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(p. 319) In Vivo Mastery Component: Initiating the Consolidation and Closure Phase 

(p. 319) In Vivo Mastery Component: Initiating the Consolidation and Closure Phase
Chapter:
(p. 319) In Vivo Mastery Component: Initiating the Consolidation and Closure Phase
Author(s):

Esther Deblinger

, Anthony P. Mannarino

, Judith A. Cohen

, Melissa K. Runyon

, and Anne H. Heflin

DOI:
10.1093/med:psych/9780199358748.003.0012
Page of

date: 13 December 2019

This chapter presents individual parent and child sessions, as well as conjoint sessions in which the rationales and process of in vivo exposure and mastery are introduced. Prior to the development of in vivo mastery plans, the therapist identifies parent-child interactions that may be inadvertently reinforcing avoidance and situations that may continue to evoke anxiety and avoidant behaviors in children. The parents’ role in encouraging nonavoidance and helping to implement in vivo plans outside the therapy office is described. The development of a tentative hierarchy of in vivo mastery steps is discussed and methods for preparing and engaging children in the in vivo process in session and between sessions are reviewed. Special considerations in addressing sleep avoidance and school refusal in the aftermath of child sexual abuse (CSA) are highlighted.

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