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The case of "Hiro"
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Lichtman, Jeremy. The case of "Hiro". Retrieved from https://doi.org/doi:10.7282/T3P55QSX

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TitleThe case of "Hiro"
NameLichtman, Jeremy (author); Fishman, Daniel B. (chair); Rutgers University; Graduate School of Applied and Professional Psychology
Date Created2016
Other Date2016-10 (degree)
SubjectSchool Psychology, Tourette syndrome--Treatment, Cognitive therapy
Extent1 online resource (viii, 67 p. : ill.)
DescriptionCognitive-behavioral therapy (CBT) with Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment for Tourette Syndrome (TS), with a manualized version available for guiding practitioners through treatment. However, CBIT is still a fairly new treatment for TS and rigorous training in its application is sparse. Additionally, potential treatment considerations are not thoroughly described in the manual. This dissertation presents a systematic case study that specifically analyzes the use of the manual with 10-year-old "Hiro," a South Asian Indian boy with TS who also had attention deficit hyperactivity disorder (ADHD), which is a confounding factor in the treatment of TS. To do this meant applying flexibility and an "hypothesizing-then-testing" mentality. The creation of an individualized case formulation and an associated treatment plan for Hiro were very valuable components in his treatment. The case study chronicles Hiro's successful treatment and explores how and when adherence to the manual was effective as well as how and when greater flexibility was required. Furthermore, the case study explores factors in the clinician/client relationship and how that relationship can prove a powerful tool in treatment. Options for how to maintain treatment goals after termination are also examined. Finally, this dissertation offers a teaching guide to TS by defining and explaining the disorder; delving into some of the theorized causes of the disorder; offering treatment options; and describing the psychosocial implications for individuals with TS.
NotePsy.D.
NoteIncludes bibliographical references
Noteby Jeremy Lichtman
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/T3P55QSX
Languageeng
CollectionGraduate School of Applied and Professional Psychology Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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