Assistive Technology-Based Programs and Cognitive-Behavioral Interventions for Helping Adaptive Responding of Children and Adolescents With Rett Syndrome

Author(s):  
Fabrizio Stasolla ◽  
Alessandro O. Caffò ◽  
Viviana Perilli

This chapter provides the reader with a concise overview of the newest empirical evidences available on the use of assistive technology and cognitive behavioral interventions to promote adaptive skills and decrease challenging behaviors of children and adolescents with Rett syndrome and severe to profound developmental disabilities. Four main categories of studies were identified, namely (1) communication skills, (2) adaptive skills, (3) challenging behavior, and (4) on-task behavior. Twenty-six contributions were reviewed, and 936 participants were involved. Results were largely positive, although rare failures occurred. Educational, clinical, rehabilitative, and psychological implications of the findings were critically discussed. Some useful suggestions for future research and practice were emphasized.

2018 ◽  
Vol 2 (3) ◽  
pp. 14-29
Author(s):  
Viviana Perilli ◽  
Fabrizio Stasolla ◽  
Stefania Maselli ◽  
Isabel Morelli

Background: Person with Alzheimer Disease may present cognitive, social, communication, physical, and orientation impairments. Furthermore, individuals with Alzheimer Disease may exhibit challenging behavior, isolation, and passivity. Objectives: To emphasize the role of Assistive Technology-based interventions and Cognitive-Behavioral Programs to improve the independence, and the quality of life of patients with Alzheimer Disease. To assess the effects on teaching adaptive responding, and decreasing challenging behaviors. Method: A selective literature review was carried out considering Alzheimer, Assistive Technology, Cognitive-Behavioral Programs, Adaptive Responding, Challenging Behaviors, and Quality of life as keywords. Twenty-six studies were reviewed. Results: Empirical data demonstrated the effectiveness, and the suitability of the selected interventions, although few failures occurred. The participants involved significantly increased their adaptive responding during the intervention phases, and maintained their performance over the time. Conclusion: Assistive Technology-based rehabilitative programs and Cognitive-Behavioral Interventions may be helpful for promoting the independence and the quality of life of individuals with Alzheimer Disease.


2010 ◽  
Vol 24 (4) ◽  
pp. 344-353 ◽  
Author(s):  
Stacey L. Hart ◽  
Trevor A. Hart

There is a growing body of evidence supporting the use of cognitive behavioral treatment within behavioral medicine. There are several limitations to the current body of literature, including external validity of findings from randomized controlled trials, dissemination of findings, and the use of CBT when patients are unmotivated to make behavior change. The current paper proposes several future directions to address these limitations. Solutions to be explored in future research include practical behavioral trials, stepped care approaches, remote technology approaches such as telephone and Internet-based treatments, and the integration of motivational interviewing into cognitive behavioral treatment.


2019 ◽  
Vol 22 ◽  
Author(s):  
Marta Alonso ◽  
Ana Isabel Guillén ◽  
Manuel Muñoz

AbstractInternalized stigma has a high prevalence in people with mental health problems and is associated with negative consequences in different areas: work, social, personal, etc. Therefore, it is relevant to systematically study the characteristics and effectiveness of the different psychological and psychosocial interventions aimed at reducing it. Through the databases MEDLINE and PsycINFO, among others, controlled studies on specific interventions to reduce internalized stigma in people with severe mental disorders published between 2008 and 2018 were selected and reviewed. Results showed that the interventions can be grouped into four blocks: (a) psychoeducational interventions about stigma; (b) cognitive-behavioral interventions, mainly aimed at modifying self-stigmatizing beliefs; (c) interventions focused on the revelation of mental illness; and (d) multicomponent interventions that combine several of the above. The interventions had an average of 10 sessions and were predominantly applied in group format. In 9 of the 14 studies reviewed, significant results were obtained in the reduction of internalized stigma with small or moderate effect sizes. There were also significant improvements in other variables, such as subjective recovery or coping. The main methodological limitation of the studies reviewed was the absence of information on the rejection rate. We conclude that there are effective interventions aimed at reducing internalized stigma, with psychoeducational interventions on stigma and multicomponent interventions showing the best results. Cognitive-behavioral interventions and interventions based on disclosure have been studied to a lesser extent and their results are inconclusive. Future research should focus on establishing optimal interventions according to characteristics and objectives of individuals.


1987 ◽  
Vol 1 (3) ◽  
pp. 171-182
Author(s):  
Glenn M. Johnson

This article proposes a model of a cognitive-behavioral disorder that is manifested by a neurotic tendency to rely on self-punishment strategies to motivate and correct one’s own behavior rather than using insight into its causes and elements. The individual suffering from this disorder appears generally hostile, overdemanding, and unhappy; feels out of control; and verbalizes a sense of deserving to experience difficulties in life. In the extreme, this syndrome might be related to a long-standing inability or unwillingness to enter into intimate social relationships. Its maintenance can be described within a framework of simple behavioral realities. The syndrome is subtle and essentially cognitive and, therefore, covert, and its presence and effects can go unrecognized within the context of more overt pathologies. Three brief case examples are presented, and a set of cognitive-behavioral interventions is described that has had promising results with individuals exhibiting this syndrome. Implications for possible future research are briefly discussed.


2010 ◽  
Vol 24 (3) ◽  
pp. 213-228 ◽  
Author(s):  
Elizabeth A. Nelson ◽  
James J. Lickel ◽  
Jennifer T. Sy ◽  
Laura J. Dixon ◽  
Brett J. Deacon

Social phobia is maintained in part by cognitive biases concerning the probability and cost of negative social events. More specifically, individuals with social phobia tend to believe that negative social events are extremely likely to occur, and that if such events were to happen, the consequences would be awful or unbearable. The aim of the present review is to critically evaluate research on the nature and specificity of probability and cost biases in social phobia. Changes in probability and cost estimates during treatment and their relationship to treatment outcome are detailed. The review concludes with a discussion of how current cognitive behavioral interventions target these biases. Directions for future research are proposed.


2001 ◽  
Vol 15 (3) ◽  
pp. 183-194 ◽  
Author(s):  
Joseph A. Durlak ◽  
Laura A. Rubin ◽  
Rita D. Kahng

This article discusses three issues related to the use of cognitive behavioral therapy for youth with externalizing problems: (a) the heterogeneity of externalizing difficulties and cognitive behavioral interventions; (b) typical cognitions manifested by children and adolescents and their parents; and (c) developmental considerations in selecting appropriate therapeutic techniques.


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