Premeditated Assaults on Young Boys by a Man with Spina Bifida and Hydrocephalus — A Cognitive-Behavioural Approach to Treatment

1992 ◽  
Vol 32 (2) ◽  
pp. 133-138
Author(s):  
Julia C Houston
Keyword(s):  
Spina Bifida ◽  
Behavioural Treatment ◽  
Psychological Mechanisms ◽  
Treatment Techniques ◽  
Cognitive Behavioural ◽  
Assessment And Treatment ◽  
History Of ◽  
Handicapped People ◽  
Physically Handicapped

This paper describes the case of a 25-year-old man with spina bifida and hydrocephalus, who had at least a ten-year history of physically assaulting young boys. Anti-social behaviour is reported as comparatively rare in people with this disability, and the case study illustrates how psychological assessment and treatment techniques were successfully applied. Information from his personal history plus a functional analysis of the assaults suggested that a combination of existing psychological difficulties and learning experiences contributed to the development of his behaviour. A behavioural model of the psychological mechanisms underlying the behaviour was suggested and treatment objectives defined. Cognitive and behavioural treatment techniques were adapted where necessary, with a good outcome. A gap in services for physically handicapped people with behavioural problems is noted and briefly discussed.

FAINTING, PANIC, AND MEDICAL CONDITIONS: A CASE STUDY

2000 ◽  
Vol 28 (3) ◽  
pp. 303-306 ◽  
Author(s):  
Mark H. Freeston
Keyword(s):  
Panic Disorder ◽  
Anxiety Disorders ◽  
Potential Importance ◽  
Medical Conditions ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Comorbid Diagnosis ◽  
Cognitive Behavioural ◽  
History Of

This case describes the cognitive-behavioural treatment of a 40-year-old woman with a 22-year history of infrequent fainting episodes. It highlights three features: 1) the potential importance of undiagnosed medical conditions in people presenting for anxiety disorders; 2) a somewhat unusual comorbid diagnosis of Agoraphobia Without History of Panic and Panic Disorder with Agoraphobia; and 3) the importance of modifying attitudes about performance and responsibility to reduce the chance of relapse.

A Case Study: Massage, Relaxation, and Reward for Treatment of Alopecia Areata

1994 ◽  
Vol 74 (3_suppl) ◽  
pp. 1315-1318 ◽  
Author(s):  
Sharon C. Putt ◽  
Lawrence Weinstein ◽  
Mary T. Dzindolet
Keyword(s):  
Alopecia Areata ◽  
Behavior Modification ◽  
Psychological Factors ◽  
Hair Growth ◽  
Autoimmune Process ◽  
Common Cause ◽  
Treatment Techniques ◽  
History Of ◽  
Treatment Designs

Alopecia areata, a common cause of hair loss, is generally considered the consequence of an autoimmune process. Both physiological and psychological factors have been implicated. Previous studies have not incorporated behavior modification in their treatment designs. In this study, three treatment techniques (hair massage, relaxation procedures, and monetary reward) were applied to a 16-year-old male with a five-year history of alopecia areata. Comparison for seven months without treatment versus seven months with treatment showed that loss of hair was markedly reduced after three months of treatment. During the last four months of the study, new hair growth was evidenced.

Cognitive-Behavioural Treatment of Culturally Bound Obsessional Ruminations: A Case Report

1994 ◽  
Vol 22 (4) ◽  
pp. 325-330 ◽  
Author(s):  
Gregoris Simos ◽  
Evangelos Dimitriou
Keyword(s):  
Personal Responsibility ◽  
Clinical Problem ◽  
Accidental Death ◽  
Obsessive Compulsive ◽  
Behavioural Treatment ◽  
General Psychopathology ◽  
Compulsive Disorder ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural ◽  
History Of

Therapeutic management of obsessional ideas without compulsions is considered to be a rather difficult clinical problem. This report discusses the case of a 24-year old lady with a nine year history of recurrent Obsessive-Compulsive Disorder which most recently presented with a year-long obsessional rumination concerning her superstitious personal responsibility for the accidental death of her cousin. Repeated audio-taped listening to the cognitively restructured content of her obsession resulted both in a rapid elimination of her ruminations and the alleviation of her depressive and general psychopathology.

Cognitive-Behavioural Treatment of Posttraumatic Stress Disorder Following Awareness under Anaesthesia: A Case Study

2005 ◽  
Vol 34 (1) ◽  
pp. 113-118 ◽  
Author(s):  
Reginald D. V. Nixon ◽  
Richard A. Bryant ◽  
Michelle L. Moulds
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Cognitive Restructuring ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural

The aim of the current paper is to describe the tailoring of cognitive-behavioural treatment for a female client who developed posttraumatic stress disorder (PTSD) subsequent to awareness under anaesthetic during an emergency caesarean procedure. Treatment consisted of prolonged and in vivo exposure, and cognitive restructuring over eight sessions. Assessment was conducted prior to treatment, immediately after treatment, and at 6- and 24-month follow-up. Follow-up at 24 months demonstrated good outcome, with the client no longer meeting criteria for PTSD.

When the Problem is Beneath the Surface in OCD: The Cognitive Treatment of a Case of Pure Mental Contamination

2012 ◽  
Vol 40 (4) ◽  
pp. 383-399 ◽  
Author(s):  
Emma Warnock-Parkes ◽  
Paul M. Salkovskis ◽  
Jack Rachman
Keyword(s):  
Cognitive Therapy ◽  
Single Case ◽  
Single Case Study ◽  
Treatment Resistant ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Mental Contamination ◽  
Cognitive Behavioural ◽  
History Of

Background: Mental contamination is a phenomenon whereby people experience feelings of contamination from a non-physical contaminant. Rachman (2006) proposes that standard cognitive behavioural treatments (CBT) need to be adapted here and there is a developing empirical grounding supporting the concept, although suggestions on adapting treatment have yet to be tested. Method: A single case study is presented of a man with a 20-year history of severe treatment resistant Obsessive Compulsive Disorder (OCD) characterized by mental contamination following the experience of “betrayal”. He was offered two consecutive treatments: standard CBT and then (following disengagement with this) a cognitive therapy variant adapted for mental contamination. Clinician and patient rated OCD severity was measured at baseline and the start and end of both interventions. Results: Six sessions of high quality CBT were initially attended before refusal to engage with further sessions. There were no changes in OCD severity ratings across these sessions. A second course of cognitive therapy adapted for mental contamination was then offered and all 14 sessions and follow-ups were attended. OCD severity fell from the severe to non-clinical range across these sessions. Conclusions: The need to consider adapting standard treatments for mental contamination is suggested. Limitations and implications are discussed.

Cognitive-behavioural Treatment of Blood-Injury-Injection Phobia: A Case Study

1999 ◽  
Vol 16 (3) ◽  
pp. 182-190 ◽  
Author(s):  
Alanda Thompson
Keyword(s):  
Single Case ◽  
Cognitive Restructuring ◽  
Behavioural Therapy ◽  
Self Report ◽  
Subjective Distress ◽  
Behavioural Treatment ◽  
General Anxiety ◽  
Cognitive Behavioural ◽  
Bii Phobia

AbstractThis single case study examined the treatment of blood-injury-injection (BII) phobia in a 14-year-old female. Thirteen 1-hour sessions of cognitive behavioural therapy were conducted. The intervention included a combination of exposure, applied tension, and cognitive restructuring in an effort to produce clinically significant reductions in anxiety and fainting in response to BII stimuli. Results did indeed show dramatic reductions in subjective distress in BII situations from baseline to post-treatment. This was supported by small reductions in phobic anxiety and general anxiety on self-report measures. In contrast to baseline, fainting did not occur during treatment. The subject rated cognitive restructuring as the most effective treatment component for the latter half of therapy. It is suggested that, to date, the importance of cognitive therapy for the treatment of BII phobia has been overlooked.

scholarly journals Sonic bombardment, noise hypersensitivity and ethics: A response to Fodstad and colleagues: ‘Assessment and treatment of noise hypersensitivity in a teenager with autism Spectrum Disorder’

2021 ◽  
Author(s):  
Monique Botha ◽  
Aimee Grant ◽  
Ann Memmott ◽  
Damian Milton ◽  
Amy Pearson ◽  
...  
Keyword(s):  
Evidence Base ◽  
Behavioural Therapy ◽  
Autism Spectrum ◽  
Sensory Reactivity ◽  
Cognitive Behavioural ◽  
Assessment And Treatment ◽  
Ethical Approval ◽  
Therapy Intervention ◽  
Research Collective

This commentary – provided by a group of Autistic researchers – reflects on a case study trialling a ‘modified Cognitive Behavioural Therapy intervention’ to address the ‘noise hypersensitivity’ and associated behaviours of an Autistic teenager, ‘Aaron’. We identify serious flaws in the evidence base behind the ‘therapy’: including failing to account for divergent Autistic sensory reactivity, aiming to remove ‘stimming’ behaviours and promoting masking. We challenge the lack of informed consent reported as given by either Aaron or a proxy and the absence of any reported ethical approval for this case study. We also strongly condemn the methods of sonic bombardment delivered upon Aaron under the guise of ‘therapy’. We conclude with three questions around the processes that led to the original article’s publication. All authors are joint first authors. The essay was published by Participatory Autism Research Collective: https://participatoryautismresearch.wordpress.com/2021/10/27/sonic-bombardment-noise-hypersensitivity-and-ethics-a-response-to-fodstad-and-colleagues/

Paedophilia: A Cognitive/Behavioural Treatment Approach in a Single Case

1989 ◽  
Vol 155 (3) ◽  
pp. 399-401 ◽  
Author(s):  
Simon J. Enright
Keyword(s):  
Young Children ◽  
Successful Treatment ◽  
Treatment Approach ◽  
Single Case ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural ◽  
History Of

Our confidence in being able to offer successful treatment of paedophilia remains low. A multifaceted cognitive/behavioural treatment approach is described in the hitherto successful treatment of a man with a 13-year history of sexually interfering with young children of both sexes.

P01-225-A case of unipolar mania

2011 ◽  
Vol 26 (S2) ◽  
pp. 226-226
Author(s):  
R. Lopes ◽  
J. Azevedo ◽  
R. Curral ◽  
M. Esteves ◽  
R. Coelho ◽  
...  
Keyword(s):  
Optimal Level ◽  
Caucasian Woman ◽  
Behavioural Treatment ◽  
Self Confidence ◽  
Cognitive Behavioural ◽  
History Of ◽  
True Position ◽  
Sexual Disinhibition ◽  
Bipolar Affective Disorders ◽  
Depressive Episodes

IntroductionThe concept of unipolar mania has been raised, rejected and resurrected by a number of authors, and its true position within bipolar affective disorders is still a subject of debate.Clinical caseA 52-year-old Caucasian woman was presented to the emergency room accompanied by family members because she had seven days without sleeping, exaggerated self-confidence and was engaged in multiple activities.DiscussionAt the mental examination she presented irritability, agitation, elation of mood, verbiage, sexual disinhibition, delusional activity of persecutory content, absence of insight. She had three manic episodes earlier and she didn’t have therapeutic adherence. The patient maintained an optimal level of performance functioning between maniac episodes, and also had no earlier depressive episodes. She described herself as a very creative, original, friendly, outgoing, sociable, responsible person. She had no family history of bipolar disease or other psychiatric disorder. An hemogram, basic biochemical investigations, cerebral TC, ilicits drugs screen and EEG were preformed showing no relevant alterations. She was admitted at an acute care psychiatric unit for 16 days. She had a good response to risperidone 2 mg and 1000 mg of divalproex sodium and to cognitive behavioural treatment.ConclusionDue to her previous 3 and her current manic episodes, without history of depressive symptoms, we concluded by the diagnosis of unipolar mania. Although there are certain sociodemographic and clinical variables that overlap, there does seem to be recent evidence concerning clinical, psychopathological and treatment features indicating a nosological separation of unipolar mania from bipolar mania.

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