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School refusal case study

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Refusal can be considered as an emotional problem rather than misbehaviour. But for some students, this worry and anxiety can be excessive and can lead to school refusal. As an educator, you might notice some of the following signs of school refusal, including:. These symptoms can also be the result of other chronic health conditions.
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Rika Nakano, Yoshikazu Kikuchi. We report the case of a male first-year junior high school student, aged 13, who was close to refusing to attend school because of his stuttering and who visited our hospital in the hope of being completely cured of his stuttering. We simultaneously implemented a dual approach consisting of direct speech training and cognitive behavioral therapy based on a multidimensional model. The direct speech training primarily consisted of training in soft vocal onset, light contact of the articulators, flexible utterance speed, and training to address associated symptoms. To correct the patient's cognition, we had him prepare and use a "stuttering notebook" into which he recorded his knowledge about stuttering, self-evaluation, his target, and his utterance experiences. After 11 treatments over a period of three months, the patient's stuttering eased and he was able to enjoy his life at school and put aside thoughts of refusing to attend. These findings suggest that using a dual approach of simultaneous direct speech training and cognitive behavioral therapy based on a multidimensional model can be effectively used on junior high school students who are on the verge of refusing to attend school because of their stuttering.
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School refusal was significantly more frequent in other PDDs than in nonautistic mental retardation. The intellectual level was significantly higher in PDD children with school refusal than those without it. A certain level of mental development and obsessive tendency appear necessary for PDD children to develop school refusal.
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School refusal behavior is one of the most common childhood problems Kearney, Too many absences in elementary school can delay necessary skills for friendships and academic success. Some students struggle with poor attendance year after year, resulting in inadequate preparation for the demands of middle school. Due to excessive absences, they miss opportunities to develop skills in social, emotional, behavioral and academic areas, and eventually they trail behind their peers.
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