Using Solution-Focused Questioning to Facilitate the Process of Change in Cognitive Behavioural Therapy for Food Neophobia in Adults

2006 ◽  
Vol 34 (3) ◽  
pp. 371-375 ◽  
Author(s):  
Kirstine Postma ◽  
Nasa Sanjay Kumar Rao

Food neophobia is a specific phobia of trying new foods. Its treatment in adults has been rarely described. The only paper that related a therapeutic intervention for food neophobia in adults reported a time-consuming effort for both clients and several staff involved. This paper provides a case example of using solution focused brief therapy questioning techniques to facilitate the process of change in a young adult with this diagnosis. It aims to explain how solution focused techniques can be used and in what way those techniques differ from more traditional cognitive-behavioural therapy approaches.

2015 ◽  
Vol 23 (4) ◽  
pp. 285-297 ◽  
Author(s):  
Rea Wilson ◽  
Daniel Collerton ◽  
Mark Freeston ◽  
Thomas Christodoulides ◽  
Robert Dudley

2021 ◽  
Vol 14 ◽  
Author(s):  
Olivia Harris ◽  
Claudia Kustner ◽  
Rachel Paskell ◽  
Chris Hannay

Abstract Research shows high levels of complex co-morbidities within psychiatric populations, and there is an increasing need for mental health practitioners to be able to draw on evidence-based psychological interventions, such as cognitive behavioural therapy (CBT), to work with this population effectively. One way CBT may be utilised when working with complexity or co-morbidity is to target treatment at a particular aspect of an individual’s presentation. This study uses a single-case A-B design to illustrate an example of using targeted diagnosis-specific CBT to address symptoms of a specific phobia of stairs in the context of a long-standing co-morbid diagnosis of schizophrenia. Results show the intervention to have been effective, with a change from a severe to mild phobia by the end of intervention. Clinical implications, limitations and areas for future research are discussed. Key learning aims (1) There are high levels of co-morbid, complex mental health problems within psychiatric populations, and an increasing need for mental health practitioners to be able to work with co-morbidity effectively. (2) Cognitive behavioural therapy (CBT) remains one of the most well-evidenced psychological interventions with a large amount of research highlighting the effectiveness of diagnosis-specific CBT. (3) One way evidence-based diagnosis-specific CBT approaches could be utilised when working with more complex co-morbidity may be to target an intervention at a specific set of symptoms. (4) An example of using a targeted CBT intervention (to tackle a specific phobia of stairs in the context of a long-standing co-morbid diagnosis of schizophrenia and ongoing hallucinations) is presented. The outcomes show significant changes in the specific phobia symptoms, suggesting that CBT can be effectively used in this targeted manner within real-world clinical settings. The impact of co-morbid mental health difficulties on therapeutic process and outcomes are highlighted. (5) The use of cognitive restructuring techniques was identified as key to engagement and therapeutic process, supporting the importance of including cognitive techniques in the treatment of phobias compared with purely behavioural exposure-based interventions.


2018 ◽  
Vol 8 (1) ◽  
pp. 19-26
Author(s):  
Osenweugwor Ngozi Aihie ◽  
Martins Noyosase Igbineweka

AbstractThis study investigated the differential efficacy of Solution Focused Brief Therapy (SFBT), Systematic Desensitization (SD) and Rational Emotive Behavioural Therapy (REBT) in reducing the test anxiety status of undergraduates in a Nigerian University. To guide the study two research questions were raised and two corresponding hypotheses formulated. The study, a pre-test, post-test non-equivalent control group quasi experiment adopted a 3x2x2 factorial design. A sample of one hundred and twentythree undergraduate students in a Nigerian University participated in the study. A twenty-item Test Anxiety Inventory adapted from Spielberger (1980) was revalidated and administered to the sample to collect data for the study. The internal consistency of the instrument had a Crombach’s alpha value of 0.82. Data collected were analysed using Analysis of Variance statistics and the hypotheses were tested at .05 level of significance. The results revealed statistically significant decreases in test anxiety of participants in two of the treatment groups – Systematic Desensitization and Solution Focused Brief Therapy. The effectiveness of the two treatments on test anxiety was found to be independent of gender of the participants. Rational Emotive Behaviour Therapy had no statistically significant effect on the test anxiety of the participants. It was concluded that Systematic Desensitization and Solution Focused Brief Therapy are effective methods of reducing test anxiety in learners. Based on the results, recommendations were made.


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