Coprophagia and Urodipsia in a Chronic Mentally Ill Woman

McGee, Michael; Gutheil, Thomas G.

doi:10.1176/ps.40.3.302

Cited by 4 publications

(13 citation statements)

References 2 publications

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“…Coprophagia is well documented in literature in a number of case studies; however, the understanding of this disorder and appropriate management remains inconclusive. Several psychiatric diseases which have been associated with coprophagia include dementia [1, 2], autism [3], schizophrenia [4, 5], obsessive-compulsive disorder [1], and cognitive impairment [6]. Since these disorders do not share a common pathophysiology, the question then arises of whether there may be common features shared by these disorders that may hint at the emergence of coprophagia in such patients.…”

Section: Introductionmentioning

confidence: 99%

“…Nonpharmacological strategies are mostly based on behavioral theories [9]. The minimum time to resolution of coprophagia reported has ranged from six weeks [4] to a maximum reported time of twenty-two weeks [1]. One may also raise questions about whether we have exhausted all possible treatment interventions (clozapine or cognitive therapy) and whether we may achieve even shorter time to recovery.…”

Section: Introductionmentioning

confidence: 99%

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The Pathophysiology and Management of Coprophagia: A Report of Two Cases and Literature Review

Azizi

Khan

Canale

et al. 2018

Case Reports in Psychiatry

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Coprophagia is a rare and distressing disorder characterized by symptoms of compulsive consumption of feces. Several attempts have been made in literature to explore the pathophysiology, management, and outcomes of this disorder. However, critical questions remain, related to characterizing effective management, features of associated comorbidities, time to recovery of symptoms, sustainability of recovery, and the determinants of outcomes. Unfortunately, there is a dearth of available literature addressing these questions. We present two cases of patients with coprophagia in seeking to address these questions. Common symptoms of thought content disorder related to coprophagic behavior are noted in both cases. A shorter time to resolution of coprophagia is noted in one of the patients compared to previously reported studies. Recent and pertinent literature was reviewed and the implications for diagnosis and management of coprophagia are discussed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Pathophysiology and Management of Coprophagia: A Report of Two Cases and Literature Review

Azizi

Khan

Canale

et al. 2018

Case Reports in Psychiatry

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“…Disturbing behaviour has been described in people with learning disabilities (1), psychoses (2) and dementia (3). Wandering (4), agitation (5), aggressive (6), assaulting (7) and verbally aggressive behaviour (8), vocally disruptive behaviour (9), self‐injury (10), hypersexual behaviour (11), water intoxication (12), coprophagia and urodipsia (13) and strange eating behaviour (14) etc. have all been described.…”

Section: Introductionmentioning

confidence: 99%

The meaning of caring as described by nurses caring for a person who acts provokingly: an interview study

Hellzén

Asplund

Sandman

et al. 2004

Scandinavian Caring Sciences

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Nurses working with people with learning disabilities are sometimes exposed to provoking behaviour such as unpredictable and violent actions, spitting and sexual harassment. Eight nurses at a group dwelling in Sweden were interviewed about their experiences when caring for a person who acts provokingly. Narrative interviews were conducted and interpreted using a method inspired by Ricoeur. Three themes were formulated which describe nurses' feelings of being tormented, disrupted and helpless. Nurses describe themselves as being deeply humiliated by physical violence, spittle, sexual invective and actions on the part of the patient. They respond more to being spat on and the sexual invective than to the patient's physical violence. The frequent humiliations could be seen as a symbolic language connected to defilement and 'evil' and therefore as having a deep symbolic meaning for the nurses. These results were interpreted and reflected on in the light of a theoretical framework from an affliction perspective in order to achieve a deeper understanding of the text. This paper shows that an affliction perspective is important when searching for the meaning of caring for a patient who acts provokingly. The study indicates that the goal in a provoking care situation must be to see the provoking patient, as he appears to the nurses in order to glimpse the goodness concealed behind the provoking facade.

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“…Disturbing and bizarre behaviours have been described in people with learning difficulties (Feldman, 1986;Jancar & Wiley, 1994), psychoses (McGee & Gutheil, 1989;Torrey, 1994) and dementia (Cohen-Mansfield et al, 1989;. Wandering (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…Jose & Perez-Cruet, 1979), coprophagia and urodipsia (e.g. McGee & Gutheil, 1989), and strange eating behaviour (e.g. Neil et al, 1977) have been described.…”

Section: Introductionmentioning

confidence: 99%

From optimism to pessimism. A case study of a psychiatric patient

Asplund

Gilje

Sandman

1998

Journal of Clinical Nursing

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This article focuses on the results of a single case study which illuminates an understanding of phases in nursing care for a patient in a psychiatric setting in Sweden. The focus of this study is a 50-year-old man who showed progressive deterioration from increased motor activity to oral, sexual, destructive and aggressive actions. Data collection using five methods occurred during a 21-month period. Results of the content analysis processes identified four distinct but non-discrete phases of the patient's complex condition. Medical and nursing care was categorized in three approaches: optimistic, strategic and resigned. The results raise the question of whether there is action that is without any meaning as an expression of the patient's wishes, thoughts and feelings. It seems clear that the patient in this study felt really angry and in despair. However, during moments of lucidity, he also indicated that he felt this was not an authentic expression of his 'real' self. His experience was that of a splintered world.

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Coprophagia and Urodipsia in a Chronic Mentally Ill Woman

Cited by 4 publications

References 2 publications

The Pathophysiology and Management of Coprophagia: A Report of Two Cases and Literature Review

The Pathophysiology and Management of Coprophagia: A Report of Two Cases and Literature Review

The meaning of caring as described by nurses caring for a person who acts provokingly: an interview study

From optimism to pessimism. A case study of a psychiatric patient

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