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| Changing Challenging Behavior |
| Tuesday, June 1, 2010 |
| 9:00 AM–9:50 AM |
| Crockett C/D (Grand Hyatt) |
| Area: CBM |
| Chair: David A. Coleman, Jr. (Private Practice) |
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| Behavior Analytic Treatment of Bipolar Disorder |
| Domain: Applied Behavior Analysis |
| DAVID A. COLEMAN, JR. (Private Practice) |
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| Abstract: Bipolar disorder has long been believed to be resistant to traditional clinical treatment (outside of medication management). However, recent literature has demonstrated the effectiveness of dialectical behavior therapy and other cogntive-behavioral interventions for such difficult-to-treat conditions as bipolar disorder, personality disorders, posttraumatic stress disorder, etc. The present paper presents cogntive-behavioral strategies that have repeatedly been shown to work in both research studies and general clinical practice. Case studies, including outcome data, from the presenter's practice, will be included. Issues related to brain function, medication management, genetic patterns, and implications for family and social functioning will be discussed. Treatment complications, e.g. comorbid conditions, resistance to change, environmental influences, etc., and strategies for resolving them, will be reviewed. Intervention strategies that appear most necessary to successful outcomes will be highlighted. Intervention strategies and outcomes will be described in terms of the behavioral principals which account for production and maintenance of behavioral change. |
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| Is Child Therapy an Exercise in Futility? |
| Domain: Applied Behavior Analysis |
| ANDREE FLEMING-HOLLAND (Universidad Veracruzana) |
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| Abstract: After twenty years of practicing therapy with children and adolescents, there remains the question of whether therapy with children is profitable for the child. Children arrive at therapy because their parents perceive some problem; children do not arrive at therapy on their own, and usually have to be convinced that spending time away from friends or computer games really is in their best self-interest. This author has attended a large population of attention deficit hyperactivity disorder (ADHD) children and adolescents using a cognitive behavior therapy framework. Although success rates have been over 90% in the short-term, there have been long-term relapse problems with this population. Noting this relapse problem from follow-ups, the author began to do mixed individual and family therapy with ADHD cases. As expected, working with parents beyond an informational level proved to be highly successful in preventing future relapses. In conclusion, families need to know how to keep the behavioral gains made in therapy for children, especially ADHD children, and to continue using the strategies learned in therapy and not derail due to a diffuse attentional focus or new environmental contingencies at school or at home. |
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