Hostname: page-component-77c89778f8-sh8wx Total loading time: 0 Render date: 2024-07-20T11:15:36.717Z Has data issue: false hasContentIssue false

Rapid Treatment of Excessive Urinary Urgency and Frequency by Progressive Retention Training, Cognitive Restructuring and In Vivo Desensitization

Published online by Cambridge University Press:  06 October 2014

Brian Lowe*
Affiliation:
Alcohol and Drug Treatment Unit, Metropolitan Reception Prison, Coburg, Victoria
*
Alcohol and Drug Treatment Unit, ‘G’ Division, H.M. Metropolitan Reception Prison, P.O. Box 114, Coburg, Vic. 3058
Get access

Abstract

A 32-year-old man with a 10-year history of psychogenic urinary frequency was treated using a two-stage behavioural intervention. Stage 1 comprised urinary retention training, which led to a marked reduction in urinary frequency. Stage 2 employed retention training, in vivo desensitization and cognitive restructuring, resulting in a reduction of phobic avoidance and a decrease in self-reported social anxiety. Gains were maintained at two- and ten-month follow-ups. The results suggest that the introduction of retention training prior to counterconditioning leads to a rapid resolution of pollakiuretic behaviour when anxiety is implicated as a mediating factor.

Type
Research Article
Copyright
Copyright © The Author(s) 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Blandy, J.P. (1976). Lecture notes on urology. Oxford: Alden Press.Google Scholar
Espie, C.A. (1985) Treatment of excessive urinary urgency and frequency by retention control training and desensitization: Three case studies. Behaviour Research and Therapy, 23, 205210.Google Scholar
Figuero, J.L., & Jacob, R.G. (1981). Treatment of urinary urgency and frequency: A case study. Behaviour Research and Therapy, 19, 261264.Google Scholar
Godec, C.J., & Cass, A.S. (1981). Psychosocial aspects of micturition. Urology, 18, 332334.Google Scholar
Hersen, M., & Barlow, D.H. (1976). Single case experimental designs: Strategies for studying behavior change. New York: Pergamon Press.Google Scholar
Krane, R.J., & Siroky, M.B. (1979). Psychogenic voiding dysfunction. In Krane, R.J. & Siroky, M.B. (eds), Clinical neuro-urology. Boston: Little, Brown & Co.Google Scholar
Miller, P.M. (1973) An experimental analysis of retention control training in the treatment of nocturnal enuresis in two institutionalized adolescents. Behavior Therapy, 4, 288294.Google Scholar
Mills, H.L., Agras, W.S., Barlow, D.H., & Mills, J.R. (1973) Compulsive rituals treated by response prevention. Archives of General Psychiatry, 28, 524529.Google Scholar
Rovetto, F.M. (1983) Treatment of excessive urinary frequency and urgency by desensitization and progressive retention training. Journal of Behavior Therapy and Experimental Psychiatry, 14, 155159.Google Scholar