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Habit formation in Tourette Syndrome with associated obsessive-compulsive behavior: At the crossroads of neurobiological modelling

Published online by Cambridge University Press:  08 February 2007

Aribert Rothenberger*
Affiliation:
Child and Adolescent Psychiatry, University of Goettingen, D37075Goettingen, Germany
Veit Roessner*
Affiliation:
Child and Adolescent Psychiatry, University of Goettingen, D37075Goettingen, Germany
Tobias Banaschewski*
Affiliation:
Child and Adolescent Psychiatry, University of Goettingen, D37075Goettingen, Germany

Abstract

Tourette Syndrome (TS) and Obsessive-Compulsive Disorder (OCD) are highly associated and often it is difficult to differentiate their symptomatology. In TS, habit forming neuronal systems may form habits of their own sometimes similar to ritualized behavior. However, whereas in OCD merely the affect-loop is touched, in TS the sensorimotor-loop plays the major role, although some overlap can be seen in the clinical spectrum between TS and OCD. The latter is mainly related to the just-right phenomenon which shows a clear developmental course. An analogous behavioral model for TS and OCD with reference to just-right is suggested.

Type
Open Peer Commentary
Copyright
Copyright © Cambridge University Press 2007

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