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Addressing Parental Accommodation When Treating Anxiety In Children

    Addressing Parental Accommodation When Treating Anxiety In Children  

    Eli R. Lebowitz

    Abstract

    This book is a practical guide to addressing family accommodation in the treatment of childhood anxiety. Accommodation refers to changes that parents make to their own behavior to help a child avoid or alleviate anxiety (e.g., sleeping next to their child at night, providing repeated reassurance). The book deals with addressing accommodation within the context of a broader treatment strategy that includes additional interventions such as cognitive-behavioral therapy, as well as addressing accommodation as a stand-alone parent-based treatment. There is consensus among experts and acknowledgement among practitioners that family accommodation is a key aspect of child anxiety, with major impact on clinical course, severity of symptoms and impairment, family distress, and treatment outcomes. Yet, most treatment programs do not focus on this important element of childhood anxiety, and most clinicians feel ill-equipped to effectively address accommodation in their clinical work. After briefly reviewing the relevant research on accommodation in child anxiety, this concise and easily accessible primer focuses on the practical and pragmatic aspects of addressing parental accommodation in the treatment of child anxiety. The book includes rich clinical illustrations and many suggestions for how to broach the topic of accommodation with both parents and children including a wealth of easily understood metaphors to approach the topic in an empathic and nonjudgmental manner. Therapists working with anxious children and their families will find useful tips and numerous suggestions for addressing accommodation in every part of the treatment process.

    Keywords: anxiety disorders, family accommodation, childhood, adolescence, parents, parent-based treatment, social anxiety disorder, separation anxiety disorder, generalized anxiety disorder, obsessive-compulsive disorder

    Bibliographic Information

    Publisher:
    Oxford University Press
    Print Publication Date:
    Sep 2019
    Print ISBN-13:
    9780190869984
    Published online:
    Jul 2019
    DOI:
    10.1093/med-psych/9780190869984.001.0001

    Author

    Eli R. Lebowitz, author Assistant Professor, Yale Child Study Center


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    Subject(s) in Oxford Clinical Psychology

    • Clinical Psychology

    Disclaimer

    Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

    Contents

    • Front Matter
      • Series Foreword
      • About the Author
    • Section 1 Family Accommodation: How, What, and Why
      • 1 Introduction to Accommodation of Child Anxiety
      • 2 Why Parents Accommodate
    • Section 2 Theoretical Basis and Mechanisms of Action
      • 3 Why Accommodation Matters: Negative Impact of Parent Accommodation
      • 4 Reducing Accommodation to Treat Child Anxiety
    • Section 3 Dealing With Accommodation in Child Anxiety Treatment
      • 5 Assessing Family Accommodation
      • 6 Addressing Accommodation
      • 7 Parental Support: An Alternative to Family Accommodation
      • 8 Planning How Parents Will Reduce Accommodation
      • 9 Obstacles to Addressing Accommodation
    • Section 4 Case Examples: Addressing Family Accommodation Within Child Therapy
      • 10 Teenager with Generalized Anxiety Disorder
      • 11 Child with Separation Anxiety Disorder
    • Section 5 Case Examples: Addressing Family Accommodation As Stand-Alone Treatment
      • 12 Teenager with Social Phobia
      • 13 Extreme Accommodation of a Child with OCD and Coercive Behaviors
    • End Matter
      • Appendix A Family Accommodation Scale–Anxiety
      • Appendix B Family Accommodation Scale–Anxiety (Child Report)
      • References
      • Index
    • Oxford University Press
    Copyright © 2019. All rights reserved.

    date: 05 December 2019

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