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TTLV: Intervention for a case of adolescent hair-pulling behavior

Friday - October 16, 2020 14:48

1. Student's full name:Nguyen Thi Tan My2. Gender:Female

3. Date of birth: 06/04/1995

4. Place of birth:Co Tiet - Tam Nong - Phu Tho

5. Decision number for student admission:Decision No. 3058/2018/QD-XHNV-DT, dated October 24, 2018, of the Rector of the University of Social Sciences and Humanities, Vietnam National University, Hanoi.

6. Changes in the training process:Are not

7. Thesis title:Intervention for a case of adolescent hair-pulling behavior.

8. Major:Clinical psychologyCode:8310401.02

9. Scientific supervisorAssoc. Prof. Dr. Nguyen Thi Minh Hang

10. Summary of the thesis results:

Intervention in a case of adolescent hair-pulling behavior revealed several issues, including the following:

The client's hair-pulling behavior during therapy is differentiated from obsessive-compulsive disorder (OCD) because once the client becomes aware of the need to pull their hair, they will stop. Furthermore, hair-pulling occurs due to stress, which distracts the client and forms the behavior automatically as a habit. This behavior can be treated through replacement behaviors, muscle tone techniques, or relaxation techniques. However, all these techniques will be ineffective if the client does not persistently practice until the behavior stops, and the problem can easily recur.

Hair pulling behavior has been shown to be more effective with cognitive behavioral therapy because clients who pull out their hair often experience feelings of low self-esteem, shame, negative self-esteem, and even self-loathing. Clients may also use hair pulling as a tool to attract attention and draw others' interest in them. Therefore, with cognitive behavioral therapy, clients are supported in viewing the problem from different perspectives, changing their perception of self-worth and the value of others. This creates the motivation to mitigate or stop the behavior.

This case study shows that hair-pulling behavior is associated with anxiety and a lack of emotional management skills; therefore, anxiety assessment and anxiety intervention are necessary, as well as further assessment of emotional management skills and inclusion in therapeutic goals (if applicable).

Family support is crucial in encouraging and motivating clients to continue practicing at-home techniques to stop hair pulling. Additionally, each family member (including adults such as grandparents, parents, aunts, uncles, etc.) possessing good emotional management skills will contribute to minimizing undesirable behaviors in the client.

11. Practical applications:

With the results obtained from the theoretical and practical research process, the thesis has fully completed the procedure of a case study. The methods and therapeutic techniques applied in the thesis serve as a useful reference for clinical psychologists and provide further practical evidence of the effectiveness of cognitive behavioral therapy in intervening with clients exhibiting trichotillomania (hair-pulling behavior).

12. Future research directions:Are not

13. Published works related to the thesis: Are not

 

INFORMATION OF MASTER'S THESIS

1.Full nameNguyen Thi Tan My2. Sex: Female

3. Date of birthApril 6, 1995

4.Place of birth: Co Tiet – Tam Nong – Phu Tho

5. Decision of student recognition No:3058/2018/QD-XHNV-DT, dated October 24, 2018 of the Director of University of Social Sciences and Humanities – Vietnam National University, Hanoi.

6. Changes in the training course:No

7.Official thesis title:Intervention for a minor case with hair pulling behavior.

8. WallClinical psychologyCode:8310401.02

9. Supervisors: Prof. Dr. Nguyen Thi Minh Hang

10. Summary of the findings in the thesis:

Intervention for a minor case with hair pulling behavior shows some of the following problems:

The client's hair pulling behavior during the therapy case is distinguished from obsessive compulsive disorder (OCD) because when the client is aware of pulling hair, the client will no longer pluck. In addition, hair pulling occurs due to reasons such as when the client is under stress, attracting attention and automatically forming behavior as a habit. This behavior can be treated through alternative behavior, muscle tone or relaxation techniques,...However, all techniques will not work if the client does not persistently practice until the behavior is stopped and the problem can completely arise again.

Hair pulling has been shown to have a better effect on cognitive behavioral therapy because the client pulling hair will often have feelings of inferiority, shame, bad self-esteem, hate even myself. The client may also use pulling hair as a tool to draw attention and direct other people's attention to himself. Compared with cognitive behavioral therapy, clients will be supported to see the problem from different perspectives, changing the perception of self-worth and others. Thereby creating incentives to perform mitigating or terminating behavior.

The clinical case shows that hair pulling is associated with anxiety and a lack of emotional management skills, so it is important to assess anxiety and implement anxiety interventions as well as further evaluation of emotional management skills and inclusion in therapeutic goals (if any).

Family involvement is important in encouraging and motivating the client to maintain home-based techniques to stop pulling hair. In addition, each family member (including adults in the family such as grandparents, grandparents, parents, aunts, uncles, etc.,) has good emotional management skills that will contribute to minimizing behavior by not expecting from the client.

11. Practical applicability

With the results obtained from the theoretical and practical research process, the thesis has fully implemented the process of a case study. Therapeutic methods and techniques are applied in the thesis as a useful reference for clinical psychologists and provide additional empirical evidence on the effectiveness of cognitive behavioral therapy when intervening for clients who are pulling hair.

12. Further research directions:No

13. Thesis-related publications:No

Author:Vu Nga

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