An 18-yr.-old female suffering from motor tics and compulsive utterances of an obscene word engaged in massed practice for the coprolalia. Self-recorded frequency counts of the obscenity indicated no substantial decrease from baseline. Unobtrusive monitoring of the rate of coprolalic outbursts in the therapeutic setting indicated a marked increase as treatment progressed. This observation coupled with an improved articulation of the obscenity resulted in terminating the massed practice after eight sessions. The continued use of supportive therapy and chemotherapy (haloperidol) also proved unsuccessful. Social contingencies beyond the control of the therapists were suspected to play an important role in maintaining these behaviors.