Monday, November 29, 2004
pee syndrom
bashful bladder syndrome (BBS), also referred to as bashful kidneys, pee-phobia, urophobia, psychogenic urinary retention and paruresis (the official clinical term). People with BBS are sometimes referred to as paruretics.
For some individuals BBS appears to start out of nowhere, but for most an unpleasant experience or group of experiences appear to precipitate the onset of the problem. In the case of the latter, after some negative event— such as being unable to urinate in front of a nurse during a medical test— the individual begins to catastrophize; that is, he or she worries about being able to urinate next time he or she in some type of public restroom. In this way performance anxiety— the key feature of social phobias— develops and becomes associated with urinating in the presence of others. The individual enters public restrooms with aroused sympathetic nervous system activity, which creates a level of anxiety that is incompatible with urinating. As each forcible attempt to control the process fails, increased performance anxiety due to mounting levels of sympathetic activity decreases the individuals chances of voiding at that time. In many cases this performance anxiety eventually generalizes to all or most public restrooms, so that the only safe toilet the person can reliably use is at home.