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Cognitive behavioral procedures have been shown to be effective in the treatment of adult obsessive-compulsive disorders. This article presents a case of successful treatment of compulsive handwashing in a thirteen-year-old boy through a cognitive behavioral intervention, showing the potential efficacy of these procedures with children for this type of behavior problem. The principal cognitive intervention was thought-stopping with which the child's obsessive ruminations were disrupted. Handwashing was reduced during treatment to fewer than six occurrences per day, and behavior change was maintained at follow-up 6 and 18 months after the intervention ended.
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Raymond L. Ownby (1983) studied this question.
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