Eructophilia in bulimia nervosa: a clinical feature.
Int J Eat Disord
; 45(2): 298-301, 2012 Mar.
Article
em En
| MEDLINE
| ID: mdl-21374693
ABSTRACT
This report offers the first detailed description of repetitive eructation (belching) in a patient with bulimia nervosa. The case was a man in his 30's with bulimia nervosa characterized by daily bingeing and purging behavior. Detailed assessment revealed repetitive eructation which was construed as a learned behavior precipitated and maintained by aerophagia (air swallowing) secondary to regular binge-eating. Eructation was associated with a strong sense of "relief" that shared a common phenomenology with other purging behaviors. Repetitive eructation was addressed as part of outpatient treatment using a cognitive-therapy approach. Eructation became less frequent during outpatient treatment but the patient disengaged after six sessions. We define a new term "eructophilia" where repetitive eructation takes on an ego-syntonic, self-contained, and autonomous quality which serves as a reinforcing stimulus in itself. Issues of phenomenology and motivating factors are further discussed.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Terapia Cognitivo-Comportamental
/
Eructação
/
Bulimia Nervosa
Tipo de estudo:
Qualitative_research
Limite:
Adult
/
Humans
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Male
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article