A comprehensive treatment program for inpatient adolescents

A unit-wide behavioral program for inpatient adolescents was developed and implemented on a coeducational residential unit for six months. Significant clinical reductions were achieved in broken windows, emergency restraint usage, PRNs, medication dosages and the percent of clients receiving psychotropic medications. These reductions continued during the program's maintenance phase. Factors are discussed that appeared to have contributed to the program's success. © 1998 John Wiley & Sons, Ltd.     

A group treatment program for bulimia nervosa

Seventeen female patients diagnosed as exhibiting bulimia nervosa participated in a shortterm group treatment program. A combination of exposure with response prevention, life skills training, and psychodynamic group interaction was provided. Results in pretest vs. posttest scores on a battery of tests demonstrated improved control over eating behavior and lowered anxiety and depression.     

A simple behavioral treatment program for psychogenic encopresis

A treatment program based on behavioral psychological principles which can be explained to parents in one session and supervised by letters and phone calls each week was found to be highly effective in completely eliminating the problem of psychogenic encopresis. A controlled study and extensive clinical use have indicated 100% effectiveness for the program when carefully adhered to.     

A maintenance program for behavioral treatment of anxiety disorders

A maintenance program for behavioral treatments of anxiety disorders is presented in some detail, together with preliminary results of its application as part of three treatment trials. Compared to previous studies reporting long-term effects of behavioral treatments, the present program yielded a larger percentage of improvement during the follow-up period, a lower proportion of patients needing further treatment, and fewer relapses.     

A new cognitive behavioural approach to the treatment of obesity

While behavioural approaches to the management of obesity are often successful in achieving clinically significant weight loss, the weight lost is generally regained. The great majority of patients return to their pre-treatment weight within 3 years. There have been attempts to improve the long-term effectiveness of behavioural treatment but the results have been disappointing. In this paper we suggest that, among other factors, this is because of the neglect of the contribution of cognitive factors to weight regain, and because there is often ambiguity over the goals of treatment. We present a cognitive behavioural analysis of the processes involved in weight regain, and we describe a new cognitive behavioural treatment derived from it. This treatment is designed to minimise the problem of weight regain by addressing psychological obstacles to the acquisition of, and long-term adherence to, effective weight-control behaviour.     

Behavioral techniques in the treatment of obesity: A comparative analysis

The relative efficacy of the major techniques typically used in behavioral treatment programs for weight reduction was investigated using obese adult volunteers. Study 1 compared the effects of self-monitoring, self-control procedures, monetary rewards, aversive imagery and relaxation training. These procedures resulted in significantly greater weight reduction than either a no treatment group or subjects who graphed and recorded daily weight. Self-monitoring of daily caloric intake was as effective as the other methods, both singly and combined, over a 4 week treatment period. Study 2 compared the long-term effects of self-monitoring vs the full complement of behavioral techniques used in Study 1. The full behavior management program was significantly more effective, both during the treatment period and at 3 and 12 week follow-ups, although self-monitoring again produced substantial weight loss.