Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-18T21:49:16.437Z Has data issue: false hasContentIssue false
  • English
  • Français

Six Cases of Gilles de la Tourette's Syndrome

Published online by Cambridge University Press:  29 January 2018

S. J. M. Fernando
S. J. M. Fernando*
Affiliation:
Claybury Hospital, Woodford Bridge, Essex 1G8 8BY; and Enfield District Hospital, Chase Wing, The Ridgeway, Enfield, Middlesex EN2 8JL
Get access Rights & Permissions [Opens in a new window]

Summary

Six cases of Gilles de la Tourette's syndrome are discussed in the light of conflicting views on the aetiology of the condition. It is hypothesized that the onset of coprolalia in patients with persistent childhood tics indicates a disturbance of the normal balance between a need for tension relief by swearing and a capacity to control such vocal activity. Some conclusions are drawn on the management of the syndrome by the use of butyrophenones, massed practice of tics, and the promotion of personality development. A flexible approach geared to the individual patient's particular needs is recommended.

Some conclusions are drawn on the management of the syndrome by the use of butyrophenones, massed practice of tics, and the promotion of personality development. A flexible approach geared to the individual patient's particular needs is recommended.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 128 , Issue 5 , May 1976 , pp. 436 - 441
Copyright
Copyright © Royal College of Psychiatrists, 1976 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abuzzahab, F. S. & Ehlen, K. J. (1971) The clinical picture and management of Gilles de la Tourette's syndrome. Child Psychiatry and Human Development, 2, 14–25.CrossRefGoogle ScholarPubMed
Balducci, M. & Frascella, G. (1962) Haloperidol in the treatment of a case of Gilles de la Tourette's disease. Symposium Internazionale sull Haloperidol e Triperidol. Milan, November 1962.Google Scholar
Boris, M. (1968) Gilles de la Tourette's syndrome: remission with haloperidol. Journal of the American Medical Association, 205, 648.CrossRefGoogle ScholarPubMed
Bruch, H. & Thum, L. C. (1968) Maladie des tics and maternal psychosis. Journal of Nervous and Mental Disease, 146, 446–56.CrossRefGoogle ScholarPubMed
Chakraborty, A. (1962) Gilles de la Tourette's disease. Indian Journal of Psychiatry, 4, 187–9.Google Scholar
Clark, D. F. (1966) Behaviour therapy of Gilles de la Tourette's syndrome. British Journal of Psychiatry, 112, 771–8.CrossRefGoogle Scholar
Clements, R. O. (1972) Gilles de la Tourette's syndrome—an overview of development and treatment of a case, using hypnotherapy, haloperidol and psychotherapy. American Journal of Clinical Hypnosis, 14, 167–72.Google Scholar
Connell, P. H., Corbett, J. A., Horne, D. J. & Mathews, A. M. (1967) Drug treatment of adolescent tiqueurs. British Journal of Psychiatry, 113, 375–18.CrossRefGoogle ScholarPubMed
Corbett, J. A., Mathews, A. M., Connell, P. H. & Shapiro, D. A. (1969) Tics and Gilles de la Tourette's syndrome: a follow-up study and critical review. British Journal of Psychiatry, 115, 1229–41.CrossRefGoogle ScholarPubMed
De Groot, M. H. & Bardwell, B. (1970) A case of Gilles de la Tourette's syndrome occurring in New Zealand. Australian and Mew Zealand Journal of Psychiatry, 4, 155–8.Google Scholar
Ellison, R. M. (1964) Gilles de la Tourette's syndrome. Medical Journal of Australia, 1, 153–5.Google Scholar
Eriksson, B. & Persson, T. (1969) Gilles de la Tourette's syndrome. British Journal of Psychiatry, 115, 351–3.Google Scholar
Feldman, R. B. & Werry, J. S. (1966) An unsuccessful attempt to treat a tiqueur by massed practice. Behaviour Research and Therapy, 4, 111–7.CrossRefGoogle Scholar
Fernando, S. J. M. (1967) Gilles de la Tourette's syndrome: a report on four cases and a review of published case reports. British Journal of Psychiatry, 113, 607–17.Google Scholar
Fernando, S. J. M. (1968) Gilles de la Tourette's syndrome. British Journal of Psychiatry, 114, 123–5.CrossRefGoogle ScholarPubMed
Friel, P. B. (1973) Familial incidence of Gilles de la Tourette's disease, with observations on aetiology and treatment. British Journal of Psychiatry, 122, 655–8.Google Scholar
Gadoth, N. (1974) Gilles de la Tourette's syndrome. Harefuah, 86, 371–3.Google Scholar
Gilles de la Tourette (1885) Etude sur une affection nerveuse caractérisée par l'incoordination motrice accompagnée d'écholalie et de coprolalie. Archives de Neurologie (Paris), 9, 158–200.Google Scholar
Goforth, E. G. (1974) A single case study. Gilles de la Tourette's syndrome: a 25-year follow-up study. Journal of Nervous and Mental Disease, 158, 306–9.Google Scholar
Grover, V. M., Abramouitz, A. & Stoch, M. B. (1967) Tic Gilles de la Tourette in an adolescent boy. Medical Proceedings (Mediese Bydraes), 13, 467–9.Google Scholar
Healy, N. M. & Fischer, I. (1965) Gilles de la Tourette syndrome in an autistic child. Journal of the Irish Medical Association, 57, 93–4.Google Scholar
Jeste, D. V., Sule, S. M., Ate, J. S. & Vahia, N. S. (1973) Gilles de la Tourette's disease. Multiple vocal and motor tics. Indian Journal of Paediatrics, 40, 435–8.Google Scholar
Lerman, P. & Nussbaum, E. (1974) Treatment with haloperidol in ‘maladie des tics' in children. Harefuah, 86, 241–2.Google ScholarPubMed
Lucas, A. R. (1967) Gilles de la Tourette's disease in children: treatment with haloperidol. American Journal of Psychiatry, 124, 243–5.CrossRefGoogle ScholarPubMed
McKinnon, R. C. (1967) Gilles de la Tourette syndrome: a case showing electroencephalographic changes and response to haloperidol. Medical Journal of Australia, 2, 21–2.Google Scholar
Merskey, H. (1974) A case of multiple tics with vocalization (partial syndrome of Gilles de la Tourette) and XYY karyotype. British Journal of Psychiatry, 125, 593–4.CrossRefGoogle ScholarPubMed
Messiha, F. S., Knopp, W., Vanecko, S., O'Brien, V. & Corson, S. A. (1971) Haloperidol therapy in Tourette's syndrome: neurophysiological, biochemical and behavioural correlates. Life Sciences, 10, 449–57.CrossRefGoogle Scholar
Moldofsky, H., Tullis, C. & Lamon, R. (1974) Multiple tic syndrome (Gilles de la Tourette's syndrome). Journal of Nervous and Mental Disease, 159, 282–92.Google Scholar
Montagu, A. (1967) The Anatomy of Swearing. London: Rapp and Whiting.Google Scholar
Morphew, J. A. & Sim, M. (1969) Gilles de la Tourette's syndrome: a clinical and psychopathological study. British Journal of Medical Psychology, 42, 293–301.Google Scholar
Prabhakaran, N. (1970) A case of Gilles de la Tourette's syndrome with some observations on aetiology and treatment. British Journal of Psychiatry, 116, 539–41.CrossRefGoogle ScholarPubMed
Rosen, M. & Wessner, C. (1973) A behavioral approach to Tourette's syndrome. Journal of Consulting and Clinical Psychology, 41, 308–12.CrossRefGoogle ScholarPubMed
Sand, P. L. & Carlson, C. (1973) Failure to establish control over tics in the Gilles de la Tourette syndrome with behaviour therapy techniques. British Journal of Psychiatry, 122, 665–70.Google Scholar
Sanders, D. G. (1973) Familial occurrence of Gilles de la Tourette syndrome. Archives of General Psychiatry, 28, 326–8.Google Scholar
Savin, L. H. (1961) Remarks on spasms and tics in ophthalmic practice with notes of four cases of the syndrome of Gilles de la Tourette. Transactions of the Ophthalmological Society of the United Kingdom, 81, 39–52.Google Scholar
Shapiro, A. K., Shapiro, E. & Wayne, H. (1972a) Birth, developmental and family histories and demographic information in Tourette's syndrome. Journal of Nervous and Mental Disease, 155, 335–44.Google Scholar
Shapiro, A. K., Shapiro, E. & Wayne, H. & Clarkin, J. (1972b) The psychopathology of Gilles de la Tourette's syndrome. American Journal of Psychiatry, 129, 427–34.Google Scholar
Stevens, J. R. & Blachley, P. H. (1966) Successful treatment of the maladie des tics. American Journal of Diseases of Children, 112, 541–5.Google Scholar
Sweet, R. D., Solomon, G. E., Wayne, H., Shapiro, E. & Shapiro, A. K. (1973) Neurological features of Gilles de la Tourette's syndrome. Journal of Neurology, Neurosurgery and Psychiatry, 36, 1–9.Google Scholar
Walton, D. (1961) Experimental psychology and the treatment of a ticqueur. Journal of Child Psychology and Psychiatry, 2, 148–55.Google Scholar
Yates, A. J. (1958) The application of learning theory to the treatment of tics. Journal of Abnormal Social Psychology, 56, 175–82.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.