ABA Fundamentals

Evaluating the duration of the competing response in habit reversal: a parametric analysis.

Twohig et al. (2001) · Journal of applied behavior analysis 2001
★ The Verdict

Hold the competing response for one full minute—no more, no less—to make habit reversal work for nail biting.

✓ Read this if BCBAs treating body-focused repetitive behaviors like nail biting, hair pulling, or skin picking.
✗ Skip if Practitioners working on vocal tics or motor habits where competing responses are hard to time.

01Research in Context

01

What this study did

Researchers tested how long a client must hold the competing response in habit reversal.

They used an alternating-treatments design with three durations: 5 seconds, 1 minute, and 3 minutes.

The target behavior was nail biting, and the outcome was actual nail growth over time.

02

What they found

Only the 1-minute and 3-minute durations grew nails back.

The 5-second squeeze did not work; nails stayed short.

One minute was as good as three, so longer is not always better.

03

How this fits with other research

Clarke (1998) extends this work to teen athletes. They added response cost to simplified habit reversal and wiped out disruptive outbursts on the tennis court.

Van Houten et al. (1980) used the same alternating-treatments design to shape key-peck durations in pigeons. Both studies show that small time tweaks can flip success or failure.

Repp et al. (1987) treated thumb sucking and saw untreated hair pulling vanish too. This hints that the nail-growth success here might spill over to other habits without extra work.

04

Why it matters

If you run habit reversal for nail biting, hair pulling, or skin picking, tell the client to hold the competing response for a full 60 seconds. Skip the quick 5-second squeeze—it wastes time. This one change can turn a stalled program into clear, visible progress.

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→ Action — try this Monday

Set a 60-second timer on your phone and coach the client to clench fists or grip a stress ball for the full minute each time they feel the urge to bite.

02At a glance

Intervention
other
Design
alternating treatments
Population
not specified
Finding
positive
Magnitude
medium

03Original abstract

The effectiveness of habit reversal was compared across three different competing response (CR) durations. Results showed that 1-min and 3-min CR durations were associated with short-term and long-term increases in nail length for people who bit their nails. A 5-s CR duration produced immediate increases in nail length that were not maintained. Social validity data were consistent with these findings.

Journal of applied behavior analysis, 2001 · doi:10.1901/jaba.2001.34-517