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Behavior Modification, Vol. 29, No. 5, 716-745 (2005)
DOI: 10.1177/0145445505279262
© 2005 SAGE Publications

An Investigation of Tic Suppression and the Rebound Effect in Tourette’s Disorder

Amy L. Meidinger

North Dakota State University, Ray_Miltenberger{at}ndsu.edu

Raymond G. Miltenberger

North Dakota State University

Michael Himle

North Dakota State University

Matthew Omvig

North Dakota State University

Casey Trainor

North Dakota State University

Ross Crosby

Neuropsychiatric Research Institute

Many patients, parents of children with Tourette’s disorder, and professionals have suggested that following a period of suppression, tics will rebound to a rate that will exceed the average rate of occurrence. At present, there are no empirical data to support or refute such an effect. This experiment utilized an A-B-A design with replication to test this hypothesized effect. Following baseline observation, participants were instructed to refrain from exhibiting tics while watching videotapes, engaging in conversation, or while alone in a room with no activity. Observation continued following the suppression phase. Results of this experiment showed suppression of tics in almost one half of all sessions, with adults demonstrating suppression more frequently. Furthermore, results of this experiment failed to support a commonly held perception that following a period of voluntary suppression tics will rebound to a rate that will exceed the average rate of occurrence.

Key Words: Tourette’s disorder • tics • tic suppression • rebound effect


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 Behav ModifHome page
D. W. Woods
Introduction to the Special Issue on the Clinical Management of Tourette's Syndrome: A Behavioral Perspective
Behav Modif, September 1, 2005; 29(5): 711 - 715.
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