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An A-B-C model of habit disorders: hair-pulling, skin-picking, and other stereotypic conditions

An A-B-C model of habit disorders: hair-pulling, skin-picking, and other stereotypic conditions
An A-B-C model of habit disorders: hair-pulling, skin-picking, and other stereotypic conditions

Severe hair-pulling is characteristic of trichotillomania, an impulse control disorder not otherwise classified. Other pathological habits, including severe nail-biting and skin-picking, are also prevalent and are potentially diagnosable as stereotypic movement disorder. There is increasing awareness of the morbidity associated with these kind of habit disorders but, to date, relatively few randomized controlled trials of pharmacotherapy or psychotherapy have been undertaken. Advances in the understanding of the underlying cognitive-affective mechanisms driving stereotypies in animals and humans may ultimately lead to new approaches. An affect regulation, behavioral addiction, and cognitive control (A-B-C) approach is outlined to conceptualizing and managing these conditions.

1092-8529
824-827
Stein, Dan J.
07cf0cbd-837d-49ac-aceb-1c393a2f3e00
Chamberlain, Samuel R.
8a0e09e6-f51f-4039-9287-88debe8d8b6f
Fineberg, Naomi
157dcac1-9fb2-4197-81f3-0167e1224f05
Stein, Dan J.
07cf0cbd-837d-49ac-aceb-1c393a2f3e00
Chamberlain, Samuel R.
8a0e09e6-f51f-4039-9287-88debe8d8b6f
Fineberg, Naomi
157dcac1-9fb2-4197-81f3-0167e1224f05

Stein, Dan J., Chamberlain, Samuel R. and Fineberg, Naomi (2006) An A-B-C model of habit disorders: hair-pulling, skin-picking, and other stereotypic conditions. CNS Spectrums, 11 (11), 824-827. (doi:10.1017/S1092852900014978).

Record type: Article

Abstract

Severe hair-pulling is characteristic of trichotillomania, an impulse control disorder not otherwise classified. Other pathological habits, including severe nail-biting and skin-picking, are also prevalent and are potentially diagnosable as stereotypic movement disorder. There is increasing awareness of the morbidity associated with these kind of habit disorders but, to date, relatively few randomized controlled trials of pharmacotherapy or psychotherapy have been undertaken. Advances in the understanding of the underlying cognitive-affective mechanisms driving stereotypies in animals and humans may ultimately lead to new approaches. An affect regulation, behavioral addiction, and cognitive control (A-B-C) approach is outlined to conceptualizing and managing these conditions.

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Published date: November 2006

Identifiers

Local EPrints ID: 493149
URI: http://eprints.soton.ac.uk/id/eprint/493149
ISSN: 1092-8529
PURE UUID: 587e4657-0172-4b7c-995e-e7003fc483ef
ORCID for Samuel R. Chamberlain: ORCID iD orcid.org/0000-0001-7014-8121

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Date deposited: 23 Aug 2024 16:55
Last modified: 24 Aug 2024 02:00

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Contributors

Author: Dan J. Stein
Author: Samuel R. Chamberlain ORCID iD
Author: Naomi Fineberg

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