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The counterconditioning of a vomiting habit by sips of ginger ale

1972; Elsevier BV; Volume: 3; Issue: 2 Linguagem: Inglês

10.1016/0005-7916(72)90014-6

1873-7943

John Mogan, John S. O’Brien,

Pathogenesis and Treatment of Hiccups

Abstract A 60-yr-old woman had been vomiting for a 6-week period following an acute myocardial infarction. Medical investigation yielded no organic cause for the vomiting which, on psychiatric evaluation, was found to be a conditioned response to stimuli from the depression that had started very shortly before the onset of the infarction. The conditioned vomiting was counter-conditioned by the use of small doses of ginger ale producing forward peristalsis. The depression was treated by the introduction of behaviors incompatible with the depression. At a 5-month follow-up, the patient remained free of vomiting and the depression had ameliorated.