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Parental Use of Time Out Revisited: A Useful or Harmful Parenting Strategy?

Abstract

Time out has been widely advocated as an effective parental discipline practice to reduce disruptive and oppositional child behaviour in young children. Despite evidence showing that the procedure is effective when used as part of a comprehensive positive parenting strategy it has not been uniformly accepted and critics have questioned its effectiveness and potentially adverse effects on the parent–child relationship. This paper examines the controversy surrounding the use of time out, discusses the criticisms levelled against it, and concludes that its judicious use in parent training programs is justified and is of benefit to many children with conduct problems. Factors that influence the effectiveness of time out and some contraindications are also discussed.

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References

  • American Academy of Pediatrics. (1998). Guidance for effective discipline. Pediatrics, 101(4), 723–728.

    Google Scholar 

  • American Academy of Pediatrics. (2004). Policy statement. Pediatrics, 114(4), 1126.

    Article  Google Scholar 

  • Anderson, K. A., & King, H. E. (1974). Time-out reconsidered. Journal of Instructional Psychology, 1(2), 11–17.

    Google Scholar 

  • Arndorfer, R. E., Allen, K. D., & Aliazireh, L. (1999). Behavioral health needs in pediatric medicine and the acceptability of behavioral solutions: Implications for behavioral psychologists. Behavior Therapy, 30(1), 137–148.

    Article  Google Scholar 

  • Baumrind, D. (1967). Child care practices anteceding three patterns of preschool behaviour. Genetic Psychology Monographs, 75, 43–88.

    Article  PubMed  Google Scholar 

  • Bean, A. W., & Roberts, M. W. (1981). The effect of time-out release contingencies on changes in child noncompliance. Journal of Abnormal Child Psychology, 9(1), 95–105.

    Article  PubMed  Google Scholar 

  • Benjamin, R., Mazzarins, H., & Kupfersmid, J. (1983). The effect of time-out (TO) duration on assaultiveness in psychiatrically hospitalized children. Aggressive Behavior, 9, 21–27.

    Article  Google Scholar 

  • Blampied, N. M., & Kahan, E. (1992). Acceptability of alternative punishments: A community survey. Behavior Modification, 16(3), 400–413.

    Article  Google Scholar 

  • Brantner, J. P., & Doherty, M. A. (1983). A review of timeout: A conceptual and methodological analysis. In S. Axelrod & J. Apsche (Eds.), The effects of punishment on human behavior (pp. 87–132). New York: Academic Press.

    Google Scholar 

  • Calvert, S. C., & McMahon, R. J. (1987). The treatment acceptability of a behavioral parent training program and its components. Behavior Therapy, 18(2), 165–179.

    Article  Google Scholar 

  • Cedar, B., & Levant, R. F. (1990). A meta-analysis of the effects of parent effectiveness training. American Journal of Family Therapy, 18(4), 373–384.

    Google Scholar 

  • Clewett, A. S. (1988). Guidance and discipline: Teaching young children appropriate behaviour. Young Children, 43(4), 26–31.

    Google Scholar 

  • Crespi, T. D. (1988). Effectiveness of time-out: A comparison of psychiatric, correctional and day-treatment programs. Adolescence, 23(92), 805–811.

    PubMed  Google Scholar 

  • Cummings, E. M., & Davies, P. (1996). Emotional security as a regulatory process in normal development and the development of psychopathology. Development and Psychopathology, 8, 123–139.

    Article  Google Scholar 

  • Cunningham, C. E., Bremmer, R., & Boyle, M. H. (1995). Large group community-based parenting programs for families of preschoolers at risk for disruptive behavior disorders: Utilisation, cost effectiveness and outcome. Journal of Child Psychology and Psychiatry, 36, 1141–1159.

    Article  PubMed  Google Scholar 

  • Dadds, M. R., Adlington, F. M., & Christensen, A. P. (1987). Children’s perceptions of time out and other maternal disciplinary strategies: The effects of clinic status and exposure to behavioural treatment. Behaviour Change, 4(4), 3–13.

    Google Scholar 

  • Drabman, R. S., & Jarvie, G. (1977). Counseling parents of children with behavior problems: The use of extinction and time-out techniques. Pediatrics, 59, 78–85.

    PubMed  Google Scholar 

  • Erford, B. T. (1999). A modified time-out procedure for children with noncompliant or defiant behaviors. Professional School Counseling, 2(3), 205–210.

    Google Scholar 

  • Everett, G. E., Olmi, D. J., Edwards, R. P., Tingstrom, D. H., Sterling-Turner, H. E., & Christ, T. J. (2007). An empirical investigation of time-out with and without escape extinction to treat escape-maintained noncompliance. Behavior Modification, 31(4), 412–434.

    Article  PubMed  Google Scholar 

  • Eyberg, S. (1988). Parent-child interaction therapy: Integration of traditional and behavioral concerns. Child and Family Behavior Therapy, 10, 33–46.

    Article  Google Scholar 

  • Fabiano, G. A., Pelham, W. E., Jr., Manos, M. J., Gnagy, E. M., Chronis, A. M., Onyango, A. N., et al. (2004). An evaluation of three time-out procedures for children with attention deficit/hyperactivity disorder. Behavior Therapy, 35(3), 449–469.

    Article  Google Scholar 

  • Firestone, P. (1976). The effects and side effects of timeout on an aggressive nursery school child. Journal of Behavior Therapy and Experimental Psychiatry, 7(1), 79–81.

    Article  Google Scholar 

  • Ford, A. D., Olmi, D. J., Edwards, R. P., & Tingstrom, D. H. (2001). The sequential introduction of compliance training components with elementary-aged children in general education. School Psychology Quarterly, 16(2), 142–157.

    Article  Google Scholar 

  • Freeman, B. J., Somerset, T., & Ritvo, E. R. (1976). Effect of duration of time out in suppressing disruptive behavior of a severely autistic child. Psychological Reports, 38(1), 124–126.

    PubMed  Google Scholar 

  • Gardener, H., Forehand, R., & Roberts, M. W. (1976). Timeout with children: Effects of an explanation and brief parent training on child and parent behaviors. Journal of Abnormal Child Psychology, 4, 277–288.

    Article  Google Scholar 

  • Gartrell, D. (2001). Replacing time-out: Part one—Using guidance to build an encouraging classroom. Young Children, 56(6), 8–16.

    Google Scholar 

  • Gartrell, D. (2002). Replacing time-out; Part two—Using guidance to maintain an encouraging classroom. Young Children, 57, 36–39.

    Google Scholar 

  • Grant, L., & Evans, A. N. (1994). Principles of behavior analysis. New York: HarperCollins.

    Google Scholar 

  • Greenberg, M. T., Speltz, M. L., & DeKlyen, M. (1993). The role of attachment in the early development of disruptive behaviour problems. Development and Psychopathology, 5, 191–213.

    Article  Google Scholar 

  • Hanley, G. P., Iwata, B. A., & McCord, B. E. (2003). Functional analysis of problem behavior: A review. Journal of Applied Behavior Analysis, 36(2), 147–185.

    Article  PubMed  Google Scholar 

  • Harris, K. R. (1985). Definitional, parametric, and procedural considerations in timeout research and interventions. Exceptional Children, 51(4), 279–288.

    PubMed  Google Scholar 

  • Hobbs, S. A., & Forehand, R. (1975). Effects of differential release from time-out on children’s deviant behavior. Journal of Behavior Therapy and Experimental Psychiatry, 6(3), 256–257.

    Article  Google Scholar 

  • Hobbs, S. A., & Forehand, R. (1977). Important parameters in the use of timeout with children: A re-examination. Journal of Behavior Therapy and Experimental Psychiatry, 8, 365–370.

    Article  Google Scholar 

  • Hobbs, S. A., Forehand, R., & Murray, R. G. (1978). Effects of various durations of timeout on the non-compliant behavior of children. Behavior Therapy, 9(4), 652–656.

    Article  Google Scholar 

  • Hobbs, S. A., Walle, D. L., & Caldwell, H. S. (1984). Maternal evaluation of social reinforcement and time-out: Effects of brief parent training. Journal of Consulting and Clinical Psychology, 52(1), 135–136.

    Article  PubMed  Google Scholar 

  • Jones, R. N., & Downing, R. H. (1991). Assessment of the use of timeout in an inpatient child psychiatry treatment unit. Behavioral Residential Treatment, 6(3), 219–230.

    Google Scholar 

  • Jones, R. N., Sloane, H. N., & Roberts, M. W. (1992). Limitations of “Don’t” instructional control. Behavior Therapy, 23, 131–140.

    Article  Google Scholar 

  • Joshi, P. T., Capozzoli, J. A., & Coyle, J. T. (1988). Use of a quiet room on an inpatient unit. Journal of the American Academy of Child & Adolescent Psychiatry, 27(5), 642–644.

    Article  Google Scholar 

  • Kaminski, J. W., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A meta-analytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology, 36, 567–589.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E. (1980). Acceptability of time out from reinforcement procedures for disruptive child behavior. Behavior Therapy, 11(3), 329–344.

    Article  Google Scholar 

  • Kazdin, A. E. (2005). Parent management training: Treatments for oppositional, aggressive and antisocial behavior in children and adolescents. New York: Oxford University Press.

    Google Scholar 

  • Kazdin, A. E., & Benjet, C. (2003). Spanking children: Evidence and issues. Current Directions in Psychological Science, 12(3), 99–103.

    Article  Google Scholar 

  • Kazdin, A. E., & Rotella, C. (2008). The Kazdin method for parenting the defiant child: With no pills, no therapy, no contest of wills. Boston: Houghton Mifflin.

    Google Scholar 

  • Larzelere, R. E., Schneider, W. N., Larson, D. B., & Pike, P. L. (1996). The effects of discipline responses in delaying toddler misbehavior recurrences. Child & Family Behavior Therapy, 18(3), 35–57.

    Article  Google Scholar 

  • Lucas, R. L. (2000). The effects of time-out and DRA on the aggressive behavior of a spirited two-year-old. Child & Family Behavior Therapy, 22(2), 51–56.

    Article  Google Scholar 

  • MacDonough, T. S., & Forehand, R. (1973). Response-contingent time-out: Important parameters in behavior modification with children. Journal of Behavior Therapy and Experimental Psychiatry, 4, 231–236.

    Article  Google Scholar 

  • Martin, G., & Pear, J. (2007). Behavior modification: What it is and how to do it (8th ed.). Upper Saddle River, NJ: Prentice Hall.

    Google Scholar 

  • Masters, K. J., Bellonci, C., & Numerous, C. (2001). Summary of the practice parameter for the prevention and management of aggressive behavior in child and adolescent psychiatric institutions with special reference to seclusion and restraint. Journal of the American Academy of Child & Adolescent Psychiatry, 40(11), 1356–1358.

    Article  Google Scholar 

  • Mathews, J. R., Friman, P. C., Barone, V. J., Ross, L. V., & Christophersen, E. R. (1987). Decreasing dangerous infant behaviors through parent instruction. Journal of Applied Behavior Analysis, 20(2), 165–169.

    Article  PubMed  Google Scholar 

  • Matsumoto, Y., Sofronoff, K., & Sanders, M. (2007). The efficacy and acceptability of the Triple P parenting program in a cross-cultural context: Results of an efficacy trial. Behaviour Change, 24, 205–218.

    Article  Google Scholar 

  • McGuffin, R. W. (1991). The effect of timeout duration on frequency of aggression in hospitaIized children with conduct problems. Behavioral Residential Treatment, 6, 279–288.

    Google Scholar 

  • McNeil, C. B., Clemens-Mowrer, L., Gurwitch, R. H., & Funderburk, B. W. (1994). Assessment of a new procedure to prevent timeout escape in preschoolers. Child & Family Behavior Therapy, 16(3), 27–35.

    Article  Google Scholar 

  • Mooney, S. (1995). Parent training: A review of Adlerian, parent effectiveness training, and behavioral research. The Family Journal, 3, 218–230.

    Article  Google Scholar 

  • Morawska, A., & Sanders, M. R. (2006). Self-administered behavioural family intervention for parents of toddlers: Part I—Efficacy. Journal of Consulting and Clinical Psychology, 74, 10–19.

    Article  PubMed  Google Scholar 

  • Newsom, C., Favell, J. E., & Rincover, A. (1983). Side effects of punishment. In S. Axelrod & J. Apsche (Eds.), The effects of punishment on human behavior (pp. 285–316). New York: Academic Press.

    Google Scholar 

  • O’Connell, M. E., Boat, T., & Warner, K. E. (Eds.). (2009). Preventing mental, emotional, and behavioral disorders among young people: progress and possibilities. Washington, DC: National Academic Press.

    Google Scholar 

  • Olmi, D. J., Sevier, R. C., & Nastasi, D. F. (1997). Time-in/time-out as a response to noncompliance and inappropriate behavior with children with developmental disabilities: Two case studies. Psychology in the Schools, 34, 31–39.

    Article  Google Scholar 

  • Olson, R. L., & Roberts, M. W. (1987). Alternative treatments for sibling aggression. Behavior Therapy, 18, 243–250.

    Article  Google Scholar 

  • Patterson, G. R. (2005). The next generation of PMTO models. Behavior Therapist, 28(2), 27–33.

    Google Scholar 

  • Pendergrass, V. E. (1971). Effects of length of time-out from positive reinforcement and schedule application in suppression of aggressive behavior. The Psychological Record, 21, 75–80.

    Google Scholar 

  • Roberts, M. W. (1982). The effects of warned versus unwarned time-out procedures on child noncompliance. Child & Family Behavior Therapy, 4(1), 37–53.

    Article  Google Scholar 

  • Roberts, M. W. (1984). An attempt to reduce time out resistance in young children. Behavior Therapy, 15(2), 210–216.

    Article  Google Scholar 

  • Roberts, M. W., Hatzenbuehler, L. C., & Bean, A. W. (1981). The effects of differential attention and time out on child noncompliance. Behavior Therapy, 12(1), 93–99.

    Article  Google Scholar 

  • Roberts, M. W., & Powers, S. W. (1990). Adjusting chair timeout enforcement procedures for oppositional children. Behavior Therapy, 21(3), 257–271.

    Article  Google Scholar 

  • Rodgers, A. Y. (1992). Acceptability of time out procedures for school age children: Evaluations by direct care staff and students in child development and child care. Child & Youth Care Forum, 21(3), 195–208.

    Article  Google Scholar 

  • Sanders, M. R. (1999). Triple P-positive parenting program: Towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child & Family Psychology Review, 2(2), 71–90.

    Article  Google Scholar 

  • Sanders, M. R. (2008). The Triple P-positive parenting program as a public health approach to strengthening parenting. Journal of Family Psychology, 22(4), 506–517.

    Article  PubMed  Google Scholar 

  • Sanders, M. R., Bor, W., & Morawska, A. (2007). Maintenance of treatment gains: A comparison of enhanced, standard, and self-directed triple P-positive parenting program. Journal of Abnormal Child Psychology, 35(6), 983–998.

    Article  PubMed  Google Scholar 

  • Sanders, M. R., Markie-Dadds, C., Tully, L. A., & Bor, W. (2000). The Triple P-positive parenting program: A comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems. Journal of Consulting and Clinical Psychology, 68(4), 624–640.

    Article  PubMed  Google Scholar 

  • Sanders, M. R., Markie-Dadds, C., & Turner, K. M. T. (2001). Practitioner’s manual for standard triple P. Milton, QLD: Families International.

    Google Scholar 

  • Sanders, M. R., Tully, L. A., Baade, P. D., Lynch, M. E., Heywood, A. H., Pollard, G. E., et al. (1999). A survey of parenting practices in Queensland: Implications for mental health promotion. Health Promotion Journal of Australia, 9, 112–121.

    Google Scholar 

  • Sarafino, E. P. (1996). Principles of behavior change: Understanding behavior modification techniques. New York: John Wiley.

    Google Scholar 

  • Scarboro, M. E., & Forehand, R. (1975). Effects of two types of response-contingent time-out on compliance and oppositional behavior of children. Journal of Experimental Child Psychology, 19(2), 252–264.

    Article  PubMed  Google Scholar 

  • Schreiber, M. E. (1999). Time-outs for toddlers: Is our goal punishment or education? Young Children, 54(4), 22–25.

    Google Scholar 

  • Simmonds, J. (2007). Holding children in mind or holding therapy: Developing an ethical position. Clinical Child Psychology and Psychiatry, 12(2), 243–251.

    Article  PubMed  Google Scholar 

  • Singh, N. N., & Katz, R. C. (1985). On the modification of acceptability ratings for alternative child treatments. Behavior Modification, 9(3), 375–386.

    Article  PubMed  Google Scholar 

  • Solnick, J. V., Rincover, A., & Peterson, C. R. (1977). Some determinants of the reinforcing and punishing effects of timeout. Journal of Applied Behavior Analysis, 10(3), 415–424.

    Article  PubMed  Google Scholar 

  • Turner, H. S., & Watson, T. S. (1999). Consultant’s guide for the use of timeout in the preschool and elementary classroom. Psychology in the Schools, 36, 135–149.

    Article  Google Scholar 

  • UNDOC. (2009). Guide to implementing family skills training programmes for drug abuse prevention. Vienna: UN.

    Google Scholar 

  • Vallance, D. D. (2004). Using theory and research on controlling attachments to inform the clinical assessment of pre-school children. Clinical Child Psychology and Psychiatry, 9(2), 227–240.

    Article  Google Scholar 

  • Webster-Stratton, C. (1981). Videotape modeling: A method of parent education. Journal of Clinical Child Psychology, 10(2), 93–98.

    Article  Google Scholar 

  • Webster-Stratton, C. (1990). Long-term follow-up of families with young conduct problem children: From preschool to grade school. Journal of Clinical Child Psychology, 19, 144–149.

    Article  Google Scholar 

  • Webster-Stratton, C. (1993). Strategies for helping early school-aged children with oppositional defiant and conduct disorders: The importance of home-school partnerships. School Psychology Review, 22, 437–457.

    Google Scholar 

  • Webster-Stratton, C. (1998). Preventing conduct problems in head start children: Strengthening parenting competencies. Journal of Consulting and Clinical Psychology, 66, 715–730.

    Article  PubMed  Google Scholar 

  • Webster-Stratton, C., Reid, M. J., & Hammond, M. (2004). Treating children with early-onset conduct problems: Intervention outcomes for parent, child, and teacher training. Journal of Clinical Child & Adolescent Psychology, 33(1), 105–124.

    Article  Google Scholar 

  • Wells, K. C. (1997). The death of discipline: Is the requiem premature? Aggression and Violent Behavior., 2, 4.

    Article  Google Scholar 

  • Willoughby, R. H. (1969). The effects of time-out from positive reinforcement on the operant behavior of preschool children. Journal of Experimental Child Psychology, 7, 299–313.

    Article  Google Scholar 

  • Willoughby, R. H. (1970). The influence of different response consequences on children’s preference for time-out. Journal of Experimental Child Psychology, 9(2), 133–141.

    Article  Google Scholar 

  • Yeager, C., & McLaughlin, T. F. (1994). Use of a timeout ribbon with and without consequences as procedures to improve a child’s compliance. Perceptual and Motor Skills, 79(2), 945–946.

    PubMed  Google Scholar 

  • Zubrick, S. R., Ward, K. A., Silburn, S. R., Lawrence, D., Williams, A. A., Blair, E., et al. (2005). Prevention of child behavior problems through universal implementation of a group behavioral family intervention. Prevention Science, 3, 1–18.

    Google Scholar 

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Correspondence to Alina Morawska.

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Morawska, A., Sanders, M. Parental Use of Time Out Revisited: A Useful or Harmful Parenting Strategy?. J Child Fam Stud 20, 1–8 (2011). https://doi.org/10.1007/s10826-010-9371-x

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Keywords

  • Time out
  • Parenting
  • Child behaviour
  • Discipline
  • Parenting strategies