Modification of Cognitive-Behavioral Techniques in the Treatment of a Five Year-Old Girl with Social Phobia

Social phobia is a debilitating anxiety disorder that often goes undetected in young children, but can be effectively treated with cognitive-behavioral interventions. For children and adolescents, treatment usually includes education, social skills training, cognitive restructuring, relaxation training, and exposure. However, for very young children who present with social phobia, it is necessary to adapt treatment to the developmental level of the child. A case illustration demonstrates the way in which cognitive behavioral treatment (CBT) was modified for the treatment of a five year-old girl with social phobia. Several modifications were made, including utilizing novel exposure techniques and emphasizing parent management training in order to promote generalization of treatment gains outside of session.     

Comparing excitatory backward and forward conditioning

Three Pavlovian lick suppression studies with rats were conducted to compare the role of the conditioning context in excitatory backward and forward conditioning. The experiments explored the possibility that excitatory backward conditioning, but not forward conditioning, is mediated by the context. That is, in excitatory backward conditioning, the conditioning context may function as an excitatory mediator, which supports second-order conditioning of the target cue. This possibility contrasts with traditional accounts, which suggests that common processes underlie excitatory backward and forward conditioning. Experiment 1 found that conditioned responding following backward conditioning was attenuated as a result of posttraining extinction of the training context, but the same manipulation elevated responding after forward conditioning. Experiments 2 and 3 found that posttraining and pretraining associative inflation of the context (presenting unsignalled USs) increased conditioned responding to the target of a backward conditioning procedure but either had no effect or reduced responding to the target of a forward conditioning procedure. Thus, excitatory backward and forward conditioning appear to differ in their dependence on the status of the conditioning context.     

Retroactive interference in rats: Independent effects of time and similarity of the intervening event with respect to acquisition

Events occurring during the retention intervals for a 5-min delayed alternation task were used to investigate the factors that influence retroactive interference. Appetitive reinforcement in an E-maze was employed to train rats on the delayed alternation task consisting of a forced-choice (target event) trial followed by a free-choice (test) trial. Occasional probe trials added a potentially interfering event either at the beginning, middle, or end of the retention period. These events also varied in similarity to the target events, ranging from low similarity to the converse of the target event. Interference increased both with the interval between the target and intervening events and with the similarity between the converse of the target event and the intervening event; however, there was no tendency, significant or otherwise, towards an interaction between stimulus similarity and the interval between the target and intervening events. Control groups demonstrated that the interference was of an associative nature and that the interval between the intervening event and the test trial was little consequence. These results are discussed in terms of two separate types of interference: similarity interference which depends on stimulus similarity of the intervening event to the converse of the target event but not on the temporal location of the intervening event, and processing interference which depends on the temporal location of the intervening event but not on its similarity to the converse of the target event.