The effects of awareness training on tics in a young boy with Tourette syndrome, Asperger syndrome, and attention deficit hyperactivity disorder.
Noticing the tic is sometimes enough to stop it.
01Research in Context
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.
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.
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.
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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02At a glance
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