The Treatment of Writer's Cramp with Multimodal Behaviour Therapy and Biofeedback: A Study of 15 Cases

1983 ◽  
Vol 142 (2) ◽  
pp. 180-183 ◽  
Author(s):  
Jean A. Cottraux ◽  
Christian Juenet ◽  
Lionel Collet
Keyword(s):  
Treatment Phase ◽  
Stress Coping ◽  
Biological Factors ◽  
Behaviour Therapy ◽  
Behavioural Treatment ◽  
Writer’S Cramp ◽  
Writer's Cramp ◽  
Emg Feedback ◽  
Drop Outs

SummaryOf 15 patients with writer's cramp (4 females, 11 males, mean age 36, range 23–50, mean duration 3.6 years), 13 entered a behavioural treatment. Nine received a multimodal treatment, and four EMG feedback alone. Four patients dropped out during the treatment phase. Nine patients were considered as improved at a follow-up between 1 and 9 months. A stress-coping model is put forward to account for the therapeutic effectiveness, and to explain the drop-outs. Writer's cramp seems to be related to stressful situations at work. The existence of personality and biological factors remains to be demonstrated.

The Effectiveness of Behaviour Therapy in Writer’s Cramp: A Case Report

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Mahesh M M ◽  
Dr. Johnson Alex
Keyword(s):  
Mental Illness ◽  
Case Report ◽  
Family History ◽  
Male Patient ◽  
Motor Nerve ◽  
Conclusive Evidence ◽  
Behaviour Therapy ◽  
Present Treatment ◽  
Writer’S Cramp ◽  
Writer's Cramp

42 years old male patient referred from neurology department, working as a teacher, educated up to MSc, premorbidly anxious personality, family history mental illness (first degree relatives), comes from MSES with presenting complaints of difficulty in writing or copying since seven years. Disability progressed and he was unable to write even a few words legibly and could not hold object which leads to anxiety and dependency. When the patient was examined at Neurology OPD, find out that he has normal sensory and motor nerve functions. The present treatment involved the use of Bahaviour therapy. The findings in this case is very encouraging and studies with large sample sizes can be considered for further conclusive evidence on the treatment of writer’s cramp.

Fetishism Treated by Negative Conditioning

1963 ◽  
Vol 109 (460) ◽  
pp. 404-407 ◽  
Author(s):  
D. F. Clark
Keyword(s):  
Clinical Psychologist ◽  
Behaviour Therapy ◽  
Excellent Review ◽  
Writer’S Cramp ◽  
Writer's Cramp ◽  
Conditioned Responses ◽  
Made In

Negative conditioning or aversion therapy is most frequently thought of in relation to the treatment of alcoholism. The article by Franks (1958) gives an excellent review of the general principles involved. However, Eysenck (1960) includes several papers in his book to illustrate the effectiveness of such treatment in cases of homosexuality, writer's cramp (Liversedge and Sylvester, 1955) and fetishism (Raymond, 1956). A suggestion made in the latter was that the fetishist may well become such because of an unusual capacity for quickly forming conditioned responses, and therefore by the same token might equally easily respond to a de-conditioning technique. For this reason, the following case was treated by behaviour therapy by a psychiatrist and clinical psychologist in collaboration, and is reported in support of Raymond's (1956) advocacy of this technique of treatment in similar cases.

Writer's Cramp: a Controlled Trial of Habit Reversal Treatment

1988 ◽  
Vol 153 (1) ◽  
pp. 111-115 ◽  
Author(s):  
Angelika Wieck ◽  
Richard Harrington ◽  
Isaac Marks ◽  
Colin Marsden
Keyword(s):  
Relaxation Training ◽  
Controlled Trial ◽  
Control Treatment ◽  
Controlled Study ◽  
Habit Reversal ◽  
Reversal Training ◽  
Writer’S Cramp ◽  
Writer's Cramp ◽  
Habit Reversal Training

In uncontrolled studies, several behavioural methods, including habit reversal, were said to be useful in writer's cramp. In this controlled study, 23 subjects with writer's cramp recruited from a neurology clinic were randomly allocated to five sessions over four weeks of either habit reversal training or a control treatment of relaxation training. Three subjects dropped out. Twenty patients (9 habit reversers, 11 controls) completed the trial up to three months follow-up. Outcome measures included observation of writing within the session, assessment of writing tasks completed at home, and blind ratings by an independent assessor. The results showed that habit reversal was no better than relaxation. Taking both treatments together, patients improved to three months follow-up on seven of nine measures, but remained substantially handicapped.

Cognitive Behavioural Treatment of Perfectionism: A Single Case Experimental Design Series

2008 ◽  
Vol 25 (4) ◽  
pp. 245-258 ◽  
Author(s):  
Sarah J. Egan ◽  
Paula Hine
Keyword(s):  
Experimental Design ◽  
Visual Inspection ◽  
Single Case ◽  
Behaviour Therapy ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Clinically Significant

AbstractPerfectionism can maintain depression, anxiety and eating disorders, yet few studies have evaluated treatments for perfectionism. This study examined the effectiveness of individual cognitive behaviour therapy (CBT) in treating perfectionism in four adults with a diagnosis of either an anxiety disorder or depression. The study used an A-B single case experimental design series with follow-up, and a 3-week pre- and postbaseline phase. Treatment involved 8 sessions and a 2-week follow-up session. Visual inspection of data revealed downward trends in overall perfectionism and clinically significant decreases in perfectionism for two participants. No clinically significant reductions were observed in depressive or anxious symptomatology. CBT for perfectionism warrants further investigation.

Agoraphobia: The Long-Term Follow-up of Behavioural Treatment

1980 ◽  
Vol 137 (5) ◽  
pp. 418-427 ◽  
Author(s):  
Mary Munby ◽  
Derek W. Johnston
Keyword(s):  
Clinical Trials ◽  
Outcome Measures ◽  
Partial Information ◽  
Slight Improvement ◽  
Behaviour Therapy ◽  
Behavioural Treatment ◽  
Long Term Follow Up

SummarySixty-six agoraphobic patients were followed up five to nine years after their treatment in three clinical trials of behaviour therapy. The main outcome measures used in the original trials were repeated by an assessor who interviewed the patients. Ninety-five per cent of patients were interviewed and partial information was obtained on a further two patients. The measures taken at follow-up were compared with those obtained prior to treatment and six months after treatment ended. On most measures of agoraphobia the patients were much better at follow-up than they had been before treatment. The assessor's ratings suggested that there had been little change in the patients' agoraphobia since six months after treatment. Some of the patients' self-ratings showed evidence of a slight improvement over this period. No evidence of symptom substitution was found.

Evaluation of Standardized Behavioural Treatment for Agoraphobic In-Patients Administered by Untrained Therapists

1981 ◽  
Vol 138 (5) ◽  
pp. 423-428 ◽  
Author(s):  
Sidney Benjamin ◽  
John Kincey
Keyword(s):  
Marked Reduction ◽  
Theory And Practice ◽  
Behaviour Therapy ◽  
Behavioural Treatment

SummaryUsing a standardized behavioural programme, nine in-patients with severe agoraphobia were treated by staff who had minimal training in the theory and practice of behaviour therapy. With one exception patients showed marked reduction in subjective fear and avoidance, both following treatment and at follow-up. The indications for such treatment are considered and compared with those for alternative behavioural approaches that have recently been advocated.

Behavioural Psychotherapy of Uncommon Referrals

1982 ◽  
Vol 141 (2) ◽  
pp. 148-153 ◽  
Author(s):  
David Greenberg ◽  
Isaac Marks
Keyword(s):  
Compulsive Gambling ◽  
Obsessive Compulsive ◽  
Behavioural Treatment ◽  
Writer’S Cramp ◽  
Writer's Cramp

SummaryIn a behavioural clinic, over a period of nine years, trainee nurse-therapists treated 65 unusual referrals (8 per cent) out of a total of 800 patients. The remainder had phobic, obsessive-compulsive, sexual and social disorders, which responded encouragingly to behavioural treatment. Of the unusual referrals, useful results were obtained by behavioural treatment for stuttering, hairpulling, tics, and writer's cramp; bulimia is worth further study. Unresponsive conditions included compulsive gambling and obesity.

scholarly journals Botulinum toxin for writer's cramp: a randomised, placebo-controlled trial and 1-year follow-up

2006 ◽  
Vol 78 (3) ◽  
pp. 264-270 ◽  
Author(s):  
J J M Kruisdijk ◽  
J H T M Koelman ◽  
B W Ongerboer de Visser ◽  
R J de Haan ◽  
J D Speelman
Keyword(s):  
Botulinum Toxin ◽  
Controlled Trial ◽  
Writer’S Cramp ◽  
Writer's Cramp

scholarly journals Treatment of a Patient With Task-Specific Writing Tremor Using Magnetic Resonance-Guided Focused Ultrasound

2018 ◽  
Vol 45 (4) ◽  
pp. 474-477 ◽  
Author(s):  
Ying Meng ◽  
Suganth Suppiah ◽  
Nadia Scantlebury ◽  
Nir Lipsman ◽  
Michael L. Schwartz
Keyword(s):  
Magnetic Resonance ◽  
Clinical Improvement ◽  
Focused Ultrasound ◽  
Symptomatic Relief ◽  
Body Part ◽  
Incremental Benefit ◽  
Writer’S Cramp ◽  
Writer's Cramp ◽  
Repetitive Movements

AbstractTask-specific dystonia is characterized by abnormal repetitive movements or postures in a specific body part that is triggered and ends with a task, such as writing. Failing medications, surgery, specifically disruption of key nuclei in the thalamus, can provide excellent symptomatic relief. Transcranial magnetic resonance (MR)-guided focused ultrasound is an emerging incision-less thermoablation technique. We describe MR-guided focused ultrasound tandem ablation of the ventral intermediate and ventralis oralis posterior nuclei in a 60-year-old patient with writer’s cramp. The clinical improvement was immediate with incremental benefit from the latter lesion, which was sustained at 6 months follow-up.

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