On Protocols and Principles in the Case of Hiro
Keywords:Tourette Syndrome, Tics Disorders, Comprehensive Behavioral Intervention for Tics (CBIT), Habit Reversal Training (HRT), cognitive-behavioral training (CBT), protocol-based manualized therapy, principles-based manualized therapy, parent involvement, comor
AbstractDr. Jeremy Lichtman (2017, in this issue) presents a case of successful behavioral treatment of tics in "Hiro," a 10-year-old boy with Tourette Syndrome (TS) and attention-deficit/hyperactivity disorder (ADHD). This commentary discusses the case of Hiro from a principle-oriented approach, with particular focus on issues related to parental involvement in treatment, addressing comorbidity and therapy-interfering behavior, and planning for generalization and long-term maintenance.
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