out as separate lists for different days, to help mix things up.

TAKEAWAYS

  • Summer boredom can lead to cognitive overwhelm as children with ADHD try to decide what to do with their free time.

  • Creating an activities menu can provide a sense of structure and empowered choices, while also reducing screen time and promoting creative problem-solving.

  • Activities menus are ideally designed around non-electronic entertainment, and they incorporate variety in the types of choices provided.

Written by Brandi R.

TUTOR SPOTLIGHT: BROOKE WILLIAMS

TUTOR SPOTLIGHT: BROOKE WILLIAMS

Name: Brooke Williams 

Areas of Focus: 
My main focus is with students who struggle in academics and/or behavior.  I have many strategies that are beneficial to students who struggle with reading, math, focus, and social skills.  My background is working with students who have a range of needs such as ADHD, Autism, Gifted, and Dyslexia.  I am also Peak's primary evaluator for Comprehensive Educational Evaluations.