Clinical Case Studies最新文献_第8页

Clinical Safety and Treatment of Severe Aggression: Behavioral-Pharmacological Intervention Evaluation in a Young Adult With Autism Spectrum Disorder 严重攻击的临床安全性和治疗:一名年轻成人自闭症谱系障碍的行为-药物干预评估

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-03-10 DOI: 10.1177/15346501221081254

Jaime Scibelli, Frederick Scibelli, J. Luiselli, J. Hrdina, Kelly Anglin, Silva Orchanian

{"title":"Clinical Safety and Treatment of Severe Aggression: Behavioral-Pharmacological Intervention Evaluation in a Young Adult With Autism Spectrum Disorder","authors":"Jaime Scibelli, Frederick Scibelli, J. Luiselli, J. Hrdina, Kelly Anglin, Silva Orchanian","doi":"10.1177/15346501221081254","DOIUrl":"https://doi.org/10.1177/15346501221081254","url":null,"abstract":"This case study concerned clinical safety and behavioral-pharmacological intervention with an 18-year-old man who had autism spectrum disorder and high-frequency aggression toward care providers at a specialized school. A multicomponent behavior support plan included antecedent, differential reinforcement, environmental modification, and physical management procedures subsequently combined with psychotropic medication (aripiprazole). Clinical safety components emphasized comprehensive care provider training, continuous supervision, function-based treatment, and prevention-focused strategies. The behavioral-pharmacological intervention eliminated implementation of aggression-contingent physical restraint and was associated with increased transition compliance during the school day. Throughout the 7.5 months duration of the study, there were no injuries to the participant or other students and a single injury was sustained by one care provider. Intervention effects were long-standing, and care providers rated their training, implementation fidelity, and therapeutic outcome favorably.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"324 - 338"},"PeriodicalIF":1.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47927871","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

A Case Study of Prolonged Exposure for Posttraumatic Stress Disorder With a Latino Male with Polysubstance Use, Severe Depression, and Anger in a Residential Substance Use Treatment Program 一名拉丁裔男性长期暴露于创伤后应激障碍的个案研究，该男性在住院药物使用治疗计划中有多物质使用、严重抑郁和愤怒

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-02-28 DOI: 10.1177/15346501211073600

L. Doerfler, A. Twigden

{"title":"A Case Study of Prolonged Exposure for Posttraumatic Stress Disorder With a Latino Male with Polysubstance Use, Severe Depression, and Anger in a Residential Substance Use Treatment Program","authors":"L. Doerfler, A. Twigden","doi":"10.1177/15346501211073600","DOIUrl":"https://doi.org/10.1177/15346501211073600","url":null,"abstract":"Substance use disorders and post-traumatic stress disorder (PTSD) often co-occur, along with depression and anger. Despite evidence that Prolonged Exposure Therapy is effective for individuals with co-occurring PTSD and SUD when PE is implemented alongside SUD treatment, clinicians have been reluctant to offer PE or other trauma-focused therapies to individuals with co-occurring PTSD and SUD because of the belief that increased emotional distress would be counter-therapeutic for individuals in early recovery. A widely held explanation for the high degree of comorbidity is that individuals with PTSD use substances to reduce or avoid painful and disturbing PTSD symptoms. This case study describes the implementation and outcome of PE therapy with a 32-year-old man who had been admitted to a residential substance use treatment program for Latino males. The client had a long history of polysubstance use and severe PTSD. The client was homeless and reported significant depressive and anger symptoms. Assessment of PTSD revealed that he was using heroin and cocaine to avoid painful memories of a traumatic event that had occurred several years prior to his admission to this treatment program. Because the client reported using these substances to reduce emotional distress, PE was chosen as the PTSD intervention. During PE Therapy the client reported no thoughts or urges to use substances and at discharge from residential treatment he reported no problems with PTSD or depression. The client maintained all gains at 1-year follow-up, when he also reported that he was working full time and had remained abstinent since he completed treatment.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"308 - 323"},"PeriodicalIF":1.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45731412","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

Written Exposure Therapy for Korean Adolescents With PTSD: Four Case Studies 韩国青少年创伤后应激障碍的书面暴露疗法:四个案例研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-02-26 DOI: 10.1177/15346501221074316

Ji-ae Yun, C. Lee

引用次数: 0

Evaluation of an Individualized Levels System to Increase Consumption for an Adolescent with Food Refusal 个体化水平系统对拒绝进食青少年增加消费的评价

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-02-14 DOI: 10.1177/15346501211053614

Hailey E. Ripple, Hallie M. Smith, Heather M. Whipple, Rita Druffner

{"title":"Evaluation of an Individualized Levels System to Increase Consumption for an Adolescent with Food Refusal","authors":"Hailey E. Ripple, Hallie M. Smith, Heather M. Whipple, Rita Druffner","doi":"10.1177/15346501211053614","DOIUrl":"https://doi.org/10.1177/15346501211053614","url":null,"abstract":"A levels system is an intervention that uses a combination of behavioral principles, such as differential reinforcement and response cost, in order to increase appropriate behaviors and simultaneously decrease problem behaviors. Within a levels system, an individual must meet a pre-determined behavioral criterion in order to gain access to various levels of reinforcement. For example, engaging in higher rates of inappropriate behavior will result in access to highly preferred items or activities, while higher rates of inappropriate behavior will access to lesser preferred activities. Although levels systems have been applied in group settings, as well as in the individual treatment of severe problem behavior, their use has not been explored in the treatment of food refusal. The current study implemented a levels system to target increasing the variety and volume of food consumed by a 12-year-old female diagnosed with fetal alcohol spectrum disorder (FASD) effects, mild intellectual disability, and attention-deficit/hyperactivity disorder (ADHD). At the end of her admission, the participant had increased her variety consumed at an age-appropriate volume significantly, as well as the volume of food consumed.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"235 - 248"},"PeriodicalIF":1.0,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41929459","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

Utilizing a manualized therapy to provide parallel treatment to older adults with cancer and their caregivers: A case study. 利用手动疗法为老年癌症患者及其护理人员提供并行治疗：案例研究。

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-02-01 Epub Date: 2021-06-16 DOI: 10.1177/15346501211026894

Amy Stern, Robin Hershkowitz, Kelly M Trevino

{"title":"Utilizing a manualized therapy to provide parallel treatment to older adults with cancer and their caregivers: A case study.","authors":"Amy Stern, Robin Hershkowitz, Kelly M Trevino","doi":"10.1177/15346501211026894","DOIUrl":"10.1177/15346501211026894","url":null,"abstract":"The experience of anxiety is a common and understandable reaction to a diagnosis of and treatment for cancer. Patients of any age may experience negative psychological and physical symptoms during cancer treatment; older adults with cancer simultaneously face the impact of cancer and the effects of aging. Caregivers of older adults with cancer are also vulnerable to experiencing anxiety as their loved one navigates the physical and emotional sequelae of their illness and treatment. This paper describes the use of Managing Anxiety from Cancer (MAC), a 7-session telephone-delivered manualized cognitive-behavioral intervention that includes strategies from Acceptance and Commitment Therapy and Problem-Solving Therapy, with an older woman with cancer and her adult daughter. MAC includes a variety of techniques for patients and caregivers, who are encouraged to use these strategies individually or in different combinations to manage their anxiety. This brief treatment provided a parallel experience for the participants, as the older adult patient and her caregiver were taught the same anxiety-management techniques by their individual therapists. We will discuss the benefits and drawbacks of using a manualized psychotherapy intervention in this case, as well as MAC's impact on each member of this pair and on the dyad as a unit. Both the patient and her caregiver reported experiencing benefit from their participation in MAC and identified MAC-acquired skills they planned to use in the future to manage their anxiety and improve communication. While assessment data did not reflect a decrease in anxiety, it is possible that the stress of the COVID-19 pandemic confounded these data.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"18-33"},"PeriodicalIF":1.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632249/pdf/nihms-1816529.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10597016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Behavioral Assessment and Treatment of Aerophagia 吞咽障碍的行为评估与治疗

IF 1 4区心理学

Clinical Case Studies Pub Date : 2021-12-14 DOI: 10.1177/15346501211064584

M. Cengher, Craig W. Strohmeier

引用次数: 2

Transitioning Transdiagnostic CBT from Face-to-Face to Telephone Delivery During the Coronavirus Pandemic: A Case Study. 在冠状病毒大流行期间，跨诊断CBT从面对面传递转变为电话传递：一个案例研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2021-12-01 DOI: 10.1177/15346501211018278

Jess Saunders, Chris Allen

{"title":"Transitioning Transdiagnostic CBT from Face-to-Face to Telephone Delivery During the Coronavirus Pandemic: A Case Study.","authors":"Jess Saunders, Chris Allen","doi":"10.1177/15346501211018278","DOIUrl":"10.1177/15346501211018278","url":null,"abstract":"The coronavirus pandemic led to worldwide disruption in the delivery of face-to-face mental health services. This impact was marked for individuals with long-term health conditions and comorbid depression and anxiety. Many face-to-face mental health services switched to remote delivery or paused therapeutic input entirely, despite the lack of research on the efficacy of switching between modalities mid-therapy or having breaks in therapy. This paper presents the case of a patient with long-term health conditions who experienced both breaks in therapy and a switch in modalities from face-to-face to telephone delivery. The intervention used was based on transdiagnostic cognitive behavioral therapy and self-report measures were completed at the beginning and end of the twelve sessions. Despite the shift in modalities, the patient experienced clinically significant recovery on all measures, indicating the efficacy of therapy was not greatly affected by the shift in modalities. Long breaks in therapy were linked to deterioration in mental health, although this could be due to the deterioration in physical health that necessitated these breaks. This case highlights the benefits and challenges of a shifting modality of therapy during treatment and in response to a pandemic for a shielding population. From the work presented here, it seems beneficial for services to be able to work across multiple modalities to suit the needs of the patients and ensure continuity of treatment. It also indicates that pauses in therapy may risk deterioration. Further work is needed to prevent digital exclusion of patients.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"20 1","pages":"498-514"},"PeriodicalIF":1.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8137862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48659748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum to ‘Integrated Trauma-Focused Psychotherapy for Traumatic Stress and Substance Use: Two Adolescent Case Studies’ “创伤压力和物质使用的综合创伤心理治疗:两个青少年案例研究”的勘误

IF 1 4区心理学

Clinical Case Studies Pub Date : 2021-11-30 DOI: 10.1177/15346501211060239

引用次数: 0

A Controlled Evaluation of a Sport-Specific Performance Optimization Program in an Athlete Diagnosed With Attention Deficit Hyperactivity Disorder and Oppositional Defiant Disorder Within the Context of COVID-19 新冠肺炎背景下诊断为注意力缺陷过度活动障碍和对抗性违抗障碍的运动员运动专项成绩优化计划的对照评估

IF 1 4区心理学

Clinical Case Studies Pub Date : 2021-10-20 DOI: 10.1177/15346501211048508

Davy Phrathep, B. Donohue, Shane W. Kraus, Michelle G. Paul, J. Mercer

{"title":"A Controlled Evaluation of a Sport-Specific Performance Optimization Program in an Athlete Diagnosed With Attention Deficit Hyperactivity Disorder and Oppositional Defiant Disorder Within the Context of COVID-19","authors":"Davy Phrathep, B. Donohue, Shane W. Kraus, Michelle G. Paul, J. Mercer","doi":"10.1177/15346501211048508","DOIUrl":"https://doi.org/10.1177/15346501211048508","url":null,"abstract":"Adolescent athletes with attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) experience unique challenges that impact their sport performance, such as making errors due to poor concentration. The current multiple-baseline across behaviors case trial (i.e., positive assertion and negative assertion) is an evaluation of The Optimum Performance Program in Sports in an adolescent athlete diagnosed with ADHD and ODD. Intervention skill sets were targeted sequentially in a virtual format to safeguard against COVID-19 contraction. A battery of psychological measures was administered at baseline, post-intervention, and 1-month follow-up. Results indicated negative and positive assertion skills improved, but only when targeted, and severity of ADHD and ODD symptom severity, general mental health symptoms, and factors interfering with sport performance decreased from pre- to post-intervention and these improvements were maintained at 1-month follow-up. Similar improvements occurred in relationships with coaches, teammates, and family. Treatment integrity and consumer satisfaction were high.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"209 - 234"},"PeriodicalIF":1.0,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42216859","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

Dialectical Behavior Therapy and Cognitive Processing Therapy Delivered Sequentially to a Woman Veteran: A Promising Alternative to Concurrent Dialectical Behavior Therapy–Prolonged Exposure 辩证行为疗法和认知加工疗法对女退伍军人的顺序治疗:对同时辩证行为疗法的一个有希望的选择-长时间暴露

IF 1 4区心理学

Clinical Case Studies Pub Date : 2021-10-19 DOI: 10.1177/15346501211049452

G. Cooper, Alycia Zink, Shiloh E. Jordan

{"title":"Dialectical Behavior Therapy and Cognitive Processing Therapy Delivered Sequentially to a Woman Veteran: A Promising Alternative to Concurrent Dialectical Behavior Therapy–Prolonged Exposure","authors":"G. Cooper, Alycia Zink, Shiloh E. Jordan","doi":"10.1177/15346501211049452","DOIUrl":"https://doi.org/10.1177/15346501211049452","url":null,"abstract":"Post-traumatic stress disorder (PTSD) and borderline personality disorder (BPD) are complex and chronic conditions that result in impairment across a number of clinically significant domains. Although the two diagnoses reflect distinct clinical syndromes, they often present comorbidly. Furthermore, the comorbidity of the two diagnoses predicts increased symptomatology and may also result in treatment difficulties that would not arise when treating PTSD without a concurrent BPD diagnosis. The challenging nature of comorbid PTSD and BPD diagnoses has led to an increased interest in integrative approaches to treating both diagnoses together. Recent research has suggested that the integration of prolonged exposure (PE; an evidence-based therapy for PTSD) and dialectical behavior therapy (DBT; an evidence-based therapy for BPD) into one treatment approach (CBT–PE) can offer superior outcomes when compared to treating each diagnosis separately. However, at this time, the literature does not document any such examinations with regards to cognitive processing therapy (CPT), another evidence-based therapy for PTSD. This paper reflects a first step towards exploring the integration of CPT and DBT. In this case, a female-identified military Veteran seeking care at a Veterans Affairs healthcare system was treated utilizing integrated, though sequential, CPT and DBT. The clinical results of this case are discussed, as are the implications for other clinicians considering integrating CPT and DBT.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"152 - 170"},"PeriodicalIF":1.0,"publicationDate":"2021-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65484176","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