Clinical Case Studies最新文献

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Parent–Child Interaction Therapy for a 3-Year-Old Girl With Post-Traumatic Stress Disorder: Restoration to Her Father’s Care Following a Period in Out-of-Home Care 一名患有创伤后应激障碍的3岁女孩的亲子互动治疗:在一段时间的家庭外护理后恢复父亲的护理
IF 1 4区 心理学
Clinical Case Studies Pub Date : 2021-10-12 DOI: 10.1177/15346501211047482
J. Warren, T. Hanstock, S. Hunt, S. Halpin
{"title":"Parent–Child Interaction Therapy for a 3-Year-Old Girl With Post-Traumatic Stress Disorder: Restoration to Her Father’s Care Following a Period in Out-of-Home Care","authors":"J. Warren, T. Hanstock, S. Hunt, S. Halpin","doi":"10.1177/15346501211047482","DOIUrl":"https://doi.org/10.1177/15346501211047482","url":null,"abstract":"Child abuse and neglect in very young children can lead to trauma-related stress symptoms that can be challenging to treat. Children exposed to multiple traumas occurring in the context of a caregiving relationship are sometimes more severely affected, evidenced by diverse negative behavioral, physical, social, and emotional consequences. Some of these children go on to develop post-traumatic stress disorder (PTSD). Parent–child interaction therapy (PCIT) is a dyadic play-based treatment for children with behavior problems and their parents or caregivers. There is limited research relating to the application of PCIT with very young children with PTSD with some studies actively excluding families where PTSD was present (Herschell et al., 2017). Additionally, there are no articles relating to treatment of a child restored to the care of a parent following out-of-home care (OOHC) and fewer still relating to a child restored to the care of her father. This case study illustrates the use of PCIT with a 3-year-old girl with PTSD, recently restored to her father’s care. It highlights how the use of PCIT in this case not only improved behavioral indicators of traumatic stress, but also afforded this child permanency and stability. The case study provides a summary of the progression of this intervention and the results obtained throughout treatment and 4 years post-intervention. The results indicated that PCIT, with trauma-informed tailoring, was an effective treatment in this case and contributed to safe and permanent care for this child.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"132 - 151"},"PeriodicalIF":1.0,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49615841","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: 2
Treating Adolescent Misophonia With Cognitive Behavioral Therapy: Considerations for Including Exposure 用认知行为疗法治疗青少年恐音症:包括暴露在内的考虑
IF 1 4区 心理学
Clinical Case Studies Pub Date : 2021-09-30 DOI: 10.1177/15346501211045707
Jennifer L. Cecilione, Stephanie A. Hitti, S. Vrana
{"title":"Treating Adolescent Misophonia With Cognitive Behavioral Therapy: Considerations for Including Exposure","authors":"Jennifer L. Cecilione, Stephanie A. Hitti, S. Vrana","doi":"10.1177/15346501211045707","DOIUrl":"https://doi.org/10.1177/15346501211045707","url":null,"abstract":"Although misophonia is not yet included in the primary diagnostic manuals used by psychologists or psychiatrists, proposed criteria suggest that this condition is characterized by a strong negative reaction to and avoidance of certain trigger sounds. Misophonic trigger sounds are largely human-made (e.g., chewing and slurping) and evoke responses such as disgust, irritation, and/or anger that are out of proportion to the situation and cause distress and/or impairment. Currently, there is no gold standard evidence-based treatment for misophonia. As the misophonia treatment literature grows, several important questions are arising: (1) should exposure to aversive sound triggers be included in treatment for misophonia and (2) how can clinicians best assess misophonia symptoms. This case offers one example of misophonia being successfully treated with a cognitive-behavioral approach to treatment (including exposures) in an adolescent girl. This case also offers an example of how clinicians may conduct a comprehensive assessment of misophonia symptoms. Theoretically and empirically derived recommendations for including exposure in misophonia treatment are presented. Information from this case may be helpful in informing future research, as there is a paucity of evidence-based assessment and treatment protocols for misophonia.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"175 - 191"},"PeriodicalIF":1.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46984141","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: 10
The Importance of Learning Style in Case Formulation–Driven Cognitive Behavioral Therapy: A Case Study 学习风格在案例形成驱动的认知行为疗法中的重要性:一个案例研究
IF 1 4区 心理学
Clinical Case Studies Pub Date : 2021-08-28 DOI: 10.1177/15346501211041388
C. Gasperetti, Janie J Hong
{"title":"The Importance of Learning Style in Case Formulation–Driven Cognitive Behavioral Therapy: A Case Study","authors":"C. Gasperetti, Janie J Hong","doi":"10.1177/15346501211041388","DOIUrl":"https://doi.org/10.1177/15346501211041388","url":null,"abstract":"Rather than structuring treatment based on diagnoses, case formulation–driven cognitive behavior therapy (CF-CBT) focuses on building an individualized formulation or map of how a patient’s presenting problems are being maintained and uses this formulation to guide treatment planning. A case formulation can include comorbid diagnoses, underlying mechanisms, relevant historical, biological, and social factors, and problems unrelated to a diagnosis (e.g., unemployment). Therapy is also a learning context, and clients vary in their learning styles and preferences. The success of treatment depends not only on what a client learns but also on how a client learns. Frequently, learning style is not considered when developing a case formulation or providing CBT. The present case study, based on a man with social anxiety disorder who was treated using CF-CBT, demonstrates the importance of including learning style to target both what and how the client learns.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"100 - 118"},"PeriodicalIF":1.0,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43059300","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
Parent-Mediated Home Intervention for Delayed Sleep-Onset and Night Waking in a Child With Autism Spectrum Disorder 父母介导的家庭干预对自闭症谱系障碍儿童延迟睡眠和夜间醒来的影响
IF 1 4区 心理学
Clinical Case Studies Pub Date : 2021-08-28 DOI: 10.1177/15346501211041407
Anna Linnehan, B. Cannon, J. Luiselli
{"title":"Parent-Mediated Home Intervention for Delayed Sleep-Onset and Night Waking in a Child With Autism Spectrum Disorder","authors":"Anna Linnehan, B. Cannon, J. Luiselli","doi":"10.1177/15346501211041407","DOIUrl":"https://doi.org/10.1177/15346501211041407","url":null,"abstract":"We report the case of a 10-year-old boy with autism spectrum disorder who had difficulty initiating and maintaining sleep. Through home consultation, his parents were trained to implement a multicomponent sleep intervention that included (a) faded bedtime, (b) regimented pre-bedtime routines, and (c) elimination of positive social consequences contingent on sleep problems including unwanted co-sleeping. A critical element in the case was functional assessment of the conditions associated with poor sleeping and matching intervention to parent preferences. Compared to a baseline phase, intervention reduced night waking frequency and duration as well as the time required for the boy to fall asleep. Follow-up results one and 2 months post-intervention documented sustained improvement.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"119 - 131"},"PeriodicalIF":1.0,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45621497","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: 2
Integrated Trauma-Focused Psychotherapy for Traumatic Stress and Substance Use: Two Adolescent Case Studies 综合创伤心理治疗创伤压力和物质使用:两个青少年案例研究
IF 1 4区 心理学
Clinical Case Studies Pub Date : 2021-08-26 DOI: 10.1177/15346501211046054
Olivia Schollar-Root, J. Cassar, Natalie Peach, V. Cobham, Bronwyn Milne, E. Barrett, S. Back, S. Bendall, S. Perrin, K. Brady, J. Ross, M. Teesson, Ivana Kihas, Katherine A Dobinson, K. Mills
{"title":"Integrated Trauma-Focused Psychotherapy for Traumatic Stress and Substance Use: Two Adolescent Case Studies","authors":"Olivia Schollar-Root, J. Cassar, Natalie Peach, V. Cobham, Bronwyn Milne, E. Barrett, S. Back, S. Bendall, S. Perrin, K. Brady, J. Ross, M. Teesson, Ivana Kihas, Katherine A Dobinson, K. Mills","doi":"10.1177/15346501211046054","DOIUrl":"https://doi.org/10.1177/15346501211046054","url":null,"abstract":"Post-traumatic stress disorder (PTSD) and substance use disorder (SUD) occur frequently as comorbid diagnoses among adolescents. Historically, these conditions have been treated using a sequential model; however, emerging evidence suggests that an integrated treatment model may be most effective. This article presents two de-identified clinical case studies from an ongoing randomised controlled trial examining the efficacy of an integrated, exposure-based, cognitive-behavioral psychotherapy (CBT) for PTSD and SUD among adolescents (COPE-A), relative to a supportive counselling control condition (person-centred therapy). In both case studies, participants were randomised to receive the COPE-A integrated treatment, which incorporates prolonged exposure (PE) including imaginal and in vivo exposure as a core treatment component alongside CBT for PTSD and SUD. The clinical profile and treatment response of each participant is discussed. Promising results were found in both cases, with substantially reduced traumatic stress symptoms and decreased or stable levels of substance use by the end of treatment. Clinical implications of these early findings are discussed.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"192 - 208"},"PeriodicalIF":1.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43416858","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: 2
Interpersonal Therapy in Primary Infertility, Life-Cycle Transitions, and Dysthymia: A Single Case Study 原发性不孕、生命周期转换和恶劣心境的人际治疗:一项个案研究
IF 1 4区 心理学
Clinical Case Studies Pub Date : 2021-08-12 DOI: 10.1177/15346501211038275
Sampurna Chakraborty, P. Roy
{"title":"Interpersonal Therapy in Primary Infertility, Life-Cycle Transitions, and Dysthymia: A Single Case Study","authors":"Sampurna Chakraborty, P. Roy","doi":"10.1177/15346501211038275","DOIUrl":"https://doi.org/10.1177/15346501211038275","url":null,"abstract":"Interpersonal psychotherapy (IPT) is an evidence-based therapy, originally developed to treat major depression. IPT conceptualizes depression from a bio-psychosocial perspective where signs of depression are understood in the context of an individual’s current social and interpersonal stressors, defined in terms of role transitions, disputes, bereavements, and sensitivities. In this single case study, IPT was used to treat a woman undergoing primary infertility with multiple failed pregnancies and unsuccessful adoption procedures along with specific grief reactions and depressive symptoms for 2 years. The therapy was formulated over 12 weekly sessions in the outpatient set-up in a general hospital in Kolkata in 2017. Hamilton Depression Rating Scale (HDRS) was used to assess the efficacy of the therapy and its outcomes. The therapy was found to be effective in the patient and justifies the rationale of choosing the said therapy for the specific case from an interpersonal viewpoint. The case study may help suggest how and why to use interpersonal psychotherapy in infertility conditions with psychological ramifications.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"87 - 99"},"PeriodicalIF":1.0,"publicationDate":"2021-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45482131","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
Processing of Positive Memories Technique among Clients Reporting Traumatic Experiences: A Case Series 积极记忆技术在创伤经历报告中的加工:一个案例系列
IF 1 4区 心理学
Clinical Case Studies Pub Date : 2021-08-11 DOI: 10.1177/15346501211035841
A. Fondren, Anne N. Banducci, Randall J. Cox, Ateka A. Contractor
{"title":"Processing of Positive Memories Technique among Clients Reporting Traumatic Experiences: A Case Series","authors":"A. Fondren, Anne N. Banducci, Randall J. Cox, Ateka A. Contractor","doi":"10.1177/15346501211035841","DOIUrl":"https://doi.org/10.1177/15346501211035841","url":null,"abstract":"Many current treatments for posttraumatic stress disorder (PTSD) emphasize processing and engaging with trauma memories as the key mechanism of therapeutic change. However, promising emerging research indicates links between PTSD symptoms and positive memories. Processing positive memories, to therapeutically impact health outcomes for trauma-exposed individuals, may have several benefits, including (a) increasing access to positive coping mechanisms via activating positive affect and thoughts; (b) addressing avoidance of positive affect and thoughts; and (c) honing skills that will aid in the eventual processing of trauma memories. The present article demonstrates the utility and effects of a novel Processing of Positive Memories Technique (PPMT) with three clients who reported a history of traumatic experiences. We outline the procedures of a 5-session PPMT, that incorporates symptom assessment, detailed imaginal experiencing of positive memories, and processing of associated positive values, affect, strengths, and thoughts. We utilize longitudinal assessment data to demonstrate the clinical benefits of PPMT, such as less PTSD severity, improved mood (e.g., less negative affect), and greater self-esteem. Finally, we discuss treatment considerations based on unique client factors and treatment modalities (i.e., in-person vs. video telehealth).","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"61 - 81"},"PeriodicalIF":1.0,"publicationDate":"2021-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41881450","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
Functional Communication Training and Most-To-Least Prompting as Treatments for Problem Behavior 功能性沟通训练和最大到最小提示作为问题行为的治疗方法
IF 1 4区 心理学
Clinical Case Studies Pub Date : 2021-07-07 DOI: 10.1177/15346501211030208
J. Axe, C. Murphy, W. L. Heward
{"title":"Functional Communication Training and Most-To-Least Prompting as Treatments for Problem Behavior","authors":"J. Axe, C. Murphy, W. L. Heward","doi":"10.1177/15346501211030208","DOIUrl":"https://doi.org/10.1177/15346501211030208","url":null,"abstract":"Functional communication training (FCT) is a treatment for problem behavior in which the learner is taught a communicative behavior that fulfills the same function as the problem behavior. Although effective, when FCT is used to request breaks from work, limitations include increased time spent in breaks and reduced task-related responding. An alternative treatment is most-to-least prompting (MTL) of a task in which a therapist provides the most helpful prompts for task-related responding (e.g., physical guidance) and gradually reduces the amount of help (e.g., visual prompt and then verbal) until the learner responds independently. We evaluated FCT and MTL in a multiple treatments design with an 11-year-old girl with severe developmental disabilities. Both treatments reduced problem behavior from baseline levels, and academic responding was greater during MTL than during FCT. MTL is an errorless teaching approach conceptualized as an abolishing operation that reduces the aversiveness of a task and makes escape less valuable.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"48 - 60"},"PeriodicalIF":1.0,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/15346501211030208","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48305223","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
A Novel Application of the Schema Therapy Mode Model for Social Anxiety Disorder: A Naturalistic Case Study 图式治疗模式在社交焦虑障碍中的新应用:一个自然主义的个案研究
IF 1 4区 心理学
Clinical Case Studies Pub Date : 2021-06-25 DOI: 10.1177/15346501211027866
Erika S. Penney, Alice R. Norton
{"title":"A Novel Application of the Schema Therapy Mode Model for Social Anxiety Disorder: A Naturalistic Case Study","authors":"Erika S. Penney, Alice R. Norton","doi":"10.1177/15346501211027866","DOIUrl":"https://doi.org/10.1177/15346501211027866","url":null,"abstract":"Social Anxiety Disorder (SAD) is a condition defined by an excessive and persistent fear of negative evaluation in social or performance situations. Whilst Cognitive Behaviour Therapy (CBT) is the gold standard treatment, not all individuals with SAD respond to CBT. The Schema Therapy Mode Model is frequently applied to chronic and hard-to-treat conditions and therefore may be applicable for SAD individuals who are non-responders to CBT. This case study describes how the Mode Model was successfully used to treat a woman in her 20s who presented with excessive fears of negative evaluation and pervasive social avoidance. Experiential techniques, such as chair dialogues and imagery rescripting, resulted in cognitive modification of negative core beliefs, reduced experiential discomfort and increased engagement in social and relational activities. This case offers a preliminary indication that the Schema Therapy Mode Model may be an effective treatment for socially anxious individuals and that further theoretical and empirical study in this area is warranted.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"34 - 47"},"PeriodicalIF":1.0,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/15346501211027866","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46687460","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
Mindfulness-Based Relapse Prevention for the Treatment of Gambling Disorder among U.S. Military Veterans: Case Series and Feasibility 基于正念的复发预防治疗美国退伍军人赌博障碍:案例系列和可行性
IF 1 4区 心理学
Clinical Case Studies Pub Date : 2021-05-30 DOI: 10.1177/15346501211020122
S. Shirk, L. Muquit, J. Deckro, Patricia J. Sweeney, Shane W. Kraus
{"title":"Mindfulness-Based Relapse Prevention for the Treatment of Gambling Disorder among U.S. Military Veterans: Case Series and Feasibility","authors":"S. Shirk, L. Muquit, J. Deckro, Patricia J. Sweeney, Shane W. Kraus","doi":"10.1177/15346501211020122","DOIUrl":"https://doi.org/10.1177/15346501211020122","url":null,"abstract":"Gambling disorder (GD) occurs at higher rates in U.S. veterans than civilians. The present case series describes the application of a manualized mindfulness treatment used with U.S. veterans seeking outpatient treatment for GD at a Department of Veterans Affairs hospital. Mindfulness-Based Relapse Prevention (MBRP) was developed to treat substance use disorders, but its core principles can be readily applied to the treatment of behavioral addictions. However, there has been little empirical evidence demonstrating its successful application for GD, and none demonstrating its successful implementation with U.S. veterans. Three veterans receiving treatment for GD participated in a 9-session adapted MBRP protocol. Following completion of treatment, the veterans reported less frequent engagement in their gambling behavior, fewer cravings, and less intense craving. The veterans also experienced increased self-efficacy in managing urges, less impulsivity and emotion dysregulation, and improved functioning. Preliminary results provide support for a larger treatment trial for veterans seeking treatment for GD.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"3 - 17"},"PeriodicalIF":1.0,"publicationDate":"2021-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/15346501211020122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47213641","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
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