Clinical Case Studies

 

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Clinical Case Studies, Vol. 5, No. 6, 511-521 (2006)
DOI: 10.1177/1534650106290373

The Principles of Extinction and Differential Reinforcement of Other Behaviors in the Intensive Cognitive-Behavioral Treatment of Primarily Obsessional Pediatric OCD

Melanie A. Fernandez

University of Florida

Eric A. Storch

University of Florida

Adam B. Lewin

University of Florida

Tanya K. Murphy

University of Florida

Gary R. Geffken

University of Florida

This case study describes the application of intensive cognitive-behavioral treatment (CBT), focusing on extinction and differential reinforcement of other behaviors (DRO), in an adolescent girl with primarily obsessional obsessive-compulsive disorder (OCD). "Abby," a 13-year-old, Caucasian female, showed meaningful changes in OCD symptomatology during five consecutive sessions of intensive treatment. Abby’s mother also reported dramatic improvements in Abby’s functioning and in the mother-child relationship. Improvements continued to be reported by Abby and her mother and observed by therapists during follow-up sessions. The results of this case study provide preliminary support that intensive CBT incorporating extinction, cognitive restructuring skills, and DRO may be an effective treatment for pediatric OCD.

Key Words: obsessive-compulsive disorder • differential reinforcement of other behaviors • cognitive-behavioral therapy • treatment • adolescent


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