Document Detail


Cognitive-behavioral therapy for paruresis: a case report.
MedLine Citation:
PMID:  9775678     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article reviews directive interventions for paruresis, the inability to urinate in the proximity of others. As in treatments for other anxiety disorders, historical interventions have included the use of paradoxical intention and several different forms of exposure. The results of pharmacological treatment have not proven promising. Although a multidimensional treatment model has been recommended, little attention has been paid to treating cognitive components of the problem. In this paper, a single case is described in which cognitive components of the problem of paruresis were evident. A cognitive approach and exposure in vivo were applied. Measures of successful trials were obtained over 18 weeks. The combination of cognitive interventions and gradual exposure was effective in reducing paruresis. At follow-up 6 mo. later results had been maintained. The results of this case suggest more attention to the cognitive components is appropriate in the treatment of paruresis, as was stated previously for other specific social phobias.
Authors:
J P Jaspers
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Psychological reports     Volume:  83     ISSN:  0033-2941     ISO Abbreviation:  Psychol Rep     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-12-01     Completed Date:  1998-12-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376475     Medline TA:  Psychol Rep     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  187-96     Citation Subset:  IM    
Affiliation:
Department of Medical Psychology, University Hospital Groningen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Cognitive Therapy*
Combined Modality Therapy
Desensitization, Psychologic
Humans
Male
Social Environment
Somatoform Disorders / psychology,  therapy*
Treatment Outcome
Urination Disorders / psychology,  therapy*

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