Skip to main content

Psychological Treatment Approaches To Psychogenic Vomiting and Rumination

  • Chapter
Psychophysiology of the Gastrointestinal Tract

Abstract

Vomiting or emesis is a common physiological malady which may have many causes (Feldman & Fordtran, 1978). One etiological factor which is gaining increasing attention in the literature is the possible psychogenic basis for emesis (Hill, 1968; Hoyt & Stickler, 1960; Kanner, 1972; Leibovich, 1973; Reinhart, Evans, & McFadden, 1977). Attempts have been made to distinguish three unique types of psychogenic vomiting: (1) chronic vomiting; (2) rumination; and (3) cyclic vomiting (Feldman & Fordtran, 1978; Kanner, 1972). Each is believed to present a different clinical picture and different etiology.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Alford, G., Blanchard, E., & Buckley, T. M. Treatment of hysterical vomiting by modification of social contingencies: A case study. Journal of Behavior Therapy and Experimental Psychiatry, 1972, 3, 209–212.

    Article  Google Scholar 

  • Azrin, N. H., & Wesolowski, M. D. Eliminating habitual vomiting in a retarded adult by positive practice and self correction. Journal of Behavior Therapy and Experimental Psychiatry, 1975, 6, 145–148.

    Article  Google Scholar 

  • Becker, J., Turner, S., & Sajwaj, T. Multiple behavioral effects of the use of lemon juice with a ruminating toddler-age child. Behavior Modification, 1978, 2, 267–278.

    Article  CAS  Google Scholar 

  • Berlin, I. N., McCullough, J., Liska, E. S., & Szurek, S. A. Intractabile episodic vomiting in a three-year-old child. Psychiatric Quarterly, 1957, 31, 228–249.

    Article  PubMed  CAS  Google Scholar 

  • Bright, C. O., & Whaley, D. L. Suppression of regurgitation and rumination with aversive events. Michigan Mental Health Research Bulletin, 1968,11, 17–20.

    Google Scholar 

  • Burgess, E. Elimination of vomiting behavior. Behavior Research and Therapy, 1969, 7, 173–176.

    Article  CAS  Google Scholar 

  • Clark, F. H. Rumination. Archives of Pediatrics, 1956, 73, 12–19.

    PubMed  CAS  Google Scholar 

  • Cunningham, C., & Linscheid, T. Elimination of chronic infant ruminating by electric shock. Behavior Therapy, 1976, 7, 231–234.

    Article  Google Scholar 

  • Davenport, C., Zrull, J., Kuhn, C., & Harrison, S. Cyclic vomiting. Journal of American Academy of Child Psychiatry, 1972, 11, 66–87.

    Article  CAS  Google Scholar 

  • Duker, P., & Seys, D. Elimination of vomiting in a retarded female using restitutional overcorrec-tion. Behavior Therapy, 1977, 8, 225–257.

    Article  Google Scholar 

  • Feldman, M., & Fordtran, J. Vomiting. In M. S. Sleisenger & J. S. Fordtran (Eds.), Gastrointestinal disease: Pathophysiology, diagnosis, management (2nd Edition). Philadelphia: W. Saunders, 1978.

    Google Scholar 

  • Ferholt, J., & Provence, S. Diagnosis and treatment of an infant with psychophysiological vomiting. Psychoanalytic Study of the Child, 1976, 31, 439–459.

    PubMed  CAS  Google Scholar 

  • Fleisher, D. R. Infantile rumination syndrome. American Journal of Diseases of Children, 1979, 133, 266–269.

    PubMed  CAS  Google Scholar 

  • Fullerton, D. T. Infantile rumination: A case report. Archives of General Psychiatry, 1963, 9, 593–600.

    PubMed  CAS  Google Scholar 

  • Gaddini, R., & Gaddini, E. Rumination in infancy. In L. Jessner & E. Pavenstadt (Eds.), Dynamic psychopathology in childhood. New York: Grune & Stratton, 1959.

    Google Scholar 

  • Galbraith, D., Byrick, R., & Rutledge, J. An aversive conditioning approach to the inhibition of chronic vomiting. Canadian Psychiatric Association Journal, 1970, 15, 311–313.

    PubMed  CAS  Google Scholar 

  • Hallowell, J., & Gardner, L. Rumination and growth failure in a male fraternal twin. Pediatrics, 1965, 36, 565–571.

    Google Scholar 

  • Hill, O. Psychogenic vomiting. Gut, 1968, 9, 348–352.

    Article  PubMed  CAS  Google Scholar 

  • Hoyt, C., & Stickler, G. A study of 44 children with the syndrome of recurrent (cyclic) vomiting. Pediatrics, 1960, 25, 775–779.

    PubMed  CAS  Google Scholar 

  • Ingersoll, B., & Curry, F. Rapid treatment of persistent vomiting in a 14-year-old female by shaping and time out. Journal of Behavior Therapy and Experimental Psychiatry, 1977, 8, 305–307.

    Article  Google Scholar 

  • Jackson, G., Johnson, C., Ackron, G., & Crowley, R. Food satiation as a procedure to decelerate vomiting. American Journal of Mental Deficiency, 1975, 80, 223–227.

    PubMed  CAS  Google Scholar 

  • Kanner, L. Child psychiatry (4th Edition). Springfield: Charles C Thomas, 1972.

    Google Scholar 

  • Katahn, M. Systematic desensitization and counseling for anxiety in a college basketball player. Journal of Special Education, 1967, 1, 309–314.

    Article  Google Scholar 

  • Kohlenberg, R. J. The punishment of persistent vomiting: A case study. Journal of Applied Behavioral Analysis, 1970,3, 241–245.

    Article  CAS  Google Scholar 

  • Lang, P., & Melamed, B. Case report: Avoidance conditioning therapy of an infant with chronic ruminative vomiting. Journal of Abnormal Psychology, 1969, 74, 1–8.

    Article  PubMed  CAS  Google Scholar 

  • Leibovich, M. A. Psychogenic vomiting. Psychotherapy and Psychosomatics, 1973, 22, 263–268.

    Article  PubMed  CAS  Google Scholar 

  • Linscheid, T., & Cunningham, C. A controlled demonstration of the effectiveness of electric shock in the elimination of chronic infant rumination. Journal of Applied Behavior Analysis, 1977, 10, 500.

    Article  PubMed  CAS  Google Scholar 

  • Luckey, R., Watson, C., & Musick, J. Aversive conditioning as a means of inhibiting vomiting and rumination. American Journal of Mental Deficiency, 1968, 73, 139–142.

    PubMed  CAS  Google Scholar 

  • Marholin II, D., Luiselli, J. K., Robinson, M., & Lott, I. T. Response-contingent taste-aversion in treating chronic ruminative vomiting of institutionalized profoundly retarded children. Journal of Mental Deficiency Research, 1980, 24, 47–56.

    PubMed  Google Scholar 

  • May, J. G., Risley, T. R., Twardosz, S., Friedman, P., Bijou, S. W., Wexler, D., et al. Guidelines for the use of behavioral procedures in state programs for retarded persons. M. R. Research, 1975, 1. (Monograph)

    Google Scholar 

  • Menking, M., Wagnitz, J., Burton, J., Coddington, R. D., & Sotos, J. F. Rumination—A near fatal psychiatric disease of infancy. The New England Journal of Medicine, 1969, 280, 802–804.

    Article  PubMed  CAS  Google Scholar 

  • Munford, P., & Pally, R. Outpatient contingency management of operant vomiting. Journal of Behavior Therapy and Experimental Psychiatry, 1979, 10, 135–137.

    Article  Google Scholar 

  • Murray, M., Keele, D., & McCarver, J. Treatment of rumination with behavioral techniques: A case report. Behavior Therapy, 1977, 8, 999–1003.

    Article  Google Scholar 

  • O’Neil, P., White, J., King, Jr., C., & Carek, D. Controlling childhood rumination through differential reinforcement of other behavior. Behavior Modification, 1979, 3, 352–372.

    Google Scholar 

  • Reinhart, J., Evans, S., & McFadden, D. Cyclic vomiting in children: Seen through the psychiatrist’s eye. Pediatrics, 1977, 59, 371–377.

    PubMed  CAS  Google Scholar 

  • Rich, C. L. Self-induced vomiting, psychiatric considerations. Journal of the American Medical Association, 1978, 239, 2688–2689.

    Article  PubMed  CAS  Google Scholar 

  • Richmond, J., Eddy, E., & Green, M. Rumination: A psychosomatic syndrome of infancy. Pediatrics, 1958, 22, 49–54.

    PubMed  CAS  Google Scholar 

  • Sajwaj, T., Libet, J., & Agras, S. Lemon juice therapy: The control of life-threatening rumination in a six-month-old infant. Journal of Applied Behavior Analysis, 1974, 7, 557–563.

    Article  PubMed  CAS  Google Scholar 

  • Sajwaj, T. E., & Meyerrose, M. The treatment of life-threatening rumination with the contingent use of lemon juice. Paper presented at the International Symposium on the Psychophysiology of the Gut: Experimental and Clinical Aspects, Munich, June 1980.

    Google Scholar 

  • Spergel, S. Induced vomiting treatment of acute compulsive vomiting. Journal of Behavior Therapy and Experimental Psychiatry, 1975, 6, 85–86.

    Article  Google Scholar 

  • Sperling, M. Trichotillomania, trichophagy and cyclic vomiting. International Journal of Psychoanalysis, 1968, 49, 682–689.

    PubMed  CAS  Google Scholar 

  • Stein, M., Rausen, A., & Blau, A. Psychotherapy of an infant with rumination. Journal of the American Medical Association, 1959, 171, 2309–2312.

    PubMed  CAS  Google Scholar 

  • Toister, R. P., Condron, C. J., Worley, L., & Arthur, D. Faradic therapy of chronic vomiting in infancy: A case study. Journal of Behavior Therapy and Experimental Psychiatry, 1975, 6, 55–59.

    Article  Google Scholar 

  • Watkins, J. T. Treatment of chronic vomiting and extreme emaciation by an aversive stimulus: Case study. Psychological Reports, 1972, 31, 803–805.

    Article  PubMed  CAS  Google Scholar 

  • White, J. C., Jr., & Taylor, D. Noxious conditioning as a treatment for rumination. Mental Retardation, 1967, 5, 30–33.

    PubMed  Google Scholar 

  • Wolf, M., Birnbrauer, J., Williams, T., & Lawler, J. A note on apparent extinction of vomiting behavior of a retarded child. In L. Ullmann & L. Krasner (Eds.), Case studies in behavior modification. New York: Holt, Rinehart & Winston, 1965.

    Google Scholar 

  • Wright, D. F., Brown, R., & Andrews, M. Remission of chronic ruminative vomiting through a reversal of social contingencies. Behavior Research and Therapy, 1978, 16, 134–136.

    Article  CAS  Google Scholar 

  • Wright, L., & Thalassinos, P. Success with electric shock in habitual vomiting: Report of two cases in young children. Clinical Pediatrics, 1973, 12, 594–597.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1983 Plenum Press, New York

About this chapter

Cite this chapter

Pazulinec, R., Sajwaj, T. (1983). Psychological Treatment Approaches To Psychogenic Vomiting and Rumination. In: Hölzl, R., Whitehead, W.E. (eds) Psychophysiology of the Gastrointestinal Tract. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3530-6_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-3530-6_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-3532-0

  • Online ISBN: 978-1-4613-3530-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics