ABSTRACT
The Childhood Trauma Questionnaire (CTQ) scores obtained at the fifth session fell in the severe range in the emotional abuse, emotional deprivation, and physical neglect domains confirming her early self-reports about her family. The case illustrates one instance where teaching an adolescent how to survive vis-a-vis a home environment that is non-workable/non-functional becomes a major goal of treatment. The Cognitive Behavioral Analysis System of Psychotherapy (CBASP) case illustrates that the maltreatment perceptions of one chronically depressed adolescent were reality-based and not distortions of reality or dysfunctional beliefs, the CBASP therapy relationship generated a novel interpersonal relationship that counter-conditioned the original reality-based maltreatment reality perceptions. Jamie learned to criterion the content of the CBASP treatment program. She mastered the four-step situational analysis procedure and the two-step Interpersonal Discrimination Exercise (IDE), demonstrating that she was able to self-administer both with no therapist assistance.
