Hostname: page-component-76fb5796d-dfsvx Total loading time: 0 Render date: 2024-04-25T13:06:49.742Z Has data issue: false hasContentIssue false
  • English
  • Français

Enema Abuse

Published online by Cambridge University Press:  29 January 2018

John L. Barton ,
J. Michael Terry  and
Elizabeth Spindler Barton
John L. Barton
Affiliation:
St Francis Mental Health Center, Cape Girardeau, Missouri 63701, USA
J. Michael Terry
Affiliation:
St Francis Mental Health Center, Cape Girardeau, Missouri 63701, USA
Elizabeth Spindler Barton
Affiliation:
St Francis Mental Health Center, Cape Girardeau, Missouri 63701, USA
Get access Rights & Permissions [Opens in a new window]

Extract

Enema abuse is a pernicious disorder, not extensively reported in the psychiatric literature. It may occur as an isolated paraphilia, klismaphilia (Denko, 1973, 1976), or as a symptom reflecting more pervasive illness or abnormality of attitude (Engel, 1975; Greenberg-Englander and Levine, 1981). Our patient had been using enemata excessively for sixteen years and presented in a state of cachexia; she had both obsessive-compulsive and affective symptoms, both frequently found in association with anorexia nervosa (Snaith, 1981).

Type
Research Article
Information
The British Journal of Psychiatry , Volume 141 , Issue 6 , December 1982 , pp. 621 - 623
Copyright
Copyright © Royal College of Psychiatrists, 1982 

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

Bruch, H. (1977) Psychotherapy in eating disorders. Canadian Psychiatric Association Journal, 22, 102–8.CrossRefGoogle ScholarPubMed
Denko, J. D. (1973) Klismaphilia: Enema as a sexual preference: report of two cases. American Journal of Psychotherapy, 27, 232–50.Google Scholar
Denko, J. D. (1976) Klismaphilia: Amplification of the erotic enema deviance. American Journal of Psychotherapy, 30, 236–55.CrossRefGoogle ScholarPubMed
DuBois, F. S. (1949) Compulsion neurosis with cachexia (anorexia nervosa). American Journal of Psychiatry, 106, 107–15.Google Scholar
Engel, G. L. (1975) Psychophysiological gastrointestinal disorders: II. Intestinal disorders. Pp 1643–4 in Comprehensive Textbook of Psychiatry, (eds. Freedman, A. M., Kaplan, H. I. and Sadock, B. J.). Baltimore: Williams and Wilkins.Google Scholar
Greenberg-Englander, S. & Levine, S. B. (1981) Answers to questions: significance of frequent enemas. Medical Aspects of Human Sexuality, 15, 116.Google Scholar
Kellett, J., Trimble, M. & Thorley, A. (1976) Anorexia nervosa after the menopause. British Journal of Psychiatry, 128, 555–8.Google Scholar
Launer, M. (1978) Anorexia nervosa in late life. British Journal of Medical Psychology, 51, 375–7.Google Scholar
Moore, D. C. (1977) Amitriptyline therapy in anorexia nervosa. American Journal of Psychiatry, 134, 1303–4.Google Scholar
Oyewumi, L. K. (1981) Is anorexia nervosa a disease of all ages? The Psychiatric Journal of the University of Ottawa, 6, 39–42.Google Scholar
Rincover, A., Cook, R., Peoples, A. & Packard, D. (1979) Sensory extinction and sensory reinforcement principles for programming multiple behavior change. Journal of Applied Behavioral Analysis, 12, 221–33.Google Scholar
Snaith, R. P. (1981) Anorexia nervosa. In Clinical Neurosis. Oxford University Press.Google Scholar
Snyder, S. (1980) Amitriptyline therapy of obsessive-compulsive neurosis. Journal of Clinical Psychiatry, 41, 286–9.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.