Böddeker K W, Böddeker M
Z Psychosom Med Psychoanal. 1976 Jan-Mar;22(1):85-92.
An exact observation and description of scratching behavior leads to a behavioral model for the obsessional scratching in patients with atopic dermatitis. The patient who cannot handle negative emotions because of a deficit in social behavior strategies suffers from diffuse tension. He can reduce the tension for the moment by scratching. Thus itching is being reinforced. The feeling of misbehavior occurs with delay and then again can serve as a stimulus for more tension.--Basing on this model behavior therapeutical techniques for breaking up this vicious circle are discussed.