In Vivo Systematic Desensitization in a Single-Session Treatment of an 11-Year Old Girl's Elevator Phobia

ABSTRACT

Following an injury to her hand in an elevator door, an 11-year-old girl refused to ride in elevators. This was frequently a significant problem for her mother because elevator use was often necessary for both mother and daughter. Based on the child's choice of coping strategies, four self-calming statements were developed. A behavioral hierarchy was designed for in vivo exposure. Using the individualized coping strategies and exposure therapy, the child resumed elevator use without detectable fear. Heart rate and subjective self-reported fear ratings were monitored during treatment. By one year later no reocurrence was reported.

KEYWORDS:

• Child
• phobia
• elevator
• desensitization
• in vivo