Dear Christine,
It would be overstating the matter to say that you are causing your daughter's behavior, but your description indicates that you are contributing to it. And this is generally the case in relation to childhood behavior problems. That is, the problem is at least partly a result of the parent-child interaction, and generally the child will change to the extent that the parents can make some changes.
No, you shouldn't have to tell your daughter to do something five times. And you don't have to do this - you are
choosingChoosing a primary care provider
Choosing a qualified surgeon to do this. It's not a good choice to be making. As you can see, it's not effective. It only teaches your daughter not to take you seriously, and it results in your becoming more and more angry.
At the most, tell her twice. After the first direction, if she doesn't comply, reiterate the direction only once and in the form of an ultimatum: If you do not......, you will go to time out (or whatever the consequence will be). That should be the end of the directions. If she complies, good. If not, issue the consequence. By no means repeat the direction again. Remember, when you give her an ultimatum, you've given it to yourself as well. You've given yourself the challenge of following through on what you said.
If I were in your shoes, I'd resurrect time out and make it work. I've never, in thirty years of clinical practice, seen an instance when time out was not effective if parents utilized it correctly. So my guess is that it's not the technique that's the problem, it's how you're using it. For a basic manual on time out and general issues of behavior management, look at Lynn Clark's S.O.S.: Help for Parents. It is a practical, sound book.
Dr. KDK
Read 123 magic it helped alot with my son. He still is a handful but has improved greatly.
At times we also have our daughter repeat the instruction. Something about verbalizing it helps a child take ownership of the instruction.
A parenting class we took also suggested giving your child the moral or practical reason why of an instruction, not just correct the behavior. By doing this, it helps them to store the underlying value so that they can make correct decisions when you aren't around.
It's all theory. No, our child isn't perfect but these guidelines seems to have helped us out.