Family Dynamics in a Case of Gilles De La Touretteʼs Syndrome

Downing, Robert W.; Comer, Nathan L.; Ebert, John N.

doi:10.1097/00005053-196406000-00006

Cited by 8 publications

(6 citation statements)

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“…Family psychopathology and interactional disorders have been prominent in my experience treating tiqueurs: rigid controlling relationships, overprotectiveness, and family problems in handling and expressing sexuality and aggression. This is consistent with other reports of family psychopathology with tiqueurs (5, 12). It is apparent that to treat children in isolation ignores these relevant issues.…”

supporting

confidence: 93%

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Brief Family Therapy for Childhood Tic Syndrome

Tiller

1978

Family Process

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This paper reports the success of brief analytically oriented outpatient family therapy exclusively in treating an eight-year old girl presenting with a short history of multiple tics involving facial, thoracic, and upper limb musculature, with associated hoarse coughing and grunting. Diagnostic features are reviewed. No medicines were used, and the patient remained asymptomatic nine months after ceasing family therapy. Tentative indications for family therapy for tiqueurs are proposed.

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supporting

confidence: 93%

“…Psychotherapy and family therapy have been advocated (2). Recently reported individual or family psychotherapy has invariably been associated with the use of medicines for the child (1, 5). Conflicting reports of the usefulness of various treatments for childhood tic syndromes in part have resulted from diagnostic confusion or error.…”

mentioning

confidence: 99%

Brief Family Therapy for Childhood Tic Syndrome

Tiller

1978

Family Process

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“…Later, persuasion, reeducation, autogenic training, and psychoanalysis were also recommended (Mahler and Gross 1945;Mahler and Luke 1946). Bimedial frontal leucotomy (Baker 1962), carbon dioxide inhalation (McDonald 1963;Downing et al 1964), experimental hypnotherapy (Erickson 1964), social-psychiatric management (Faux 1966), and behavior management (Clark 1966) were also reported.…”

Section: Historical Reviewmentioning

confidence: 99%

An Overview of the Treatment of Tourette's Disorder and Tics

Párraga

Harris

Párraga

et al. 2010

Journal of Child and Adolescent Psychopharmacology

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Objective: The aim of this study was to review the efficacy of various treatments for Tourette's disorder (TD) and tics. Method: This study is a historical review of the treatment modalities prior to the advent of neuroleptics. A review of doubleblind and placebo-controlled clinical trials and open studies on the use of neuroleptics and selected reports was also carried out. Results: The literature review reveals that the treatment of TD and tics has evolved from an early history of marginally effective approaches to the advent of neuroleptics, which started a new era in TD and tic treatment, with a significantly broader range of effectiveness. Conclusions: Although progress has been made, the literature review nevertheless reveals a great deal of confusion as related to the clinical heterogeneity of TD and tics, differences in populations, medication-dose combinations, and outcomes. However, a role for a limited number of pharmacologic agents, combined with psychosocial approaches, has been identified. There is a need for studies in larger, diagnostically homogenous samples and for the use of more sophisticated methodology, to identify intelligible models that would allow the development of more effective treatment approaches.

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“…They have dealt with the development of the syndrome, have expressed many diverse pathogenic hypotheses (Ascher, 1948;Heuscher, 1950;Dunlop, 1960;Downing, 1964;Shapiro et al, 1973) and proposed various remedies (Ascher, 1948;Clark, 1966;Faux, 1966;Shapiro et al, 1973Tiller, 1978). We shall not review the literature at length, but shall merely refer to some of the authors in order to convey an idea of the etiopathogenic arguments advanced and to recall some of the therapeutic procedures suggested during the past four decades.…”

Section: Literature Surveymentioning

confidence: 99%

“…In 1963, MacDonald (quoted by Clark, 1966) questioned whether Gilles de la Tourette's syndrome was a morbid entity associated with specific pathogenic factors. In 1964, Downing (1964) pointed out that though psychodynamic hypothesis on the genesis of the condition were being advanced, they did not rule out the possible rBle of an organic predisposition. These discussions were reminiscent of the disputes surrounding the genesis of schizophrenic syndromes, not surprisingly so as one of the known sequels of Gilles de la Tourette's syndrome is indeed schizophrenic psychosis.…”

Section: Revised Version Accepted December 1984 (A) Pathologymentioning

confidence: 99%