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Treatment for Children With Selective Mutism: An Integrative Behavioral Approach [Copertina flessibile]

R. Lindsey Bergman

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Descrizione del libro

20 dicembre 2012 Programs That Work
Selective Mutism (SM) is an impairing behavioral condition in which a child fails to speak in certain social situations despite speaking regularly and normally in other situations. SM presents a significant mental and public health problem due to impact on the social, emotional, and academic functioning of young children at a critical point in their development. SM is closely related to childhood social phobia, but it cannot be treated in the same way because of the young age of the children affected, their lack of speech in the treatment setting, and the need for significant school involvement in treatment. Treatment for Children with Selective Mutism outlines the sequence and essential elements to guide clinicians through a comprehensive, integrated program for young children who display symptoms of SM. This approach utilizes behavioral interventions targeting gradual increases in speaking across settings in which the child initially has difficulty. The integrated nature of the therapy refers to the goal of incorporating input from the clinician with that from the parents and teacher, as well as others impacted by the lack of speech. Exposure exercises are based on behavioral techniques such as stimulus fading, shaping, and systematic desensitization that also allow for a less intense or gradual exposure to the speaking situation. These techniques are combined and used flexibly with a behavioral reward system for participation in treatment. The approach was developed by Dr. R. Lindsey Bergman as part of the UCLA Childhood OCD, Anxiety, and Tic Disorders Program. The treatment protocol consists of 20 sessions, 60 minutes each, delivered over the course of 24 weeks. Treatment for Children with Selective Mutism is an invaluable guide for mental health professionals who deliver CBT-based treatment to children and want to help those with SM.

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R. Lindsey Bergman, Ph.D., is Associate Clinical Professor of Psychiatry, Associate Director of the UCLA Child OCD and Anxiety Program, and Director of the Pediatric OCD Intensive Outpatient Program at UCLA. Dr. Bergman specializes in cognitive behavioral treatment for children with selective mutism, OCD, and related disorders. Dr. Bergman has received several research awards to study the treatment of childhood anxiety, including an NIH grant to develop the treatment manual for selective mutism.

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Amazon.com: 4.0 su 5 stelle  2 recensioni
6 di 7 persone hanno trovato utile la seguente recensione
5.0 su 5 stelle Excellent: This book will change the trajectory of SM Treatment 15 gennaio 2013
Di C Lynas - Pubblicato su Amazon.com
Formato:Copertina flessibile|Acquisto verificato
Bergman's treatment manual offers a tremendous resource to parents, teachers, and therapists alike.

The manual outlines Bergman's protocol consisting of 20 sessions over 24 weeks of treatment. Each session is described in detail, including scripts, template letters to use with schools, homework sheets, and other useful handouts. Additionally, Bergman provides the Selective Mutism Questionnaire (SMQ) and the School Speech Questionnaire (SSQ) in her manual. These measures can be used to assess baseline scores and treatment progress.

Bergman's protocol was developed over years of working with SM children at UCLA's Childhood OCD, Anxiety, and Tic Disorders Program. The resources provided for therapists makes this treatment manual a must-have for pediatric providers, especially those who would like to help SM children but don't know the best approach. Bergman's protocol is consistent with what meta-analytic reviews of SM treatment find to be most effective, including exposure-based therapy elements such as:

hierarchy of exposures
exposure with response prevention
systematic desensitization
stimulus fading
contingent reinforcement of approximations of exposure goals
parent and teacher education
weekly homework focusing on exposures for the week, facilitating participation with parent and school

Parents looking for treatment for their child also benefit from Bergman's book. There are still many out-dated views about SM and treatment, and misinformation about how old a child needs to be to receive CBT treatment. Parents who read Bergman's book will learn what the gold standard is for SM treatment as of 2012 and will become informed consumers when searching for a therapist. Likewise, educators who suspect a child has SM will be better armed with information on how to help the child effectively. They, too, will become better consumers on what resources will be essential in their school programs. And lastly, therapists and clinical supervisors who provide and teach CBT treatment will be pleased to know that Bergman's book concisely provides a therapeutic program that yields results, as well as a user-friendly manual from which to train budding psychotherapists.

Bergman's book will change the trajectory of SM treatment, providing a valuable resource especially to those who lack SM treatment specialists in their area.
2 di 2 persone hanno trovato utile la seguente recensione
3.0 su 5 stelle Unable to Reproduce Handouts and Worksheets from Kindle Edition 11 febbraio 2014
Di Openearja - Pubblicato su Amazon.com
Formato:Formato Kindle|Acquisto verificato
This is an excellent manual that sets out a structured and systematic intervention programme for addressing the needs of children with SM, and if I were reviewing the Paperback Edition, I would probably rate it with 5 stars.

I like the fact that it is available in a Kindle edition as I have a mobile practise and I am able to take the book with me wherever I go. However, while the Kindle edition looks exactly like the print version, one cannot print any of the included treatment materials. Publishers and Amazon need to consider including a link to digital versions of worksheets, handouts, etc. for professional manuals offered in Kindle editions. So often I find myself unable to use what I have bought because I cannot reproduce treatment materials even under the terms of permitted use.

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