Table 1.
Applications and Implementations of Non Violent Resistance in Various Settings and Challenges: Results from Clinical Trials
Population/sample | Age range | Methodology | Main findings | Treatment modality | |
---|---|---|---|---|---|
Weinblatt & Omer, (2008) | Youth with behavioral problems. N = 41; 68% males. |
4–17 | Randomized waitlist-controlled trial. | Reduced maternal helplessness. Externalizing symptoms significantly reduced in the treatment group. |
Five weekly individual sessions + telephone support. |
Oleffs et al. (2009) | Youth with behavioral problems. N = 52; 66% males. |
11–18 | Aggregate data from sites that compared NVR to waitlist or active control (Triple P). | Significant improvement in externalizing symptoms and parental coping in NVR treatment groups. Improved parental depression and helplessness in both NVR and active comparison treatment. |
Six individual weekly sessions (6–8 sessions in Triple P). |
Lebowitz et al. (2012) | Adult children highly dependent on parents with extreme demands for services. N = 27; 85% males. |
18–47 | Open trial. | Significant reduction in parental provision of age-inappropriate services. Significantly improved functioning and increased employment of adult children. | 15–25 individual sessions. |
Lavi-Levavi et al. (2013) | Youth with behavioral problems. N = 46; 77% males. |
Mean=12 | Randomized waitlist-controlled trial. | Significantly reduced parental helplessness in the treatment group. Power struggles with the youth were also reduced and parents reported fewer negative feelings toward the youth following treatment. |
4–10 weekly individual sessions+ telephone support. |
Lebowitz (2013) | Treatment refusing youth with obsessive-compulsive disorder (OCD). N = 6; 75% males. |
10–13 | Open trial. | Reduced OCD symptoms, family accommodation and coercive disruptive behaviors following treatment. | Ten weekly individual sessions. |
Goddard et al. (2009) | Inpatient psychiatric units. Four child and two adolescent units. |
Child<13 Adol.>12 |
Open trial of NVR implementation in the units. | Use of seclusion and restraint was significantly reduced on all but one unit. Staff feelings of confidence and team work increased. Staff on adolescent units reported decreased sense of helplessness. | NVR was implemented on the units for 1 year. |
Lebowitz et al. (2014) | Treatment refractory/Treatment refusing youth with anxiety disorders. N = 10; 50% males. |
9–13 | Open trial. | Reduced anxiety and family accommodation after treatment. Increased youth motivation for individual treatment. |
10–12 weekly individual sessions. |
Newman et al. (2014) | Youth with behavioral problems. N = 24 |
8–17 | Open trial. | Reduced youth behavioral problems and improved functioning following treatment. | 12 weekly group sessions. |
Omer & Dolberger, (2015) | Youth and young adults with threats of suicidality. | Pilot implementation | Reports of reduced suicidality. No systematic comparisons available. | 10–25 weekly individual sessions. | |
Shimshoni et al. (2015) | New young drivers. N = 217 |
17–22 | Randomized controlled trial. | At risk youth showed better driving behaviors in the NVR-based training group. | Six months of feedback on driving behavior ± 90 min NVR-based training and access to telephone support. |
van Holen et al. (2015) | Children in foster care with externalizing problems. N = 62; 52% boys. |
Mean=12 | Randomized controlled trial of NVR or TAU. | NVR treatment associated with more child-monitoring and more use of social support than TAU. No significant differences in child behavior outcomes. | 10 weekly in-home sessions + telephone support |
Omer et al. (2006) | Students in one middle school and one high school. N = 800 |
12–7 | Open trial | Reduced youth behavioral problems in school. Improved staff coping with behavioral problems. | Training and support for teachers and school staff + parent outreach over one school year. |
Golan, Shilo & Omer, (2016) | Young adult with high functioning autism. N = 4; aged |
20–26 | Open trial. | Reduced parental distress and increased hopefulness. | 10 weekly individual sessions + telephone support |
Note. NVR = Non-Violent Resistance; TAU = Treatment as usual.