Journal of behavior therapy and experimental psychiatry
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J Behav Ther Exp Psychiatry · Mar 1998
Case ReportsThe relationship between food refusal and self-injurious behavior: a case study.
Food refusal and self-injurious behavior often co-occur in children with developmental disabilities and mental retardation. The subject of the case study was a 3-yr-old boy with food refusal, self-injurious behavior and developmental delay. ⋯ Although the contingencies for acceptance, refusal and self-injurious behavior remained constant, self-injurious behavior increased with an increase in grams consumed. A combined treatment of positive reinforcement for acceptance, guidance for refusal, position change and gastrojejunal feedings resulted in a decrease in self-injurious behavior and an increase in grams consumed.
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J Behav Ther Exp Psychiatry · Dec 1997
Case ReportsBehavioral treatment of choking phobia in an adolescent: an experimental analysis.
A multiple baseline approach across foods was used to evaluate an exposure-based treatment for choking phobia in a 13-year-old girl. Following 14 sessions, the patient demonstrated substantially reduced self-reported, observer-rated, and parent-reported anxiety, increased eating rate and bite size, and increased variety of food intake. Clinical diagnoses present at pretreatment were not present at posttreatment at a clinical level. These gains were maintained at a 9-month follow-up assessment.
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J Behav Ther Exp Psychiatry · Jun 1995
Case ReportsImplosive therapy as an adjunctive treatment in a psychotic disorder: a case report.
The case of a patient with visual and auditory hallucinations that were refractory to conventional pharmacotherapy is presented. Treatment with implosive therapy resulted in the elimination of visual hallucinations and a reduction in frequency and intensity of auditory hallucinations.
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J Behav Ther Exp Psychiatry · Sep 1994
Review Case ReportsBehavioral treatment of phobic avoidance in multiple chemical sensitivity.
The clinical ecology model of environmental illness, or multiple chemical sensitivity (MCS), and particularly the theoretical assumptions, diagnostic procedures, and therapeutic recommendations promulgated by clinical ecologists are reviewed. No scientific evidence is found for their claims. MCS is conceptualized, instead, as a phobic disorder explicable in terms of the two-factor model of avoidance. Three cases of MCS are discussed in light of this model, and a comprehensive behavioral treatment package that includes biofeedback-assisted in vivo desensitization and cognitive restructuring is proposed.
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J Behav Ther Exp Psychiatry · Sep 1994
Randomized Controlled Trial Comparative Study Clinical TrialEye movement desensitization: a partial dismantling study.
Twenty-three PTSD subjects were exposed to either: (1) standard eye movement desensitization (EMD), (2) a variant of EMD in which eye movements were engendered through a light tracking task, or (3) a variant of EMD in which fixed visual attention replaced eye movements. All three interventions produced significant positive changes in all dependent measures and these changes were maintained at follow-up. ⋯ It was concluded that the eye movements peculiar to EMD are not essential to treatment outcome. The implications of the present findings and previous reports are discussed and recommendations for future research provided.