PMID: 8959431Sep 1, 1996Paper

A functional-analytic approach to the diagnosis of a transient tic disorder

Journal of Behavior Therapy and Experimental Psychiatry
J E CarrM L Reiss

Abstract

The diagnostic utility of functional analyses has been demonstrated with a variety of behaviors including tics. Whereas previous analyses have focused on the discovery of maintaining variables to aid in treatment prescription, we employed a functional analysis to confirm a clinical diagnosis. An 11 year old male student, who had not been previously diagnosed with a tic disorder, exhibited multiple vocal tic-like behaviors which had persisted over a period of time. Teacher reports conflicted regarding the possible etiology of these behaviors. Hence, a functional analysis was conducted in the classroom to determine if the behaviors were maintained by operant variables. Our hypothesis stated that the occurrence of vocal behaviors across experimental conditions would strongly indicate the presence of a tic disorder. The functional analysis included the following conditions: attention, escape, alone, freeplay, and high sensory stimulation. We used a multi-element design to evaluate the effects of the different stimulus conditions on vocal-behavior frequency. Data indicated the student exhibited vocal behaviors in all conditions. However, the behaviors were partially exacerbated in the attention and escape conditions. Results support...Continue Reading

References

Jul 1, 1989·Journal of the American Academy of Child and Adolescent Psychiatry·J F LeckmanD J Cohen
May 1, 1996·Research in Developmental Disabilities·T R Vollmer, R G Smith

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Citations

Jan 28, 2003·Behaviour Research and Therapy·Kieron O'ConnorJosée Loiselle
Apr 5, 2016·Child Psychiatry and Human Development·Cyd K EatonRonald L Blount
Jan 1, 2015·Children's Health Care : Journal of the Association for the Care of Children's Health·Matthew R CapriottiDouglas W Woods
Jul 6, 2010·The Psychiatric Clinics of North America·Shana A FranklinDouglas W Woods
Oct 6, 2005·Behavior Modification·James E Carr, Ivy M Chong
Oct 5, 2006·Journal of Abnormal Child Psychology·John PiacentiniDouglas W Woods
Oct 31, 2018·Behavior Modification·Kissel J Goldman, Iser G DeLeon
Oct 3, 1998·Journal of Applied Behavior Analysis·R G MiltenbergerD W Woods
Jan 24, 2007·Journal of Applied Behavior Analysis·Michael B HimleJohn C Piacentini
Oct 3, 1998·Journal of Applied Behavior Analysis·T S Watson, H E Sterling
Jul 16, 2003·Journal of Applied Behavior Analysis·Gregory P HanleyBrandon E McCord

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