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Habit Reversal Treatment for Trichotillomania: A Case Study

Published online by Cambridge University Press:  16 June 2009

Ian Fleming
Ian Fleming
Affiliation:
Salford Health District, Department of Clinical Psychology, Swinton Hospital, Salford
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Extract

Current evidence supports the effectiveness of behavioural methods in the treatment of trichotillomania (compulsive hair-pulling). In particular, the Habit Reversal Method has been demonstrated to be effective. Some discussion has centred on defining the active components of this “package” and whether it is applicable to all clients. This case study reports on the successful use of the method to treat a 19-year-old female. Treatment produced an immediate reduction in the number of hairs pulled out, although the client relapsed. Functional analysis was unable to detect any factors associated with this other than loss of client-therapist contact, and the re-introduction of treatment with an emphasis on client self-reinforcement for progress produced significant improvement. This continued upon withdrawal of treatment and was maintained at a follow-up 6 months later. In addition, the intervention resulted in the client being able to exhibit increased control over the behavioural chain which culminated in hairs being extracted. A relationship appeared to exist between these two forms of behaviour change. The findings were discussed with regard to the proposed active change agents in the treatment of trichotillomania.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 12 , Issue 1 , January 1984 , pp. 73 - 80
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1984

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References

Altman, K., Grahs, C. and Friman, P. (1982). Treatment of unobserved trichotillomania by attention-reflection and punishment of an apparent covariant. Journal of Behaviour Therapy and Experimental Psychiatry 13, 337–340.CrossRefGoogle ScholarPubMed
Azrin, H. H. and Nunn, R. G. (1973). Habit-reversal: A method of eliminating nervous habits and tics. Behaviour Research and Therapy 11, 619–628.CrossRefGoogle ScholarPubMed
Azrin, N. H., Nunn, R. G. and Frantz, S. E. (1980a). Habit reversal vs. negative practice treatment of nervous tics. Behavior Therapy 11, 169–178.CrossRefGoogle Scholar
Azrin, N. H., Nunn, R. G. and Frantz, S. E. (1980b). Treatment of hairpulling (trichotillomania): a comparative study of habit reversal and negative practice training. Journal of Behaviour Therapy and Experimental Psychiatry 11, 13–20.CrossRefGoogle Scholar
Barmann, B. C. and Vitali, D. L. (1982). Facial screening to eliminate trichotillomania in developmentally disabled persons. Behaviour Therapy 13, 735–742.CrossRefGoogle Scholar
Bornstein, P. H. and Rychtarik, R. G. (1978). Multi-component behavioural treatment of trichotillomania: a case study. Behaviour Research and Therapy 16, 217–220.Google Scholar
Cordle, C. J. and Long, C. G. (1980). The use of operant self-control procedures in the treatment of compulsive hair-pulling. Journal of Behaviour Therapy and Experimental Psychiatry 11, 127–130.CrossRefGoogle Scholar
Kazdin, A. E. (1974). Reactive self-monitoring: the effects of response desirability, goal setting and feedback. Journal of Consulting and Clinical Psychology 42, 704–716.CrossRefGoogle ScholarPubMed
Ladouceur, R. (1979). Habit reversal treatment: learning an incompatible response or increasing the subject's awareness? Behaviour Research and Therapy 17, 313–316.Google Scholar
Rosenbaum, M. A. and Ayllon, T. (1981). The habit-reversal technique in treating trichotillomania. Behaviour Therapy 12, 473–481.CrossRefGoogle Scholar
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