Objective: The purpose of this article is to review a crisis intervention using the developmental-ecological protocol (Collins and Collins, 2005) with a college student presenting with symptomatology of an active eating disorder. Participants: Participants included University Wellness Center employees responding to the crisis. Methods: Methods…

Recent years have seen an increasing interest in the cognitive approach to eating disorders, which postulates that patients selectively attend to information associated with eating, body shape, and body weight. The unreliability of self-report measures in eating disorders due to strong denial of illness gave rise to experimental studies inspired…

The prevalence of childhood eating disorders is increasing in pediatric practice across the country. It is therefore important for occupational therapists to be familiar with current research, resources, and intervention strategies related to a variety of eating diagnoses. In this column we highlight basic definitions of a variety of eating…

The current study examined the effects of bite placement with a flipped versus upright spoon on expulsion and mouth clean (product measure of swallowing) in the treatment of 3 children diagnosed with a pediatric feeding disorder and oral-motor deficits. For all 3 participants, extinction in the form of nonremoval of the spoon led to improvements…

Many young children with autism exhibit feeding-related difficulties, such as accepting a limited diet, demonstrating texture aversions, or using only specific mealtime utensils. Young children with autism need assistance to acquire skills to improve mealtime behavior, including increased acceptance of a variety of foods (types and textures) at…

Aim: The aim of this study was to investigate the prevalence of eating problems and their association with neurological and behavioural disabilities and growth among children born extremely preterm (EPC) at age 6 years. Method: A standard questionnaire about eating was completed by parents of 223 children (125 males [56.1%], 98 females [43.9%])…

Despite their formal dissimilarity, problem behaviors (e.g., substance misuse, binge eating, self-harm) may share a common function. According to Acceptance and Commitment Therapy (ACT), this shared function is "Experiential Avoidance," the process of avoiding, escaping or otherwise altering unwanted private events (e.g., thoughts, feelings,…

Purpose: The purposes of this article are to define the nature of feeding difficulties in children with autism spectrum disorder (ASD), identify important components of the assessment and treatment of feeding disorders specific to this population, and delineate specific therapeutic techniques designed to improve assessment and treatment within the…

A study conducted functional analyses of the pica of three young children. The pica of one participant was maintained by automatic reinforcement; that of the other two was multiply-controlled by social and automatic reinforcement. Preference and treatment analyses were used to address the automatic function of the pica. (Author/CR)

This article describes an approach to evaluating and managing feeding disorders in children with developmental disabilities and examines effects of these management strategies on growth and clinical outcomes. A structured approach is stressed and a diagnostic and treatment algorithm is presented. Use with 79 children found that diagnostic-specific…

Challenging behavior is a significant barrier to communication, education, and positive social relationships. This practical book helps psychologists, educators, rehabilitation specialists, and other professionals recognize and address the causes of these problems in individuals with developmental disabilities--and resolve even the most difficult…

This annual volume is an annual compilation of articles that address evaluation, treatment, efficacy, and credentialing, and a synopsis of programs that provide speech, language, hearing, and swallowing services. Featured articles include: (1) "Verification of Credentials and Privileging Review" (Kathryn W. Enchelmayer); (2) "The…

This book describes methods and strategies for assessing a comprehensive array of childhood disorders, child health risks, and adolescent problems. It highlights the ongoing interplay among behaviors, cognition, and affects as they unfold within the young person's social network. Each chapter presents a conceptual framework for understanding the…