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Which psychological strategy is NOT typically effective for children with chronic conditions during therapy?

  1. Direct criticism

  2. Positive reinforcement

  3. Behavioral rewards

  4. Goal setting

The correct answer is: Direct criticism

Direct criticism is not typically an effective psychological strategy for children with chronic conditions during therapy, as it can lead to feelings of discouragement and decreased motivation. Children often respond more positively to supportive and encouraging approaches that help build their self-esteem and foster a sense of accomplishment. Positive reinforcement involves rewarding desirable behaviors to encourage their recurrence, which is beneficial in motivating children. Behavioral rewards also align with this concept, as they provide incentives for achieving certain goals or tasks, thereby enhancing engagement and compliance during therapy sessions. Goal setting helps children understand what they can achieve and provides a structured path towards their progress, which is critical in managing chronic conditions. In contrast, direct criticism can be detrimental, as it may cause anxiety and negatively impact a child's confidence, making them less likely to engage fully in the therapeutic process. Thus, focusing on methods that promote encouragement and growth is crucial for therapy's success with children facing chronic health challenges.