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首页> 外文期刊>Frontiers in Psychology >Rapid Return for School Refusal: A School-Based Approach Applied With Japanese Adolescents
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Rapid Return for School Refusal: A School-Based Approach Applied With Japanese Adolescents

机译：学校的快速回报拒绝：用日本青少年应用基于学校的方法

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Cognitive behavioral therapy (CBT) is often effective in the treatment of school refusal (SR). Its usefulness is limited, however, if youth displaying SR also refuse to attend treatment sessions. In these cases parents and school staff may consider using school-based interventions that do not rely on face-to-face assessment and treatment with the young person. The current study examined the effectiveness of a school-based intervention applied in Japan to achieve rapid return to school among adolescents displaying SR. Between 2009 and 2015, the parents of 62 adolescents displaying SR were invited to implement a school-based rapid return approach. Thirty-nine parents agreed to implement the approach and 23 decided to wait until their child spontaneously attended school. Of the 39 cases in which the approach was implemented, 28 adolescents (72%) resumed attendance at their original school, 2 (5%) transferred to another school, and 9 (23%) did not resume attendance. In contrast, all 23 non-intervention cases continued to refuse to attend school for 3 months or longer, and none of these adolescents returned to regular school attendance within 9 months. This study tentatively suggests that the rapid return approach may be an effective form of intervention for adolescents displaying SR and simultaneously refusing to attend individual therapy. Because this approach is ethically complex, involving forced school attendance in adolescence, it should only be employed under specific circumstances. These circumstances are discussed.
机译：认知行为治疗（CBT）通常有效地治疗学校拒绝（SR）。但是，如果青年展示SR也拒绝参加治疗会议，其有用性有限。在这些案件中，父母和学校工作人员可能会考虑使用基于学校的干预措施，这些干预措施不依赖于面对面的评估和与年轻人的治疗。目前的研究检测了在日本应用基于学校的干预的有效性，以实现展示SR的青少年迅速回报学校。在2009年至2015年期间，邀请展示SR的62名青少年的父母实施基于学校的快速返回方法。三十九个父母同意实施这种方法，23日决定等他们的孩子自发地上学。在实施方法的39例中，28名青少年（72％）恢复了他们原来的学校的出席，2（5％）转移到另一所学校，9（23％）没有恢复出席。相比之下，所有23个非干预案件继续拒绝上学3个月或更长时间，这些青少年都没有在9个月内返回正常学校出席。这项研究暂时表明，快速返回方法可能是展示SR的青少年的有效干预形式，并同时拒绝参加个体治疗。因为这种方法是道德复杂的，涉及强迫学校出席的青春期，它只应该在特定情况下使用。讨论了这些情况。

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