ABSTRACT
The study evaluates a comprehensive, ecological approach to behavioral family intervention with a family of a child with severe disabilities and severe problem behaviors. A multiple-baseline design across family routines assessed the functional relationship between parent implementation of a multicomponent intervention and improvement in child behavior and successful completion of routines. Results indicate durable improvements in child behavior and routine completion. Associated outcomes included generalized improvements in child behavior and enhanced activity patterns. Results verify the efficacy of the approach for ameliorating problem behaviors and empowering parents to build successful family routines. The value of collaborative research with families is briefly discussed.
Subject(s)
Behavior Therapy/methods , Child Behavior Disorders/therapy , Developmental Disabilities/therapy , Family Health , Family Therapy/methods , Adolescent , Child , Child Behavior Disorders/complications , Confidence Intervals , Developmental Disabilities/complications , Female , Humans , Longitudinal StudiesABSTRACT
The effect of a short-term group intervention to reduce self-blame and guilt in parents of children with severe disabilities was examined. Thirty-four mothers were randomly assigned to treatment and waiting list control groups. They participated in classes led by a counselor on topics relating to cognitive processes associated with guilt and self-blame. Results showed significant reductions in measures of guilt, negative automatic thoughts, internal negative attributions, and depression. Theoretical and treatment literature concerning self-blame and guilt was briefly reviewed and the derivative treatment was described.
