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Journal of Clinical Child & Adolescent Psychology


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Mindfulness-Based Parent Training: Strategies to Lessen


the Grip of Automaticity in Families With Disruptive
Children
Jean E. Dumas
Published online: 07 Jun 2010.

To cite this article: Jean E. Dumas (2005) Mindfulness-Based Parent Training: Strategies to Lessen the Grip of Automaticity
in Families With Disruptive Children, Journal of Clinical Child & Adolescent Psychology, 34:4, 779-791, DOI: 10.1207/
s15374424jccp3404_20

To link to this article: http://dx.doi.org/10.1207/s15374424jccp3404_20

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2005, Vol. 34, No. 4, 779–791 Lawrence Erlbaum Associates, Inc.

OTHER ARTICLES

Mindfulness-Based Parent Training:


Strategies to Lessen the Grip of Automaticity
in Families With Disruptive Children
Jean E. Dumas
Department of Psychological Sciences, Purdue University
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Disagreements and conflicts in families with disruptive children often reflect rigid
patterns of behavior that have become overlearned and automatized with repeated
practice. These patterns are mindless: They are performed with little or no awareness
and are highly resistant to change. This article introduces a new, mindfulness-based
model of parent training and contrasts the model’s assumptions with those of behav-
ioral (operant) parent training. The new model informs 3 strategies to lessen the grip
of automaticity in families with disruptive children: facilitative listening, distancing,
and motivated action plans. The article does not oppose mindfulness to mindlessness
or suggest that the former is always better than the latter but instead proposes that
each is most useful at different times in the parenting process. I conclude by calling
for empirical investigations of mindfulness-based parent training and, if those are
successful, for the development of an integrated model that blends behavioral and
mindfulness-based principles to inform all facets of intervention.

Parent–child interactions play a major role in child Applied successfully in diverse socioeconomic and
development and socialization and have long been the ethnocultural contexts, BPT offers a time-limited,
focus of programmatic efforts to change them when cost-effective means of fostering positive parent–child
they are dysfunctional. These efforts have led to the interactions in families with disruptive children or with
creation and refinement of a sophisticated psycho- children at risk of becoming disruptive (Eyberg et al.,
social approach, known generically as behavioral par- 2001; Gross et al., 2003; Serketich & Dumas, 1996;
ent training (BPT) or parent training for short. Since its Webster-Stratton, 1998). For example, a meta-analysis
inception in the 1960s, BPT has become one of the of 26 outcome studies found that, on average, children
most widely used interventions for families with dis- whose parents participated in BPT were better adjusted
ruptive children. The methods of instruction and the at home after treatment than 80% of children whose
two core techniques of BPT, differential reinforcement parents did not participate. Similarly, participating par-
and time-out, have been developed into comprehen- ents were better adjusted themselves at the end of treat-
sive, manualized programs for professionals (e.g., ment than two thirds of nonparticipating parents
Barkley, 1997; Eyberg & Boggs, 1998; McMahon & (Serketich & Dumas, 1996). Though positive, these
Forehand, 2003) and the general public (e.g., Barkley findings show that not all families benefit from BPT.
& Benton, 1998; Webster-Stratton, 1992). Some parents are reluctant to become engaged in pro-
grams designed to change the ways they interact with
their children. Others become engaged initially but
participate minimally and often drop out early. Still
Preparation of this article was supported by Grant R21 HD40079
from the National Institute of Child Health and Human Development others participate fully and make positive changes in
and by Grant R49/CCR 522339 from the Centers for Disease Control their parenting but do not maintain them for any signif-
and Prevention. icant length of time.
I am grateful for the critical comments of Robert G. Wahler and Interventions work and fail for many reasons. One
Alan S. Winton on earlier drafts of this article. Their mindful input
of them is that the processes through which an in-
was most valuable.
Correspondence should be addressed to Jean E. Dumas, Purdue tervention achieves change can be expected to be rele-
University, Department of Psychological Sciences, West Lafayette, vant and beneficial to some but not all participants
IN 47907. E-mail: jdumas@purdue.edu (see Kazdin, 1997, 2001). Fundamentally, the operant

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DUMAS

model underlying most BPT programs assumes that informs three strategies to lessen the grip of auto-
human behavior is a function of the contingencies of maticity in families with disruptive children. I present
reinforcement and punishment to which individuals these strategies, along with indirect empirical support
are exposed in their daily lives and that changes in for each from research in other areas of psychology,
these contingencies are necessary to modify undesir- compare these strategies with those used in BPT, and
able behavior (Dumas, 1989). There is no doubt that call for systematic evaluations of the new model. As
carefully planned changes in contingencies can help should become apparent in the following, I am not ad-
many families with disruptive children. However, re- vocating a rejection of the BPT model. Rather, this arti-
search in cognitive, social, and clinical psychology cle calls for an integration of research on effective
since BPT was first developed has shown that its oper- parenting with research on automaticity to bring parent
ant model cannot account for numerous facets of hu- training practice in line with current empirical knowl-
man behavior. Of particular relevance to processes of edge. In that perspective, I use the labels behavioral
change is the growing literature on automaticity in the and mindfulness-based to describe the two models
development and maintenance of adaptive and mala- only, not to suggest that a mindfulness approach is
daptive behavior. This literature shows that, with prac- antibehavioral or that a behavioral approach never ad-
tice under comparable learning conditions, many pat- dresses mindfulness issues.
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terns of behavior become automatized, that is, under


the control of largely unconscious rules that do not
readily respond to changes in contingencies of rein- Automaticity
forcement and punishment (Bargh & Chartrand, 1999;
Bargh & Ferguson, 2000). In line with this evidence, I Much of what we do, we do automatically and
believe that some families do not benefit from BPT be- mindlessly, without the guidance of explicit plans or
cause, by the time they are offered intervention, they the intervention of conscious acts of will. Everyday life
have engaged in ineffective patterns of interaction so would be impossible if it were not for a font of automa-
often that those have become automatized and highly tized patterns of thinking, feeling, and acting acquired
resistant to change. in the course of countless exchanges with our social
There is growing awareness of the role of auto- and physical world (Bargh & Ferguson, 2000).
maticity in family interactions (e.g., Milner, 2000), but Automaticity is a double-edged sword. On the posi-
researchers and clinicians have been slow to consider tive side, it provides us with essential “shortcuts” to
its implications for interventions for families with dis- manage our interactions with people and things and
ruptive children. This is the purpose of this article. Fol- leads to major economies in attention and effort. Tod-
lowing an overview of automaticity in everyday life dlers are aware, quite literally, of every step they take,
and family relationships, I contrast the BPT model consciously putting one foot in front of another in the
with a new, mindfulness-based parent training (MBPT) difficult and tiresome task of learning to walk. Rapidly,
model. The fundamental assumptions underlying each however, practice enables them to smooth over their
model are presented in Table 1. The MBPT model hesitations and makes them experts able to walk and

Table 1. Fundamental Assumptions of the Behavioral and Mindfulness-Based Parent Training Models
Behavioral Model Mindfulness-Based Model

Human behavior is a function of the contingencies of reinforcement Much of human behavior is automatized. It reflects ATPs, that is,
and punishment to which individuals are exposed in the course of transactional, relationship-specific ways of coping that are
their exchanges with the environment. performed with little conscious awareness, stable, and highly
resistant to change.

Disruptive behavior is learned and sustained by the positive and Conflict in families with disruptive children reflects ineffective ATPs
negative reinforcement (e.g., social attention, avoidance) children that are maintained by strong negative emotions.
receive from social agents, parents in particular.

Intervention relies on operant principles to teach parents to establish Intervention relies on mindful practices to teach parents to consider
shifts in contingencies such that their children’s prosocial their own and their child’s behavior nonjudgmentally, to distance
behaviors obtain positive parental reinforcement and their aversive themselves from negative emotions, and to develop parenting
behaviors are consistently punished or ignored. goals that are accompanied by motivated action plans.

Maintenance and generalization of intervention gains rely on a Maintenance and generalization of intervention gains rely on the
process of positive reinforcement. As parents and children development of effective ways of coping that become automatized
exchange reinforcers through their newly acquired patterns of with practice, that is, on new ATPs (until they themselves may
interaction, these patterns are likely to maintain themselves and to need to be changed in mindful ways).
generalize to new situations.

Note: ATP = automatized transactional procedures. Behavioral model assumptions adapted from Dumas (1989).

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MINDFULNESS-BASED PARENT TRAINING

later run with ease. However, automaticity comes at a changing information, influencing each other, and
price. Essentially, once we have learned to do some- solving mutual problems. Conversely, when they re-
thing automatically, the well-worn path of habit tends peatedly practice dismissive, critical, or coercive ways
to become a groove, providing us with a default mode of coping, parent and child become increasingly likely
of operating that can be very difficult to override. Most to engage in aversive interactions that run along
of us are unable to recite the alphabet backward be- well-practiced grooves of ill feelings, mutual recrimi-
cause “it’s not the way it goes.” Automatized patterns nation and blame, or helplessness and withdrawal.
of thinking, feeling, and acting have a scripted quality Thus, a mother with a long history of conflict with her
that is resistant to change. They stay on a course in disruptive 10-year-old son may react to his latest tem-
which the elements of the pattern follow each other in per outburst by feeling automatically angry (“Why
predictable order until the overall pattern has run to can’t he just do what I ask without grumbling for
completion. Automatized patterns are often mindless once?”) and helpless (“What’s the point in trying? I
as well. They are performed with little deliberate atten- can’t handle him”). Likewise, the boy may automati-
tion to what is occurring in the present moment. Expe- cally say to himself that his mother is again unfair and
rienced drivers get to familiar places without paying that he has every right to protest. These thoughts and
much conscious attention to their driving or to the the feelings and actions that accompany them are rela-
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sights and sounds they encounter along the way. tionship-specific, rather than ways of coping that both
partners necessarily display with other people as well
(Dumas & LaFreniere, 1993).
Automaticity in Family Relationships Second, ATPs are not the products of conscious de-
cisions or choices, or of deliberate acts of will. Rather,
Automaticity plays a major role in parenting and ATPs become overlearned to such an extent that they
in the development of a child’s coping competence give access to automatized thoughts, feelings, and ac-
(Dumas, 1997). Clinical observation and research in tions. Two key characteristics of these automatized
cognitive and social psychology suggest that, with re- ways of coping are immediacy and efficiency. Immedi-
peated practice under comparable learning conditions, acy refers to the fact that ATPs proceed rapidly in the
everyday patterns of family interaction become inte- presence of similar stimuli to those that led to their de-
grated into what I call automatized transactional proce- velopment and practice in the past; cognitive delibera-
dures (ATPs). ATPs consist of interrelated ways of tion and planning are not required to set them off. Effi-
thinking, feeling, and acting that have become charac- ciency refers to the fact that, once set off, ATPs proceed
teristic of people who interact with each other often, without taxing cognitive resources; they require lim-
such as parents and children (see Smith, 1994, for a ited amounts of attention, leaving the protagonists
discussion of procedural knowledge in the control of cognitively free to engage in other, parallel activities
social behavior). ATPs have a number of important (Bargh & Ferguson, 2000; Logan, 1992). I recently
features. I emphasize four of them here, which are conducted an intake interview with the mother of a
reflected in the first two assumptions of the MBPT young disruptive boy. The child was sitting on the floor
model (see Table 1): playing with blocks while we worked. At one point, his
mother’s account of one of his violent temper tantrums
1. They are transactional, relationship-specific ways led him to object loudly and rudely to what she was
of coping. saying. Without looking at him or even turning toward
2. They are performed with little or no conscious him, his mother quickly replied just as loudly and
awareness. rudely. Bickering back and forth continued for several
3. They provide continuity and stability to the re- minutes, often at a fast pace, but without interrupting
lationship by serving as guides to current and the protagonists’ parallel activities. The mother re-
future exchanges. mained focused on the interview and answered my
4. They are highly resistant to change. questions in detail, while the child continued to build
an elaborate structure that he proudly showed me later.
Consider each of these features in turn. First, ATPs Another way of saying that ATPs are immediate and
are transactional in nature. They reflect the unique his- efficient is to say that they are mindless (Segal, Wil-
tory of the parent–child relationship—a history in liams, & Teasdale, 2002). Parents and children are
which each member has acquired relationship-specific most likely to call on overlearned ways of coping when
ways of thinking, feeling, and acting (Dumas & they are stressed or distracted (i.e., when their personal
LaFreniere, 1993; Milner, 1993; Patterson, Reid, & resources allow them to do little more than rely on
Dishion, 1992). When these ways of coping are gener- what they know best because they have repeatedly
ally positive, regular practice of effective communica- practiced it in the past). This is a major issue for fami-
tion skills leads parent and child to acquire a high level lies with disruptive children and for those seeking to
of proficiency in the use of prosocial methods of ex- help them, as these families often face multiple stress-

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DUMAS

ors and distracters in addition to parenting and child coming this resistance and, more generally, of lessen-
difficulties (Wahler & Dumas, 1989). ing the grip of automaticity in families in which ATPs
Third, even though the content of parent–child in- are not serving parents or children well.
teractions varies across time and place, ATPs give con-
tinuity and stability to these interactions. This is be-
cause they are not only relationship-specific products Mindfulness
of past ways of coping but also essential guides to cur-
rent and future coping (Bargh, Gollwitzer, Lee-Chai, Several definitions of mindfulness have been pro-
Barndollar, & Trötschel, 2001). For example, the like- posed. I give two of them here:
lihood that a child will do what a mother asks depends
not only on the circumstances surrounding the request Mindfulness [is] a state of psychological freedom that
but also on the interactional history that both partners occurs when attention remains quiet and limber, with-
have shared over the years. Children who have learned out attachment to any particular point of view. Mind-
to love and respect their mother are likely to obey fulness is a process of looking freshly, of observation
promptly without even thinking about it. This is less that is essentially nonbiased and explorative. It brings
likely of children who have ambivalent feelings for about an interval of time within which habits of mean-
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their mother or who know from experience that their ing, thought, behavior, or emotion are suspended, re-
mother commands freely but rarely follows through. considered. (Martin, 1997, pp. 291–292)
ATPs serve as guides to maternal coping as well. These
guides are generally beneficial for mothers who have Or, more succinctly,
developed a positive, responsive relationship with their
children, but they are not for mothers who regularly Mindfulness means paying attention in a particular
struggle with discipline and other childrearing issues way: on purpose, in the present moment, and non-
(Kochanska & Murray, 2000). judgmentally. (J. Kabat-Zinn, 1994, p. 4)
Kochanska’s (2002) programmatic research shows
that positive parent–child ATPs are part of what she re- Mindfulness is both a state of mind and a varied set
fers to as a “mutually responsive orientation” charac- of practices. As a state of mind, it is characterized by
terized by responsiveness and shared positive affect. careful, considerate, and compassionate attention, irre-
spective of the specific practices used to foster it. This
Responsiveness refers to the parent’s and the child’s attention is experiential and, for many mindfulness
willing, sensitive, supportive, and developmentally practitioners, spiritual rather than analytical. It is fo-
appropriate response to one another’s signals of dis- cused on being rather than on doing, on the present and
tress, unhappiness, needs, bids for attention, or at- on immediate experiences as they unfold, rather than
tempts to exert influence. Shared positive affect refers on understanding or solving problems. This attention is
to the “good times” shared by the parent and the also nonjudgmental in that it accepts immediate expe-
child—pleasurable, harmonious, smoothly flowing riences as they are. It does not evaluate these experi-
interactions infused with positive emotions experi- ences, identify with them, or attempt to prolong or
enced by both. (p. 192) change them.
Mindful practices are found in all spiritual and reli-
Unfortunately, in families with disruptive children, gious traditions and have repeatedly been associated
mutual responsiveness is less sensitive and supportive with health and healing. However, it is only recently
than it is oppositional and confrontational, and “good that they became a legitimate topic of inquiry in West-
times” are too rare to nurture healthy relationships and ern psychology, probably because spirituality and reli-
deal prosocially with unavoidable disagreements and gion were dimensions of human functioning that main-
conflicts (Dumas, LaFreniere, & Serketich, 1995; stream psychology deliberately sought to ignore for
Patterson et al., 1992). much of the 20th century.
Finally, ATPs are highly resistant to change (Logan, Experimental, social, and clinical psychologists in-
1989). This is positive for parents and children who terested in topics such as memory, decision making,
trust and treat each other with respect and who enjoy learning, and behavior change are studying mindful-
each other’s love and support. However, it is a curse for ness and mindful practices (e.g., Langer, 1997). In the
family members who are repeatedly in conflict with area of behavior change, mindful practices have be-
each other or emotionally unavailable and distant. It is come an integral part of a number of interventions to
also a curse in parent training, as overlearned ways of treat adults with psychological problems or disorders,
coping often compete strongly against the most care- such as mood and anxiety disorders (Hayes, Strosahl,
fully crafted parenting program. Psychological re- & Wilson, 1999; Roemer & Orsillo, 2002; Segal et al.,
search on mindfulness offers promising ways of over- 2002; Teasdale et al., 2002), alcohol dependency

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MINDFULNESS-BASED PARENT TRAINING

(Marlatt, 2002), personality disorders (Linehan, 1993; When used together, these ways of encouraging
Robins, 2002), and marital conflict (Jacobson, Chris- mindfulness reflect Assumptions 3 and 4 of the MBPT
tensen, Prince, Cordova, & Eldridge, 2000). Later I model. I describe them separately for ease of pres-
compare MBPT with acceptance and commitment entation, but they overlap to a considerable extent in
therapy (ACT; Hayes et al., 1999) and mindfulness- intervention.
based cognitive therapy (MBCT; Segal et al., 2002).
Mindfulness has not yet received the same amount
Facilitative Listening
of attention from researchers and clinicians working
with children and families, but it holds promise in this Facilitative listening is a form of communication
area also. Before I consider that promise, I must em- fostering understanding and nonjudgmental accep-
phasize that I reject a simplistic opposition between tance of thoughts, feelings, and actions—our own and
mindfulness and mindlessness, and I do not see the for- those of others. It stands in contrast to an expert or pre-
mer as always better than the latter. Rather, I believe scriptive mode of communication. In MBPT, facili-
that each is most useful at different times in the par- tative listening must occur throughout intervention and
enting process. Mindful practices provide time-tested has two broad aims. The first is to obtain detailed infor-
ways of cultivating mutual care and respect in families mation about parental concerns, while conveying to the
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and of attending to the different needs and preferences parents that the clinician is attentive, nonjudgmental,
of parents and children. Mindful practices are also and sincerely interested in the challenges they face. As
helpful for stepping back from unproductive ways of is true of effective clinicians in general, professionals
coping. Specifically, when they become an integral who rely on facilitative listening solicit parental opin-
part of parent training, these practices offer tools to ions and preferences on repeated occasions, avoid criti-
consider and set in motion alternate patterns of par- cism and premature advice giving, and provide fre-
ent–child interaction and to practice them until they re- quent positive feedback that shows acceptance and
place older, less effective patterns (i.e., until they be- understanding. In MBPT, they often do so successfully
come in turn mindless). In other words, I see mindful by inviting parents to tell stories about themselves and
practices as a means for addressing family relationship their children and about the challenges they face in
problems and, ultimately, as a stepping stone to a dif- their daily interactions.
ferent, more productive mindlessness between parents Through questions that move from general to spe-
and children. In this perspective, MBPT is not only cific, clinicians can obtain information necessary for a
about learning new ways of coping. It is also about complete understanding of a critical issue, clarify the
practicing them over and over again to create new information received with respect to details (when,
automaticities—new ATPs that are more effective and where, how), find out how the parent feels about the is-
harmonious than the ones that initially brought the sue, and understand what the parent has already done
family in for help (Bargh & Ferguson, 2000; Segal et about it. With time, clinicians who elicit and listen at-
al., 2002). tentively to stories about child care, relationships with
family and friends, and other personal or family issues
(a) convey respect and genuine empathy, (b) help par-
Fostering Everyday Mindfulness ents distinguish between things they can change (e.g., a
in Parent Training child’s oppositional behavior) and things they cannot
(e.g., a failed relationship and the painful divorce that
There are different ways of fostering everyday followed), and (c) encourage parents to set themselves
mindfulness in parent training. I have found three of realistic and enhancing goals that they will be moti-
them useful in my work with families with disruptive vated to implement.
children. They are The second aim of facilitative listening is to help
parents take a progressively more accepting stance to-
Facilitative listening—To encourage parents to share ward the challenges they face and a less critical one to-
their experiences and concerns and to attend to their ward themselves and others. This stance “involves re-
immediate thoughts and feelings nonjudgmentally. placing the old mode of fixing and repairing problems
Distancing—To help parents distance themselves with a new mode of allowing things to be just as they
from their overlearned ways of coping and the nega- are, in order to see more clearly how best to respond”
tive emotional states with which they have become (Segal et al., 2002, p. 95). It contrasts with many
associated. psychological approaches, including BPT, which, once
Motivated action plans (MAPs)—To help parents it has established when, where, and how problems oc-
choose effective goals for themselves and their chil- cur, uses that information to attempt to solve those
dren and devise and implement specific plans to reach problems. In other words, through facilitative listening
those goals. MBPT clinicians convey an attitude of acceptance in

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DUMAS

the face of problems and invite parents to adopt a simi- patterns in our lives, the ‘better’ we get at them, and
lar attitude. Parents who learn to do so are best able to the harder they are to break out of” (M. Kabat-Zinn &
decide how they want the intervention to proceed and Kabat-Zinn, 1997, p. 107). This is true of other nega-
how they will implement the goals they set themselves. tive emotions and ruminations as well. Patterns of
More important, these parents learn to accept that life strong negative thoughts and feelings are frequent
is difficult, that rearing children is challenging, that stumbling blocks to acceptance and change in individ-
some things cannot be changed, and that the interven- uals and families. They can sap the effectiveness of
tion does not promise to solve all parent–child prob- experienced clinicians by preventing them from listen-
lems but only offers some help along the way. ing nonjudgmentally.
In MBPT, facilitative listening is a form of commu- Facilitative listening is relevant not only to interper-
nication that runs counter to the commonly held view sonal dialogues but also to the dialogues we have as we
that interpersonal problems are best addressed through talk to ourselves and observe our own behavior. Dis-
behavior influence (getting another person to comply tancing is key in these personal dialogues. Distancing
with one’s requests) and problem solving (arriving at is a form of communication with ourselves designed
an agreement with another person to reduce or elimi- to put some psychological separation between our
nate a problem). More fundamentally, facilitative lis- thoughts and feelings about a particular situation and
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tening runs counter to Western culture’s strong em- the ways in which we act in that situation. This self-im-
phasis on doing rather than contemplating and on posed separation is obvious whenever a mother says to
reducing, solving, or eliminating problems rather than herself, “I am mad but I will remain calm not to make
accepting them as an integral part of life and pausing to matters worse.” It is also a major goal of socialization,
see what (if anything) can be done (Hanh, 1995). With as young children must learn to distance themselves
practice, facilitative listening teaches parents to “be from their negative feelings to be able to express them
with” their problems, to accept them instead of repeat- in nondestructive ways.
edly engaging in unproductive attempts to fix, ignore, Distancing is used to promote mindfulness in
or run away from them. And it teaches clinicians to let MBPT by encouraging parents to see their negative
go of the urge to immediately “do something” to make thoughts and feelings, no matter how strong, as only a
things better for the family. This does not replace the part of themselves, rather than as a complete and accu-
need to modify ineffective parenting strategies. Rather, rate account of reality. This can be done effectively by
as the issues facing the family are being clarified, teaching parents to give those thoughts and feelings
facilitative listening helps parents decide what they can proper names and to talk about them in the third per-
and cannot change in their family life, in their own be- son, as in
havior, or in their relationship with their children. This
enables them to develop workable goals for themselves
Anger is sitting beside me. It is so hot that it
and their children and to specify carefully designed ac-
could set me on fire.
tion plans that they have a realistic chance of imple-
Sadness is that dark cloud I see moving
menting successfully.
closer. If it is all I look at, I will be drenched.
A facilitative listening stance should not be mis-
Resentment is that trip wire just in front. If I
taken for an attitude of confusion or resignation in the
am not careful, I will set off a huge explosion
face of overwhelming challenges. To the contrary,
with my child.
stepping back and acceptance break the hold of au-
tomaticity by enabling parents to see more clearly how
best to proceed before they do and by reducing the neg- With practice, such self-statements enable parents
ative thoughts and feelings that are always associated to acknowledge what they think and feel, without iden-
with the conflicts that bring them to seek help. In other tifying completely with their inner experience or al-
words, facilitative listening is empowering. Parents lowing it to control what they say and do. More gen-
who are genuinely listened to in MBPT often report erally, distancing is incompatible with mindless
that they are better able to deal with daily challenges, responding because it imposes a separation between
even before any action plan has been set up. In large the situation in which parents find themselves and their
part, this is because facilitative listening sets the stage reaction to it. This separation encourages awareness
for distancing by helping parents to assert their author- and promotes reasoned action (or inaction) by enabling
ity without being critical or angry or feeling incompe- parents to control their thoughts and feelings instead of
tent or helpless. responding to them immediately and thus to consider
alternatives instead of doing what they have done re-
peatedly in the past in similar circumstances. Also, by
Distancing
helping parents regulate their level of arousal, distanc-
“We practice anxiety. We practice getting angry. ing allows them to undertake tasks that require sus-
And the more we practice, through repeating these tained efforts and in which rewards are delayed—such

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MINDFULNESS-BASED PARENT TRAINING

as completing a parenting program or, more important, fer to passivity or resignation in the face of strong af-
bringing children up. fective states. Rather, it refers to being fully present
Practically, clinicians who want to promote their with, but not preoccupied with, these states as they
own and their clients’ mindfulness must learn person- happen” (Breslin et al., 2002, p. 281). In other words,
ally and teach their clients to listen attentively and distancing is designed to reduce emotional turmoil by
nonjudgmentally to what they think and feel. This focusing attention away from the perceived nature of
takes time and requires practice and is best achieved the problem and toward effective, practical solutions—
through regular quiet times or time-outs. Advocates away from negative emotional states and toward rea-
of mindfulness training use meditation, relaxation, and soned action (or inaction).
breathing exercises to practice and teach attentive ac- Parents find it much easier to practice distancing in
ceptance and nonjudgmental self-observation and a clinical setting than to engage in it in the midst of
self-talk (Segal et al., 2002). In MBPT, I ask parents to family conflict, when they are often blindsided by ha-
set regular, if possible daily, times aside to pause and bitual negative thoughts and feelings. This is true,
reflect on their lives and those of their loved ones. I em- more generally, of most new ways of coping taught in
phasize the importance of accepting and letting go of BPT or MBPT. MAPs are designed to address that
their thoughts and feelings without judging them as issue.
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good or bad (or true or false) and of resisting the urge to


immediately change what they or others do.
Whenever possible, I build opportunities for self-re-
MAPs
flection and meditation in each MBPT session as well.
This is not to replace the times set aside at home but to Giving parents tools to change their own and their
help parents who often feel overwhelmed and find it children’s behavior is central to all parent-training ap-
difficult to practice at home. I do that by teaching par- proaches. However, many parents find it difficult to use
ents simple meditation techniques that we practice in these tools on a consistent basis and give up more or
session. The issue on which parents focus during each less quickly, particularly when their children are slow
meditation exercise varies, although it is always one to respond to the intervention or actively resist it. In the
that the parent brought up or that I observed in session. MBPT model, this is so in large part because parents
Clinicians must resist the urge to talk during these re- and children who genuinely want to see their relation-
flective pauses. After each pause, they ask parents ship improve often struggle to overcome the ATPs that
what came to their mind as they meditated. When these control much of their aversive interactions or, more
exercises have been preceded by genuine listening, generally, because a desire to see behavior change is
parents often report thinking about critical or judgmen- often not enough to bring about actual change.
tal words or phrases that prevent them from altering the Clinicians are well aware of this gap between moti-
ATPs that are maintaining their parenting problems. vation and action. Clinical and social psychological re-
This then sets the stage for the further practice of dis- search shows that behavior change is a function of a
tancing, through dialogue or meditation—always with person’s goals (where the person wants to get) and of
the aim of helping parents see their thoughts and feel- the steps to be taken to reach those goals (what the per-
ings as just that, thoughts and feelings, rather than as son intends to do to get there). Generally speaking,
objective accounts of who they or others are. people are better able to reach goals that (a) are specific
The purpose of distancing is not to modify negative rather than vague, (b) are proximal rather than distal,
thoughts or feelings as in many cognitively oriented and (c) promote rather than prevent (i.e., goals that
therapies. Rather, it is to learn to accept them by devel- are focused on attaining positive outcomes instead
oping a decentered relation to them. This is not de- of avoiding negative ones; e.g., Gollwitzer, 1999).
signed to suppress or deny our negative mental life but Typically, parent training helps parents teach their chil-
to learn to see it only as a facet of who we are—not dren to follow specific commands rather than to be
as our center or core. In this pragmatic perspective, obedient, to complete homework daily rather than to
thoughts and feelings are accepted as mental events get good grades, or to wait until people have finished
that are more or less useful, instead of unchangeable talking rather than to stop interrupting.
statements of fact that define our identity (Breslin, People are also more likely to reach their goals
Zack, & McMain, 2002). A father who regularly says if they can specify clearly what they intend to do
to himself, “I am a bad parent” or “My child will never to reach them, that is, if they have a “cognitive map”
learn to take ‘no’ for an answer,” is likely to face many to take them from their present to the desired goal state.
more challenges if he believes that these statements are These maps are behavioral strategies that specify
literally true than if he is able to acknowledge them as when, where, and how the person will act to reach a
disturbing thoughts and accept them as such. particular goal. For example, a MAP such as, “Next
As I emphasized already when talking about facil- time he yells, I will walk away, sit on the couch, and ig-
itative listening, an “attitude of acceptance does not re- nore him for three minutes” is likely to be much more

785
DUMAS

effective than a self-exhortation such as, “Next time he available self-regulatory strategies because, by com-
yells, I will try very hard not to lose my temper.” mitting in advance to respond to a situation in a specific
In MBPT as in BPT, clinicians set aside time in each manner and rehearsing how, effortful cognitive pro-
session to map out with parents how they will imple- cessing and decision making in context are reduced or
ment the goals they set for themselves and their chil- unnecessary. This is supported by evidence showing
dren. In MBPT, this is done through facilitative lis- that goals that are accompanied by action plans are
tening that invites parents to set themselves specific, more easily attained than goals that are not, even when
proximal, and promotion goals based on the session these plans are deceptively simple. Much of this evi-
and to specify when, where, and how they will act to dence comes from social and health psychology re-
reach them. Once developed, MAPs are rehearsed by search on implementation intentions (see Gollwitzer,
combining role playing and visualization with discus- 1999; Gollwitzer & Schaal, 2001, for reviews).
sion. Role playing enables parents to practice the ac- Programmatic studies demonstrate that action plans
tual words and actions they intend to use with their greatly facilitate the crucial passage between formulat-
children instead of merely talking about them. Visual- ing goals and implementing them. For example,
ization consists of asking parents to close their eyes, Gollwitzer and Brandstätter (1997, Study 1) asked stu-
breathe regularly, and imagine themselves and their dents to specify two goals they wanted to achieve dur-
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children interacting according to the new action plan.1 ing winter vacation. One of these goals had to be easy
MAPs are designed to provide parents with alterna- to implement and the other difficult. Typical goals in-
tive responses that they can make in situations that cluded reading a novel, writing to a friend, settling a
have repeatedly been controlled by negative ATPs in family conflict, and writing a course paper. Partici-
the past and thus to lessen the grip of automaticity on pants were also asked if they had action plans, that is, if
such situations. I encourage parents to see the words they knew when, where, and how they intended
and actions they choose and practice in session as their to implement their goals. Participants were contacted
“road maps” to parenting successfully. To emphasize again when they returned to the university to find out
this point, parents complete and take home homework how successful they had actually been. Results showed
assignment sheets that look like actual road maps. that action plans significantly affected the implementa-
These maps are used to specify the goal or goals par- tion of difficult but not of easy goals. Approximately
ents set themselves, as well as to summarize what they 80% of easy goals were implemented, whether stu-
will say and do everyday to attain those goals. dents had a plan or not. However, only 22% of difficult
MAPs promote mindfulness by training parents to goals were met without a plan, in contrast to 62% with
anticipate and be ready to give careful, immediate, and a plan. This difference could not be accounted for by
nonjudgmental attention to childrearing challenges as other variables assessed in the study.
they arise—instead of ignoring them and wishing them Comparable results were found in an experimental
away, resenting them and becoming angry, or blaming variant of that study. Gollwitzer and Brandstätter
their children or themselves. Specifically, MAPs facili- (1997, Study 2) asked students to implement a difficult
tate goal attainment by goal during winter vacation, namely to write a report
describing how they spent Christmas eve. They were
• Transferring control from overlearned ATPs to instructed to complete the task and to mail their report
environmental stimuli and promoting specific ac- within 48 hr of the event. Half of the participants were
tions in response to those stimuli. also asked to devise action plans that specified when
• Promoting immediate, efficient actions under and where they would complete the task and to visual-
low and high attentional demands. ize and silently commit themselves to carry out their
• Promoting immediate, efficient actions when op- intentions. As anticipated, 71% of students who had
portunities to act are only present for a short time. a plan wrote their report within the prescribed time
• Promoting distancing in emotionally charged frame, compared to 32% of students without a plan.
situations. These results, which have been independently repli-
cated (Koole & Spijker, 2000), demonstrate that MAPs
Transferring control to environmental stimuli. help people reach their more challenging goals.
MAPs help transfer control of goal-directed behavior Research on the implementation of health goals
from vague, internal appeals for change to environ- similarly supports the effectiveness of MAPs. For ex-
mental stimuli that can be anticipated in light of experi- ample, Milne, Orbell, and Sheeran (2002) compared
ence. This transfer provides the person with readily the likelihood that students would exercise under three
conditions: a control condition in which individuals
1Visualization should not be confounded with wishful imagina-
did not receive any intervention and two experimental
tion of child behavior change. Visualization is only used once an ac-
conditions, one in which they participated in a motiva-
tion plan has been developed and instructions are clearly given to fo- tional intervention to encourage them to exercise and
cus on implementation of that plan. the other in which they participated in the same inter-

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MINDFULNESS-BASED PARENT TRAINING

vention and developed an action plan. Results showed and, contrary to what might be expected, may actually
that 91% of students who were motivated and had a be most effective when individuals are faced with sig-
plan exercised the following week. This compares very nificant competing demands for their attention (such as
favorably to 39% of students who were equally moti- withdrawal symptoms).
vated but had no plan and to 29% of control students.
MAPs have also been found to be beneficial in oth- Promoting immediate, efficient actions when op-
er health areas, such as cervical cancer screening portunities to act are only present for a short time.
(Sheeran & Orbell, 2000), regular vitamin intake In three other studies, Brandstätter et al. (2001)
(Sheeran & Orbell, 1999), and breast self-examination showed further that MAPs promote immediate, effi-
(Orbell, Hodgkins, & Sheeran, 1997). In the last study, cient actions when individuals have to complete tasks
100% of women who indicated that they strongly in- on which they have only a limited time to respond ac-
tended to perform a breast self-examination did so in curately. Specifically, implementation intentions led
the next month when they had an action plan, com- to faster reaction times to a target number presented
pared to 53% of women with equally strong intentions on a computer screen than prior familiarization with
but no plan. the target in patients with schizophrenia and average
This evidence shows that MAPs bring action ini- controls (Study 2) and in students (Studies 3 and 4).
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tiation under environmental control and facilitate More important, this acceleration effect was observed
adaptive, automatized responses (Chasteen, Park, & (a) only when participants encountered the environ-
Schwarz, 2001; Gollwitzer, 1999). However, to estab- mental stimulus they had anticipated in their action
lish that MAPs promote automaticity requires a dem- plan (i.e., the target number, rather than other num-
onstration that they give rise to immediate and efficient bers) and (b) in Studies 3 and 4, when a parallel com-
action under low and high attentional demands and peting task made either low or high demands on par-
when opportunities to act are present only for a short ticipants’ attention.
time (Bargh & Ferguson, 2000). These findings demonstrate that deciding in ad-
vance how to respond in a specific situation leads to
Promoting immediate, efficient actions under low immediate and efficient action when the situation oc-
and high attentional demands. As we just saw, and curs. As this is true even when opportunities to act are
contrary to what may seem intuitive, MAPs are most only present for a limited time and one’s attention must
effective in attaining difficult goals and goals that are be allocated to other competing demands, this in-
often perceived as unpleasant (such as breast self- dicates that “forming an implementation intention is a
examination). There is also evidence that MAPs are conscious mental act that has automatic conse-
equally effective under low and high attentional de- quences” (Brandstätter et al., 2001, p. 957).
mands. For example, in the context of a workshop on There are no published reports on the effectiveness
finding a job, Brandstätter, Lengfelder, and Gollwitzer of MAPs in MBPT. However, the evidence just re-
(2001, Study 1) invited hospitalized patients undergo- viewed suggests that placing goal-directed behavior
ing withdrawal treatment for opiate abuse to compose a under the control of clearly defined environmental
résumé. Participants were shown a model of what was stimuli should increase the likelihood that parents
expected and instructed to turn in their résumé by a will initiate immediate, efficient actions in the pres-
specified time, before being randomly assigned to one ence of those stimuli. MAPs are thus good candidates
of two conditions: an irrelevant implementation-inten- to help break the emotionally charged cycles of
tion condition, in which they planned when they in- automaticity that maintain parent–child conflicts.
tended to have lunch, where they would sit, and how Mindfully planning how to act in conflictual situa-
they would start their lunch; and a relevant implemen- tions should reduce the need for effortful cognitive
tation-intention condition, in which they decided when processing and decision making in context. This is
and where they would write their résumé and how they likely to have a double advantage. In the short term, it
would start composing it. Twelve out of 20 participants should facilitate rapid and competent initiation of
(60%) in the relevant condition completed the task on positive parenting practices in situations that have tra-
time, compared to zero out of 21 participants in the ir- ditionally triggered conflict. In the long term, it
relevant condition. More important, within the relevant should provide parents with repeated practice under
condition, 8 out of 10 patients who were experiencing similar learning conditions and lead to the develop-
high levels of distress because of severe symptoms ment of new ATPs to replace ineffective modes of
of drug withdrawal (e.g., freezing, diarrhea, muscle functioning with more beneficial ones.2
pains, and cramps) completed the task successfully.
This compared favorably with 4 out of 10 patients who
had been hospitalized longer on average and who were 2I believe that the same applies to children. I will not consider here
not experiencing withdrawal symptoms anymore. This the use of MAPs with children, but this is an approach that will need to
suggests that action plans facilitate goal attainment be evaluated with them also, both clinically and experimentally.

787
DUMAS

Promoting distancing in emotionally charged in observable behavior in the parenting area. How-
situations. Finally, maps are of little use to travel- ever, clinical experience confirms that parents who
ers who refuse to journey from where they are. This learn to control their automatized tendency to raise
is obvious but by no means accepted by all parents their voice and criticize their children when they mis-
early in intervention. In MBPT, I find that helping behave are better able to handle conflict than parents
parents implement effective parenting strategies is of- who do not.
ten hampered by a long history of emotional turmoil,
resentment, and hurt. This “baggage” can be so heavy
that some parents appear, at least initially, to be Comparing MBPT With ACT
stuck—complaining loudly about their circumstances and MBCT
but unable or unwilling to get motivated to take ac-
tion. This experience is confirmed by clinical and ob- There are important similarities and differences
servational evidence showing that interactions in fam- between MBPT and a number of mindfulness-based
ilies with disruptive children are regularly rocked interventions to treat adults with psychological prob-
by negative verbalizations and emotions and that lems or disorders, especially ACT (Hayes et al., 1999)
cognitive and affective negativity can interfere with and MBCT for depression (Segal et al., 2002). All
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the most carefully planned parenting program three interventions share two fundamental assump-
(Dadds, Barrett, Rapee, & Ryan, 1996; Patterson et tions: that problems and challenges, sometimes major,
al., 1992). are a healthy part of human life and that acceptance is
Together with facilitative listening and distancing, pivotal to change because it opens novel perspectives
MAPs can be used to foster an attitude of acceptance on problematic situations and suggests solutions to
by offering practical solutions in circumstances in those situations that can actually be changed. MBPT
which parents have often struggled for a long time, not and MBCT trace many of their clients’ difficulties to
only with legitimate childrearing concerns but also “bad habits.” These habits are automatized ways of
with feelings of resentment and resignation. This is thinking, feeling, and acting that tend to worsen diffi-
again done by helping parents specify when, where, culties instead of lessening them. In contrast, ACT ac-
and how they will respond to reach their goal. For ex- counts for psychological difficulties in terms of “the
ample, facilitative listening may reveal that parents are domination of analytical language over experience”
easily angered and raise their voice quickly when their (Hayes et al., 1999, p. 10). Specifically, culturally me-
child procrastinates or refuses to do homework and diated and individually acquired verbal rules are as-
then often aggravate matters by labeling the child as sumed to make clients relatively insensitive to the di-
“just plain lazy” or “doing it on purpose.” Parents can rect consequences of their actions and, therefore, more
implement their goal of remaining calm and noncriti- likely to “follow the rule” than to adapt to the ever-
cal in such situations by role playing and visualizing a changing contingencies to which they are exposed.3
MAP that will facilitate appropriate distancing, such The therapeutic techniques used in each intervention
as, “When my child complains about homework, I will reflect these assumptions. All three approaches em-
tell myself not to raise my voice or label my child.” In phasize the importance of encouraging clients to be
other words, by giving parents straightforward, practi- with their thoughts, experiences, and difficulties, in-
cal solutions, MAPs can help introduce some psy- stead of identifying with them or avoiding, ignoring, or
chological distance between parents’ childrearing con- wishing them away. ACT seeks to reduce the “verbal
cerns and the negative emotional baggage with which noose” of language on behavior through a variety of
they have become associated. This distance increases techniques designed to disrupt troublesome language
the likelihood that parents will acknowledge and ac- practices. MBPT and MBCT recognize the importance
cept where they are at with their children as the point of language in maintaining the client’s difficulties and
from which to proceed. include techniques such as distancing to reduce the im-
Evidence demonstrates the effectiveness of MAPs pact of negative self-talk on behavior. However, the
in the control of habitual thoughts and feelings. overall goal of these two approaches is to help clients
For example, in one study, implementation intentions develop new automaticities of thoughts, feelings, and
suppressed the automatized activation of stereotypical actions through repeated practice of alternative ways
beliefs and prejudicial feelings toward women and of coping, both in and out of session. MBPT and
the elderly (Moskowitz, Gollwitzer, Wasel, & Schaal, MBCT put particular emphasis on meditation and re-
1999). This shows that MAPs can be used not only
to promote immediate, efficient action but also inac- 3One calls on the concept of rule-governed behavior to explain
tion, in the sense of controlling unwanted negativity. the lack of sensitivity to environmental contingencies that is charac-
It remains to be established experimentally whether teristic of automaticity (MBPT and MBCT) and of rule-following
such control results in clinically significant changes (ACT; Hayes et al., 1999).

788
MINDFULNESS-BASED PARENT TRAINING

laxation to help clients be fully aware of their current sionate attention to self and others, and ultimately to
experiences and, whenever necessary, step back from living in harmony with oneself and others.
their overlearned but ineffective ways of coping. Con-
sequently, the techniques they privilege are less verbal
and more experiential than those of ACT. Finally, the Summary and Conclusion
use of MAPs is unique to MBPT. The other interven-
tions both emphasize the importance of helping clients Clinicians who seek to help families with disruptive
follow a committed course of action (ACT) or develop children know that even reasonable requests and minor
an action plan to prevent future episodes of depression disagreements can be enough to trigger well-practiced
(MBCT). However, MBPT is the only approach to of- patterns of thinking, feeling, and acting that mindlessly
fer clients a step-by-step tool to anticipate and practice result in conflicts, angry outbursts, and hurt feelings.
how they intend to respond to problems and challenges This article argues that mindful practices that foster
in novel ways. facilitative listening, distancing, and MAPs can help
reduce the grip of automaticity in families with disrup-
tive children and proposes a mindfulness-based model
of parent training. The MBPT model is not designed to
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Future Directions replace the behavioral model that has dominated the
field for the past three decades but rather to challenge
The MBPT model is built on what I see as reason- its assumptions in light of research from other areas of
able parallels and extensions between established find- psychology. If this challenge is successful, I envisage
ings in cognitive and social psychology and parent- the development of an integrated model that will blend
training practice and seeks to bring that practice in line behavioral and mindfulness-based principles to inform
with current empirical knowledge. However, this arti- all facets of intervention.
cle is limited by the fact that these parallels and exten- Fundamentally, the article may seem contradictory.
sions are largely speculative. They need to be thor- On the one hand, I claim that to lessen the grip of
oughly tested and modified or discarded in light of automaticity requires effort, in the form of mindful
research evidence. The challenge is significant, as re- practices that bring attention to bear on habitual but in-
search will need to establish not simply that parents effective ways of interacting. However on the other, I
benefit from MBPT but that this new approach “adds argue that this is effectively done with action plans that
value” to a more traditional BPT perspective. Evidence are designed to reduce the need for effortful cognitive
of added value would come from data showing, among processing and decision making in context. This con-
other things, that the MBPT model facilitates engage- tradiction is more apparent than real. It stems from the
ment and retention of families in intervention, helps timing of the effort needed to develop new ways of cop-
families with long histories of parent–child conflict, ing. Deliberate and sustained (i.e., effortful) attention
and reduces relapse (i.e., return to preintervention is needed to learn to accept that habitual ways of cop-
problems after significant gains). The model is being ing have become automatized and, when they are dys-
tested in a universal preventive intervention designed functional, to consider alternatives. This is central to
to reduce risk of maltreatment in preschool children MBPT and is best done through facilitative listening
(Dumas, 2002). This group-based intervention follows and distancing. However, at the end of each session,
current practice in program evaluation, including ran- parents have to return to their usual interacting
dom assignment of groups to MBPT or BPT, manual- grounds, where “old habits die hard.” Hence the ratio-
ization and fidelity monitoring of both conditions, and nale for action plans have been carefully thought out
use of multiple process and outcome measures. and rehearsed. MAPs are designed to bring parental
Research also needs to show that MBPT can help behavior under environmental control but without
different families. The intervention just described tar- overtaxing cognitive and emotional resources in con-
gets comparable numbers of European and African text. When this is successful, it replaces old, mindless
American parents of diverse socioeconomic back- habits with more effective ways of coping that should
grounds and addresses this issue. In the meantime, it become just as mindless with practice.
should again be stressed that mindfulness is not a cul- As I emphasized earlier, this is another way of say-
turally bound concept. Mindful practices invariably re- ing that mindlessness and mindfulness should not be
flect the culture of those who adopt and teach them, but pitted against each other. Rather, each is most useful at
those practices cut across spiritual and religious tradi- different times. Automaticity is an integral part of our
tions and have repeatedly been associated with health social and emotional functioning and a major guide to
and healing in different cultures. This is particularly our interactions (Bargh & Chartrand, 1999). However,
true of an attitude of acceptance, which has long been mindful practices are essential to take stock regularly
seen as essential to careful, considerate, and compas- of who we are and how we live, to avoid passing by life

789
DUMAS

in the groove of habit. To strive for mindful family in- conduct-disorder children. In J. M. Briesmeister & C. E.
teractions at all times would not only be futile but also Schaefer (Eds.), Handbook of parent training: Parents as co-
therapists for children’s behavior problems (2nd ed., pp.
unhealthy. However, families with disruptive children 61–97). New York: Wiley.
come asking for better ways of interacting, and mind- Eyberg, S. M., Funderburk, B. W., Hembree-Kigin, T. L., McNeil, C.
fulness offers them tools to consider carefully what B., Querido, J. G., & Hood, K. K. (2001). Parent–child interac-
they want to change, what they can change, and how tion therapy with behavior problem children: One and two year
they will do it. With time, any change they implement maintenance of treatment effects in the family. Child & Family
Behavior Therapy, 23, 1–20.
will have to become mindless to be effective. It will Gollwitzer, P. M. (1999). Implementation intentions: Strong effects
have to lead to a new automaticity, but only until it is it- of simple plans. American Psychologist, 54, 493–503.
self challenged by further mindfulness—hopefully in Gollwitzer, P. M., & Brandstätter, V. (1997). Implementation inten-
a never-ending process of continuity and change in tions and effective goal pursuit. Journal of Personality and So-
which parents and children learn to interact with mu- cial Psychology, 73, 186–199.
Gollwitzer, P. M., & Schaal, B. (2001). How goals and plans affect
tual consideration and respect, even in the midst of un- action. In J. M. Collis & S. Messick (Eds.), Intelligence and
avoidable disagreements and conflicts. personality: Bridging the gap in theory and measurement (pp.
139–161). Mahwah, NJ: Lawrence Erlbaum Associates, Inc.
Gross, D., Fogg, L., Webster-Stratton, C., Garvey, C., Julion, W., &
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Grady, J. (2003). Parent training of toddlers in daycare in


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