title: Elimination of thumb-sucking as a treatment for severe trichotillomania.
abstract: A 5-year-old girl presented with a 3-year history of severe trichotillomania and alopecia. The trichotillomania was observed to covary, or occur only in the presence of thumb-sucking. Thus, the elimination of thumb-sucking was targeted as a treatment for trichotillomania. The investigation evaluated the relative effectiveness of a standard aversive taste treatment, a response-dependent alarm and a response-disrupting thumb-post. Results indicated that only the thumb-post completely eliminated thumb-sucking and the covarying trichotillomania. These results suggest that when trichotillomania is a benign habit disorder, the treatment of a covarying habit such as thumb-sucking can be an effective treatment alternative and that resilient thumb-sucking can be effectively managed with an easily implemented thumb-post that requires little supervision and provides long-term success.
authors.affiliation: Mississippi State University, Starkville.
authors.forename: T S
authors.initials: TS
authors.lastname: Watson
authors.forename: K D
authors.initials: KD
authors.lastname: Allen
mesh_terms: D001348:Aversive Therapy; D001521:Behavior Therapy / Q000295:instrumentation*; D002675:Child, Preschool; D005260:Female; D005386:Fingersucking / Q000523:psychology / Q000628:therapy*; D006801:Humans; D014256:Trichotillomania / Q000523:psychology / Q000628:therapy*