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Samenvatting gedrag- en opvoedingsproblemen

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Dit is een samenvatting (met inhoudstafel !) van de ppt's + eigen notities van het vak 'gedrag- en opvoedingsproblemen' in de eerste master orthopedagogiek - pedagogische wetenschappen. Ik behaalde met deze samenvatting in eerste zit 15/20.

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  • September 24, 2022
  • 153
  • 2022/2023
  • Class notes
  • Dieter baeyens, ilse neons, liesl geeraert
  • All classes
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GEDRAGS- EN OPVOEDINGSPROBLEMEN
PROF. DIETER BAEYENS, LIESL GERAERT




INHOUDSOPGAVE

Les 2 + 3: Antistigma-interventies .................................................................................................................... 7

1. Het probleem................................................................................................................................................... 7
1.1 Stigma in de klas ........................................................................................................................................ 7
1.2 Omvang van het probleem........................................................................................................................ 8
1.3 Gevolgen van Stigma ................................................................................................................................. 8
1.4 Vormen van stigma ................................................................................................................................... 9
1.5 Stigma bestaat uit…................................................................................................................................... 9

2. Illustratie: stigma in de pers (structureel stigma) ........................................................................................... 9
2.1 Structureel stigma ..................................................................................................................................... 9
2.2 Selectie van artikels ................................................................................................................................... 9
2.3 Coderen van artikels ............................................................................................................................... 10

2. Hoe met stigma omgaan? ............................................................................................................................. 11
2.1 Handicapcreatietheorie (Fougeyrollas, 1995) ......................................................................................... 11

3. Illustratie inleefmomenten ............................................................................................................................ 13
3.1 Antistigma-interventies ........................................................................................................................... 13
3.2 Methode: design ..................................................................................................................................... 14
3.3 Methode: Deelnemers ............................................................................................................................ 14
3.4 Results – Ranova (ime x condition x gender x cur. type) ........................................................................ 15

4. Afsluitende opmerkingen .............................................................................................................................. 17

Les 1: Verstoorde hechting ............................................................................................................................. 18

1. Historische situering ...................................................................................................................................... 18

2. Hechting ........................................................................................................................................................ 19
2.1 Hechting .................................................................................................................................................. 19
2.2 Kant van het kind .................................................................................................................................... 20
2.3 Kant van de volwassene .......................................................................................................................... 21
2.4 Koppeling tussen beide ........................................................................................................................... 21

3. Verstoorde hechting ...................................................................................................................................... 22
3.1 Invloed op alle ontwikkelingsdomeinen ................................................................................................. 23
3.2 Relationeel functioneren ........................................................................................................................ 23
3.3 Emotioneel functioneren ........................................................................................................................ 23
3.4 Cognitief functioneren ............................................................................................................................ 24
3.5 Gedragsmatig functioneren .................................................................................................................... 24



Charlotte T. 1

, 3.6 Ik-sterkte en zelfbeeld ............................................................................................................................. 24
3.7 Enkele misvattingen in het werken met deze kinderen .................................................................... 24
3.8 Centrale moeilijkheden in het werken met deze kinderen ............................................................... 24

4. Diagnostiek van verstoorde hechting ............................................................................................................ 25

5. Hechtingsbevorderend werken ..................................................................................................................... 28
5.1 Centrale moeilijkheden bij therapeutisch handelen ............................................................................... 28
5.2 Aanknopingspunten voor preventie en interventie ................................................................................ 28
5.3 Kern van het handelen ............................................................................................................................ 29
5.4 Signalen van positieve vooruitgang ........................................................................................................ 30

Les 4: Als spanning en stress de overhand neemt ........................................................................................... 31

1. Situering ........................................................................................................................................................ 31
1.1 Spanning en stress in gezinnen ............................................................................................................... 31
1.2 Ouderlijke stress (Nosi, 1992) ................................................................................................................. 31
Life Events (Holmes en Rahe, 1962) .............................................................................................................. 32
Spanning en stress in gezinnen ..................................................................................................................... 33

2. Werking van het brein ................................................................................................................................... 33
Window of tolerance .................................................................................................................................... 34

3. Belang van het kalm brein............................................................................................................................. 38
Downregulatie ............................................................................................................................................... 38
Inspelen op werking hersenen ...................................................................................................................... 39
Belang van co-regulatie ................................................................................................................................. 40

4. Omgaan met spanning en stress – in een residentiële context ..................................................................... 40
Veiligheidsbevorderende cultuur en interventies ........................................................................................ 40
Agressiebeleid ............................................................................................................................................... 40
Basishouding en -structuur ter preventie ..................................................................................................... 41
Crisiswerkingsmodel ..................................................................................................................................... 43
Vrijheidsbeperkende maatregelen................................................................................................................ 44
Algemene principes (Hoge Gezondheidsraad 2016) ..................................................................................... 44

Les 5: ADHD en geassocieerde stoornissen: diagnostiek en behandeling ....................................................... 45

DSM-5 criteria ADHD ......................................................................................................................................... 46

Probleemclusters en andere criteria ................................................................................................................. 46

Conceptualisatie – ADHD beelden ..................................................................................................................... 47

Aanvang voor 12 jaar? ...................................................................................................................................... 49

Multi-informant assessment ............................................................................................................................. 49

Comorbiditeit .................................................................................................................................................... 50

Functioneren in kaart brengen .......................................................................................................................... 51

Breedspectrumanalyse ...................................................................................................................................... 51

Onderkennende diagnostiek van ADHD ............................................................................................................ 52

Persisterende ADHD? ........................................................................................................................................ 53
Diagnostische richtlijnen ADHD: kleuters ..................................................................................................... 54
Diagnostische richtlijnen ADHD: volwassenen .............................................................................................. 55



Charlotte T. 2

, ADHD zorgtrajecten .......................................................................................................................................... 58
ADHD zorgtraject: 6-12 jaar .......................................................................................................................... 58
ADHD zorgtraject: 13-18 jaar = secundair ..................................................................................................... 59
ADHD zorgtraject: kleuters ........................................................................................................................... 60
ADHD zorgtraject: volwassenen .................................................................................................................... 60

ADHD zorgpad: wat werkt (voorlopig) niet volgens hoge gezondheidsraad? ................................................... 60

ADHD: neuropsychologisch onderzoek? ............................................................................................................ 61
ADHD: Neuropsychologisch onderzoek – BADS-C......................................................................................... 62

Oorzaken van ADHD: neuropsychologisch perspectief...................................................................................... 63

Etiologie – neuropsychologisch perspectief ...................................................................................................... 64

Oorzaken van ADHD: neyropsychologisch perspectief ...................................................................................... 64

Oorzaken van ADHD: heterogeniteit ................................................................................................................. 66

ADHD: Neurologsiche onderzoek – andere ....................................................................................................... 66

Behandeling ADHD in de klas ............................................................................................................................ 66

Les 6: LLI & EF ................................................................................................................................................. 67

Conceptualisatie EF ........................................................................................................................................... 67
Kern EF .......................................................................................................................................................... 67
Conceptualisatie EF: hogere orde EF............................................................................................................. 67
Conceptualisatie EF: cool vs hot.................................................................................................................... 68
Conceptualisatie EF: impact .......................................................................................................................... 69
Teaching trough interactions framework ..................................................................................................... 70

Les 8: Traumatisering bij kinderen ................................................................................................................. 71

1. Begrip trauma ............................................................................................................................................... 71
1.1 Confrontatie met schokkende gebeurtenis(sen) .................................................................................... 71
Soorten schokkene gebeurtenis(sen)............................................................................................................ 71
Twee types traumatische gebeurtenissen .................................................................................................... 73
Trauma-gerelateerde stoornissen................................................................................................................. 73

Traumasymptomen ........................................................................................................................................... 74
Kernsymptomen van trauma (ptss)............................................................................................................... 74
Mogelijke reacties bij baby’s/peuters/kleuters ............................................................................................ 75
Mogelijke reacties bij lagere schoolkinderen ................................................................................................ 75
Mogelijke reacties bij pubers/adolescenten ................................................................................................. 75

Aandachtspunten bij diagnostiek ...................................................................................................................... 75
Aandachtspunten .......................................................................................................................................... 75
Diagnostische instrumenten ......................................................................................................................... 76
Complexiteit diagnostiek PTSS ...................................................................................................................... 76

Veerkracht ......................................................................................................................................................... 77
Resilience ...................................................................................................................................................... 78
Enkele componenten .................................................................................................................................... 78
Kinderen uit risicogroepen (armoede, huiselijk geweld, seks, misbruik) ...................................................... 78

Traumaverwerking ............................................................................................................................................ 79
Het ‘verwerken’ van een trauma .................................................................................................................. 79


Charlotte T. 3

, Fundamenten voor goede traumatherapie .................................................................................................. 79
Vier dimensies in dit therapeutisch werk...................................................................................................... 79
Therapeutische methoden ............................................................................................................................ 80
EMDR, oogbewegingstherapie ...................................................................................................................... 80

Les 9: vorming omgaan met suïcidaliteit ........................................................................................................ 81

1. Verkenning (definities en cijfers, suïcidaal proces, verklarend model) .......................................................... 81
1.1 Definities en cijfers .................................................................................................................................. 81
1.2 Verklarend model .................................................................................................................................... 86
1.3 Suïcidaal proces ....................................................................................................................................... 86

Les 10: Complex en het NMT-model ............................................................................................................. 114

Situering .......................................................................................................................................................... 114
Wat als… ...................................................................................................................................................... 114

Gevolgen van chronisch trauma ...................................................................................................................... 115
Zeer negatief impact op het brein .............................................................................................................. 115
Gevolgen voor de ontwikkeling................................................................................................................... 116
Ernstige gevolgen op alle ontwikkelingsgebieden ...................................................................................... 117

Behandeling van complex trauma................................................................................................................... 118
Erkenning en hoop ...................................................................................................................................... 118
Traumaverwerking ...................................................................................................................................... 118
Eerst stabiliseren ......................................................................................................................................... 118
Eerst stabiliseren en dan… .......................................................................................................................... 122

NMT Neuro-Senquentiel model of Therapeutics ............................................................................................. 122
Basisprincipes NMT ..................................................................................................................................... 122
Ontwikkeling als leidraad voor ons handelen ............................................................................................. 126
Aanzet tot ‘traumasensitief opvoeden’ ...................................................................................................... 127

Les 11: Persoons- en omgevingsinterventies voor ADHD in de schoolcontext .............................................. 129

Herhaling grondslagen – domein school ......................................................................................................... 129
1. Handicapcreatietheorie (Fougeyrollas, 1995) ......................................................................................... 129

Redelijke aanpassingen: verdieping ................................................................................................................ 130
2.1 Methodologisch perspectief ................................................................................................................. 130
2.2 RA: beïnvloedende factoren.................................................................................................................. 132
2.2 RA: beïnvloedende factoren – context.................................................................................................. 134
2.2 RA: Caveat ............................................................................................................................................. 134
2.3 Effectiviteit van RA ................................................................................................................................ 135
2.3 subjectieve effectiviteit (volgehouden aandacht)................................................................................. 135
2.3 Objectieve effectiviteit .......................................................................................................................... 136
2.4 Effectiviteit van RA ................................................................................................................................ 138
2.5 Conclusie RA .......................................................................................................................................... 139

Specifieke interventies..................................................................................................................................... 139
3.1 Klasmanagement ................................................................................................................................... 139
3.2 Interventies voor leerlingen met ADHD ................................................................................................ 140
3.2. Kenmerken van het programma .......................................................................................................... 140
3.2 Sessies: volledig gescript, icl. ppt .......................................................................................................... 141
3.2 Opbouw (gericht op volwassene).......................................................................................................... 141


Charlotte T. 4

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