Lehmkl Et Al Flashcards
What was the aim of the study involving Jason?
To investigate the efficacy of CBT for a 12-year-old child with a dual diagnosis of autism spectrum disorder (ASD) and obsessive-compulsive disorder (OCD).
At what age was Jason diagnosed with autism spectrum disorder?
Two years old.
What significant impairment did Jason exhibit that led to his OCD diagnosis?
Ritualistic and avoidant behaviours began to interfere with his social and academic life.
What was Jason’s initial score on the children’s version of the Y-BOCS?
18 (moderate).
List two symptoms related to Jason’s autism spectrum disorder.
- Sensory issues around touch and sound
- Limited and repetitive language
What were Jason’s obsessions and compulsions related to OCD?
- Obsessions: contamination
- Compulsions: handwashing and checking of food ‘use by dates’
How many cognitive-behavioural therapy sessions did Jason attend?
Ten sessions.
What therapy techniques were adapted for Jason due to his inability to identify obsessional thoughts?
Cognitive restructuring and imagined exposure.
What coping strategy did the therapist teach Jason to reduce anxiety?
Saying nothing bad is going to happen.
What was one of the phrases the therapist used to motivate Jason?
‘Beating OCD’ and not letting OCD be the boss.
What type of situations did the therapist encourage Jason to expose himself to?
Unpleasant situations, such as touching doorknobs and elevator buttons.
What was Jason’s final Y-BOCS score after therapy?
3.
What did the therapist prepare Jason for towards the end of therapy?
To finish therapy and put strategies in place to prevent relapse.
True or False: Jason showed signs of relapse during the three-month follow-up.
False.
What conclusion can be drawn about the personalization of CBT for children?
If CBT is personalised to meet children’s individual developmental needs, it can be effective as a treatment for children with autism and OCD.
What is a strength of the case study regarding therapy for children?
Successful adaptation of therapy designed for adults to meet the specific needs of a child.
Fill in the blank: Family members may provide additional information that helps the therapist to tailor the treatment programme to the child’s _______.
[individual needs].
What was Jason’s obsession?
Contamination
What was Jason’s compulsions?
Handwashing and checking the labels expiry dates
What was Jason’s main avoidant?
Would not touch door, knobs, library, books, and other children’s papers and school equipment and would not sit in public places on benches and chairs
How old is Jason when he developed OCD
11
What were some of Jason’s ASD symptoms?
Sensory issues touched and sound
Banged his head and beat himself repeated and limited language repetitive play poor social relationships
How many sessions did Jason attend and what were their duration?
Jason attended 10 sessions of CBT 15 minutes each
Over what time.
60 weeks at a local hospital
Why were the doctors uneven to provide cognitive restructuring and imagined exposure?
As Jason could not identify his oppositional thoughts of the therapist adapted the therapy to suit Jason’s needs
What were coping strategies that were taught?
Like saying, nothing bad is going to happen to reduce anxiety
What phrase is written by the therapist?
Beating OCD and not letting OCD be the boss
How was Jason rewarded
The therapist used it short to reward Jason’s progress and with the homework exercises and created other visual ways to develop a self awareness, such as how thoughts and feelings affect behavior
What did the therapist encourage Jason to do?
To expose himself to unpleasant situations like touching door knobs, and the elevator buttons to ensure that Jason was exposed to long enough for new learning to take place
How are Jason’s parents and teachers involved?
They allowed him to practice new strategies at home and at school
What were the final sessions of CBT focused on?
Jason’s hoarding behaviors
How long after therapy was done was the follow up and what did the follow up show?
The follow up was three months after and and it showed that he was still doing well and that there were no signs of relapse
What was the conclusion of the study?
If CBT is personalized to meet children’s individual development and needs, it can be effective as a treatment for children with autism and OCD
What is one strength of using children in this case study
Is that a tad was able to successfully adaptive therapy designed for adult to with the specific needs of the child with a ST and an important consideration when working with the children is to build a connection with the whole family such as what was done here, but providing help with the parent and teachersand building a good home environment family members may also provide additional information that may help the therapist to Tata the treatment program to a child interest, especially this is especially important for young children
What was the weakness of the study?
That it was a case study, which means that the generalization could only be adapted to someone who is a young boy at age around 12 who also has ASD meaning that the results are not generalized to older or younger demographics nor as a generalized to females or people without ASD
What is the strength of the study?
Strength is that triangulation was used, and this involve the collection of qualitative and quantitative data from observations, interviews and psychometric tests, such as the Y box and an IQ test. This means that the study is geographic in nature and allows the researchers to gain insight into the practical issues And adapting ERP for people who have ASD. The collection of quantitative data means that the results can be compared to other studies of children who also have ASD, although this case study only uses a single compare participant comparison with other studies using Y Box can help determine the reliability of findings
