Evaluating a Self-Help Approach to Helping a Phobic Child: A Profile Analysis

Abstract

This is a report of the practitioner evaluation of clinical social work in afield setting; it involved helping a 9-year-old girl with a severe phobia of dogs. A single-system design is used to evaluate the outcome of contextual therapy, a real-life desensitization approach. An instigative method, self-help training for the child, was directed by a clinical social worker who was not present during the intervention. Treatment appeared to produce a rapid and significant decrease in the child's perception of fear and dog avoidance behavior. A profile analysis of the single-subject data revealed the progressive changes in the whole configuration offears. The methodology is innovative in that both the analysis and the treatment approach combine to capture the complexity of real life while imposing a logical way of measuring change.

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References

Bandura, A. , Grusec, J.E. , & Menlove, F.L. (1967). Vicarious extinction of avoidance behavior Journal of Personality and Social Psychology, 5, 16-23.

Barrios, B. , & Hartmann, D.P. (1988). Fears and anxieties In E. J. Mash & L. G. Terdal (Eds.), Behavioral assessment of childhood disorders (pp. 196-262). New York: Guilford.

Bloom, M. , & Fischer, J. (1982). Evaluating practice: Guidelines for the accountable professional. Englewood Cliffs, NJ: Prentice-Hall.

Chudy, J.F. , Jones, G.E. , & Dickson, A.L. (1983). Modified desensitization approach for the treatment of phobic behavior in children: A quasi-experimental case study Journal of Clinical Child Psychology, 12, 198-201.

Glasscock, S.E. , & MacLean, W. , Jr. (1990). Use of contact desensitization and shaping in the treatment of dog phobia and generalized fear of the outdoors Journal of Clinical Child Psychology, 19, 169-172.

Groghan, L. , & Musante, G.J. (1975). The elimination of a boy's high-building phobia by in vivo desensitization and game playing Journal of Behavior Therapy and Experimental Psychiatry, 6, 87-88.

King, N.J. , Hamilton, D.I. , & Ollendick, T.H. (1988). Children's phobias: A behavioral perspective. New York: Wiley.

Kissel, S. (1972). Systematic desensitization therapy with children: A case study and some suggested modifications Professional Psychology, 3, 164-168.

Koplewicz, H.S. (1989). Childhood phobias In C. Lindemann (Ed.), Handbook of phobia therapy: Rapid symptom relief in anxiety disorders (pp. 147-158). Northvale, NJ: Jason Aronson.

10.

Lazarus, A.A. , & Abramowitz, A. (1972). The use of "emotive imagery" in the treatment of children's phobias Journal of Mental Science, 108, 191-195.

11.

MacDonald, M. (1975). Multiple impact behavior therapy in a child's dog phobia Journal of Behavior Therapy and Experimental Psychiatry, 6, 317-322.

12.

Morris, R.J. , & Kratochwill, T.R. (1983). Treating children's fears and phobias: A behavioral approach. New York: Pergamon.

13.

Ollendick, T.H. , & Francis, G. (1988). Behavioral assessment and treatment of childhood phobias Behavior Modification, 12, 165-201.

14.

Pomerantz, P.B. , Peterson, N.T. , Marholin, D. , & Stem, S. (1977). The in vivo elimination of a child's water phobia by a paraprofessional at home. Journal of Behavior Therapy and Experimental Psychiatry, 8 , 417-421.

15.

Richards, C.S. , & Siegel, L.J. (1978). Behavioral treatment of anxiety states and avoidance behaviors in children In D. Marholin (Ed.), Child behavior therapy (pp. 274-338). New York: Gardner .

16.

Ritter, B. (1968). The group desensitization of children's snake phobias using vicarious and contact desensitization procedures Behaviour Research & Therapy, 6 , 1-6.

17.

Thyer, B. (1983). Treating anxiety disorders with exposure therapy . Social Casework, 64, 77-82.

18.

Thyer, B. (1985). The treatment of phobias in their natural contexts Journal of Applied Social Sciences, 9(1), 73-83.

19.

Thyer, B.A. , & Curtis, G.C. (1983). The repeated pretest-posttest single-subject experiment: A new design for empirical clinical practice Journal of Behavior Therapy and Experimental Psychiatry, 14, 311-315.

20.

Zane, M.D. (1978). Contextual analysis and treatment of phobic behavior as it changes American Journal of Psychotherapy , 32, 338-355.

21.

Zane, M.D. (1989). In vivo desensitization: Contextual analysis In C. Lindemann (Ed.), Handbook of phobia therapy (pp. 239-241). Northvale, NJ: Jason Aronson.