Which response is most therapeutic when a parent whose child is diagnosed with Tou-rette's disorder voices concerns that their child's facial contortions are merely acts of de-fiance?
a. "Your child isn't defiant but rather mentally ill."
b. "What makes you think he is doing that out of defiance?"
c. "I think with the use of some behavior modification techniques, he can learn to control the facial tics."
d. "Your son's behavior is likely due to a neurological dysfunction that causes those involuntary facial tics."
ANS: D
Tourette's disorder is most often thought to be a genetic neurologic disorder whose charac-teristic behaviors are involuntary in nature. Referring to the child as mentally ill is not a true description of the situation. Asking the parent to further discuss the idea that the tics are an act of defiance is inappropriate since that is not true. Behavioral modification is not effective on involuntary behaviors.
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