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Psychological Treatment Approaches To Psychogenic Vomiting and Rumination

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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.

Keywords

  • Electric Shock
  • Taste Aversion
  • Aversive Conditioning
  • Differential Reinforcement
  • Lemon Juice

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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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.

    CrossRef  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.

    CrossRef  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.

    CrossRef  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.

    PubMed  CrossRef  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.

    CrossRef  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.

    CrossRef  Google Scholar 

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

    CrossRef  CAS  Google Scholar 

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

    CrossRef  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.

    PubMed  CrossRef  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.

    CrossRef  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.

    CrossRef  Google Scholar 

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

    CrossRef  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.

    PubMed  CrossRef  CAS  Google Scholar 

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

    PubMed  CrossRef  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.

    PubMed  CrossRef  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.

    PubMed  CrossRef  CAS  Google Scholar 

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

    CrossRef  Google Scholar 

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

    CrossRef  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.

    PubMed  CrossRef  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.

    PubMed  CrossRef  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.

    CrossRef  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.

    CrossRef  Google Scholar 

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

    PubMed  CrossRef  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.

    CrossRef  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.

    PubMed  CrossRef  CAS  Google Scholar 

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© 1983 Plenum Press, New York

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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

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

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