Abstract :
This is the final paper in the CBT case conference for Aleisha, an 8-year-old African American female whose family self-referred for assessment and treatment of Aleishaʹs inattentive, hyperactive-impulsive, and oppositional behavior, as well as anxiety, peer problems, and academic underachievement. The paper makes concluding comments about treatment progress, and summarizes similarities and differences among the response papers. Responses to the case presentation were similar in their recognition of several clinical assessment and treatment issues. Most striking in their differences were approaches to addressing family systemic issues (relationships and attitudes), broader systemic issues, and cultural factors.