Case Study of Clinical Behavior Analysis for a 20-Year-Old Client With Emetophobia

2019 ◽  
Vol 18 (3) ◽  
pp. 163-174
Author(s):  
Takashi Mitamura
Keyword(s):  
Behavior Analysis ◽  
Single Case ◽  
Intervention Strategies ◽  
Single Case Design ◽  
Clinical Behavior Analysis ◽  
Clinical Behavior ◽  
Empirically Supported ◽  
Clinically Significant

This case study illustrates a clinical behavior analytic intervention for a female client with emetophobia, the fear of vomiting. Clinical behavior analysis is a recently developing branch of empirically supported psychotherapy, derived from behavior analysis. This case study presents modified case formulations and changed intervention strategies according to the results of repeated measuring. The intervention was six sessions and three gradual follow-up sessions; the effect of the intervention was monitored by a single-case design. The intervention strategies were changed from symptom-focused interventions, which are based on exposure, to value-focused gradual follow-up sessions. The client’s phobia and depression were alleviated through the intervention and gradual follow-up phases. Moreover, her value-based activities increased through the gradual follow-up phase. The Reliable Change Indexes (RCIs) were calculated to evaluate changes between the intervention and follow-up phases. There were large and clinically significant decreases on measures. The results highlight the utility of repeated measuring and importance of a value-focused approach.

scholarly journals Investigation of Integrated Behavior Therapy for Selective Mutism: A Replicated Single-Case Study Design

2017 ◽  
Vol 9 (2) ◽  
pp. 82 ◽  
Author(s):  
Allison K. Siroky ◽  
John S. Carlson ◽  
Aimee Kotrba
Keyword(s):  
Behavior Therapy ◽  
Treatment Effectiveness ◽  
Single Case ◽  
Selective Mutism ◽  
Single Case Design ◽  
Future Studies ◽  
End Of Treatment ◽  
Case Design

Selective Mutism (SM) is a rare but potentially debilitating disorder characterized by a lack of speech in certain settings where speaking is expected. This study examined the effectiveness of a shortened version (12 sessions over 18 weeks) of Integrated Behavior Therapy for Selective Mutism (IBTSM; Bergman, 2013) in increasing speech and relieving anxiety for two four-year-old males with SM via a replicated single-case design. Treatment effectiveness, integrity, and acceptability were measured at baseline, throughout treatment, and at a three-month follow-up. Treatment integrity was excellent for both cases. SM severity ratings decreased from baseline to end-of-treatment, and again at follow-up, for each case. Verbal communication increased at end-of-treatment and follow-up, and significant decreases in social anxiety were seen across both cases by the three-month follow-up. Parents rated the shortened IBTSM as highly acceptable, effective, and efficient. Future studies should explore the effectiveness of varying lengths of IBTSM.

scholarly journals Effectiveness of the unified protocol for treating co-morbid health anxiety and depression: an empirical case study

2021 ◽  
pp. 1-11
Author(s):  
Chris Gaskell ◽  
Ben Hague ◽  
Stephen Kellett
Keyword(s):  
Food Intake ◽  
Single Case ◽  
Health Anxiety ◽  
Baseline Period ◽  
Anxiety And Depression ◽  
Single Case Design ◽  
Unified Protocol ◽  
Co Morbidity ◽  
Clinically Significant

Abstract Aims: The unified protocol (UP) is indicated when patients present with co-morbidity, but no studies have previously investigated the effectiveness of the UP with co-morbid health anxiety and depression. Method: An A/B single case design evaluated outcomes for a 27-year-old male presenting with health anxiety and co-morbid depression. Following a 21-day assessment-baseline period containing three sessions, the manualised UP was delivered across a 42-day period containing seven intervention sessions. Four idiographic measures (occurrence and duration of health checking, sleep duration and food intake satisfaction) were collected daily throughout, and two nomothetic measures were collected at four time points. Results: All sessions were attended. Number of health checking episodes reduced from four per day to two per day. A 59 minute per day reduction in time spent health checking occurred, and sleep increased by 100 minutes per night. There was little apparent change in terms of food intake satisfaction. There was a reliable and clinically significant reduction in depression. Discussion: Further testing of the effectiveness of the UP with co-morbid health anxiety and depression in true single case experimental designs is now indicated.

Amavat in pediatric age group (multidisciplinary Ayurvedic approach): a single case study

2020 ◽  
Vol 8 (03) ◽  
Author(s):  
Mayuri Pawar
Keyword(s):  
Clinical Symptoms ◽  
Single Case ◽  
Treatment Protocol ◽  
Oral Intake ◽  
External Application ◽  
Pediatric Age Group ◽  
Patient Reported ◽  
Ayurvedic Treatment

Amavata is a chronic, progressive and crippling disorder caused due to generation of ama and its association with vitiated vata dosha and deposition in shleshma sthana (joints). Clinically resembling with Rheumatoid Arthirtis, it poses a challenge for the physician owing to its chronicity, morbidity and complications. The treasure of Ayurveda therapeutics has laid out detailed treatment line for amavata. A 13years old male patient reported to this hospital with pain and stiffness of metacarpophalangeal joints of right hand followed by pain in corresponding joints of other hand 1 year back. This was succeeded by pain and mild swelling on bilateral wrist, ankle and elbow joints. Based on clinical examination and blood investigations, diagnosis of amavata was made and Ayurvedic treatment protocol was advised with baluka sweda (sudation) as external application, rasnasaptak kashayam and dashmoolharitaki avaleha for oral intake for 30 days. The patient was asked for follow up every 15 days up to total of 45 days. Assessment was done subjectively based on clinical symptoms and blood investigations as objective parameters. There was substantially significant improvement and the patient felt relieved of the pain and inflammation of the joints after the treatment. This case study reveals the potential of Ayurvedic treatment protocol in management of amavata and may form a basis for further detailed study of the subject.

scholarly journals O inconsciente na interpretação clínica analítico-comportamental

2010 ◽  
Vol 16 (1) ◽  
pp. 64-72
Author(s):  
Jocelaine Martins da SILVEIRA ◽  
Lázaro de ALMEIDA
Keyword(s):  
Behavior Analysis ◽  
Clinical Behavior Analysis ◽  
Response Class ◽  
Clinical Behavior

The aim of this article was to describe the clinical behavior analysis background related to the topic unconsciousness. In order to understantd the topic, some B. F. Skinner’s publicatons about unconscious were examined, as well as some publications in the clinical behavior analysis field. Results indicated that, according to Behavior Analysis, there are two main conditions on which the term unconscious is applied in certain theoretic traditions in Psychology. Both conditions depend on a social-verbal environment that teaches self-descriptive behaviors and also teachs the response class of avoiding such descriptions. The first condition relies on the unconsciousness caused by the lack ou poor exposure of a verbal environment which would promote the knowlege about what one has done, what one is doing, what one tends to do or about the controling variables of a given behavior. The second condition in which the term unconscious is used is closely related to what certain theories would call repressed unconscious and it is produced by punishing contingencies. In the clinical behavior analysis, these both conditions are analysed, but the sencond type is specially focused, that is, those conditions that produce the response class of escaping/avoiding the de tacts of punishable behaviors.

scholarly journals Geographic Information Systems and COVID-19: The Johns Hopkins University Dashboard

2020 ◽  
Author(s):  
BELMIRO N JOAO
Keyword(s):  
Information Systems ◽  
Single Case ◽  
Single Case Study ◽  
Epidemic Outbreak ◽  
Global Epidemic ◽  
Johns Hopkins University ◽  
Successful Case ◽  
Other Information

Abstract Background: This article presents a single case study on the development of a GIS for global monitoring of coronavirus (COVID-19). For such concepts presented about GIS, its use and evolution in epidemic events and a presentation of the context of the current coronavirus outbreak and the meaningless results of consolidating a panel with reliable data.Methods: A single case study of a GIS in continuous development with data sharing and comments from the scientific community was carried out. Because it is not a post-mortem analysis, or a follow-up to a successful case, it was not possible to use more rigorous and systematic approaches such as those used by Lee (1989) and Onsrud, Pinto and Azad (1992) for case studies in GIS.Results: The case study presents the results of the development of a control dashboard, as well as the availability of consolidated data made by researchers at Johns Hopkins University and who showed a reliable platform and a world reference for health comunity.Conclusions: Efforts to develop a dashboard and provide data on the coronavirus outbreak resulted in the immediate replication of several other information systems with different approaches (Power BI, R, Tableau), becoming a reference for any new global epidemic outbreak events.

The Effects of Writing Choice Prompt on the Written Narratives of Students With Emotional and Behavioral Disorders: A Case Study of an Abandoned Single-Case Design

2017 ◽  
Vol 42 (4) ◽  
pp. 185-195 ◽  
Author(s):  
Robin Parks Ennis ◽  
Kristine Jolivette ◽  
Mickey Losinski
Keyword(s):  
Behavioral Disorders ◽  
Single Case ◽  
Emotional And Behavioral Disorders ◽  
Single Case Design ◽  
Written Narratives ◽  
Choice Making ◽  
Single Case Research ◽  
Writing Prompt ◽  
Story Elements

In this study, we investigated the effects of choice of writing prompt on the number of story elements included in written narratives. The investigation took place in a residential facility for students with emotional and behavioral disorders. Participants included six female students in a mixed-grade-level course (students had just completed Grades 7–10). A withdrawal single-case research design was planned for each participant. However, the study was abandoned after only initial baseline and intervention phases because choice of writing prompt appeared to have null or countertherapeutic effects on the number of story elements written. Potential explanations for why these findings are inconsistent with other studies using choice making, including considerations of the file drawer effect for studies with null findings, are presented. Limitations and future directions also are discussed.

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