Abstract
The therapy is described of an adolescent who presented to a private consultant pediatrician with school refusal. An initial eclectic approach was used resulting in the patient returning to school. This was followed by a further assessment and the recommendation of psychoanalytically oriented psychotherapy for the adolescent together with counseling and/or therapy for her depressed mother. Despite gains experienced by the patient, increasing resistance was noted from the mother who eventually terminated her daughter's treatment, having refused any treatment for herself. Discussion centers around the approach used, speculating about other modes of treatment, including the use of family therapy.
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References
Vogel EF, Bell NW: The emotionally disturbed child as the family scapegoat. In Bell NW, Vogel EF (eds),A modern introduction to the family. New Jersey, Free Press, 1960
Hersov L: School refusal. In Rutter M, Hersov L (eds),Child Psychiatry—Modern Approaches. Blackpool Scientific Publications, Oxford, 1976, pp. 455–486.
Schmitt BD: School phobia—the great imitator, a paediatrician's viewpoint.Paediatrics 48 433–441, 1971.
Eisenberg L: The paediatric management of school phobia.J Paediatr 55, 758–766, 1959.
Chodoff P: The diagnosis of hysteria; an overview.Am J Psychiatr 131, 1073–1078, 1974.
Group for the Advancement of Psychiatry:Psychopathological disorders in childhood; theoretical considerations and proposed classification. G.A.P., 1966, pp 6, 62.
Bowlby J: Attachment and loss. InSeparation, anxiety and anger, Vol 2. London: Hogarth Press, 1973.
Leventhal T, Weinberger G, Stander RJ, Sterns RP: Therapeutic strategies with school phobias,Am J Orthopsychiatr 37, 64–70, 1967.
Shirley HF: Psychoatherapy with children. InPaediatric psychiatry. Cambridge: Harvard University Press, 1963.
Menahem S, Lipton GL, Caplan G: The psychologically orientated paediatrician with the provision of psychoanalytic psychotherapy.Child psychiat and human develop 12: 67–81, 1981.
Menahem S., Lipton GL, Jonas M: From paediatrician to therapist—a bridge to cross:Child Psychiatr and Human Develop 12, 4, 1982.
Winnicott DW: Reparation in respect of mother's organized defence. InCollected Papers—Through Paediatrics to Psychoanalysis. London: Taverstock, 1958, 91–96.
Maddison D: A positive diagnosis of a neurotic illness.New Zealand Med J 63, 349–355, 1964.
Minuchin S, Rosman BL, Baker L:Psychosomatic families, anorexia nervosa in context. Cambridge: Harvard University Press, 1981.
Hoffman L:Foundations of family therapy New York: Basic Books, 1981.
Whiteside MF: Family therapy. In Noshpitz JD (ed),Basic Handbook of Psychiatry, Vol. 3. Basic Books, 1979, New York: pp. 117–136.
Rappaport LR: Normal crisis, family structure and mental health.Family Process 2, 68–80, 1963.
Hawkes R: Treatment of school refusal by strategic based family therapy.Australian J Family Therapy 3, 129–134, 1982.
Smith ML, Glass GB: Meta-analysis of psychotherapy outcome studies.Am Psychol 32, 752–760, 1977.
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This paper was presented to the Victorian Association of Psychotherapists, March 1983.
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Menahem, S., Cebon, A. Treat mother too—“Failed” psychotherapy of an adolescent with school refusal. Child Psych Hum Dev 14, 170–177 (1984). https://doi.org/10.1007/BF00717324
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DOI: https://doi.org/10.1007/BF00717324