Cavarra Mauro, Brizio Adelina, Gava Nicoletta
Natural Gravity Milton H. Erickson Institute - Torino Ospedale San Raffaele - Milano.
Acta Biomed. 2016 Jan 16;87(3):299-309.
Children affected by selective mutism don't speak in contexts that are unfamiliar to them or in which speaking is expected or required (e.g. school, kindergarten…). Such disorder interferes with the child's normal activities, may have invalidating consequences in the long run if left untreated, is associated to anxious conditions and is considered hard to treat. Contemporary research is still in need of methodologically rigorous outcome studies and the results described in the small number of published randomized controlled trials and retrospective studies indicate cognitive-behavioral interventions lasting 20-24 sessions as the best therapeutic option. This case study, involving a 7-year-old girl, aims at providing preliminary evidence on the effectiveness of Ericksonian hypnosis in the treatment of this condition. A brief review of current evidence is provided.
The case was treated by a licensed hypnotherapist, specialized in family therapy, in 5 sessions during the course of 3 months.
After 3 months the symptoms of the client were resolved and the diagnosis was no longer applicable. Other improvements regarded her mood, social skills and school performance. Conclusions: Ericksonian Hypnotherapy lead to the remission of the disorder and to the improvement of the general well being of the client in 5 sessions, a much briefer time span compared to what is reported in current literature. This paper represents the first step in the elaboration of replicable and reliable intervention principles.
患有选择性缄默症的儿童在陌生环境中或预期或要求说话的场合(如学校、幼儿园……)不会说话。这种障碍会干扰儿童的正常活动,如果不治疗,从长远来看可能会产生致残后果,与焦虑状况相关,且被认为难以治疗。当代研究仍需要方法严谨的结果研究,少数已发表的随机对照试验和回顾性研究中描述的结果表明,持续20 - 24节的认知行为干预是最佳治疗选择。本案例研究涉及一名7岁女孩,旨在为艾瑞克森催眠疗法治疗这种疾病的有效性提供初步证据。并对当前证据进行简要综述。
该案例由一名专门从事家庭治疗的持牌催眠治疗师在3个月内进行了5次治疗。
3个月后,来访者的症状得到解决,诊断不再适用。其他改善包括她的情绪、社交技能和学业成绩。结论:艾瑞克森催眠疗法在5次治疗中使该障碍得到缓解,并改善了来访者的总体幸福感,与当前文献报道的时间跨度相比要短得多。本文是阐述可复制和可靠干预原则的第一步。