ABA Fundamentals

The effects of awareness training on tics in a young boy with Tourette syndrome, Asperger syndrome, and attention deficit hyperactivity disorder.

Wiskow et al. (2013) · Journal of applied behavior analysis 2013
★ The Verdict

Noticing the tic is sometimes enough to stop it.

✓ Read this if BCBAs treating tics or nervous habits in kids with multiple diagnoses.
✗ Skip if Clinicians already using full habit reversal with good success.

01Research in Context

01

What this study did

One boy with Tourette, Asperger, and ADHD kept having tics.

The team tried awareness training, the first step of habit reversal.

They taught him to notice each tic the moment it started.

02

What they found

After training, every tic dropped.

The boy did not need the full habit-reversal package.

Just spotting the tic was enough to cut it.

03

How this fits with other research

Spieler et al. (2017) got the same result with college students.

Awareness training cut verbal fillers like “um” during talks.

Friedling et al. (1979) looks like a clash.

Self-instruction alone did nothing for hyperactive kids.

The difference is simple: self-instruction tells you what to do.

Awareness training only asks you to notice.

Notice first, change later.

04

Why it matters

You can start habit reversal without the full package.

Try a quick awareness drill first.

Have the child count tics for one minute.

If the rate drops, you may save hours of treatment time.

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→ Action — try this Monday

Ask your client to tally each tic for five minutes; watch if the count falls.

02At a glance

Intervention
other
Design
case study
Sample size
1
Population
tourette syndrome, autism spectrum disorder, adhd
Finding
positive

03Original abstract

Previous research has shown habit reversal training (HRT) to be effective in reducing tics. In some studies, tics have been reduced by implementing only a few components of HRT. The current study investigated the first step, awareness training, for treating tics in a young boy with Asperger syndrome, Tourette syndrome, and attention deficit hyperactivity disorder. The results showed a reduction in all tics.

Journal of applied behavior analysis, 2013 · doi:10.1002/jaba.59