Self-monitoring and reciprocal inhibition in the modification of multiple tics of Gilles de la Tourette's syndrome

A Behavioral Treatment Program for the Gilles De La Tourette Syndrome

“…Similar decreased frequencies of ticing behavior during manual and other competing activities have been reported in other similar cases (Barrett, 1962;Corbett, et al, 1969;Stevens & Blachly, 1966;Thomas, et al, 1971). Confronting Roger with conversation or reading, however, increased the frequency of the tics.…”

“…Some authors (Prabhakaran, 1970;Stevens & Blachly, 1966) suggest a possible interaction or combination of functional and organic faccors, based primarily on the reported success with drug treatments. As a result of Yates' (1958) early work, tics have more recently been viewed as learned responses (habits) and treated within the frarnework of Hullian learning theory (Clark, 1966;Rafi, 1962;Thomas, et al, 1971;Yates, 1970) ; or as operanc responses which could be modified by the manipulation of the response consequences (Barrett, 1962).…”

SELF‐EVALUATION BY ADOLESCENTS IN A PSYCHIATRIC HOSPITAL SCHOOL TOKEN PROGRAM1

“…Self-monitoring of target behaviors has been shown to have some effectiveness in modifying behaviors such as multiple tics (Thomas, Abrams, and Johnson, 1971), classroom studying and talking out (Broden, Hall, and Mitts, 1971), and smoking (McFall, 1970). Recent studies have claimed to demonstrate the response maintenance effects of instructing subjects to reinforce their own performance on behaviors such as concept identification (Kanfer, Bradley, and Marston, 1962), dart-throwing (Marston, 1967), wheel-cranking (Bandura and Perloff, 1967) and verbal discrimination (Kanfer and Duerfeldt, 1967).…”

Tourette syndrome: A review and educational implications

“…Frederich (1971) alleviated the symptoms of one patient by imposing systematic desensitization techniques. Thomas, Abrams, and Johnson (1971) applied selfmonitoring and reciprocal inhibition to alleviate Tourette symptoms but noted that the treatment caused symptom substitution. Doleys and Kurtz (1974) found that through the reinforcement of incompatible behaviors, the number of tics were reduced.…”

“…Behavior management theorists do not attempt to accomplish the physiologically impossible (Gearheart, 1973), but behavior modification may be helpful in increasing attention and decreasing some symptoms. Selfmonitoring techniques have been of some success (Thomas et al, 1971), as has the reinforcement of incompatible behaviors (Doleys & Kurtz, 1974). 4.…”