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date: 30 November 2021

Abstract and Keywords

The Oregon Model of Parent Management Training (PMTO) is an intervention based on the social interaction learning model, which posits coercion as a disruptor for family processes and outcomes. This chapter examines the role that coercion plays in the context of theory-based intervention, reviewing two randomized, controlled trials that evaluated coercive and positive parenting practices as mediators of outcomes. The studies examined the differential effects of changes on coercive and positive parenting as well as the orderly sequence of these changes and their mediating effects in short-term and longer term follow-up data. The chapter considers family contextual factors and their impact on change processes during intervention and includes a discussion of factors such as parental adjustment (depression, antisocial qualities) and stressful circumstances and their relationship to parental resistance during intervention. Practitioner variables and practices are examined as contributors to the change process. Some findings of resistance observed during therapy are discussed.

Keywords: coercion, positive parenting, intervention, Parent Management Training—Oregon Model, PMTO, family process

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