1. Copyright 2005 Sheila Eyberg CDI The Child-Directed Interaction

2. Copyright 2005 Sheila Eyberg CHILD DIRECTED INTERACTION (PHASE 1 OF PCIT) The CDI Teaching Session  One-hour session  Parents alone  Didactic presentation of skills  “Rules”  Reasons  Examples  Modeling/demonstration  Role-play with parents What exactly are they taught?

3. Copyright 2005 Sheila Eyberg CDI The Basic Rule Follow the Child’s Lead

4. Copyright 2005 Sheila Eyberg  IGNORE annoying behavior  STOP THE PLAY for dangerous or destructive behavior DON’T DON’T –Give Commands –Ask Questions –Criticize DO DO –Praise –Reflect – Imitate –Describe Enthusiasm Enthusiasm Child-Directed Interaction

5. Copyright 2005 Sheila Eyberg CDI The Don’t Rules  No commands  No questions  No criticism

6. Copyright 2005 Sheila Eyberg Direct Sit here Indirect Could you sit here? Why no commands Attempt to lead Risk negative interaction The Don’t Rules Child Directed Interaction No Commands

7. Copyright 2005 Sheila Eyberg Questions ask for an answer  Open  Closed nOften hidden commands nTake lead from the child nCan suggest disapproval nCan suggest not listening Child Directed Interaction The Don’t Rules No Questions

8. Copyright 2005 Sheila Eyberg  Examples  You’re a bad girl  That doesn’t go that way  No Stop Quit Don’t  Points out mistakes rather than correcting them  “That’s wrong” is a criticism  “It goes like this” allows correction without criticism  Lowers self-esteem  Creates unpleasant interaction Child Directed Interaction The Don’t Rules No Criticism

9. Copyright 2005 Sheila Eyberg Mothers’ Changes in CDI Don’t Skills Maintenance Study n = 60

10. Copyright 2005 Sheila Eyberg

11. CDI “Do” Rules The PRIDE Skills  Praise  Reflect  Imitate  Describe  Enthusiasm!

12. Copyright 2005 Sheila Eyberg Unlabeled praise is nonspecific – Good! – That's great! Labeled praise tells child specifically what is good – Thank you for using your indoor voice.  Increases the behavior it follows  Increases child's self-esteem  Increases positive feeling between parent and child Child Directed Interaction The Do Rules Praise

13. Copyright 2005 Sheila Eyberg Reflection “Mom, this is a funny thing on top of his head!” “Yes, his hat is very silly!”  Allows child to lead the conversation  Shows that parent is listening  Shows that parent understands  Improves and increases child’s speech Child Directed Interaction The Do Rules Child Parent  Repeating or paraphrasing

14. Copyright 2005 Sheila Eyberg Imitation  Doing the same thing as the child – Parallel play –Cooperative play  Lets the child lead  Teaches parent how to “play”  Shows approval of child’s activity  Teaches child how to play with others – Sharing – Taking turns Child Directed Interaction The Do Rules

15. Copyright 2005 Sheila Eyberg Behavioral Description  Telling the child exactly what he or she is doing – “ You’re drawing a sun.”  Lets the child lead  Shows you are interested and paying attention  Shows approval of child’s activity  Models speech  Teaches vocabulary and concepts  Holds child’s attention to the task Child Directed Interaction The Do Rules

16. Copyright 2005 Sheila Eyberg Child Directed Interaction The Do Rules  Conveying excitement by voice and gesture – “Wow! You finished that so quickly!”  Lets child know the parent enjoys being with the child  Makes the play more fun for both parent and child  Adds a quality of warmth to the interaction Enthusiasm

17. Copyright 2005 Sheila Eyberg Mothers’ Changes in the CDI PRIDE Skills Maintenance Study n = 60

18. Copyright 2005 Sheila Eyberg  IGNORE annoying behavior  STOP THE PLAY for dangerous or destructive behavior DON’T DON’T –Give Commands –Ask Questions –Criticize DO DO –Praise –Reflect – Imitate –Describe Enthusiasm Enthusiasm Child-Directed Interaction

19. Copyright 2005 Sheila Eyberg  “Special time”  5 minutes a day  Why just 5 minutes?  Practice, play, and therapy CDI Homework

20. Copyright 2005 Sheila Eyberg Mastery of CDI  DPICS coding for 5 minutes  10 labeled praises  10 behavior descriptions  10 reflections (And no commands, questions, or criticisms)