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The elimination of a severe long term facial tic and vocal distortion with multi facet behavior therapy

, : The elimination of a severe long term facial tic and vocal distortion with multi facet behavior therapy. Journal of Behavior Therapy & Experimental Psychiatry 10(3): 257-262

A multifaceted behavioral program was designed for a 52 yr old female who had had a severe facial tic and vocal distortion for 6 yr. The program included extensive relaxation training combined with an unsuccessful use of massed practice, followed by a habit reversal procedure. This was followed by a continuation of relaxation training, in vivo metronome-induced desensitization and a prosthetic response prevention and feedback device which restricted the client's spasmodic jaw movements. Audio and video feedback equipment was used in some sessions. The value of on-going behavioral analysis in developing a successful therapeutic intervention was supported. During a 24 mo. follow-up period the client remained completely free of the tic and of the related speech distortion.

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