Resolving cognitive dissonance by acquisition of self-organizational skills may decrease drug-resistant seizures — A case report ABSTRACT

dc.contributor.authorMichaelis, Rosa
dc.contributor.authorAndrews, Donna J.
dc.contributor.authorReiter, Joel M.
dc.contributor.authorvon Schoen-Angerer, Tido
dc.date.accessioned2024-05-23T18:57:25Z
dc.date.available2024-05-23T18:57:25Z
dc.date.digitized2024-03-29 00:47:55
dc.date.issued2014
dc.description.abstract<p class="" style="white-space:pre-wrap;">A recent review of psychobehavioral therapy for epilepsy recommends case reports as a research design to explore specific psychological mediators of psychobehavioral interventions for epilepsy that address the bidirectional relationship between psychological states and seizures. The report was prepared according to the consensus-based CARE guidelines for standardized clinical case reporting.</p><p class="" style="white-space:pre-wrap;">This is a case of a 16-year-old male individual with a diagnosed seizure disorder and learning disability who continued to have daytime and nighttime seizures on a regular basis despite exhausting of available conventional treatment options. A psychological assessment led to the working hypothesis that cognitive dissonance between fear of failure and high expectations of self had led to a “broken” self-image and active avoidance of responsibility that resulted in intense emotional distress which correlated with the occurrence of seizures. This working hypothesis resulted in a treatment plan that employed the acquisition of self-organizational skills and relaxation techniques as the main therapeutic strategy. Motivational strategies were employed to facilitate the regulation of lifestyle-related seizure precipitants. In this case, the acquisition of self-organizational skills and the development of seizure interruption techniques correlated with a clinically significant decrease of seizures. Methodological limitations of the interpretation of the presented data are discussed.</p><h2 style="white-space:pre-wrap;">Keywords</h2><p class="" style="white-space:pre-wrap;">Epilepsy; Stress; Drug-resistant seizures; Seizure trigger; Psychotherapy; Cognitive–behavioral therapy</p><p class="" style="white-space:pre-wrap;"><strong>Citation</strong>: Michaelis, R., Andrews, D. J., Reiter, J. M., &amp; von Schoen-Angerer, T. (2014). Resolving cognitive dissonance by acquisition of self-organizational skills may decrease drug-resistant seizures—A case report. <i>Epilepsy &amp; Behavior Case Reports</i>, 2, 64–66. <a href="https://doi.org/10.1016/j.ebcr.2014.03.003" target="_blank">https://doi.org/10.1016/j.ebcr.2014.03.003</a></p>
dc.description.notesABSTRACT; fixed
dc.identifier.citationMichaelis, R., Andrews, D. J., Reiter, J. M., & von Schoen-Angerer, T. (2014). Resolving cognitive dissonance by acquisition of self-organizational skills may decrease drug-resistant seizures—A case report. Epilepsy & Behavior Case Reports, 2, 64–66. https://doi.org/10.1016/j.ebcr.2014.03.003
dc.identifier.doihttps://doi.org/10.1016/j.ebcr.2014.03.003
dc.identifier.externalUrl/library/2024/3/28/resolving-cognitive-dissonance
dc.identifier.issn2213-3232
dc.identifier.urihttps://hdl.handle.net/20.500.14430/545
dc.subject.otherCase reports
dc.subject.otherseizures
dc.subject.otherEpilepsy
dc.subject.otherStress
dc.subject.otherPsychotherapy
dc.subject.otherCognitive-behavioral therapy
dc.titleResolving cognitive dissonance by acquisition of self-organizational skills may decrease drug-resistant seizures — A case report ABSTRACT
dspace.entity.typePublication
oaire.citation.titleEpilepsy & Behavior Case Reports
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