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Managing Tic and Habit Disorders

A Cognitive Psychophysiological Treatment Approach with Acceptance Strategies

A pioneering guide for the management of tics and habit disorders
Managing Tic and Habit Disorders: A Cognitive Psychophysiological Approach with Acceptance Strategies is a complete client and therapist program for dealing with tics and habit disorders. Groundbreaking and evidence-based, it considers tics and habit disorders as part of the same spectrum and focuses on the personal processes that are activated prior to a tic and habit rather than the tic or habit itself. By drawing on acceptance and mindfulness strategies to achieve mental and physical flexibility in preparing action, individuals can release unnecessary tension, expend less effort and ultimately establish control over their tic or habit.
The authors explain how to identify the contexts of thoughts, feelings and activities that precede tic or habit onset, understand how self-talk and language can trigger tic onset, and move beyond unhelpful ways of dealing with emotions - particularly in taking thoughts about emotions literally. They also explore how individuals can plan action more smoothly by drawing on existing skills and strengths, and overcome shame by becoming less self-critical and more self-compassionate. They conclude with material on maintaining gains, developing new goals, and creating a more confident and controlled lifestyle.
Managing Tic and Habit Disorders is a thoughtful and timely guide for those suffering from this sometimes all-consuming disorder, and the professionals who set out to help them.
Kieron O'Connor, PhD, is currently director of the OCD Spectrum Study Centre at the University Institute of Mental Health at Montreal, and Centre Integré Universitaire de Santé et de Service Sociaux de L'Est de l'Ile de Montreal. He is also Full Professor at the Psychiatry Department of the University of Montreal and affiliated professor at the University of Quebec.
Marc E. Lavoie, PhD, is a professor of psychiatry and neuroscience at the University of Montréal and is currently head of the Cognitive and Social Psychophysiology laboratory at the research center of the Institut Universitaire en Santé Mentale de Montréal.
Benjamin Schoendorff, MA, MSc, is a clinical psychologist and director of the Contextual Psychology Institute in Montreal, Canada.
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  • Artikelbild-0
  • List of Tables and Figures ix
    List of Contributors xiii
    Acknowledgments xv
    About the Companion Web Site xvii
    Introduction 1
    1 The Nature of Tics and Habits 9
    Overview of the Nature of Tics and Habits 9
    Idea of a Tourette or Tic and Habit Spectrum 10
    Current Diagnostic Criteria of Tics and Habits 10
    Current Multidimensional Etiology of Tics and Habits 13
    Social Impact and Consequences 17
    Current Treatment Options 18
    2 Evaluation and Assessment 21
    Evaluation and Assessment: What are Tics and Habits? 21
    Evaluating the Severity of Tics and Habits and Their Impact on the Client's Life 22
    Assessing Style of Planning and Thinking and Beliefs about Tics
    or Habits 32
    3 Motivation and Preparation for Change 43
    Motivation: Ready to Change the Habit 43
    The Pros and Cons of Tics and Habits; and Setting Goals and How to Attain Them 50
    Client's Perception of the Tic or Habit 52
    Dealing with Stigma and Self-stigma 53
    Control: Micro- and Macro-control 55
    The Contextual Nature of Tic or Habit Onset 57
    4 Developing Awareness 61
    Choosing and Describing the Tic or Habit 61
    Awareness of the Tic or Habit 63
    Discovery of Seeing the Habit Differently 63
    Discovery Exercises 64
    Making a Video: Replaying and Watching the Video 64
    Premonitory Signs 67
    Daily Diary 68
    Tic or Habit Variations 73
    Tics or Habits in Context 74
    5 Identifying At-Risk Contexts 77
    Identifying Variations in the Context of the Tics or Habits 77
    Discovering High and Low Risk Situations or Activities 78
    Evaluating the Situation or Activity 79
    Linking High Risk Activities and Evaluations to Feelings and Thoughts and Assumptions 83
    6 Reducing Tension 87
    Tension Before Ticking: How to Use Your Muscles 87
    Conflicting Preparation Versus Coherent Preparation 92
    Unhelpful Attempts at Self-management of Tics or Habits 95
    Mindful Engagement 96
    Mindfulness Exercises 97
    7 Increasing Flexibility 101
    Discriminating Muscle Contractions 101
    Rationale and Procedure for Discrimination Exercises 102
    Whole Body Muscle Control 105
    Muscle Relaxation 105
    Check the Breathing, Posture, and Flow During Movement 106
    Breathe Better 106
    Relaxation Exercises 107
    Refocusing Sensations 111
    8 Addressing Styles of Planning Action 115
    Style of Planning: Pulling Together Sensory, Emotional, and Motor Aspects of Ticking 115
    Styles of Action 116
    Behavioral Cost 118
    Thoughts associated with Styles of Action: Perfectionism in Personal Standards and Personal Organization 120
    9 Experiential Avoidance, Cognitive Fusion, and the Matrix 127
    Experiential Avoidance and Cognitive Fusion 127
    Improving Flow and Goal Directed Action Using the ACT Matrix 131
    Discriminating Thoughts, Actions, and Experiences 134
    Using the ACT Matrix to Work with Styles of Action 137
    10 Emotional Regulation and Overcoming the Habit-Shame Loop 141
    The Habit-Shame Loop 145
    Adaptive and Maladaptive Coping 146
    Validating Emotion 147
    Working with Self-talk 148
    Relational Frame Theory 149
    An RFT-inspired Link between Dysfunctional Thoughts and Tension 152
    11 Achieving Goals and Maintaining Gains 155
    Maintaining the New Behavior 155
    New Situations 158
    Reward and Self-compassion 159
    Relapse Prevention 160
    Achieving Non-tic Goals 160
    Finally 161
    References 163
    Index 171
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Einband Taschenbuch
Seitenzahl 208
Erscheinungsdatum 13.10.2017
Sprache Englisch
ISBN 978-1-119-16727-3
Verlag John Wiley & Sons, Inc.
Maße (L/B/H) 17.3/24.4/1.7 cm
Gewicht 380 g
Auflage 1. Auflage
Buch (Taschenbuch, Englisch)
Buch (Taschenbuch, Englisch)
Fr. 77.90
Fr. 77.90
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