Bramble D
Thorneywood Child and Adolescent Psychiatry Unit, Nottingham, UK.
Child Care Health Dev. 1996 Nov;22(6):355-66.
In an uncontrolled, open, pilot study, 15 severely learning disabled children suffering from severe and lifelong night-settling and night-waking (NS/NW) problems were treated with a brief behavioural modification approach based upon the behavioural therapy principles of rapid extinction, cueing and stimulus control. Following the treatment positive changes in these problems occurred quickly (within a few days) and these were sustained at both the 4- and 18-month follow-up stages in the majority of the children. Despite the misgivings of previous commentators concerning rapid extinction techniques, the children's parents found this treatment approach to be safe, helpful and acceptable. This study explores their views about this form of treatment and also about previous help they had received.