Skip to main content

6. Conclusion

In this chapter we reviewed a variety of harmful medical and non medical problems associated with tic disorders, trichotillomania, and other RBDs. We also attempted to explain the potential etiology of the concerns, and discussed possible strategies for their clinical management. Although this chapter summarized the extant research on these topics, it is clear that the lines of investigation are either in their early stages or have yet to inaugurated. For example, the epidemiology of secondary non medical problems is incomplete across disorders and research on the cause of these problems is incomplete for some disorders (e.g., tic disorders) and missing entirely for others (e.g., nail biting). The empirical literature on psychological and/or behavioral treatments for the harmful effects of RBDs is also quite limited. Although we describe or propose a sample of interventions to address at least some problems associated with RBDs, few of these have been scientifically evaluated in that context. There are examples of other important research agendas scattered throughout this chapter. It is our ardent hope that research on the sequelae of RBDs will expand sufficiently to achieve a goal of paramount importance for those afflicted, elimination or substantial reduction in related harm.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

7. References

  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4 th edition). Washington, D.C: Author.

    Google Scholar 

  • Bawden, H. N., Stokes, A., Camfield, C. S., Camfield, P. R., & Salisbury, S. (1998). Peer relationship problems in children with Tourette’s disorder or diabetes mellitus. Journal of Child Psychology and Psychiatry, 39, 663–668.

    Article  PubMed  Google Scholar 

  • Bhatia, M. S., Singhal, P. K., & Rastogi, V. (1991). Clinical profile of trichotillomania. Journal of the Indian Medical Association, 89, 137–139.

    PubMed  Google Scholar 

  • Boudjouk, P. J., Woods, D. W., Miltenberger, R. G., & Long, E. S. (2000). Negative peer evaluation in adolescents: Effects of tic disorders and trichotillomania. Child and Family Behavior Therapy, 22, 17–28.

    Article  Google Scholar 

  • Bowers, F. E., Woods, D. W., Carlyon, W. D., & Friman, P. C. (2000). Using positive peer reporting to improve the social interactions and acceptance of socially isolated adolescents in residential care: A Systematic Replication. Journal of Applied Behavior Analysis, 33, 239–242.

    Article  PubMed  Google Scholar 

  • Carter, A. S., Pauls, D. L., Leckman, J. F., & Cohen, D. J. (1994). A prospective longitudinal study of Gilles de la Tourette’s syndrome. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 377–385.

    Article  PubMed  Google Scholar 

  • Champion, L. M., Fulton, W. A., & Shady, G. A. (1988). Tourette syndrome and social functioning in a Canadian population. Neuroscience and Biobehavioral Reviews, 12, 255–257.

    Article  PubMed  Google Scholar 

  • Christenson, G. A., & Mansueto, C. S. (1999). Trichotillomania: Descriptive characteristics and phenomenology. In D. J. Stein, G. A. Christenson, & E. Hollander (Eds.), Trichotillomania (1–42). Washington, D. C: American Psychiatric Press, Inc.

    Google Scholar 

  • Comings, D. E. & Comings, B. G. (1987). A controlled study of Tourette syndrome. I. Attention-deficit disorder, learning disorders, and school problems. American Journal of Human Genetics, 41, 701–741.

    PubMed  Google Scholar 

  • Creath, C. J., Steinmetz, S., & Roebuck, R. (1995). Gingival swelling due to a fingernail biting habit. Journal of the American Dental Association, 126, 1019–1021.

    PubMed  Google Scholar 

  • Dykens, E., Leckman, J., Riddle, M, Hardin, M., Schwartz, S., & Cohen, D. (1990). Intellectual, academic, and adaptive functioning of Tourette syndrome children with and without attention deficit disorder. Journal of Abnormal Child Psychology, 18, 607–615.

    Article  PubMed  Google Scholar 

  • Ervin, R., Miller, P., & Friman, P.C. (1996). Feed the hungry bee: Using positive peer reports to improve the social interactions and acceptance of a socially rejected girl in residential placement. Journal of Applied Behavior Analysis, 29, 251–253.

    Article  PubMed  Google Scholar 

  • Friedrich, S., Morgan, S. B., & Devine, C. (1996). Children’s attitudes and behavioral intentions toward a peer with Tourette syndrome. Journal of Pediatric Psychology, 21, 307–319.

    Article  PubMed  Google Scholar 

  • Friman, P. C. (2000). Profound social skills deficit and a 6-point plan. Cognitive and Behavioral Practice, 7,_ 228–231.

    Article  Google Scholar 

  • Friman, P. C., Finney, J. W., & Christophersen, E. R. (1984). Behavioral treatment of trichotillomania: An evaluative review. Behavior Therapy, 15, 249–266.

    Article  Google Scholar 

  • Friman, P. C., McPherson, K. M., Warzak, W. J., & Evans, J. (1993). Influence of thumb sucking on peer social acceptance in first-grade children. Pediatrics, 91, 784–786.

    PubMed  Google Scholar 

  • Hagin, R. A. & Kugler, J. (1988). School problems associated with Tourette’s syndrome. In D. J. Cohen, R. D. Bruun, & J. F. Leckman (Eds.), Tic and tic disorders: Clinical understanding and treatment_(pp. 223–236). New York: John Wiley & Sons.

    Google Scholar 

  • Hansen, D. J., Tishelman, A. C., Hawkins, R. P., & Doepke, K. J. (1990). Habits with potential as disorders: Prevalence, seventy, and other characteristics among college students. Behavior Modification, 14, 66–80.

    PubMed  Google Scholar 

  • Josell, S. D. (1995). Habits affecting dental and maxillofacial growth and development. Dental Clinics of North America, 39, 851–860.

    PubMed  Google Scholar 

  • Joubert, C. E. (1993). Relationship of self-esteem, manifest anxiety, and obsessive-compulsiveness to personal habits. Psychological Reports, 73, 579–583.

    PubMed  Google Scholar 

  • King, R. A., Leckman, J. F., Scahill, L., & Cohen, D. J. (1999). Obsessive-compulsive disorder, anxiety, and depression. In J.F. Leckman & D.J. Cohen (Eds.), Tourette’s syndrome: Tics, obsessions, and compulsions (pp. 43–62). New York: John Wiley & Sons.

    Google Scholar 

  • Long, E. S., Woods, D. W., Miltenberger, R. G., Fuqua, R. W., & Boudjouk, P. (1998). Examining the social effects of habit behaviors exhibited by individuals with mental retardation. Journal of Developmental and Physical Disabilities, 11, 295–312.

    Article  Google Scholar 

  • Mantoura, A., & Bryan, H. (1989). Nail disorders due to trauma and other acquired conditions of the nail. Clinics in Podiatric Medicine and Surgery, 6, 347–354.

    PubMed  Google Scholar 

  • Messiha, F. S., & Carlson, J. C. (1983). Behavioral and clinical profiles of Tourette’s disease: A comprehensive overview. Brain Research Bulletin, 11, 195–204.

    Article  PubMed  Google Scholar 

  • Meyers, A. S. (1988). Social issues of Tourette’s syndrome. In D.J. Cohen, R. D. Bruun, & J. F. Leckman (Eds.), Tic and tic disorders: Clinical understanding and treatment_(pp. 257–264). New York: John Wiley & Sons.

    Google Scholar 

  • Meyers, D. G. (1990). Social Psychology, 3 rd Edition. New York: McGraw-Hill, Inc.

    Google Scholar 

  • Moon, B. S., Price, C. T., & Campbell, J. B. (1998). Upper extremity and rib stress fractures in a child. Skeletal Radiology, 27, 403–405.

    Article  PubMed  Google Scholar 

  • Odenrick, L., & Brattstrom, V. (1985). Nail biting: Frequency and association with root resorption during orthodontic treatment. British Journal of Orthodontics, 12, 78–81.

    PubMed  Google Scholar 

  • O’Sullivan, R. L., Keuthen, N. J., Jenike, M. A., & Gumley, G. (1996). Trichotillomania and carpal tunnel syndrome. Journal of Clinical Psychiatry, 57, 174.

    PubMed  Google Scholar 

  • Parker, J.G., & Asher, S.R. (1987). Peer relations and later personal adjustment: Are low-accepted children at risk. Psychological Bulletin, 102, 357–389.

    Article  PubMed  Google Scholar 

  • Reid, D., & Price, A. (1984). Digital deformities and dental malocclusion due to finger sucking. British Journal of Plastic Surgery, 37, 445–452.

    Article  PubMed  Google Scholar 

  • Schultz, R. T., Carter, A. S., Scahill, L., & Leckman, J. F. (1999). Neuropsychological findings. In J.F. Leckman & D.J. Cohen (Eds.), Tourette’s syndrome: Tics, obsessions, and compulsions (pp. 80–103). New York: John Wiley & Sons.

    Google Scholar 

  • Shady, G., Broder, R., Staley, D., Furer, P., & Papadopolos, R. B. (1995). Tourette syndrome and employment: Descriptors, predictors, and problems. Psychiatric Rehabilitation Journal, 19, 35–42.

    Google Scholar 

  • Shimberg, E. F. (1995). Living with Tourette syndrome. New York: Simon & Schuster.

    Google Scholar 

  • Skinner, B. F. (1974). About Behaviorism. New York: Random House.

    Google Scholar 

  • Steck, W. D. (1979). The clinical evaluation of pathologic hair loss. Cutis, 24, 293–301.

    PubMed  Google Scholar 

  • Stein, D. J., Niehaus, D., Seedat, S., & Emsley, R. A. (1998). Phenomenology of stereotypic movement disorder. Psychiatric Annals, 28, 307–312.

    Google Scholar 

  • Stokes, A., Bawden, H. N., Camfield, P. R., Backman, J. E., & Dooley, J. M. (1991). Peer problems in Tourette’s disorder. Pediatrics, 87, 936–942.

    PubMed  Google Scholar 

  • Strain, P.S., Guralnick, M.J., & Walker, H.M. (1986). Children’s social behavior. Orlando: Academic Press.

    Google Scholar 

  • Teng, E. J., Woods, D. W., & Twohig, M. P. (2000). Is stereotypic movement disorder a simple habit? An investigation of comorbid conditions and the validity of DSM-IV criteria in typically developing adults. Unpublished manuscript.

    Google Scholar 

  • Thibert, A. L, Day, H. I., & Sandor, P. (1995). Self-concept and self-consciousness in adults with Tourette syndrome. Canadian Journal of Psychiatry, 40, 35–39.

    Google Scholar 

  • Tosti, A., Peluso, A. M., Bardazzi, F., Morelli, R., & Bassi, F. (1994). Phalangeal osteomyelitis due to nail biting. Acta Dermatologica Venereol, 74, 206–207.

    Google Scholar 

  • Townsley-Stemberger, R. M, Thomas, A., Mansueto, C. S., & Carter, J. G. (2000). Personal toll of trichotillomania: Behavioral and interpersonal sequelae. Journal of Anxiety Disorders, 14, 97–104.

    Article  Google Scholar 

  • Vogel, L. D. (1998). When children put their fingers in their mouths: Should parents and dentists care? New York State Dental Journal, 64, 48–53.

    PubMed  Google Scholar 

  • Walkup. J. T., Khan, S., Schuerholz. L.. Paik, Y. S.. Leckman,.J. F, & Schultz, R. T. (1999). Phenomenology and natural history of tic-related ADHD and learning disabilities. In J.F. Leckman & D.J. Cohen (Eds.), Tourette’s syndrome: Tics, obsessions, and compulsions (pp. 63–79). New York: John Wiley & Sons.

    Google Scholar 

  • Walter, A. L. & Carter, A. S. (1997). Gilles de la Tourette’s syndrome in childhood: A guide for school professionals. School Psychology Review, 26, 28–46.

    Google Scholar 

  • Wells, J. H., Haines, J., & Williams, C. L. (1998). Severe morbid onychophagia: The classification as self-mutilation and a proposed model of maintenance. Australian and New Zealand Journal of Psychiatry, 32, 534–545.

    Article  PubMed  Google Scholar 

  • Wilhelm, S., Keuthen, N. J., Deckersbach, T., Engelhard, I. M., Forker, A. E., Baer, L., O’Sullivan, R. L., & Jenike, M. A. (1999). Self-injurious skin picking: Clinical characteristics and comorbidity. Journal of Clinical Psychiatry, 60, 454–459.

    PubMed  Google Scholar 

  • Wyllie, R. (1996). Illeus, adhesions, intussesception, and closed loop obstructions. In R. E. Behrman, R. M. Kliegman, and A. M. Arvin (Eds.), Nelson textbook of pediatrics (pp. 1072–1075). Philadelphia: Saunders.

    Google Scholar 

  • Woods, D. W., Fuqua, R. W., & Outman, R. C. (1999). Evaluating the social acceptability of persons with habit disorders: The effects of topography, frequency, and gender manipulation. Journal of Psychopathology and Behavioral Assessment, 21, 1–18.

    Article  Google Scholar 

  • Woods, D. W., Hook, S. S., Spellman, D. F., & Friman, P. C. (2000). Exposure and response prevention for an adolescent with Tourette’s syndrome. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 904–907.

    Article  PubMed  Google Scholar 

  • Woods, D. W. (in press). The effect of video based peer education on the social acceptability of adults with Tourette’s syndrome. Journal of Developmental and Physical Disabilities.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Woods, D.W., Friman, P.C., Teng, E.J. (2001). Physical and Social Impairment in Persons With Repetitive Behavior Disorders. In: Woods, D.W., Miltenberger, R.G. (eds) Tic Disorders, Trichotillomania, and Other Repetitive Behavior Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-45944-8_3

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-45944-8_3

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-32566-8

  • Online ISBN: 978-0-387-45944-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics