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Chapter 3 - Overview of Body-Focused Repetitive Behaviors Treatment

Published online by Cambridge University Press:  07 September 2023

Charles S. Mansueto
Affiliation:
Behavior Therapy Center of Greater Washington, Maryland
Suzanne Mouton-Odum
Affiliation:
Psychology Houston, PC - The Center for Cognitive Behavioral Treatment, Texas
Ruth Goldfinger Golomb
Affiliation:
Behavior Therapy Center of Greater Washington, Maryland
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Summary

In this chapter, ComB treatment is introduced within the context of various BFRB treatment approaches that have been reported over past decades. Brief descriptions of psychodynamic, pharmacological, and so-called “alternative treatments” are briefly reviewed, but the emphasis is on behavioral treatments like habit reversal training (HRT) and its variants, that have dominated research and clinical reports for a half century. ComB treatment is introduced, with attention to its derivation from the ComB conceptual model, and its focus on sensory, cognitive, affective, motor, and place (environmental) variables as critical for assessment and for the design of individualized treatment. Technical aspects of ComB treatment, such as the identification of BFRB functions, its presumed mechanisms of action, its flexibility in individualizing the application to each client, and potential advantages over other treatment approaches are described.

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Publisher: Cambridge University Press
Print publication year: 2023

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