|発表テーマ||Case Study of Parent-Child Interactive Therapy (PCIT): Analysis of the growth process of a boy with ASD and his mother during PCIT sessions and 1-year follow-up.|
|発表学会名||2017 PCIT International Convention|
|開催地名||Traverse City, Michigan, USA.|
|発表者・共同発表者||Nagae, Miyoko & Tsuchida, Sachiko|
|概要||Purpose: This case study evaluated a boy with autism spectrum disorder (ASD) and his mother throughout Parent-Child Interactive Therapy (PCIT) sessions and a 1-year follow-up visit, focusing on improvements in maternal-child interactions following a successful timeout. Continuous effects of PCIT remained even after PCIT completion.
Methods: A 35-year-old mother and her 6-year-old son with ASD attended PCIT visits between November 11, 2015 and June 16, 2016. Data were obtained from written case records, and from digital video and IC recordings of the sessions. Quantitative and qualitative descriptive analyses focused on observed changes and the context or situation in which those changes occurred.
Results: In total, 22 PCIT sessions were conducted. In PDI-coach1, the son was in and out of the timeout room 4 times and took approximately 30 minutes to obey the command. After this session, he came to heed his mother’s commands, their mutual interaction had increased, and his public behavior improved markedly. ECBI intensity/problem scores improved, from 112/11 at the initial visit, to 95/7 at the final PCIT session, and 73/6 at the 3-month follow-up visit. The mother’s goal, i.e., “that he learns acceptable behavior in public and successfully adapts to life at a new school,” was fulfilled.
Discussion: Of the differential social attention (DSA) skills, eye contact between the son and the mother increased, to be relieved to find ignoring was acceptable. Through this experience, the mother likely increased her trust in PCIT, and perseverance with the 9 CDI sessions achieved the goals intended by a timeout.