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Behaviour Modification in the Treatment of Pseudoseizures: A Case Report*

Published online by Cambridge University Press:  16 June 2009

Juliana Rasic Lachenmeyer  and
Madelyn E. Olson
Juliana Rasic Lachenmeyer
Affiliation:
Department of Psychology, Fairleigh Dickinson University and Department of Psychiatry, North Shore University Hospital, Cornell University Medical College
Madelyn E. Olson
Affiliation:
North Shore University Hospital, Cornell University Medical College
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Abstract

This paper presents a case of a 13-year-old educably retarded girl with a seizure disorder who also presented with pseudo-seizures. Behavioural techniques, specifically planned to ignore the seizure and reinforcement of “seizure free” periods were used to eliminate the pseudo-seizures. The intervention was carried out simultaneously in multiple settings by school and medical personnel as well as parents. A four-year follow-up indicated that treatment gains had been maintained and had generalized over time and across settings.

Information

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 18 , Issue 1 , January 1990 , pp. 73 - 78
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1990

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References

Anthony, J. and Edelstein, B. A. (1975). Thought-stopping treatment of anxiety attacks due to seizure-related obsessive ruminations. Journal of Behavior Therapy and Experimental Psychiatry 6, 343–344.CrossRefGoogle Scholar
Balaschak, B. A. (1976). Teacher-implemented behavior modification in a case of organically based epilepsy. Journal of Consulting and Clinical Psychology 44, 218–223.CrossRefGoogle Scholar
Berkow, R. (Ed). (1977). The Merck Manual of Diagnosis and Therapy. Rahway, NJ: Merckstarp & Dohme, Research Laboratories.Google Scholar
Cautela, J. R. and Flannery, R. B. (1973). Seizures: controlling the uncontrollable. Journal of Rehabilitation 39, 34–35.Google Scholar
Connell, R. H., Ryback, D. and La Fehr, S. (1979). Reduction of epileptic seizures by reinforcement of bladder continence. British Journal of Psychology 70, 17–20.CrossRefGoogle ScholarPubMed
Desai, B. T., Potter, R. and Penry, J. K. (1979). The psychogenic seizure by videotape analysis: a study of 42 attacks in 6 patients. Neurology 29, 602.Google Scholar
Forster, F. (1967). Conditioning of cerebral dysrhythmia induced by pattern presentation and eye closure. Conditional Reflex 2, 236.CrossRefGoogle Scholar
Forster, F. (1969). Conditioned reflexes and sensory evoked epilepsy: the nature of the therapeutic process. Conditional Reflex 4, 103–114.CrossRefGoogle ScholarPubMed
Gardner, J. E. (1967). Behavior therapy treatment approach to a psychogenic seizure case. Journal of Consulting Psychology 31, 209–212.CrossRefGoogle ScholarPubMed
Ince, L. P. (1976). The use of relaxation training and a conditioned stimulus in the elimination of epileptic seizures in a child: a case study. Journal of Behavior Therapy and Experimental Psychiatry 7, 39–42.CrossRefGoogle Scholar
Iwata, B. A. and Lorentzon, A. M. (1976). Operant control of seizure-like behavior in an institutionalized retarded adult. Behavior Therapy 7, 247–251.CrossRefGoogle Scholar
Kuhlman, W. M. and Allison, T. (1977). EEG feedback training in the treatment of epilepsy: some questions and some answers. The Pavlovian Journal of Biological Sciences 12, 112–122.CrossRefGoogle ScholarPubMed
Levine, B. A. (1978). The use of a self-administered gustatory stimulus in the elimination of a seizure disorder. Journal of Behavior Therapy and Experimental Psychiatry 9, 77–79.CrossRefGoogle Scholar
McRae, S. and Cuvo, A. J. (1980). Operant control of seizure behavior: review and evaluation of research. Behavior Research of Severe Developmental Disabilities 1, 215–248.Google Scholar
Mostofsky, D. I. and Balaschak, B. A. (1977). Psychobiological control of seizures. Psychological Bulletin 84, 723–750.CrossRefGoogle ScholarPubMed
Pappino, J. (1971). Reduction of seizures by desensitization. Journal of Behavior Therapy and Experimental Psychiatry 2, 215–218.Google Scholar
Pond, D. A., Bidwell, B. H. and Stein, L. (1960). A survey of epilepsy in fourteen general practices: Demographic and medical data. Psychiatry, Neurological Archives 63, 217–236.Google ScholarPubMed
Ramani, S. V., Quesney, L. F., Olsen, D. and Gumnit, R. J. (1980). Diagnosis of hysterical seizures in epileptic patients. American Journal of Psychiatry 137, 705–709.Google ScholarPubMed
Scott, D. F. (1978). Psychiatric aspects of epilepsy. British Journal of Psychiatry 132, 417–130.CrossRefGoogle ScholarPubMed
Solomon, G. and Plum, F. (1976). Clinical Management of Seizures, Philadelphia: Saunders.Google Scholar
Wright, L. (1973). Aversive conditioning of self-induced seizures. Behavior Therapy 4, 712–713.CrossRefGoogle Scholar
Zlutnick, S. (1973). Behavior control of seizure disorders. In Behavior Therapy and Health Care, Principles and Applications, Katz, R. and Zlutnick, S. (Eds), New York: Pergamon Press.Google Scholar
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