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Behavioral disorders treated with HRT include tics, trichotillomania, nail biting, thumb sucking, skin picking, temporomandibular disorder (TMJ), lip-cheek biting and stuttering. [2] [3] [4] It consists of five components: awareness training, competing response training, contingency management, relaxation training, and generalization training. [1]
Azrin researched the concept of behavior reversal training, also known as habit reversal, in order to treat patients with uncontrollable physical tics, trichotillomania, and other repetitive behavior disorders [27] [28] [29] like stuttering or Tourette syndrome. [30]
Some of the more well known types of treatments are: Relaxation training, systematic desensitization, virtual reality exposure, exposure and response prevention techniques, social skills training, modelling, behavioural rehearsal and homework, and aversion therapy and punishment.
The new approach is a variation of other behavioral techniques for body-focused repetitive behaviors, which include habit reversal training and something called decoupling.
A systematic review from 2012 suggested some efficacy of decoupling, [2] which was corroborated by Lee et al. [3] in 2019. Whether or not the technique is superior to other behavioral interventions such as habit reversal training awaits to be tested. Decoupling is a variant of habit reversal training .
Thrust reversal - Wikipediawikipedia.org
Habit reversal training (HRT) has the highest rate of success in treating trichotillomania. [10] HRT has also been shown to be a successful adjunct to medication as a way to treat trichotillomania. [9] [36] With HRT, the individual is trained to learn to recognize their impulse to pull and also teach them to redirect this impulse.
Behavioral therapies using habit reversal training (HRT) and exposure and response prevention (ERP) are first-line interventions, [27] and have been shown to be effective. [28]
Behavior modification is a treatment approach that uses respondent and operant conditioning to change behavior. Based on methodological behaviorism, [1] overt behavior is modified with (antecedent) stimulus control and consequences, including positive and negative reinforcement contingencies to increase desirable behavior, administering positive and negative punishment, and extinction to ...
Habit reversal training, an approach firmly grounded in counterconditioning which uses contingency management procedures to reinforce alternative behavior, is currently the only empirically validated approach for managing tic disorders .
As a therapy, habituation processes have been hypothesized to underlie the efficacy of behavioural therapies (i.e. habit reversal training, exposure therapy) for TS and PTSD, [43] although extinction processes may be operating instead.