Competence Imagery: A Case Study Treating Emetophobia

Morán, Daniel; O’Brien, Richard M.

doi:10.2466/pr0.96.3.635-636

Cited by 23 publications

(19 citation statements)

References 3 publications

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“…These approaches include simulated exposure,[7] interoceptive exposure[89] and graduated exposure to feared situations. [9] Other treatments that have been reported include the use of (combinations of) hypnotherapy,[10] cognitive behavior therapy including stimulation of nausea or vomiting, the use of counter conditioning,[5] exposure in vivo to cues of vomiting, re-scripting of past aversive experiences of vomiting, behavioral experiments, dropping of safety-seeking behaviors, and role play of vomiting using the smell of vomit. [11]…”

Section: Discussionmentioning

confidence: 99%

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Emetophobia: A fear of vomiting

Faye

Gawande

Tadke

et al. 2013

Indian J Psychiatry

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Emetophobia is an intense, irrational fear of vomiting including fear of feeling nausea, seeing or hearing another person vomit, or seeing vomitus itself. It may occur at any age and we need to understand its symptomatology. We report a case of emetophobic child whose fear of vomiting started after an attack of acute appendicitis. In the initial stage, fear was limited to vomiting, later it became generalized to a fear of seeing the vomitus, worries that parents may suffer vomiting, fear of vomiting in public places followed by avoiding social activities. Patient improved on short course of anti-anxiety drugs and Graded Exposure Therapy.

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Section: Discussionmentioning

confidence: 99%

“…[4] An emetophobic child may be nonresponsive to conventional systematic desensitization therapy. [5]…”

Section: Introductionmentioning

confidence: 99%

Emetophobia: A fear of vomiting

Faye

Gawande

Tadke

et al. 2013

Indian J Psychiatry

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“…A média de idade de início dos sete casos descritos por Phillips em 1985 7 foi de 8,5 anos e de duração, 17,4 anos. Portanto, como ocorre com outros tipos de fobia específica, além da longa duração e da predominância no sexo feminino, o início na infância é comum, isso tendo sido descrito também em vários relatos de caso 2,7,11 . Para Van Overveld et al 4 , entretanto, a faixa etária crítica de início seriados 13 aos 17 anos.…”

Section: Aspectos Clínicosunclassified

“…Estudos sobre os resultados de tratamento são escassos e histórias de êxito com remissão sintomatológica sustentadatambém são raramente descritas na literatura 11 . Nesta revisão, não se encontraram ensaios clínicos, mas apenas um programa de tratamento não controlado com grupo 7 e um pequeno número de estudos de caso.…”

Section: Tratamentounclassified

Emetofobia: revisão crítica sobre um transtorno pouco estudado

Leite¹,

Vicentini²,

Neves³

et al. 2011

J. bras. psiquiatr.

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rESUMo introdução: A emetofobia ou fobia de vômitos -que inclui o medo excessivo de vomitar ou de ver outras pessoas vomitando e pode ser desencadeado por estímulos internos e externos -é um transtorno mental complexo e pouco conhecido. objetivo: Este estudo teve como objetivo levantar os conhecimentos disponíveis sobre diversos aspectos do quadro. Método: Revisão convencional da literatura dos últimos 30 anos utilizando como estratégia de busca as seguintes palavras-chave: "emetofobia", "emetofóbico", "medo de vomitar", "fobia de vomitar" e"fobia de vômito". Foram incluídos artigos sobre epidemiologia, fenomenologia, diagnóstico diferencial e tratamento da emetofobia, assim como artigos referidos nestes. resultados: Não há dados de prevalência na população geral e pouco se sabe sobre a etiologia da emetofobia. A maioria dos estudos aponta predominância no sexo feminino, início precoce e curso crônico. Os comportamentos de esquiva podem impactar negativamente a vida ocupacional, social e familiar. Os principais diagnósticos diferenciais são: transtorno de pânico com agorafobia, fobia social, anorexia nervosa e transtorno obsessivo-compulsivo. Estudos de tratamento se resumem a relatos de casos e não há ensaios clínicos controlados, mas intervenções cognitivo-comportamentais parecem ser promissoras. Conclusão: Mais estudos são necessários para melhor compreensão sobre a epidemiologia, o quadro clínico, a etiologia, a classificação e o tratamento da emetofobia. aBStraCt introduction: Emetophobia or fear of vomit -which includes an excessive fear of vomiting or seeing other people vomiting and can be triggered by internal and external stimuli -is a complex and fairly unknown disorder. objective:This study aimed at reviewing the current knowledge about this condition. Method: A conventional literature review of the previous 30 years, using as search strategy the following keywords : "emetophobia", "emetophobic", "fear of vomiting", "vomiting phobia", and "phobia of vomit". All

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“…Consequences on everyday life can vary from minimal to extreme, and despite the motivation of the person to seek treatment; success stories of those effectively cured are uncommon and sporadic in the literature (Bouman & van Hout, 2006;Moran, 2005). Emetophobia is a chronic disorder of early onset, relaying symptoms that are highly persistent and intrusive in nature, which are distressing on a daily basis (Lipsitz, Fyer, Paterniti & Klein, 2001).…”

Section: Introductionmentioning

confidence: 99%

Scared to lose control? General and health locus of control in females with a phobia of vomiting

Davidson

Boyle

Lauchlan³

2007

J Clin Psychol

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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.

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Competence Imagery: A Case Study Treating Emetophobia

Abstract: An emetophobic child is nonresponsive to conventional systematic desensitization and has her anxiety responses counterconditioned by using Competence Imagery instead of physical relaxation responses while progressing through her fear hierarchy.

Cited by 23 publications

References 3 publications

Emetophobia: A fear of vomiting

Emetophobia: A fear of vomiting

Emetofobia: revisão crítica sobre um transtorno pouco estudado

Scared to lose control? General and health locus of control in females with a phobia of vomiting

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