By Kieron O'Connor
Книга Cognitive-Behavioral administration of Tic problems Cognitive-Behavioral administration of Tic problems Книги Психология, философия Автор: Kieron O'Connor Год издания: 2005 Формат: pdf Издат.:Wiley Страниц: 324 Размер: 1,2 Mb ISBN: 0470093803 Язык: Английский0 (голосов: zero) Оценка:Tics impact greater than 100f the inhabitants, and will be an uncongenial and disruptive challenge. They contain persistent tic disease, Tourettes syndrome and behavior issues akin to hair pulling, nail biting and scratching. therapy is both via drugs (without convincing facts) or mental skill. prior to the advent of behavior reversal psychologists had no genuine possible choices to provide, or even this technique lacks facts for its efficacy and isn't commonplace. Illustrated all through with case learn examples and containing distinct guidance for sufferer and therapist at the use of CBT, this publication presents a finished assessment of what's identified concerning the incidence and analysis of tics. Kieron O'Connor explores many of the theories at present on hand to give an explanation for the reasons and development of those issues, and discusses the evaluation and remedies on hand. ultimately he is taking the main generally accredited mental remedy – cognitive behaviour treatment - and applies it for the 1st time to the therapy of tics.
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Extra resources for Cognitive-Behavioral Management of Tic Disorders
COPING STRATEGIES MAINTAINING THE TIC CYCLE The person’s own model of tic development, management and consequences is an important inﬂuence on the anticipations and coping reactions to the tic. Clients may subscribe to a hydraulic model of tic management (for example, “If I keep it in, it will build up and I’ll have to let it out later one way or another since I can’t contain it”). , 1993, p. 102). As discussed earlier, it is not clear if this premonitory urge precedes or follows the anticipation of a tic, and hence whether the urge results from an attempt to deal with the tic, or is an independent warning sign.
It may function as a negative or positive reinforcer or as a social reinforcer, or as automatic reinforcer, or by some as yet to be identiﬁed means. Alternatively, the CR may be effective as a class of schedule or adjunctive behavior occurring as a side-effect of other timebased reinforcement schedules. In other words, the tics/habits may simply be performed when the person has no time limit and they can easily be replaced by the CR (Woods & Miltenberger, 1995). Although HR shows good response in isolated cases and seems to be equally effective in TD, TS and HD, its psychosocial impact and generalization are not clear.
Training in an incompatible response (antagonist action) . . Implementing action antagonist to tic contraction to normalize tic action. Choose and model socially convenient antagonist action. Practice of incompatible response in contingent and non-contingent moments. Contingency management . Importance of social support and positive reinforcement. Generalization of training . Practice control in all situations. Apply to other tics. 3 Five principal stages of habit reversal Source: From Azrin and Nunn (1973).