Exam Preview for 1935: Introduction to Body-Focused Repetitive Beha

Introduction to Body-Focused Repetitive Behaviors

Please note: exam questions are subject to change.

1. Phenomenologically, non-suicidal self-injury (NSSI) and body focusedrepetitive behavior (BFRBs) can look quite similar. Which one of the following isnot an explanation for why we distinguish between the two? There are distinct neurophysiological factors associated with BFRBs suggesting a distinct diagnosis The treatment approaches for each presenting concern are very different NSSI is a distinct diagnosis within the DSM and ICD, while BFRBs are transdiagnostic In BFRBs, tissue damage is often a byproduct, not the goal, while with NSSI, tissue damage is a deliberate intention
2. What is the primary contribution that the Comprehensive Behavioral Model(ComB) made in the treatment of body-focused repetitive behaviors (BFRBs) ascompared to Habit Reversal Training (HRT)? ComB offers an individually tailored approach to interventions where the client’s feedback informs and modifies future interventions ComB places a greater emphasis on the role of social support and destigmatization of the BFRB ComB emphasizes the need to always incorporate elements of distress tolerance from Dialectical Behavioral Therapy (DBT) It de-emphasizes deliberate self-monitoring in favor of a more process-based mindfulness approach
3. What has research identified as one of the shortcomings of the habit reversaltraining (HRT) approach to treatment body focused repetitive behavior (BFRB)? HRT is less effective in young children. HRT has shown mixed results with regard to relapse prevention. Outcomes research has shown HRT to produce negative effects on self-esteem. HRT is extremely expensive for clients and most insurance companies will not provide reimbursement.
4. Name the 3 clinical subtypes of body-focused repetitive behavior: Mindful, automatic, and combined Focused, unfocused, and combined type Impulsive, compulsive, and mixed Dermatillomania, trichotillomania, and mixed
5. What does SCAMP stand for, and why is it used? Scratchy, Crunchy, Altered, Missing, Pressure – as a mnemonic to help clinicians provide prompts to their clients to describe the aversive sensory experiences associated with their body focused repetitive behavior (BFRB) Skin, Cheek, Ankles, Mouth, Pubic Area – as a mnemonic to remind clinicians of the most common areas of focus for BFRB Sensory, Cognitive, Affective, Motoric, Place – to elicit information in different modalities for more detailed functional analysis to identify and target interventions Spicy Clients Advise Medical Providers – as an in-community nickname for clients who advocated for themselves when they experienced misdiagnosis of the BFRB as a skin condition or self-harm from a medical professional
6. Which BFRB is most prevalent? Dermatillomania Trichotillomania Onychotillomania Onychophagia
7. What is the other clinical term for nail-biting disorder? Onychophagia Autocannabalism Dermatophagia Dermatillomania
8. What affective states does Charles Mansueto suggest are most commonantecedents to body-focused repetitive behavior? Boredom, disgust, anger, and surprise Boredom, anxiety, sadness, and anger Irritability, restlessness, surprise and disgust Shame, disgust, surprise, and boredom
9. Where are body-focused repetitive behaviors grouped in the DSM-V andDSM-V-TR? Impulse control disorders Anxiety disorders Other conditions that may be a focus of clinical attention Obsessive compulsive and related disorders
10. Habit reversal training (HRT) and the comprehensive behavioral model both incorporate stimulus control in the strategy implementation phase of treatment. Which of the following is not an example of stimulus control for BFRB treatment? Visualizing a skin blemish with one’s eyes closed in order to experience a degree of distress and resisting the urge to pick at it Wearing gloves when brushing hair so that the sensation of a rough or kinky hair texture does not become tempting to pull Dimming a light in the room where the individual typically picks in front of the mirror in the bathroom to remove the visual cue of variation in skin texture Wearing acrylic nails or press ons to vulnerability to nail breakage and roughness along the nail line