Primary obsessional slowness: a nursing treatment programme with a 13-year-old male adolescent

A 13-year-old male adolescent inpatient with a 5-year history of primary obsessional slowness was treated using a nursing intervention programme involving prompting, pacing and shaping, or participant modelling of four types of self-care behaviour. The treatments produced an immediate increase in response rate of three of the four behaviour targets. Treatment gains were not maintained during the gradual fading of the intervention programme. Possible reasons for failure to achieve treatment maintenance are discussed in light of the literature on primary obsessional slowness.