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Behavior Modification
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What's this?

Acceptance-Enhanced Behavior Therapy (AEBT) for Trichotillomania and Chronic Skin Picking

Exploring the Effects of Component Sequencing

Christopher A. Flessner

University of Wisconsin-Milwaukee

Andrew M. Busch

University of Wisconsin-Milwaukee

Paul W. Heideman

University of Wisconsin-Milwaukee

Douglas W. Woods

University of Wisconsin-Milwaukee, dwoods{at}uwm.edu

This pilot study examined the utility of acceptance-enhanced behavior therapy (AEBT) for trichotillomania (TTM) and chronic skin picking (CSP) and the impact of altering treatment sequence on overall treatment efficacy. Participants referred to a TTM and CSP specialty clinic were assessed by an independent evaluator within separate, nonconcurrent, multiple-baseline designs across participants. The first group of three participants received habit-reversal training (HRT) followed by acceptance and commitment therapy (ACT), and the second group of two participants received ACT followed by HRT. Results indicated that AEBT greatly reduced pulling/picking for all five participants and that the order in which ACT and HRT were implemented made little or no difference in short-term treatment outcome. Conclusions, limitations, and future areas of research are discussed.

Key Words: ACT • habit reversal • sequence • skin picking • acceptance

This version was published on September 1, 2008

Behavior Modification, Vol. 32, No. 5, 579-594 (2008)
DOI: 10.1177/0145445507313800
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