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Clinical Child Psychology and Psychiatry
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Nocturnal Headbanging as a Settling Habit: The Behavioural Treatment of a 4-Year-Old Boy

Kim Golding

Park Hospital for Children, Oxford

A healthy 4-year-old boy of normal intelligence demonstrating nocturnal head-banging was treated successfully using behavioural methods. The behaviour was conceptualized as an atypical settling habit which was maintaining a disturbed sleep pattern. The intervention consisted of mild aversion therapy combined with a reward programme. The importance of stress as a factor in maintaining this problem is highlighted. Parental confidence was essential to the outcome of this intervention.

Key Words: behavioural intervention • childhood sleep problems • nocturnal headbanging • settling problems

Clinical Child Psychology and Psychiatry, Vol. 3, No. 1, 25-30 (1998)
DOI: 10.1177/1359104598031004
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