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.
Evers
R A
RA
Department of Psychiatry, University Hospital Rotterdam-Diijkzigt, The Netherlands.
van de Wetering
B J
BJ
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*