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Revista Cubana de Medicina Militar

ISSN 1561-3046 (Electronic)
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2015, Number 1

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Rev Cub Med Mil 2015; 44 (1)

Paruresis

Quevedo FCR
Full text How to cite this article

Language: Spanish
References: 6
Page: 125-129
PDF size: 49.73 Kb.


Key words:

paruresis, shy bladder syndrome.

ABSTRACT

A 36 year-old male patient (college graduate, married his first wife, has two children) referred to always have difficulty at urinating in the presence of others, but currently this is a problem because he has to business travel quite often during in the last three years. He argues that he is healthy with no mental illnesses; he manages stress successfully and he considers having favorable economic situation. Previously he was studied at the urology service. Information about this condition is offered, and a strategy of in vivo exposure is established with the cooperation of his wife and using public urinals to practice and exploration progress. After 6 months follow-up and modest progress, he failed to attend consultation. He returned about a year later, he suggested that felt better and most of the time he achieved urination. It is expected, from the presentation of this case, to motivate others to study and publish their findings on this condition in Cuba. It is the first time a patient asks for support for this cause to this author in his years of practice as a psychiatrist.


REFERENCES

  1. Loriente Zamora C. ¿Qué es la paruresis o síndrome de la vejiga tímida? Una investigación transdisciplinar. Actas Urol Esp [Internet]. 2007;31(4):328-37

  2. Williams GW, Degenhart ET. Paruresis: a survey of a disorder of micturition. J Psychol. 1954;51:19-29.

  3. Sitio web de la Asociación de salud mental y psiquiatría comunitaria [Internet] Nominados al DSM. 2013 [actualizado 27 dic 2003; citado 14 ago 2014]. Disponible en: http://antigua.ome-aen.org/2003_12_27_insoliteces.html

  4. Boschen MJ. Paruresis (psychogenic inhibiton of micturition): cognitive behavioural formulation and treatment. Depression and anxiety [Internet] 2008 [cited 2014 Aug 14];25:903-12. Available from: http://onlinelibrary.wiley.com/doi/10.1002/da.20367/pdf

  5. Soifer S, Nicaise G, Chancellor M, Gordon D. Paruresis or shy bladder syndrome: an unknown urologic malady? Urologic Nursing. 2009;29(2):87-94.

  6. Mc Graw MS, Rothbaum GL, Sterner WR. Paruresis: what counsellor need to know about assessment and treatment of shy bladder syndrome. J Mental Health Counselling [Internet]. 2014 [cited 2014 Aug 14];36(3):228-42. Available from: http://web.a.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=89b8530c-5755-42d5- 9454-312956093afd%40sessionmgr4005&vid=0&hid=4106




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Rev Cub Med Mil . 2015;44