Eighty clients enrolled in a managed care health plan who identified panic disorder as their primary presenting problem were randomly assigned to treatment by a therapist recently trained in a manual-based empirically supported psychotherapy (M. G. Craske, E. Meadows, & D. H. Barlow, 1994) or a therapist conducting treatment as usual (TAU).…

Using an independent cognitive-behavioral therapy (CBT) data set, the authors replicated T. Z. Tang and R. J. DeRubeis' (1999) discovery of sudden gains--sudden and large decreases in depression severity in a single between-session interval. By incorporating therapy session transcripts, the authors of this study improved the reliability of the…

A 13-year-old boy presents with treatment-resistant symptoms of major depression. This is his first episode of depression, initially treated with 200 mg sertraline for 12 weeks with no significant benefit. The severe depression has shown a partial response to weekly cognitive-behavioral therapy (CBT) and fluoxetine, which was titrated up to 60 mg…

The current study evaluated the effectiveness of a modularized treatment of a specific fear of water for a 14-year-old youth with childhood onset schizophrenia using a multiple-baseline across behaviors design. Treatment included gradual exposure to a hierarchy of feared water-related situations with rewards for successful approximations ranging…

Teachers of young children are concerned about biting. While it is unusual for a preschooler to bite, biting is still within the range of normal behaviors a 3- or 4-year-old may exhibit. Children at this young age have neither sophisticated language nor refined social skills, so they tend to express their wants physically. This article discusses…

The article reports the results of a pilot study comparing traditional behavioural approaches and natural play interventions for young children with autism over a 10 week period. Two matched groups of eight young children with autism participated. Using a crossover design, children in both groups showed positive gains in compliance, attending,…

Feeding and mealtime behavior problems are commonly observed among individuals with developmental disabilities. These problems include, but are not limited to, food refusal, food selectivity, mealtime aggression, rumination, pica, and insufficient feeding skills. Difficulties of this type can be associated with life-threatening consequences of…

The present study investigated the perceptions of both pupils and staff at a pupil referral unit (PRU) towards the reward system currently in use. The main aims were to establish whether teachers and pupils perceived the same rewards as effective, to determine whether staff and pupils perceived that rewards changed behaviour, and finally whether…

This series of articles documents the increasing sophistication of behavioral interventions across a broad class of behaviors including academics, social behaviors, and emotional regulation. The foundation for effective interventions in the schools is better than at any time in history and, most important, the current political realities are more…

An increasing number of students diagnosed with difficulties such as attention deficit hyperactivity disorder and Asperger?s syndrome are being seen in schools. Sensory integration difficulties may be part of the symptomatology of these disorders. These difficulties may result in difficulties with both classroom behaviors and academic performance.…

Level of spontaneous social initiating by three adult caregivers toward a youth with autism was studied during a program to increase the youth's level of social initiating. The youth's social initiations toward each adult were systematically reinforced. Frequency of spontaneous initiating toward the youth increased for each adult as the youth's…

The authors describe three types of ADHD behavior that affect from 3 percent to 7 percent of elementary school children, mostly boys. They recommend supplementing stimulant medication with behavior modification strategies, at home and school, to improve ADHD students' social skills and school performance.

Aerophagia, or excessive air swallowing, is a potential cause of belching, flatulence, bloating, and abdominal pain and may contribute to a worsening of gastrointestinal (GI) disorders. A limited number of published reports of aerophagia treatment indicate that behavioral methods may be of benefit. A case report is presented describing the…

Functional behavior assessment (FBA) is an integral component of a positive behavior support approach to preventing problem behavior across all students in the school. As primary prevention, FBA is a collaborative school-wide practice to predict common problems and to develop school-wide interventions. As secondary prevention, FBA involves simple…

Behavioral parent training (BPT) is one of the most commonly utilized research treatments for young children with externalizing behaviors. Most BPT research, however, has been conducted with mothers. Thus, insufficient data exist as to the benefits of father participation in BPT. This paper provides rationales for why fathers should be included in…