Abstract
In an 8-year-old Negro child diagnosed as suffering from school phobia the problem was re-defined as zero or low probability of school attendance. The implementation of techniques for increasing the probability involved getting the child's mother to withdraw the rewards of staying at home. Then a home-based motivational system was used to reinforce school attendance and refusal to attend school resulted in punishment. School attendance was generated quickly and maintained even after the procedures were withdrawn a month later. No ‘symptom substitution’ was noticed either by the parents or the school officials within the 9 months of follow-up. An additional important finding was that when the child's school phobia was used to produce aversive consequences on the mother it immediately led the mother to find a ‘natural’ way to rectify her child's psychiatric condition.
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