Paruresis: Overview and Implications for Treatment

Zgourides, George D.

doi:10.2466/pr0.1987.60.3c.1171

Cited by 27 publications

(18 citation statements)

References 4 publications

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“…Cognitive restructuring is also suggested, with specific targets for cognitive work. This is consistent with suggestions for further elaboration of cognitive techniques in psychogenic disorders of micturition [Jaspers, 1998;Zgourides, 1987]. Also proposed are novel additions to established procedures such as specific psychoeducation, the use of behavioral experiments, attention training, and the relinquishing of safety behaviors.…”

Section: Formulation-based Treatment Of Paruresissupporting

confidence: 57%

“…Adrenergic b-blockers have shown little or no effectiveness [e.g. Zgourides, 1987], and the small number of cases in which monoamine oxidase inhibitors have been tried have also shown no significant treatment response [Hatterer et al, 1990]. Recently, successful treatment of a single case with gabapentin was reported, raising the possibility that further research into psychopharmacological interventions may yield effective interventions [Kaufman, 2005].…”

Section: Previous Treatment Researchmentioning

confidence: 99%

“…Zgourides, 1987]. Jaspers [1998] reported on a combined cognitive and behavioral intervention for paruresis, which incorporated in vivo exposure procedures with cognitive restructuring used in the treatment of other anxiety disorders.…”

Section: Previous Treatment Researchmentioning

confidence: 99%

“…Established treatments such as in vivo exposure [e.g. Anderson, 1977] and arousal management skills [Zgourides, 1987] are incorporated. Cognitive restructuring is also suggested, with specific targets for cognitive work.…”

Section: Formulation-based Treatment Of Paruresismentioning

confidence: 99%

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Paruresis (Psychogenic Inhibition of Micturition): cognitive behavioral formulation and treatment

Boschen

2008

Depress. Anxiety

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Paruresis is a condition characterized by difficulty or inability to urinate in situations where others are present, or may soon be present. Despite knowledge that paruresis can significantly impact on occupational functioning, social functioning, and quality of life, there exists a paucity of research into effective treatments. Although cognitive conceptualizations have been advanced for other anxiety disorders, there has not been a comprehensive cognitive behavioral model of paruresis. This article presents a revised cognitive and behavioral conceptualization of paruresis, drawing on empirical evidence from other anxiety disorders. Using this conceptualization, a cognitive-behavioral intervention strategy is outlined, with clear targets for cognitive and behavioral strategies.

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Section: Formulation-based Treatment Of Paruresissupporting

confidence: 57%

Section: Previous Treatment Researchmentioning

confidence: 99%

Section: Previous Treatment Researchmentioning

confidence: 99%

Section: Formulation-based Treatment Of Paruresismentioning

confidence: 99%

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Paruresis (Psychogenic Inhibition of Micturition): cognitive behavioral formulation and treatment

Boschen

2008

Depress. Anxiety

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“…Two main forms of classification proposals can be identified even though the aim of the corresponding literature was not to generate a classification; the functional nature of paruresis was emphasized and consequently the syndrome was described as a ‘functional disorder of micturition’ [1, 19] or as ‘psychogenic urinary retention’ [3, 12, 17,20,21,22,23,24,25]. The character of anxiety and avoidance was pointed out and paruresis described as a kind of social anxiety [15,26,27,28] further underlined by the synonym ‘bashful bladder syndrome’.…”

Section: Introductionmentioning

confidence: 99%

Psychogenic Urinary Retention (‘Paruresis’): Diagnosis and Epidemiology in a Representative Male Sample

Hammelstein

Pietrowsky

Merbach

et al. 2005

Psychother Psychosom

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Background: Although research interest in social phobias has expanded during the last decade, a special subtype of social phobia known as paruresis, which manifests in the inability to urinate in public rest rooms, is rarely mentioned. The aim of the present study was to achieve for the first time an estimation of point prevalence in a representative male sample (n = 1,105). Method: Due to the lack of well-established screening instruments for paruresis, the Paruresis Checklist (PCL) must be tested for reliability and validity. An empirically based cutoff score must be determined by using the subjective interference with everyday life as an external criterion. Results: Reliability of the PCL seemed to be sufficient, and adequate evidence for validity was found. Using the empirically based cutoff score of the PCL, 2.8% of the sample was diagnosed as suffering from paruresis. In contrast to other forms of social phobia, paruresis is not associated with a lower educational or occupational level.

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Current knowledge and research directions in the treatment of paruresis

Bohn

Sternbach

1997

Depress. Anxiety

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Paruresis: Overview and Implications for Treatment

Cited by 27 publications

References 4 publications

Paruresis (Psychogenic Inhibition of Micturition): cognitive behavioral formulation and treatment

Paruresis (Psychogenic Inhibition of Micturition): cognitive behavioral formulation and treatment

Psychogenic Urinary Retention (‘Paruresis’): Diagnosis and Epidemiology in a Representative Male Sample

Current knowledge and research directions in the treatment of paruresis

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