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Effective Use of 3 Behavioral Interventions
In this section, we will discuss ways of treating type ‘A’ night terrors. I have found that for parents with children or adolescents suffering from type ‘A’ night terrors, three effective behavioral interventions are behavior documentation, assisted recall, and associative connections. As you listen to this track, you might consider the child or adolescent you are treating for night terrors. How do the characteristics of type ‘A’ night terrors as discussed on the last track effect these strategies as related to your client?
In a session several weeks later, Nadine’s father Tom stated, "I’m not seeing any patterns in Nadine’s behavior, so we don’t feel like we are getting anywhere with this ‘terror log’." How would you have responded to Tom?
#2 Assisted Recall
How might you have responded to Tom? I stated, "Children have very selective memories. Nadine may go for months with no recall whatsoever and then begin to remember faint details. Or she may suddenly remember the entire dream." Think of your Nadine. Can the child or adolescent you are treating recall details from night terrors? Research indicates that careful assisted recall can produce results in about fifty percent of children. Therefore, it becomes clear that careful interviews with the child or adolescent will result in a higher percentage of recall.
I continued explaining how Tom and Beth could implement assisted recall with Nadine by stating, "Any information that you get from Assisted Recall can be included in Nadine’s behavior documentation. That way, additional information in the behavior documentation will help add up to a more recognizable analysis of the cause of Nadine’s night terrors." Think of your Nadine. Could your client’s parents’ use of assisted recall be combined with behavior documentation to benefit the child or adolescent?
#3 Associative Connections
Tom asked, "What are we supposed to do? Take her to a day care and drop her off with the toddlers?" How would you have responded to Tom? I stated, "You’re right, Tom. Having Nadine spend time with younger children should be handled discreetly so that she does not lose self-esteem by getting the idea that you think she is a ‘baby’. Rather, can you think of ways to encourage Nadine to feel that she is perhaps taking care of the younger children?"
Beth mentioned that her friend ran a daycare and that she felt Nadine could be convinced to ‘help out’ there for a while. I responded, "Great, because if handled properly, Nadine could thereby gain some insight into her own fears by making connections with the more mundane childhood fears that she observes in the younger children."
By helping a child or adolescent who is suffering from type ‘A’ night terrors make connections regarding unreasonable fears, parents can speed up the same process that the child’s subconscious is trying to accomplish by dreaming. Can you think of ways to implement one of the three cognitive intervention strategies on this track with your client?
In this section, we have discussed ways of treating type ‘A’ night terrors. Three effective cognitive intervention treatments for children or adolescents suffering from type ‘A’ night terrors are behavior documentation, assisted recall, and associative connections.
In the next section, we will discuss type ‘B’ night terrors. Three factors involved with type ‘B’ night terrors that we will examine on this track are extreme trauma, complications resulting from type ‘B’ night terrors, and personality characteristics.
Peer-Reviewed Journal Article References:
Blake, M., Waloszek, J. M., Schwartz, O., Raniti, M., Simmons, J. G., Blake, L., Murray, G., Dahl, R. E., Bootzin, R., Dudgeon, P., Trinder, J., & Allen, N. B. (2016). The SENSE study: Post intervention effects of a randomized controlled trial of a cognitive–behavioral and mindfulness-based group sleep improvement intervention among at-risk adolescents. Journal of Consulting and Clinical Psychology, 84(12), 1039–1051.
Law, E. F., Dufton, L., & Palermo, T. M. (2012). Daytime and nighttime sleep patterns in adolescents with and without chronic pain. Health Psychology, 31(6), 830–833.
Maia, A. P. L., Sousa, I. C. d., & Azevedo, C. V. M. d. (2011). Effect of morning exercise in sunlight on the sleep-wake cycle in adolescents. Psychology & Neuroscience, 4(3), 323–331.
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