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September 1997

Short-term Effectiveness of Anticipatory Guidance to Reduce Early Childhood Risks for Subsequent Violence

Author Affiliations

Premier Medical Associates LLC 7401 Osler Dr, Suite 209 Towson, MD 21204

Arch Pediatr Adolesc Med. 1997;151(9):964. doi:10.1001/archpedi.1997.02170460102028

I would like to comment on 2 aspects of the article concerning anticipatory guidance in the April Archives.1 First, I would like to comment on the use of time-out procedures and make a suggestion to improve their effectiveness. I have seen for some time the recommendation that the duration of the time-out should correlate with the child's chronological age. In a relatively compliant child this is probably a reasonable approach. This is the child who either cooperatively or with gentle guidance goes to the time-out location and remains there until told he or she may get up. For many children, and in my experience most children, the duration of the time-out is properly dictated by the child's response to the time-out. Most young children become upset and cry vigorously when placed in time-out. The time-out is over when they transition from vigorous crying to the whimper stage (or, as

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