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re:Eating problems occu...
Eating problems occur for many reasons. While it is perfectly normal for children to have preferences for certain foods, autistic children can be far more insistent on eating only their favorite foods. Other children may resist only mildly, but autistic children with eating problems can escalate to tantrums and aggression if they are not quickly accommodated.
摘自--《A work in progress》---Eating Problems
As with most programs, we want to approach this problem in the most positive and proactive way possible. Therefore, our plan would not involve repidly increasing the child´s diet nor insisting right away that he eat foods we consider nutritious. Rather, the program begins with selecting a food that you feel the child would most likely accept. This may be a food that is similar in texture and taste to his preferred foods. For example, if he will only eat spaghetti, you may be more successful trying other types of pasta or noodles.
We have seen that some children find any variation in their favorite foods to be completely unacceptable. You would not dare offer a different brand of chicken nuggets! In such cases you might actually have more success with food that is very different from what he would normally eat. That way he will not be suspicious that you are trying to trick him. Trust is very important in overcoming resistance to foods.It will work best if you let him know clearly what you want him to do, but let him make the choice to do it. Although it is not our preference, often we have to start with junk foods or sweets. Remember the first goal is to increase the variety of foods a child eats as well as reduce the resistance to trying new foods. Also remember, this is a process!
不知你女儿属于上面说的哪种情况,也或者兼而有之。我女儿分得出麦当劳的薯条和其它薯条的不同,但她也爱吃土豆,最后终于成功的接受了薯片。
The introduction to new foods should occur under the most optimal conditions. Therefore, meal time usually would not be a good choice. No one feels like battling during meals. Additionally, it is probably a time that is already associated with the control battle and will only make your child more resistant.
You should select a time when your child is more likely to be compliant and you are not rushed. If you are both in a good mood, there is a greater chance that your child will cooperate and that you will have the patience to work through his resistance unemotionally. This may be after he has played, or when you come home from an outing, or when he simply appears to be in high spirits. It should also be a time when your child is hungry but not starving. This will increase the likelihood of his trying a new food, but not make him desperate.
If you can also select a time prior to a favorite activity, you can use the activity as a reinforcer when he tries a new food. Additionally, it will provide an incentive to quickly finish eating. Naturally, if he does not try the food, he will lose the opportunity to participate in the activity. It may even be helpful to establish a routine where he participates in a preferred activity at a certain time. Therefore, he would be more likely to understand the contingency and eat the food quickly.
我倾向于,不管挑食是心理还是生理原因,都可能通过行为干预得到改善。我相信,TRUST IS VERY IMPORTANT IN OVERCOMING RESISTANCE TO FOODS。我很高兴的看到,嘟嘟正在有兴趣尝试新的食品,尽管有时尝过不喜欢再吐出来,但相比几个月前,至少已经努力去试过了。同时期的改变还有:对陌生人不再抵制,可以接受用塑料杯喝水不再坚持用玻璃杯,走在陌生的道路上不再要求抱着、、、我觉得这里面有共同的因素在起作用,和安全感、信任感有关的东西。我们的目的不光是要她们吃某种东西,我们最终的目的是要她们有勇气去尝试新的食品,新的事物。这些是相通的。 |
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