Group Treatment for Trichotillomania: Behavior Therapy Versus Supportive Therapy

Diefenbach, Gretchen J.; Tolin, David F.; Hannan, Scott; Maltby, Nicholas; Crocetto, Johanna

doi:10.1016/j.beth.2006.01.006

Cited by 65 publications

(79 citation statements)

References 29 publications

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“…Controlled clinical trials evaluating potential pharmacological interventions for trichotillomania have demonstrated that N-acetyl cysteine (Grant et al 2009), olanzapine (Van Ameringen et al 2010), and clomipramine (Swedo et al 1993) all show some promise in reducing hair-pulling behavior. Similarly, psychosocial interventions, particularly cognitive behavioral therapy, have become established treatments for trichotillomania (Keuthen et al 2011;Woods et al 2006a, b;Diefenbach et al 2006), but few individuals seek these treatments or can find trained therapists. Despite their promise, these treatments do not appear effective for all individuals with trichotillomania, and so additional options are needed.…”

Section: Introductionmentioning

confidence: 98%

Dronabinol, a cannabinoid agonist, reduces hair pulling in trichotillomania: a pilot study

et al. 2011

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This study, the first to examine a cannabinoid agonist in the treatment of trichotillomania, found that dronabinol demonstrated statistically significant reductions in trichotillomania symptoms, in the absence of negative cognitive effects. Pharmacological modulation of the cannabinoid system may prove useful in controlling a range of compulsive behaviors. Given the small sample and open-label design, however larger placebo-controlled studies incorporating cognitive measures are warranted.

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Section: Introductionmentioning

confidence: 98%

Dronabinol, a cannabinoid agonist, reduces hair pulling in trichotillomania: a pilot study

et al. 2011

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“…Although there have been many outcome studies analyzing techniques or brand-name therapies (e.g., see Anderson, Lau, Segal, & Bishop, 2007;Beidel, Turner, & Young, 2006;Chronis, Gamble, Roberts, & Pelham, 2006;Cooper, Todd, Turner, & Wells, 2007;Diefenbach, Tolin, Hannan, Maltby, & Crocetto, 2006;Pfammatter, Junghan, & Brenner, 2006;Pull, 2007), research into the therapeutic process is currently confusing. This is a particularly important question in the area of cognitive techniques, because these techniques were developed at a time when the inherent experimentalism of behaviour modifi cation was neglected in favour of empirical, evidence-based evaluations.…”

Section: Introductionmentioning

confidence: 99%

Study of the Socratic method during cognitive restructuring

Froján-Parga

Calero-Elvira

Montaño-Fidalgo

2011

Clin Psychology and Psychoth

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Cognitive restructuring, in particular in the form of the Socratic method, is widely used by clinicians. However, little research has been published with respect to underlying processes, which has hindered well-accepted explanations of its effectiveness. The aim of this study is to present a new method of analysis of the Socratic method during cognitive restructuring based on the observation of the therapist's verbal behaviour. Using recordings from clinical sessions, 18 sequences were selected in which the Socratic method was applied by six cognitive-behavioural therapists working at a private clinical centre in Madrid. The recordings involved eight patients requiring therapy for various psychological problems. Observations were coded using a category system designed by the authors and that classifies the therapist's verbal behaviour into seven hypothesized functions based on basic behavioural operations. We used the Observer XT software to code the observed sequences. The results are summarized through a preliminary model which considers three different phases of the Socratic method and some functions of the therapist's verbal behaviour in each of these phases: discriminative and reinforcement functions in the starting phase, informative and motivational functions in the course of the debate, and instructional and reinforcement functions in the final phase. We discuss the long-term potential clinical benefits of the current proposal.

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“…Second, this study did not include behavioral therapy. Cognitive behavior therapy has shown benefit for trichotillomania 9,56,57 and should be considered in conjunction with pharmacotherapies. Finally, we have not yet examined the optimal N-acetylcysteine dose, and whether some patients would have responded to higher doses needs to be examined.…”

Section: Commentmentioning

confidence: 99%