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Cognitive-behavioural Intervention for an Adolescent School Refuser: A Comprehensive Approach

Published online by Cambridge University Press:  06 October 2014

Justine Anderson ,
Neville King ,
Bruce Tonge ,
Stephanie Rollings ,
Dawn Young  and
David Heyne
Justine Anderson
Affiliation:
Monash University
Neville King
Affiliation:
Monash University
Bruce Tonge
Affiliation:
Monash University
Stephanie Rollings
Affiliation:
Monash University
Dawn Young
Affiliation:
Monash University
David Heyne*
Affiliation:
Monash University
*
Centre for Developmental Psychiatry, Monash Medical Centre, 246 Clayton Road, Clayton VIC 3168, Australia. E-mail: [email protected]
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Extract

A case study is presented of a 13-year-old adolescent male with a long history of anxious symptoms related to school attendance. At the time of referral to the school refusal clinic, the adolescent had significant difficulty attending school, having attended for only 1 day in the past 3 weeks. A cognitive-behavioural treatment program was conducted over 3 weeks, consisting of seven sessions with the adolescent, seven sessions with his parents, and consultation to school personnel. Treatment focused on the implementation of behaviour management techniques by caregivers as well as teaching anxiety management skills to the adolescent. Positive treatment outcomes included the adolescent's return to full-time attendance at school as well as a decrease in emotional distress. The implications of treatment are discussed in relation to the simultaneous application of behaviour management and anxiety management strategies in the treatment of school refusal.

Type
Research Article
Information
Behaviour Change , Volume 15 , Issue 2 , June 1998 , pp. 67 - 73
Copyright
Copyright © The Author(s) 1998

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References

Achenbach, T.M., & Edelbrock, C. (1983). Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: University of Vermont, Department of Psychiatry.Google Scholar
Achenbach, T.M., & Edelbrock, C. (1986). Manual for the Teacher's Report Form and Teacher Version of the Child Behavior Profile. Burlington, VT: University of Vermont, Department of Psychiatry.Google Scholar
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215.Google Scholar
Blagg, N., & Yule, W. (1994). School phobia. In Ollendick, T.H., King, N.J., & Yule, W. (Eds.), International handbook of phobic and anxiety disorders in children and adolescents (pp. 169–186). New York: Plenum.CrossRefGoogle Scholar
Chapel, J.L. (1967). Treatment of a case of school phobia by reciprocal inhibition. Canadian Psychiatric Association Journal, 12, 25–28.CrossRefGoogle ScholarPubMed
Granell de Aldaz, E., Vivas, E., Gelfand, D.M., & Feldman, L. (1984). Estimating the prevalence of school refusal and school-related fears: A Venezuelan sample. The Journal of Nervous and Mental Disease, 172, 722–729.Google Scholar
Hersen, M. (1968). Treatment of a compulsive and phobic disorder through a total behavior therapy program: A case study. Psychotherapy, 5, 220–225.Google Scholar
Heyne, D.A., King, N., Tonge, B.J., Pritchard, M., Young, D., Rollings, S., & Myerson, N. (1998). The Self-Efficacy Questionnaire for School Situations: Development and psychometric evaluation. Behaviour Change, 15, 31–40.Google Scholar
Kearney, C.A., & Silverman, W.K. (1990). A preliminary analysis of a functional model of assessment and treatment for school refusal behavior. Behavior Modification, 14, 340–366.Google Scholar
King, N.J., Ollendick, T.H., & Tonge, B. (1995). School refusal: Assessment and treatment. Boston: Allyn & Bacon.Google Scholar
Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica, 46, 305–315.Google Scholar
Mansdorf, I.J., & Lukens, E. (1987). Cognitive-behavioral psychotherapy for separation anxious children exhibiting school phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 222–225.CrossRefGoogle ScholarPubMed
Perkin, G.J., Rowe, G.P., & Farmer, R.G. (1973). Operant conditioning of emotional responsiveness as a prerequisite for behavioural analysis: A case study of an adolescent school phobic. Australian and New Zealand Journal of Psychiatry, 7, 180–184.Google Scholar
Reynolds, C.R., & Richmond, B.O. (1978). What I think and feel: A revised measure of children's manifest anxiety. Journal of Abnormal Child Psychology, 6, 271–280.Google Scholar
Silverman, W.K., & Nelles, W.B. (1988). The Anxiety Disorders Interview Schedule for Children. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 772–778.Google Scholar
Walk, R.D. (1956). Self-ratings of fear in a fear-invoking situation. Journal of Abnormal and Social Psychology, 52, 171–178.CrossRefGoogle Scholar