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My co-authors and I would like to thank Dr Walcher for his thoughtful comments on our study. First, the information cards are meant to begin the discussion of time-out and other behavioral matters, not to end them. Dr Walcher's thoughtful comments are entirely correct: it is our hope that the cards will serve to facilitate discussion between physicians and patients, not to be the final word on the topic.
Our focus groups with parents determined that the information that they wished to receive in written form should be as precise as possible. Of necessity, this meant that the material could not be fully explanatory and could not include all of the caveats and commentary that we would like to provide for our patients. Our clinical experience has been that many patients come back and ask us for further elucidation of these topics.
In response to comments like those received from
Sege RD. Short-term Effectiveness of Anticipatory Guidance to Reduce Early Childhood Risks for Subsequent Violence-Reply. Arch Pediatr Adolesc Med. 1997;151(9):964. doi:10.1001/archpedi.1997.02170460102029