Cover image for Just take a bite : easy, effective answers to food aversions and eating challenges
Just take a bite : easy, effective answers to food aversions and eating challenges
Ernsperger, Lori.
Personal Author:
Publication Information:
Arlington, Tex. : Future Horizons, Inc., [2004]

Physical Description:
xvi, 236 pages : illustrations ; 28 cm
Added Author:
Format :


Call Number
Material Type
Home Location
Item Holds
TX361.C5 E76 2004 Adult Non-Fiction Non-Fiction Area-Oversize

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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, or 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 just plain wrong. And who said you have to eat dessert last? Get ready to have some stereotypes shattered!

Helpful chapters include:

Who Are Resistant eaters? Oral-Motor Development Environmental and Behavioral Factors Contributing to Problems with Eating Designing and Implementing a Comprehensive Treatment Plan Stages of Sensory Development for Eating A Recipe for Success

And more!

Author Notes

Lori Ernsperger, PhD, has more than twenty years of experience working in the public schools as a teacher, administrator, and behavioral consultant. She has had extensive training working with students who have behavior disorders, particularly those on the autism spectrum. Having earned her PhD in Special Education from Indiana University, Dr. Ernsperger has put her research and behavioral expertise to work in a variety of teaching, therapy, and behavior consultant roles. She currently serves as a private autism and behavioral consultant, and lives with her husband Tom and two children, Jessica and Ben, in Henderson, Nevada.

Tania Stegen-Hanson, OTR/L, has over ten years experience in therapy, consultation, and in-service training to school systems and private practice in South Africa and the USA. She is the owner of Achievement Therapy Center, a pediatric O.T. practice in Las Vegas, Nevada. She specializes in sensory integration therapy, oral-motor therapy, neuro-developmental therapy, and feeding disorders.

Table of Contents

Forewordp. vii
Acknowledgementsp. ix
Introductionp. xi
Chapter 1 Who Are Resistant eaters?p. 1
Identifying a Resistant Eaterp. 2
Common Characteristic of a Resistant Eaterp. 4
Food Neophobia Scalep. 10
Other Assessment Toolsp. 12
Chapter 2 Oral-Motor Developmentp. 15
In Uterop. 19
Newborns: 0-3 Monthsp. 19
4-6 Monthsp. 21
7-9 Monthsp. 22
10-12 Month-Oldp. 23
13-15 Month-Oldp. 24
16-18 Month-Oldp. 25
19-24 Month-Oldp. 26
25-26 Month-Oldp. 27
Food Texture and Eating Skillsp. 28
Chapter 3 Environmental and Behavioral Factors Contributing to Problems with Eatingp. 33
Food Neophobiap. 34
Environmental Factors and Eatingp. 37
Cultural Roadblocksp. 39
Resistant Eaters and Developmental Disabilitiesp. 48
Chapter 4 Sensory-Based and Motor-Based Problems Affecting the Resistant Eaterp. 55
Sensory Integration Dysfunctionp. 55
Proprioceptive Sensory Informationp. 57
Vestibular Sensory Informationp. 59
Tactile Sensory Informationp. 66
Gustatory Sensory Information (Taste)p. 69
Olfactory Sensory Information (Smell)p. 71
Visual Sensory Informationp. 74
Auditory Sensory Information (Hearing)p. 76
Modulationp. 78
How to Use and Organize the Information We Have About the Resistant Eaterp. 81
Chapter 5 Motor-Based Eating Problems vs. Sensory-Based Eating Problemsp. 83
Reflux and Other Gastrointestinal Problemsp. 85
Abnormal Sucking Patternp. 89
Nasal Refluxp. 90
Aspirationp. 90
Gaggingp. 91
Droolingp. 92
Tooth Grindingp. 93
Limited Upper-Lip Movementp. 94
Immature Spoon Feeding Skillsp. 95
Immature Cup-Drinking Skillsp. 96
Immature biting and Chewing Skillsp. 98
Chapter 6 Designing and Implementing a Comprehensive Treatment Planp. 101
Guidelines for Writing a Treatment Planp. 108
Chapter 7 Part 1: Environmental Controlsp. 113
Snack and Mealtime Schedulesp. 114
Guidelines for Creating the Meal/Snack Schedulesp. 114
The Mealtime Settingp. 117
Guidelines for Selecting a Settingp. 117
Create a Supportive and Nurturing Environmentp. 119
Guidelines for Creating a Supportive Mealtime Environmentp. 119
Portion Size and Food Selectionp. 122
Guidelines for Implementing Appropriate Portion Sizesp. 122
Food Selectionp. 124
Guidelines for Food Selectionp. 125
Food Jagsp. 127
Guidelines for Addressing Food Jagsp. 128
Appropriate Behavior During the Mealtimep. 129
Guidelines for Implementing Appropriate Mealtime Behaviorsp. 129
Chapter 8 Part 2: Gastrointestinal, Physical and Oral-Motor Developmentp. 135
Gastrointestinal Comfortp. 136
Physical Developmentp. 140
The Upper Bodyp. 140
The Lower Bodyp. 143
Postural Control Activitiesp. 144
Goals for Postural Controlp. 145
Physical Development Lessons 1-5p. 145
Oral-Motor Activitiesp. 155
Goals for Oral-Motor Programsp. 156
Oral-Motor Lessons 1-8p. 157
Chapter 9 Part 3: Stages of Sensory Development for Eatingp. 171
Guidelines for Implementing the Stages for Sensory Developmentp. 173
Stage 1 Acceptancep. 175
Guidelines for Implementing Stage One-Acceptancep. 176
Stage One-Acceptance Lessons 1-8p. 177
Stage 2 Touchp. 183
Guidelines for Implementing Stage Two-Touchp. 184
Stage Two-Touch Lessons 1-6p. 185
Stage 3 Smellp. 188
Guidelines for Implementing Stage Three-Smellp. 189
Stage Three-Smell Lessons 1-5p. 190
Stage 4 Tastep. 193
Guidelines for Implementing Stage Four-Tastep. 194
Stage Four-Taste Lessons 1-7p. 196
Stage 5 Eating New Foodsp. 200
Chapter 10 A Recipe for Successp. 203
Cultural Factorsp. 206
Medical Issuesp. 206
Older Childrenp. 207
Gluten, Casein and Other Allergy-Related Dietsp. 207
Appendixp. 209
Cue Card Applicationsp. 215
Referencesp. 231