The Total Transformation - Pediatrician's Analysis

It’s been about eight months since I posted the first of my many reviews of different aspects of The Total Transformation Program by James Lehman. In fact, there are sixty of my own review entries available as of this writing.
I’m really excited to be bringing you someone’s else point of view on the Total […]

Critical Analysis of the Total Transformation Program (TTP) of
Legacy Publishing Helping Behavior Disordered Children and
Teens
Patricia O. Quinn, MD, FAAP
Director, National Center for Girls and Women with ADHD
Over the last decade, pediatricians have been diagnosing and treating increasing numbers
of children with behavioral problems. These children with behavior disorders make up
approximately 15 percent of the children seen […]

What is the need for a behavioral management program for children and teens with
ADHD and disruptive behaviors?
ADHD remains the behavioral problem most often diagnosed by pediatricians. Research
has established that disruptive behavior disorders are commonly seen with ADHD. From
30% to 50% of children with ADHD in a community sample, and 50% of children in a
clinically referred […]

What are the underlying premise and goals of the TTP?
The Total Transformation Program is a guided training program for parents that utilizes
cognitive learning theory a behavioral management techniques to alter dysfunctional
family interaction patterns. The underlying premise of the TTP is that behaviorally
disordered children and teens need to be empowered with skills to manage their daily
functioning […]

What is the quality of the materials?
Overall, the TTP is extremely well organized and structured. Materials are presented
using a step-by-step approach. Once the child’s behavior is understood, scripts are
provided to empower the parent’s response. The Parent Workbook is very well done and
provides checklists to help the parent determine what skills need to be worked on […]

How can TTP meet the need of providing a multimodal treatment program to these
children and teens with ADHD and disruptive behavior disorders?
[Editor’s Note: TTP stands for Total Transformation Program.]
While most pediatricians can say that they understand the need for a multimodal program
for the treatment of children with ADHD and coexisting conditions, they are at […]

What is the scientific evidence for the effectiveness of such a program?
The current findings regarding the outcomes of ADHD and disruptive behavior disorders
indicate that all children presenting with symptoms of ADHD and ODD/CD need to be
assessed and treated with a view of targeting both the ADHD and the disruptive
behaviors. The link between behavioral disorders and […]

Parent Training (PT) has been shown to be effective for treating oppositional and
defiant behaviors. Standardized parent training programs are short-term interventions that
teach parents specialized strategies-including positive attending, ignoring, the effective
use of rewards and punishments, token economies, and time-out to address clinically
significant behavior problems. (Farley et al., 2005)
The long-term maintenance of changes following parent-child interaction therapy […]