スクールカウンセラーによる行動論的再登校支援 : 集中的エクスポージャーの効果と課題

概要

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Although; previous studies have shown the effectiveness of intensive exposure therapy for school refusal behaviour, however few case studies on this subject have been reported in recent years. This article discusses the effects and challenges of school-based intensive exposure therapy for school refusal behaviour in a series of therapies for a 14-year-old female student. The treatment consisted of three phases. In the first phase, the school counsellor provided 14 psychoeducation sessions to the girl's mother. The second phase was a home visit by the guidance counsellor Then, intensive exposure therapy by the mother, guidance counsellor and school counsellor was implemented in the third phase. However, intensive exposure therapy was discontinued a month after it began, due to a change in the school policy. The student returned to classes on a daily basis in the third phase, but her school refusal behaviour relapsed shortly after the therapy was interrupted. This case study suggested not only the effect of school-based intensive exposure therapy but also further challenges of its application.
2013-03-00