The treatment of urinary retention by aversive stimulus cessation and assertive training |
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| Authors: | G W Barnard C K Flesher R M Steinbook |
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| Affiliation: | 1. School of Psychology, University of Kent, United Kingdom;2. Department of Psychology and Behavioral Sciences, Zhejiang University, PR China;1. Department of Sociology & Psychology, School of Public Administration, Sichuan University, China;2. Institute of Psychology, Sichuan University, China;3. Mental Health Center, West China Hospital, Sichuan University, Chengdu, China;1. Faculty of Psychology, Tianjin Normal University, Tianjin, China;2. Division of Psychology and Language Sciences, University College London, London, United Kingdom;3. Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China |
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| Abstract: | A case is reported in which a method for short-term therapy was developed and used in the treatment of psychogenic urinary retention and associated neurotic behavior. The method was based on the assumption that bladder hypofunction was directly related to the patient's inability to engage in selfassertive behavior. The treatment program involved, (1) the use of electrical stimulation to bring bladder function under voluntary control, and (2) the provision of a therapeutic relationship in which assertive responses could be instigated and reinforced. Its promise is attested to by the fact that after 4 months this patient, with a history of 15 yr of almost chronic urinary retention, was able to return home as an adequately functioning member of society. An 18-month follow-up indicates no relapse. |
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