24 questions
How old was the boy when he spilt the bowl of buttons?
2
5
9
12
What was he doing when he spilt the buttons?
art project at kindergarten
helping his mother with mending
making a model with his father
textile lesson at school
Where was the bowl of buttons?
teachers desk at front of class
mother's dressing table
on his table at school
in a high shelf in the kitchen
Number of year before the boy came for therapy
2
4
5
9
Where did they boy go for therapy? The Child Anxiety and Phobia Program at...
Florida University
Stanford
University of Chicago
University of Minnesota
Who provided consent for the therapy, assessments and for the study to be published?
the boy and the mother
the boy
the mother
the mother and father
How did the therapist measure the boy's subjective level of distress for contact with different types of button, e.g. hugging his mother whilst wearing different sized buttons
fear thermometer (ranked 0-8)
anxiety ruler (ranked 0-9)
tension scale (ranked 1-8)
nervousness thermostat (ranked 0-7)
What therapy did the boy receive? The boy was treated using cognitive and behavioral exposure treatment, e.g. he was positively reinforced by his mother for successful completion of gradual exposures to buttons.
cognitive and behavioral exposure treatment
systematic desensitisation
flooding
exposure and response prevention
How many sessions did it take for the boy to work through the in vivo exposure tasks listed in the fear hierarchy?
3
4
7
11
Although the boy was able to touch large numbers of small buttons after working through the fear hierarchy...
he showed even higher levels of subjective distress than ever
he still felt sick and often cried
he now feared velcro and poppers
his heart rate and blood pressure were still high when he touched them
How many sessions did the boys have using disgust-related imagery and cognitions, e.g. talking about what he found disgusting about the buttons including how they look, feel and smell
4
5
6
7
After the disgust-related imagery sessions, subjective distress ratings fell from 8 to 5 to 3 for...
buttons falling on him
hugging his mother with a shirt full of buttons.
touching buttons in his art lessons at kindergarten
touching his shirt buttons when dressing for school
Following disgust imagery exposure, his subjective rating of distress fell from 7 to 4 to 3 for...
imagining buttons falling on him
hugging mother with a shirt full of buttons
getting ready for school and touching short buttons
walking on buttons with bare feet
Which of the following was not true at the 6 and 12 months follow up sessions? The boy...
showed minimal distress about buttons
no longer met DSM-IV criteria for specific phobia of buttons
wore his school uniform shirt every day
had developed of fear of zips
The phobia was believed to have developed due to...
evaluative learning
expectancy learning
The mother rewarded the boy with praise following successful exposure to the buttons. This is an example of....
operant conditioning
classical conditioning
Saavedra and Silverman was a
case study
correlation
experiment
interview
Session length was...
20 mins (5 mins with his mother)
30 mins (10 mins with his mother)
50 mins (20 mins with his mother)
60 mins (30 mins with his mother)
Number of stimuli on the hierarchy
7
8
10
11
Least fear was shown towards
large denim buttons
small coloured buttons
clear plastic shirt buttons
metal jeans buttons
contingency management was a term used to refer to the way the therapists...
ensured his mother praised him for handling the buttons
made sure the fear thermometer only went up to 8
created a hierarchy with 11 stimuli
organised a follow up at 6 and 12 months
The term cognitive restructuring was used to refer to...
the sessions using disgust related imagery exposure
the sessions using in vivo exposure
Which of the following was he NOT more fearful of following in vivo exposure
medium, coloured buttons
hugging his mother with large plastic buttons
a teddy bear with buttons on its body
The boys said he did not like buttons because
they smell bad and are gross
they remind him of belly buttons
they remind him of bath time
they are are hard to undo and make him feel stupid