Following are questions asked by parents of special needs children:

1. How do special needs children understand cause and effect and also rewards versus punishments? Do they understand the same as other children?

The interesting thing is that this is not an issue. All creatures great and small have an interest in reward versus punishment to some degree. Think about the bottom of the food chain such as a cockroach. Cockroaches despise the light and live to move around in the dark hours of the night. They associate good feelings with dark and bad feelings with light. They might not think about it in those terms or even at all.

If you flip on the lights you will see roaches hurrying towards darkness under a couch or a crack in the wall. They sense the light and know that a feeling of punishment is headed their way. They know that if they head towards darkness they are heading towards a reward. This repeat reward makes them always want to scramble to the darkness.

Roaches don't have a memory and can't be instructed like we can. Canines can be instructed because they have a wonderful memory. They know, for example, if they hear the word "stay" they will stay in place in order to receive a treat or reward.

The higher you go up on the food chain, the better their memory can be. Interest in time and the improvement of analytical skills appears. When these attributes increase, you need to vary the intensity of the rewards and punishments to have any effect.

What reward and punishments should you dole out? Easy. Try first by experimenting with different rewards and punishments based on your own experience. Have a system of rewards and punishments that will affect your child's behavior. Make sure that you are consistent. If their behavior changes then you have accomplished your goal. If it does not then take these two things into consideration:

a) your rewards and punishments systems did not have big enough meaning in your child's life or

b) your child could not create a link between the behavior and the reward or punishment. If you wait too long to respond to a behavior then your reward or punishment may have little or no meaning. This is especially true when dealing with younger children.

If your system doesn't seem to be effective then you need to stop and evaluate what you are doing. Make improvements and modifications. Try the system another time. Keep changing the system until you find one that works. If you are unable to find a system that works then think about the following:

You have tried all of the things you can think of and your child's behavior hasn't budged. What do you do? For example, let's say your child had PDD. You are required to complete a few hours of physical therapy with your child eacy day. However, your child doesn't want to do the physical therapy.

You try everything you can think of and read the book thoroughly. You try different reward and punishment systems to no avail. You have struggled to make physical therapy appear like a fun time. No matter what you do, you are not accomplishing the physical therapy session every day.

What can you do about this? You have two choices including:

a. You could become all bent out of shape about it. You get mad at yourself for your apparent failure. You feel like you are no service to your child. You want to find the magic cure that will help your child do his physical therapy.

b. You stop and evaluate your situation. You take a deep breath and look at things practically and logically. You are okay with the fact that half the time the physical therapy session may not happen, but this is still an improvement from how much physical therapy your child was accomplishing last year.

Is (a.) or (b.) the more productive option?

The downfall of (a.) is that you will amp up your stress level which affects everyone negatively. You are not having a good time and your results won't improve this way.

Sometimes you just have to learn to live with the fact that your child may never be totally motivated to do the physical therapy. It's sad, but true. It is better to work with what you have then cry about not achieving perfection.

Therefore, you should pay attention to your child's specific needs. Strive to define success off of what you are provided with and not an ideal. When you do this, you will alleviate stress and the results you want will happen. If things still don't improve would you want to have: a) 1/2 performance and we are all upset? b) 1/2 performance and we are all feeling good?

The key point is to not try to compete to an ideal level when it might not be a realistic goal.