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Addressing Parental Accommodation When Treating Anxiety In Children


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Table of Contents

Series Foreword About the Author SECTION 1 FAMILY ACCOMMODATION: HOW, WHAT, AND WHY Chapter 1 Introduction to Accommodation of Child Anxiety Chapter 2 Why Parents Accommodate SECTION 2 THEORETICAL BASIS AND MECHANISMS OF ACTION Chapter 3 Why Accommodation Matters - Negative Impact of Parent Accommodation Chapter 4 Reducing Accommodation to Treat Child Anxiety SECTION 3 DEALING WITH ACCOMMODATION IN CHILD ANXIETY TREATMENT Chapter 5 Assessing Family Accommodation Chapter 6 Addressing Accommodation Chapter 7 Parental Support: An Alternative to Family Accommodation Chapter 8 Planning How Parents Will Reduce Accommodation Chapter 9 Obstacles to Addressing Accommodation SECTION 4 CASE EXAMPLES: ADDRESSING FAMILY ACCOMMODATION WITHIN CHILD THERAPY Chapter 10 Teenager with Generalized Anxiety Disorder Chapter 11 Child with Separation Anxiety Disorder SECTION 5 CASE EXAMPLES: ADDRESSING FAMILY ACCOMMODATION AS STAND-ALONE TREATMENT Chapter 12 Teenager with Social Phobia Chapter 13 Extreme Accommodation of a child with OCD and Coercive Behaviors References Appendix A Appendix B Index

About the Author

Eli R. Lebowitz, PhD, studies and treats childhood and adolescent anxiety at the Yale School of Medicine, Child Study Center, where he is director of the Program for Anxiety Disorders. His research focuses on the development, neurobiology, and treatment of anxiety and related disorders, with special emphasis on family dynamics and the role of parents in these disorders.


"It's all about accommodation, and Lebowitz does an impressive job describing (a) accommodation and all its feature and (b) the application of strategies designed to reduce parent accommodation. Unburdened by excessive citations, yet rich with case descriptions, this well-informed and readable work recognizes that prior parent interventions for child anxiety were typically added-on to child treatment, rather than being an independent stand-alone approach. Lebowitz provides an excellent resource for those wanting to learn about changing parent accommodation to favorably impact child anxiety and OCD." -- Philip C. Kendall, PhD, ABPP, Distinguished University Professor, Laura H. Carnell Professor of Psychology, Temple University "Eli Lebowitz scores big with this innovative, highly readable, and practical guide for therapists who work with anxious children and their families. Unlike many standard child-focused treatments for anxious children, this approach is oriented towards working primarily with and through parents who inadvertently or otherwise accommodate the very fears and anxieties they wish to change in their children. This is not to say the parents cause the fear and anxiety; rather, and most importantly, it acknowledges the role that parents play in accommodating and perhaps maintaining these fears and anxieties. Here, Lebowitz presents us with a developmentally-sensitive, contextually-informed, and evidence-based approach which will help us address the weaknesses in our extant approaches. It is a volume whose time has surely come." -- Thomas H. Ollendick, PhD , University Distinguished Professor, Director, Child Study Center, Virginia Tech

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