Just Take a Bite: Easy, Effective Answers to Food Aversions and Eating Challenges

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Author: Lori Ernsperger

ISBN-10: 1932565124

ISBN-13: 9781932565126

Category: Psychological Disorders

Winner of an iParenting Media Award! Is your child a "picky" eater or a full-fledged resistant eater? Does he or she eat only 3-20 foods, refusing all others? Eat from only one food group? Gag, tantrum, or become anxious if you introduce new foods? If so, you have a resistant eater. Learn the possible causes, when you need professional help, and how to deal with the behavior at home. Learn why "Don't play with your food!" and "Clean your plate!" - along with many other old saws - are...

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"Just Take a Bite" takes parents and professionals step by step through he myths about eating to the complexity of eating itself, which leads to an understanding of physical, neurological and/or psychological reason why children may not be eating as they should.

ForewordviiAcknowledgementsixIntroductionxiChapter 1Who Are Resistant eaters?1Identifying a Resistant Eater2Common Characteristic of a Resistant Eater4Food Neophobia Scale10Other Assessment Tools12Chapter 2Oral-Motor Development15In Utero19Newborns: 0-3 Months194-6 Months217-9 Months2210-12 Month-Old2313-15 Month-Old2416-18 Month-Old2519-24 Month-Old2625-26 Month-Old27Food Texture and Eating Skills28Chapter 3Environmental and Behavioral Factors Contributing to Problems with Eating33Food Neophobia34Environmental Factors and Eating37Cultural Roadblocks39Resistant Eaters and Developmental Disabilities48Chapter 4Sensory-Based and Motor-Based Problems Affecting the Resistant Eater55Sensory Integration Dysfunction55Proprioceptive Sensory Information57Vestibular Sensory Information59Tactile Sensory Information66Gustatory Sensory Information (Taste)69Olfactory Sensory Information (Smell)71Visual Sensory Information74Auditory Sensory Information (Hearing)76Modulation78How to Use and Organize the Information We Have About the Resistant Eater81Chapter 5Motor-Based Eating Problems vs. Sensory-Based Eating Problems83Reflux and Other Gastrointestinal Problems85Abnormal Sucking Pattern89Nasal Reflux90Aspiration90Gagging91Drooling92Tooth Grinding93Limited Upper-Lip Movement94Immature Spoon Feeding Skills95Immature Cup-Drinking Skills96Immature biting and Chewing Skills98Chapter 6Designing and Implementing a Comprehensive Treatment Plan101Guidelines for Writing a Treatment Plan108Chapter 7Part 1: Environmental Controls113Snack and Mealtime Schedules114Guidelines for Creating the Meal/Snack Schedules114The Mealtime Setting117Guidelines for Selecting a Setting117Create a Supportive and Nurturing Environment119Guidelines for Creating a Supportive Mealtime Environment119Portion Size and Food Selection122Guidelines for Implementing Appropriate Portion Sizes122Food Selection124Guidelines for Food Selection125Food Jags127Guidelines for Addressing Food Jags128Appropriate Behavior During the Mealtime129Guidelines for Implementing Appropriate Mealtime Behaviors129Chapter 8Part 2: Gastrointestinal, Physical and Oral-Motor Development135Gastrointestinal Comfort136Physical Development140The Upper Body140The Lower Body143Postural Control Activities144Goals for Postural Control145Physical Development Lessons 1-5145Oral-Motor Activities155Goals for Oral-Motor Programs156Oral-Motor Lessons 1-8157Chapter 9Part 3: Stages of Sensory Development for Eating171Guidelines for Implementing the Stages for Sensory Development173Stage 1Acceptance175Guidelines for Implementing Stage One-Acceptance176Stage One-Acceptance Lessons 1-8177Stage 2Touch183Guidelines for Implementing Stage Two-Touch184Stage Two-Touch Lessons 1-6185Stage 3Smell188Guidelines for Implementing Stage Three-Smell189Stage Three-Smell Lessons 1-5190Stage 4Taste193Guidelines for Implementing Stage Four-Taste194Stage Four-Taste Lessons 1-7196Stage 5Eating New Foods200Chapter 10A Recipe for Success203Cultural Factors206Medical Issues206Older Children207Gluten, Casein and Other Allergy-Related Diets207Appendix209Cue Card Applications215References231