Abstract
The present article describes a behavioral formulation and treatment in the case of an 11-year-old boy who developed intense leg and back pain subsequent to an athletic accident. Social reinforcement was provided for improved motor functions and reduced pain reports; and self-control strategies were used to counter the stigmatizing implications of the psychological diagnosis. Suggestions are offered for dealing with parental beliefs in the equation that “psychogenic symptom equals badness and stubborness.”
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