Novel developments in managing challenging behaviours: constructional behaviour analysis as leading paradigm in programs for behaviour management
Paul J.H. Andreoli
Moerborch Foundation, Centre for Health Care, The Netherlands

Challenging behaviour is seen as a symptom of failing regulation of well-being. A basic assumption in this approach is that every individual despite a vulnerable emotional and mental state, disorders, handicaps, has some potential of being in control of and influencing his well-being. The challenge is: how can we enable people even with 'small operational zones' to make use of their potentials for maintaining or improving their emotional well-being? Most intervention programs are heavily focussing on antecedent and consequent variables in order to get the problem behaviour under control. Very often these procedures are combined with a daily program in which meaningful occupation, activities are structured and scheduled. By this the direct living environment is less chaotic, overwhelming and confusing. But…. this state of well-being is heavily under control of the environment organised by professionals. So if behaviour management stands for controlling both: the problem behaviour and the behaviour, incompatible with the problem behaviour, expected to contribute to the well- being of the person, the question arises how much room is left for self-management of well-being. Not only for reasons of individual autonomy but also for reasons of efficiency it is worthwhile to investigate if the strong dependency of outside professional structuring can diminish in favour of self-direction and self-structuring. Constructional Behaviour Analysis offers methods to restore and improve behaviour regulation of the person with challenging behaviour.

Keywords: challenging behaviour, regulation of well-being



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