• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

Case study of a five-year old girl with school refusal behaviour

Extracts from this document...

Introduction

Case study of a five-year old girl with school refusal behaviour 0638141 Case description Mary, a five year old girl, had been attending her local nursery school successfully for several months. However, for the last four weeks she found it difficult to separate from her mother and refused to attend school so her case was referred to the school psychologist. Her mother and her nursery teacher agreed that her problem began when she had a disturbing dream during nap-time and became agitated when she woke up and realized her mother was not present. Everyday before going to school she began crying and requested not to attend. Subsequently, Mary was forced to attend school and when her mother dropped her to school her teacher had to hold on to her so her mother could leave the classroom. Although she was calm at times through the day she very often started crying and asked for her mother. At home, Mary did not separate from her mother and did not sleep in her own bed. Mary was described by school staff as a quiet child who liked to play alone. ...read more.

Middle

Mary's social and emotional functioning was assessed using the Devereux Behaviour rating Scales-School Form (Naglieri, LeBuffe & Pfeiffer, 1993), which was completed by her mother. This scale includes sub-scales for depression, physical symptoms or fears, interpersonal problems and inappropriate behaviours or feelings. Mary's Total Scale Score was in the "Very Significant" range. Mary was diagnosed with Separation Anxiety Disorder (SAD). She met the criteria for SAD described by the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2000). The school psychologist made the diagnosis based on data collected from interviews with the mother and the school teacher. In addition, the data collected suggested that Mary's school refusal behaviour was motivated by attention-seeking purposes. Shaping, positive reinforcement and extinction were the selected approaches to treat Mary's school refusing behaviour associated with SAD. Mary's mother was taught a muscle relaxation technique with deep breathing that was to be practiced by Mary at bedtime to help her sleep and also to relax when she felt distressed during the day. They were also shown how to separate at the classroom door using adequate phrasing. ...read more.

Conclusion

The mother reported during weekly phone calls the greatest time intervals that Mary could be apart from her during the treatment period. The shaping procedure was considered successful when Mary was able to remain separated from her mother for intervals of twenty minutes as the perception of being away from a parent during this time was comparable to being away for longer periods for a five year old child. The treatment finished after three weeks of successful school attendance. Interviews with the mother and the teacher were conducted for the follow up at four months and twelve months after treatment. The mother reported that Mary was no longer shadowing her or becoming distress when separating at school and that she was also sleeping in her own bed. The teacher confirmed Mary was successfully attending school and was no longer asking for her mother or becoming distressed through the day. She also confirmed Mary and her mother separated in the way reported above. The mother also completed the DSF scale at four and twelve month follow-up and Mary obtain a Total Scale Score in the "normal" range. In addition, Mary did not meet the DSM criteria for SAD at both follow-up points. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Clinical Psychology section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Clinical Psychology essays

  1. The purpose of this essay is to consider different systemic issues in a counselling ...

    family and Andy's role within it, it may help the other members to understand all points of view and how they are feeling. Andy then may understand why Mandy wants to look after him and her fears of him doing too much and returning to drugs.

  2. The assessment and treatment of children and adolescents with sexually abusive behavior.

    erotization of the ag gression; and the history of sexual victimization, physical abuse, and emotional neglect. It is necessary to discriminate between compulsive sexual behaviors and paraphiliac compulsive sexual behaviors. Is there a history of prior nonsexual delinquent behavior or a history of arrests, convictions, incarcerations, use of weapons, or cruelty to animals?

  1. Free essay

    Child Development Case. The development theory I find most useful when assessing Isagani ...

    Two strengths of ego psychology are it includes environment, including identification with others, learning, and mastery of developmental task. The other one is it contains more optimistic view of human functioning. In this case it helps us to understand the history of Isagani and the way he learned throughout his development (Berzoff, Flanagan, & Hertz, 2008).

  2. Abnormal Psychology Case Study - A joint diagnosis of Generalised Anxiety Disorder and Social ...

    Our only issue with a diagnosis of Dysthymic Disorder is that we can't say with certainty that Isabella hasn't had a major depressive episode in the first two years of her dysthymic symptoms, which is apart of criterion D of DSM-IV, furthermore, it may not be possible to gain such

  1. Cocaine Addiction: Literature Review, Modalities, and Improved Treatment Plan

    Therefore, as this information shows, cocaine is still the most commonly abused drug in America's current society. Rights, Diversity, and Legal/Ethical Issues In today's society, human rights are being violated because of the misuse and misunderstanding of drugs, not because some are addicted to drugs.

  2. Research and statistical significance for a pilot study on CBT for children with anxiety ...

    changes could be made to the treatment manual before its publication (McLeod 2003). This research paper in particular is referred to as 'outcome research', which means to test the validity and reliability of a particular theory, in this case a treatment manual (McLeod 2003).

  1. Theories of Human Behaviour: Psychodynamics, Behaviourism and Cognitive Psychology

    to the frequency with which parental abuse, abandonment, and sexual trauma affect children in need of social services (McWilliams, 2004). In the short term, psychodynamic therapy can help minimise the detrimental effects of abuse and neglect by providing a means of resolving those potential issues before they become suppressed into

  2. Couples Analysis and Case Study. ...

    These complaints will be discussed in more detail in Patrick's section. Patrick Patrick believes Kerri is too picky about how clean the house has to be and he does not understand why it's so important to keep their apartment meticulously clean.

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work