Nervous habits also identified as body focused repetitive behaviors (BFRBs) are behaviors that occur repeatedly across situations and consist of undesired repetitive, manipulative, problematic and or destructive behaviors directed toward the body such as hand-to-head (e.g., hair pulling, hair twirling), hand-to-mouth (e.g., nail biting, thumb sucking), hand-to-body (e.g., skin picking, skin scratching), and oral behaviors (e.g., teeth grinding, mouth biting) and are often seen to play a role in emotion regulation and can arise during periods of heightened tension (Miltenberger,2005 ; Roberts, O’Connor, Bélanger, 2013; Woods & Miltenberger, 1995). The Diagnostic and Statistical Manual of Mental Disorders, fifth edition, does identify body focused repetitive behaviors under Other Specified Obsessive Compulsive and Related Disorders as a behavior that can cause stress and impairment in areas of functioning however does not meet the full diagnostic criteria of specific obsessive compulsive and related disorders (American Psychiatric Association 2013, pp. 263-264). Roberts et al. (2013) states, “research into BFRBs has been limited in comparison to research into other psychiatric conditions”. One example given by Roberts et al. (2013) referred to the Psychlit database which between the 1975 and 2000 contained 2489 articles pertaining to bipolar disorder, 309 articles pertaining to trichotillomania and only fourteen pertaining to BFRBs. Robert et al. (2013) acknowledges there is a growing interest in BFRBs with hair pulling and skin picking receiving the most research attention (2013). The prevalence rate of BFRBs is hard to determine without more research and understanding.
Habit reversal therapy, developed by Nathan Azrin and Gregory Nunn in 1973 , is used to treat nervous habits, tics and stuttering and consists of nine major techniques or components; Awareness training which includes: response description, response detection, early warning and situation awareness, followed by applying a competing response (alternative inconspicuous behavior), habit control motivation is introduce which includes: habit inconvenience review, social support procedure, public display and the final component is generalization which is to employ the competing response in relevant situations (Miltenberger,2005; Woods & Miltenberger, 1995). Simplified habit reversal (SHR), a modified version of habit reversal therapy, has proven to be as effective by utilizing awareness training components, competing response and social support (Flessner et al. 2005; Miltenberger 2005). This intervention will utilize the simplified habit reversal (SHR) therapy. (try to find understandable stats)
This intervention was a personal intervention conducted on myself. I am a 39-year-old Caucasian married mother of two currently enrolled in the Advanced Standing Master Social Work Program at Florida International University.
The target behavior that negatively...