A treatment model for motor tics based on a specific tension-reduction technique.
A model is proposed in which motor tics are considered to be tension reducing responses to a specific sensory stimulus. It is hypothesized that the sensory stimulus is of a proprioceptive nature. The first phase of therapy concerns the identification of the stimulus. The patient is then taught a socially acceptable, alternative response, which also reduces the sensory stimulus. Two case reports illustrate this model. The applicability of the model with respect to other movement disorders is discussed.
Department of Psychiatry, University Hospital Rotterdam-Diijkzigt, The Netherlands.
R A
RA
Evers
B J
BJ
van de Wetering
D001143:Arousal; D001521:Behavior Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D009126:Muscle Relaxation; D011434:Proprioception; D012064:Relaxation Therapy; D013239:Stereotyped Behavior; D013315:Stress, Psychological / Q000150:complications; D013981:Tic Disorders / Q000523:psychology / Q000628:therapy*; D005879:Tourette Syndrome / Q000523:psychology / Q000628:therapy*