行動療法(自己統制法)により著効を見た心因性多飲症の1例

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Our present report is;A case of psychogenic polydypsia who was successfully treated by behavior therapy technique (self-control).The patient was a 38-year-old male and had suffered from psychogenic polydypsia for about eight years when he was admitted to the Kagoshima University Hospital.The results of behavioral analysis in this case were as follows;(1) The abnormal behavior of drinking water in this patient occurred at various places and in various situations in his daily life. The stimulus constellation which elicited patient's water-drinking responses were more broadly distributed as compared with that of the normal people.(2) It was found that patient's drinking behavior took place more frequently when he was engaged in other activities, such as watching television, talking with a friend, etc. In terms of Premack principle, it seemed that the occurrence of patient's drinking responses was reinforced by these pair-behaviors.(3) It was observed that the patient used to drink water very rapidly, so that a large quantity of water was consumed in a very brief period of time.Based on these facts, the treatment was carried out as follows : (1) The patient was instructed to drink water at definite places in order to condition his drinking behavior to the definite stimulus constellation; (2) The patient was instructed to take water without above-mentioned pair-behaviors in order to make the drinking behavior an independent one without being reinforced by another behavior;(3) The patient was instructed to drink water slowly and to measure the amount of water by using a graduated cup. This aided the patient always to become conscious of the quantity of water consumed.The therapeutic results were dramatic and the patient was cured in about 20 days.
日本心身医学会の論文
1975-06-01

行動療法(自己統制法)により著効を見た心因性多飲症の1例

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