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When the first edition of this book was published in 1993, I commented how notions regarding Tourette’s syndrome (TS) had undergone recent dramatic changes. Major shifts in views of the disorder included identification of its complex spectrum of clinical features (including tics and specific behavioral disorders, particularly obsessive-compulsive disorder and attention deficit hyperactivity disorder), establishment of heredity as a major etiological factor, and recognition that, rather than a rare disorder, it occurs quite commonly in the population | Handbook of Tourette s Syndrome and Related Tic and Behavioral Disorders Second Edition edited by Roger Kurlan Although great care has been taken to provide accurate and current information neither the author s nor the publisher nor anyone else associated with this publication shall be liable for any loss damage or liability directly or indirectly caused or alleged to be caused by this book. The material contained herein is not intended to provide specific advice or recommendations for any specific situation. Trademark notice Product or corporate names may be trademarks or registered trademarks and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress. ISBN 0-8247-5316-X This book is printed on acid-free paper. Headquarters Marcel Dekker 270 Madison Avenue New York NY 10016 U.S.A. tel 212-696-9000 fax 212-685-4540 Distribution and Customer Service Marcel Dekker Cimarron Road Monticello New York 12701 U.S.A. tel 800-228-1160 fax 845-796-1772 World Wide Web http www.dekker.com The publisher offers discounts on this book when ordered in bulk quantities. For more information write to Special Sales Professional Marketing at the headquarters address above. Copyright 2005 by Marcel Dekker. All Rights Reserved. Neither this book nor any part may be reproduced or transmitted in any form or by any means electronic or mechanical including photocopying microfilming and recording or by any information storage and retrieval system without permission in writing from the publisher. Current printing last digit 10 987654321 PRINTED IN THE UNITED STATES OF AMERICA Preface When the first edition of this book was published in 1993 1 commented how notions regarding Tourette s syndrome TS had undergone recent dramatic changes. Major shifts in views of the disorder included identification of its complex spectrum of clinical features including .