Abstract
Workers in the many fields involved in the understanding and management of children with cognitive and behavioral difficulties may encounter a syndrome that is quite unusual in its clinical manifestation: tics with involuntary utterances which may be coprolalic. The variety of treatments reported indicates the range of causes that have been considered. The syndrome probably has involuntary and organic, as well as psychogenic, bases, indicating that such children not be automatically referred for psychotherapy alone; neurological examination and medication are considered necessary components of management.
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