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

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.

2019 ◽  
Vol 18 (3) ◽  
pp. 163-174
Author(s):  
Takashi Mitamura

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.


1993 ◽  
Vol 10 (1) ◽  
pp. 32-38
Author(s):  
Ephrem Fernandez ◽  
Michael Llamas

A single-case design was used to explore the effects of EMG feedback versus EMG-plus-posture feedback in the treatment of overt symptoms of torticollis in an elderly female patient. It was found that EMG levels of the sternomastoid muscle were inversely related to EMG of the trapezius muscle, rather than systematically related to components of treatment. Resting posture showed a pattern of improvement, especially with regard to shoulder asymmetry and forward flexion. Also, the patient's voluntary control over posture showed marked improvement between pre- and postphases of treatment; this was maintained at follow-up 8 weeks after treatment. Implications are raised for further research, in particular, the importance of assessing multiple aspects of posture and recording EMG from more than one site simultaneously.


2016 ◽  
Vol 7 (3) ◽  
pp. 151-160 ◽  
Author(s):  
Robert J. Chandler ◽  
Charlotte Swift ◽  
Wendy Goodman

Purpose The purpose of this paper is to evaluate the use of cognitive behavioural approaches to treat a gentleman with a learning disability who had been reported to the police for allegedly making contact with children using social media in an attempt to initiate a romantic relationship using a single case design. Design/methodology/approach An 11 session cognitive behavioural intervention was employed, comprising of index offence analysis, challenging distorted cognitions related to the offence, developing an internal focus for responsibility and psychoeducation with regards to “staying safe” online. Findings Follow up data demonstrated no improvements in victim empathy, nor in agreement ratings in terms of key cognitions associated with responsibility for offending behaviour. Research limitations/implications Whilst treatment efficacy was not established, this case study raises important questions that go beyond the single case design. Whilst the gentleman reported becoming “safer” in terms of initiating contact with unknown people via social media, this could not be substantiated, and is indicative of the cardinal difficulty of monitoring online recidivism. Generalisability of findings to the wider learning disability population is limited by a single case design. Originality/value This is the first published case study to the authors knowledge to evaluate cognitive behavioural approaches to reduce antisocial internet related behaviour in a forensic learning disability setting. Findings of considered within the context of the concept of minimisation of offending behaviour, the concept of “counterfeit deviance”, and also how best to measure therapeutic change within this population.


Author(s):  
Lely Ana Ferawati Ekaningsih ◽  
Aula Izatul Aini ◽  
Imroatul Mutiah

This study aims to determine the practice of implementing the sale and purchase of agricultural products to pay harvest/respite in Barurejo Village, Siliragung District, Banyuwangi Regency. To find out about the legal views of Islamic economics on the implementation of buying and selling pay harvest. The type of research used in this study is a case study that is single-case design. Data analysis using interactive model analysis techniques. The results of the study, namely the practice of buying and selling are in accordance with the terms and also the pillars of sale and purchase, and buying and selling of this harvest does not contain elements of persecution, because both parties benefit from each other. In the practice of buying and selling agricultural products, the harvest in Barurejo Village, Siliragung Subdistrict, Banyuwangi Regency is in accordance with the objectives of Islamic economic law, namely a sense of empathy among people to create mutual benefit where the price increase the seller gets the price in lieu of the length of payment and the buyer gets the desired item without issuing money in cash, adding a relatively small amount of price and not burdening one party


2018 ◽  
Vol 24 (1) ◽  
pp. 2-14 ◽  
Author(s):  
JUSTIN A. BARTERIAN ◽  
JOEL M. SANCHEZ ◽  
JED MAGEN ◽  
ALLISON K. SIROKY ◽  
BRITTANY L. MASH ◽  
...  

2013 ◽  
Vol 8 (1) ◽  
Author(s):  
Siti Azizah

Abstract: This paper attempts to investigate how communications organization is conducted by Charoen Pokphand Company (a multinational poultry company) to stop the shifting of competitors’ employees amid the high tendency of the employees’ shifting to competitors’ company. This study uses explanatory case study as research method with single case design. The analysis is carried out from the perspectives of organizational culture and internal communications functions of the organization in maintaining the employees’ loyalty. An analysis of the employees’ shifting case id based on several notions that organizational culture is very influential on the process of communication within the organization (Ruppel and Harington 2000), how cultural management affects on the communication (Bordow and More in McKenna 2006), and the effects of cultural subsystems on the employees’ loyalty (Eskildsen and Nussler 2000). Literature studies and interviews are performed to obtain data on several cases of employees’ shifting which have happened at Charoen Pokphand Company. The informant is an employee who has worked at Charoen Pokphand Company for eleven years and is often received offers to move to other competitors’ company. Offers which give better position and salary turn out to be unappealing when compared to the organizational culture and communication processes which provide work comfort. Abstrak: Makalah ini bertujuan untuk mengetahui lebih jauh tentang bagaimana komunikasi organisasi yang dilakukan PT. Charoen Pokphand Indonesia (sebuah perusahaan pakan ternak multinasional) dalam upayanya mencegah migrasi karyawan kompetitor ditengah tingginya mobilitas migrasi karyawan ke perusahaan kompetitor. Metode studi kasus eksplanatori digunakan sebagai metode penelitian dan menggunakan desain studi kasus tunggal. Tulisan ini dibahas dari perspektif budaya organisasi dan fungsi komunikasi internal organisasi dalam memelihara loyalitas karyawan. Pembahasan terhadap kasus migrasi karyawan ini dilakukan dengan mendasarkan pada beberapa pendapat bahwa budaya organisasi sangat berpengaruh terhadap proses komunikasi dalam organisasi (Ruppel and Harrington 2000), bagaimana manajemen budaya berpengaruh pada komunikasi (Bordow and More in McKenna 2006) dan efek subsistem budaya terhadap loyalitas karyawan (Eskildsen and Nussler 2000). Studi literature dan dan wawancara digunakan untuk memperoleh data tentang beberapa kasus migrasi karyawan yang pernah terjadi di PT. Charoen Pokphand Indonesia. Informan adalah seorang karyawan PT. Charoen Pokphand Indonesia yang sudah bekerja selama 11 tahun dan sering mendapatkan tawaran untuk berpindah dari perusahaan PT. Charoen Pokphand Indonesia ke perusahaan kompetitor. Penawaran yang lebih memberikan posisi serta gaji yang lebih baik ternyata bukan tawaran yang menarik bila dibandingkan budaya organisasi dan proses komunikasi yang memberikan kenyamanan kerja.


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