The term emetophobia (i.e., a fear of vomiting) exists as rather an elusive predicament, often eluding conventional treatment. The present study involved 149 participants, consisting of 51 emetophobics, 48 phobic controls (i.e. those who suffered from a different phobia), and 50 nonphobic controls. Participants were administered the Rotter (1966) Locus of Control Scale and the Health Locus of Control Scale by B.S. Wallston, Wallston, Kaplan, and Maides (1976). Significant differences were found among the three groups; specifically, that emetophobics had a significantly higher internal Locus of Control Scale score with regard to both general and health-related issues than did the two control groups. It is suggested that vomiting phobics may have a fear of losing control, and that their vomiting phobia is reflective of this alternative, underlying problem. More research is required to explore the association between emetophobia and issues surrounding control; however, the current study suggests that it may be helpful for therapists to consider this aspect when treating a patient with vomiting phobia.
The light microscopical, histochemical and ultrastructural features of an unusual gastric tumour are presented. Microscopically, the neoplasm showed the features of both a conventional carcinoid tumour and of a mucin-producing adenocarcinoma. The ultrastructural demonstration of individual cells containing both endocrine granules and mucin globules supports the view that gastric enterochromaffin cells are of endodermal origin.
Summary
A follow‐up study was carried out on a series of a hundred alcoholic patients discharged from Warlingham Park Hospital Alcoholic Unit during the period October 1968 to May 1970. An attempt has been made to evaluate treatment results together with various aspects of the after‐care available to patients.
The role of Out‐patient Groups, Alcoholics Anonymous, Re‐union Meetings and informal social contacts are discussed. Treatment prospects for the female alcoholic are considered and attention is given to the role of the hostel in consolidating the gains made by the patient during his or her stay in the Alcoholic Unit. Also discussed is the role of the spouse in the recovery programme of the alcoholic. Comment is also made about the relationship between occupational class and treatment outcome. It was found that just under 50% of the traceable sample appeared to have benefited from treatment. The survey also discusses and attempts to evaluate aspects of the after‐care support available to patients following discharge. Some suggestions are made as to the planning of future facilities.
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