Refusal and Resistance Skills for Children and Adolescents: A Selected Review

The authors review the literature on refusal and resistance skill (RRS) training implemented with children and adolescents. RRS training is critically evaluated across different target behaviors and outcomes. RRS efficacy is considered for tobacco use, including smoking and smokeless tobacco, alcohol and substance abuse, and sexual activity. Factors that influence RRS training are identified and process variables are discussed. These include age and gender, media formats (video or live), and teacher-led versus peer-led approaches. Conclusions are drawn based on the reviewed literature.     

CBT for Children and Adolescents With High-Functioning Autism Spectrum Disorders,edited by A. Scarpa,S. Williams White, & T. Attwood

ABSTRACT

Parent-Child Interaction Therapy (PCIT) is a manualized behavioral intervention originally developed by Eyberg (1988 Eyberg, S. (1988). Parent-child interaction therapy: Integration of traditional and behavioral concerns. Child &; Family Behavior Therapy, 10(1), 33–46. doi:10.1300/j019v10n01_04[Taylor &; Francis Online] , [Google Scholar]) to address disruptive behaviors in young children. Although previous research findings support the contention that components of PCIT would positively impact communication, behavior, and adaptive skills (Howard, Sparkman, Cohen, Green, &; Stanislaw, 2005; Lovaas, 1987 Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55(1), 3–9. doi:10.1037/0022-006x.55.1.3[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Remington et al., 2007 Remington, B., Hastings, R. P., Kovshoff, H., Degli Espinosa, F., Jahr, E., Brown, T., &; Ward, N. (2007). Early intensive behavioral intervention: Outcomes for children with autism and their parents after two years. American Journal on Mental Retardation, 112(6), 418–438. doi:10.1352/0895-8017(2007)112[418:eibiof]2.0.co;2[Crossref], [PubMed] , [Google Scholar]) in children with developmental disabilities, few studies are shown in the literature. In a modified version of PCIT, caregivers completed two phases of intervention with their child diagnosed with Autism Spectrum Disorder (ASD). During the Child-Directed Interaction (CDI) phase, caregivers were taught to conduct mand training, follow-their child’s lead, provide attention for their child’s positive behaviors, and ignore their child’s negative behaviors. During the Parent-Directed Interaction (PDI) phase, caregivers were taught to give effective commands and follow through with demands. The goal of the current study was to determine whether children’s production of vocalizations increased after participation in a modified PCIT program. Data from two participants diagnosed with autism were included in the study. Outcomes of these two case studies show that both children displayed an increase in the total number of vocalizations emitted in the posttreatment observation relative to baseline. Additionally, caregivers of both participants displayed an increased number of positive behaviors in the posttreatment observation relative to baseline.