Paruresis

The paruretic disorder, a special subtype of social phobia, is presented. It has been almost completely neglected by German research. The disorder manifests in an inability to urinate in public rest rooms. The corresponding fears concern the loss of visual and/or acoustic privacy. Based on considerations about its etiology and pathogenesis a cognitive behavior-therapeutic intervention is recommended. This is illustrated by a case vignette of a 29-year-old male patient.