Clinical Case Studies最新文献_第10页

Firefighter With Co-Morbid Psychogenic Non-Epileptic Seizures and Post-Traumatic Stress Disorder Treated With Prolonged Exposure Therapy: Long-Term Follow-Up 消防员长期暴露治疗并发精神性非癫痫发作和创伤后应激障碍：长期随访

IF 1 4区心理学

Clinical Case Studies Pub Date : 2020-10-07 DOI: 10.1177/1534650120963181

L. Myers, Robert W. Trobliger, Shanneen Goszulak

{"title":"Firefighter With Co-Morbid Psychogenic Non-Epileptic Seizures and Post-Traumatic Stress Disorder Treated With Prolonged Exposure Therapy: Long-Term Follow-Up","authors":"L. Myers, Robert W. Trobliger, Shanneen Goszulak","doi":"10.1177/1534650120963181","DOIUrl":"https://doi.org/10.1177/1534650120963181","url":null,"abstract":"Psychogenic non-epileptic seizures (PNES), are events that resemble epileptic seizures but lack electrophysiological or clinical evidence for epilepsy. Instead, they are psychogenic in origin. These episodes tend to occur with alterations in consciousness and bodily functions and are the result of mechanisms of conversion. Psychological trauma and post-traumatic stress disorder (PTSD) are prevalent among patients with PNES. This is a case report of a 32-year-old male who began treatment 1-year after developing PTSD followed some months later by PNES. His seizures were characterized by contorted movements of the head and neck, guttural sounds, and left sided movements or whole-body arching and were accompanied by frequent falls and injuries. They were usually brief but occurred daily. Psychotherapy had been discontinued because violent seizures often interrupted the sessions. He was treated with prolonged exposure (PE) at a PNES program and by the last session, had achieved an improvement in his seizure frequency (one every 4–6 days rather than daily episodes). This allowed him to begin therapy with a local therapist. Two years after completing treatment, the patient returned for a follow up visit. At that point, his seizure frequency, was one per month which shows he sustained and improved on this symptom. Former head drops, and grunting sounds disappeared, and he was no longer using a cane to ambulate. From an emotional standpoint (PTSD, suicidality, anxiety, quality of life), the patient had achieved and maintained a much healthier level of functioning (though no change on alexithymia, anger, depression, and trait anxiety).","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"20 1","pages":"95 - 114"},"PeriodicalIF":1.0,"publicationDate":"2020-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1534650120963181","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43077674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Acceptance and Commitment Therapy Delivered via Telehealth for the Treatment of Co-Occurring Depression, PTSD, and Nicotine Use in a Male Veteran 远程医疗对男性退伍军人并发抑郁症、创伤后应激障碍和尼古丁使用的接受和承诺治疗

IF 1 4区心理学

Clinical Case Studies Pub Date : 2020-10-07 DOI: 10.1177/1534650120963183

Brandon P. Smith, Elizabeth Coe, E. Meyer

{"title":"Acceptance and Commitment Therapy Delivered via Telehealth for the Treatment of Co-Occurring Depression, PTSD, and Nicotine Use in a Male Veteran","authors":"Brandon P. Smith, Elizabeth Coe, E. Meyer","doi":"10.1177/1534650120963183","DOIUrl":"https://doi.org/10.1177/1534650120963183","url":null,"abstract":"Symptoms of depression, posttraumatic stress, and substance use disorders commonly co-occur and are a tremendous health burden among the U.S. military veteran population. Acceptance and Commitment Therapy (ACT) is an evidence-based, transdiagnostic, integrated approach that has been used to treat these problems. Delivering psychotherapy via telehealth helps to break down barriers to care. This case study describes the application of ACT via telehealth with a male veteran with co-occurring symptoms of depression, PTSD and nicotine addiction. His depressive symptoms, PTSD symptoms, and nicotine use decreased substantially over the course of therapy. He demonstrated increased willingness to experience negatively evaluated internal experiences such as emotions and urges to use nicotine, defusion from self-critical and other unhelpful thoughts, more consistent engagement in values-consistent behaviors, and increased behavioral engagement in his social life. Treatment implications and unique aspects of the telehealth modality are discussed. Recommendations are made for training clinicians who may be considering providing services via telehealth or using ACT.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"20 1","pages":"75 - 91"},"PeriodicalIF":1.0,"publicationDate":"2020-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1534650120963183","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45037503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Metacognitive Interpersonal Therapy for Borderline Personality Disorder: A Single Case Study 边缘型人格障碍的元认知人际治疗:一个个案研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2020-09-24 DOI: 10.1177/1534650120960234

G. Salvatore, Lorena Bianchi, L. Buonocore, Nadia Disturco, A. MacBeth, Nicoletta Manfredi, P. Ottavi, R. Popolo, M. Proto, G. Dimaggio

{"title":"Metacognitive Interpersonal Therapy for Borderline Personality Disorder: A Single Case Study","authors":"G. Salvatore, Lorena Bianchi, L. Buonocore, Nadia Disturco, A. MacBeth, Nicoletta Manfredi, P. Ottavi, R. Popolo, M. Proto, G. Dimaggio","doi":"10.1177/1534650120960234","DOIUrl":"https://doi.org/10.1177/1534650120960234","url":null,"abstract":"Borderline personality disorder (BPD) is a severe disease, characterized by severe instabilities in identity, affect and relationships. Clinical improvement of BPD can be facilitated by psychotherapy aimed at tackling multiple specific cross-modality impairments and their patterns of interaction: impaired sense of self, maladaptive interpersonal schemas, impaired metacognition, emotion dysregulation and impulsivity. Herein, we describe the steps in the treatment of a young woman meeting the criteria for with BPD with paranoid traits, successfully treated with Metacognitive Interpersonal Therapy, a treatment based on comprehensive assessment of domains. In the initial phase, treatment focused on promoting emotion regulation, integrating opposing patient representations of the therapist, enhancing metacognition, and increasing focus on the maladaptive schema that elicited dysregulated behaviors. Later in therapy, treatment focused on supporting the patient to realize her ideas about self and others were schema-driven; and improving metacognitive capacity to understand others’ minds. General implications for psychotherapy of BPD are discussed.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"20 1","pages":"56 - 74"},"PeriodicalIF":1.0,"publicationDate":"2020-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1534650120960234","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46692255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Reducing Aggression Using a Multimodal Cognitive Behavioral Treatment Approach: A Case Study of a Preschooler With Oppositional Defiant Disorder 使用多模式认知行为治疗方法减少攻击：一名患有对立违抗障碍的学龄前儿童的案例研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2020-09-13 DOI: 10.1177/1534650120958069

Catrina A. Calub, M. Rapport, K. Alexander

{"title":"Reducing Aggression Using a Multimodal Cognitive Behavioral Treatment Approach: A Case Study of a Preschooler With Oppositional Defiant Disorder","authors":"Catrina A. Calub, M. Rapport, K. Alexander","doi":"10.1177/1534650120958069","DOIUrl":"https://doi.org/10.1177/1534650120958069","url":null,"abstract":"Individual cognitive behavioral therapies (CBT) have been shown to be effective in decreasing disruptive behaviors in children and adolescents; however, less is known regarding their efficacy with preschoolers given the developmental limitations accompanying this age range. The current case study extends the use of individual CBT to a preschool aged girl with oppositional defiant disorder (ODD), and is the first to investigate its efficacy in combination with behaviorally-based parent training and classroom teacher consultation. A total of 18 CBT sessions with the child and her parents, in addition to school observations and on-site and phone consultations with teachers, were conducted over a 4-month period. Post-treatment and 2-month follow-up assessments demonstrated significant decreases in physical aggression and property destruction, as well as for parent and teacher reported internalizing and externalizing symptoms. Collectively, results of the case study provide preliminary evidence that a multimodal approach can be applied effectively to treat behavioral problems in preschool-age children.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"20 1","pages":"39 - 55"},"PeriodicalIF":1.0,"publicationDate":"2020-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1534650120958069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48809675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exposure, Relaxation, and Rescripting Therapy for Trauma-Related Nightmares With Psychiatric Inpatients: A Case Series 精神科住院病人创伤相关噩梦的暴露、放松和处方治疗:一个案例系列

IF 1 4区心理学

Clinical Case Studies Pub Date : 2020-09-10 DOI: 10.1177/1534650120953614

Helen Reiter, L. Humphreys

{"title":"Exposure, Relaxation, and Rescripting Therapy for Trauma-Related Nightmares With Psychiatric Inpatients: A Case Series","authors":"Helen Reiter, L. Humphreys","doi":"10.1177/1534650120953614","DOIUrl":"https://doi.org/10.1177/1534650120953614","url":null,"abstract":"Research has shown that posttraumatic stress disorder (PTSD) is a highly prevalent diagnosis for psychiatric patients, yet individualized care and treatment is limited in the inpatient acute care sector. Two case studies are presented which examine the use of Exposure, Relaxation, and Rescripting Therapy (ERRT) for chronic trauma-related nightmares, within a private acute care inpatient psychiatric hospital setting. ERRT is empirically supported with efficacy for veteran and civilian populations, however no research to date has been conducted with psychiatric inpatients. Two participants diagnosed with PTSD, suffering distressing trauma-related nightmares, completed ERRT over three sessions during their psychiatric hospital admission, with the aim of reducing the frequency and severity of nightmares and related psychological symptoms. PTSD, depression, sleep quality and quantity, and nightmare frequency and related distress, were measured pre-treatment, during treatment, and follow-up at one, 3 and 6 months. Only one participant reported ongoing nightmares by the third week of the intervention, with both participants reporting an absence of nightmares at the one and 3-month follow-ups, but mixed results by the 6-month follow-up. One participant also reported a reduction in PTSD symptoms and a mild improvement in depression. The results offer some preliminary support for the provision of ERRT for the treatment of trauma-related nightmares for psychiatric inpatients.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"20 1","pages":"3 - 21"},"PeriodicalIF":1.0,"publicationDate":"2020-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1534650120953614","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48306319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Parent–Child Interaction Therapy-Callous Unemotional Adaptation for a Preschool Boy With Conduct Problems 亲子互动疗法:行为问题学龄前男孩的冷酷无情适应

IF 1 4区心理学

Clinical Case Studies Pub Date : 2020-09-04 DOI: 10.1177/1534650120950524

Heather Agazzi, Kimberly Knap, E. Kimonis

{"title":"Parent–Child Interaction Therapy-Callous Unemotional Adaptation for a Preschool Boy With Conduct Problems","authors":"Heather Agazzi, Kimberly Knap, E. Kimonis","doi":"10.1177/1534650120950524","DOIUrl":"https://doi.org/10.1177/1534650120950524","url":null,"abstract":"Young children with conduct problems (CPs) and elevated callous unemotional (CU) traits (CP+CU) show more severe, stable, and aggressive CPs relative to children with CP traits alone. Children with CP+CU tend to benefit less from traditional treatment modalities for child CPs that rely on social attention and punishments compared with children with CP-alone, but respond well to reward-based behavioral management strategies. Emerging research suggests that the Parent–Child Interaction Therapy-Callous Unemotional adaptation (PCIT-CU) may be a compelling mechanistically targeted intervention for young children with CP+CU. This case study presents the treatment of a 4½-year-old boy with oppositional defiant disorder (ODD), attention-deficit/hyperactivity disorder–combined presentation (ADHD-C), and CU traits using PCIT-CU. Findings from this case study include (a) improvement in CP that was maintained at 4-month follow-up, (b) reduced parent ratings of CU traits over the course of treatment, (c) reduced negative parenting practices, and (d) preliminary support for adapting parent behavioral management training interventions for young children with CP+CU and comorbid ADHD-C.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"19 1","pages":"370 - 385"},"PeriodicalIF":1.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1534650120950524","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44165337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Using Art-Based Acceptance and Commitment Therapy (ACT) for an Adolescent With Anxiety and Autism 应用基于艺术的接受和承诺疗法（ACT）治疗青少年焦虑和自闭症

IF 1 4区心理学

Clinical Case Studies Pub Date : 2020-08-21 DOI: 10.1177/1534650120950527

Rosanna Chapman, Bethan Evans

引用次数: 3

Behavioral Assessment and Treatment of Selective Mutism in Identical Twins 同卵双胞胎选择性缄默症的行为评估与治疗

IF 1 4区心理学

Clinical Case Studies Pub Date : 2020-08-18 DOI: 10.1177/1534650120950526

R. Weinstock, N. Caporino, Susanna J. Crowell McQuarrie, Emily G. Ronkin, Laura A. Wright, Natasha N Ludwig, Erin B Tone

引用次数: 1

Behavior-Analytic Treatment Progression for a Child With Tube Dependence: Reaching Age-Typical Feeding 儿童管依赖的行为分析治疗进展:达到典型年龄喂养

IF 1 4区心理学

Clinical Case Studies Pub Date : 2020-08-14 DOI: 10.1177/1534650120950525

Bethany A. Hansen, Ashley S. Andersen

{"title":"Behavior-Analytic Treatment Progression for a Child With Tube Dependence: Reaching Age-Typical Feeding","authors":"Bethany A. Hansen, Ashley S. Andersen","doi":"10.1177/1534650120950525","DOIUrl":"https://doi.org/10.1177/1534650120950525","url":null,"abstract":"The current case study outlines a behavior-analytic treatment progression for a child with a pediatric feeding disorder and tube dependence. The child participated in an intensive day-treatment program for 8 weeks where she transitioned from tube feedings to oral feedings. She successfully transitioned to a less intensive, telehealth outpatient model for follow-up care where she continued to progress to age-typical feeding. Following a systematic and gradual reduction in follow-up appointments, she consumed all meals of age-appropriate foods in both home and school environments. Another important contribution of the case study is that it demonstrated the importance of follow-up services that occur in the child’s natural environment while highlighting the utility of rubrics. With rubrics, caregivers effectively and efficiently progressed toward treatment goals independently. This case study also discusses the importance of ongoing interdisciplinary collaboration and the unique contributions of each team member in employing effective interventions while ensuring client safety.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"19 1","pages":"403 - 417"},"PeriodicalIF":1.0,"publicationDate":"2020-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1534650120950525","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45253330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Overcoming an Irrational Fear of Falling: A Case Study 克服对跌倒的非理性恐惧：一个案例研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2020-07-19 DOI: 10.1177/1534650120942322

Ladda Thiamwong, Veronica B. Decker

{"title":"Overcoming an Irrational Fear of Falling: A Case Study","authors":"Ladda Thiamwong, Veronica B. Decker","doi":"10.1177/1534650120942322","DOIUrl":"https://doi.org/10.1177/1534650120942322","url":null,"abstract":"Irrational fear of falling is defined by the high degree of psychological fear a person has of falling when in reality, that person is at low physiological risk of falling. It is a significant problem in older people and may manifest from previous falls or fall-related depression and/or anxiety. If untreated, it may lead to increased falling, decreased mobility, social isolation, and decreased participation in daily activities. A mixed-methods, home-based, 8-week, physio-feedback/exercise program was developed for an older adult to help mitigate her irrational fear of falling. In this pilot case study, the quantitative independent variables of fear of falling, static balance, dynamic balance, fall risk factors, and fall risk appraisal were assessed pre- and post-intervention. A qualitative semi-structured interview was also conducted to help assess the participant’s reaction to the intervention. Data from quantitative, qualitative, and integrated viewpoints converged to indicate the intervention improved fear of falling, shifted the participant’s perception from irrational to rational fall risk appraisal and increased participation in daily activities.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"19 1","pages":"355 - 369"},"PeriodicalIF":1.0,"publicationDate":"2020-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1534650120942322","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47360644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1