Synonyms
Definition
Trichotillomania is a psychological disorder that involves the pulling out of one’s own hair that leads to physical damage and/or difficulties in social, occupational, or other types of functioning. In many, but not all, cases the hair pulling is preceded by a feeling of tension or arousal that is reduced or negated by the pulling. The pulling may occur from many sites but the scalp is the most common pulling area. The pulling is commonly done with one’s fingers but devices such as tweezers are also used. Finally, the pulled hair is often manipulated, and in a small percentage of people it is ingested.
Description
Trichotillomania (TTM) is defined as recurrent or chronic hair pulling that (a) is preceded by an immediate increase in tension due to the pulling itself or by attempts to resist pulling; (b) results in feelings of gratification, pleasure or relief; (c) is not accounted for by another disorder; and (d) results in...
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American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association. Text revision.
Christenson, G. A., & Mackenzie, T. B. (1994). Trichotillomania. In M. Hersen & R. T. Ammerman (Eds.), Handbook of prescriptive treatment for adults (pp. 217–235). New York: Plenum Press.
Christenson, G. A., Mackenzie, T. B., & Michell, J. E. (1991). Characteristics of 60 adult chronic hair pullers. American Journal of Psychiatry, 148, 365–370.
Christenson, G. A., & Mansueto, C. S. (1999). Trichotillomania: Descriptive characteristics and phenomenology. In D. J. Stein, G. A. Christenson, & E. Hollander (Eds.), Trichotillomania (pp. 201–224). Washington, DC: American Psychiatric Press.
Cohen, L. J., Stein, D. J., Simeon, D., Spadaccini, E., Rosen, J., Aronowitz, B., et al. (1995). Clinical profile, comorbidity, and treatment history in 123 hair pullers: A survey study. Journal of Clinical Psychiatry, 56, 319–326.
Diefenbach, G. J., Tolin, D. F., Hannan, S., Crocetto, J., & Worhunsky, P. (2005). Trichotillomania: Impact on psychosocial functioning and quality of life. Behavior Research and Therapy, 43, 869–884.
du Toit, P. L., van Kradenburg, J., Niehaus, D. J. H., & Stein, D. J. (2001). Characteristics and phenomenology of hair-pulling: An exploration of subtypes. Comprehensive Psychiatry, 42, 247–256.
Flessner, C. A., Woods, D. W., Franklin, M. E., Keuthen, N. J., Piacentini, J., Cashin, S. E., et al. (2007). The Milwaukee inventory for styles of trichotillomania-child version (MIST-C). Behavior Modification, 31, 896–918.
Greer, J. M., & Capecchi, M. R. (2002). Hoxb8 is required for normal grooming behavior in mice. Neuron, 33, 23–34.
Keuthen, N. J., Stein, D. J., & Christenson, G. A. (2001). Help for hair pullers: Understanding and coping with trichotillomania. Oakland, CA: New Harbinger.
Miltenberger, R. G. (2001) Treatment of Trichotillomania. In D. W. Woods & R. G. Miltenberger. Tic disorders, trichotillomania, and other repetitive behavior disorders: Behavioral approaches to analysis and treatment. Norwell, MA: Kluwer Academic Publishers.
Muller, S. A. (1990). Trichotillomania: A hitopathologic study in sixty-six patients. Journal of American Academic Dermatology, 23, 56–62.
O'Sullivan, R. L., Rauch, S. L., Breiter, H. C., Grachev, I. D., Baer, L., Kennedy, D. N., et al. (1997). Reduced basal ganglia volumes in trichotillomania measured via morphmetric magnetic resonance imaging. Society of Biological Psychiatry, 42, 39–45.
Reeve, E. A. (1999). Hair pulling in children. In D. J. Stein, G. A. Christenson, & E. Hollander (Eds.), Trichotillomania (pp. 201–224). Washington, DC: American Psychiatric Press.
Stein, D. J., von Heerden, B., Hugo, C., von Kradenburg, J., Warwick, J., Zungu-Dirwayi, N., et al. (2002). Functional brain imaging and pharmacotherapy in trichotillomania single photon emission computed tomography before and after treatment with the selective serotonin reuptake inhibitor citalopram. Progress in NeuroPsychopharmacology and Biological Psychiatry, 26, 885–890.
Swedo, S. E., Rapoport, J. L., Leonard, H. L., Schapiro, M. B., Rapoport, S. I., & Gradv, C. L. (1991). Regional cerebral glucose metabolism of women with trichotillomania. Archives of General Psychiatry, 48, 828–833.
Tolin, D. F., Diefenbach, G. J., Flessner, C. A., Franklin, M. E., Keuthen, N. J., Moore, P., et al. (2008). The trichotillomania scale for children: Development and validation. Child Psychiatry and Human Development, 39, 331–349.
Tolin, D. F., Franklin, M. E., Diefenbach, G. J., Anderson, E., & Meunier, S. A. (2007). Pediatric Trichotillomania: Descriptive psychopathology and an open trial of cognitive-behavioral therapy. Cognitive Behaviour Therapy, 36, 129–144.
Vaughan, E. D., Sawyers, J. L., & Scott, H. W. (1968). The Rapunzel syndrome: An unusual complication of intestinal bezoar. Surgery, 63, 339–343.
Woods, D. W., & Twohig, M. P. (2008). Trichotillomania: An ACT-enhanced behavior therapy approach. Therapist guide. New York: Oxford University Press.
Suggested Readings
Franklin, M. E., & Tolin, D. F. (2007). Treating trichotillomania: Cognitive-behavioral therapy for hairpulling and related problems. New York: Springer Science.
Stein, D. J., Christenson, G. A., & Hollander, E. (1999). Trichotillomania. Washington, DC: American Psychiatric Press.
Woods, D. W., & Miltenberger, R. G. (2001). Tic disorders, trichotillomania, and other repetitive behavior disorders: Behavioral approaches to analysis and treatment. Norwell, MA: Kluwer Academic Publishers.
Suggested Website
Trichotillomania Learning Center: www.trich.org
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Twohig, M.P., Crowell, K.A. (2011). Trichotillomania. In: Goldstein, S., Naglieri, J.A. (eds) Encyclopedia of Child Behavior and Development. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-79061-9_2952
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DOI: https://doi.org/10.1007/978-0-387-79061-9_2952
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