austin-latestthinkingon-2019.pdf (94.29 kB)
Latest thinking on paruresis and parcopresis: a new distinct diagnostic entity?
journal contributionposted on 2019-04-01, 00:00 authored by K L Kuoch, David AustinDavid Austin, S R Knowles
10.31128/AJGP-09-18-4700 BACKGROUND: Paruresis and parcopresis are psychogenic conditions that involve a difficulty or inability to void or defecate, respectively, in a public setting (eg public restroom). Both conditions are associated with significant psychological distress. As a result of shame, embarrassment and stigma, individuals with these conditions may not actively identify behaviours or symptoms or seek treatment in general practitioner (GP) consultations. OBJECTIVE: The objective of this article is to provide a summary of the associated psychopathology and comorbidity, and diagnostic challenges associated with paruresis and parcopresis. Treatment recommendations relating to paruresis and parcopresis are also provided. DISCUSSION: Paruresis and parcopresis can have a significant impact on an individual's psychological health and overall quality of life. GPs play a part in identifying these conditions, defusing feelings of shame and embarrassment, and enabling access to psychological interventions, which are likely to provide significant benefits to individuals living with paruresis and/or parcopresis.
JournalAustralian journal of general practice
Pagination212 - 215
PublisherRoyal Australian College of General Practitioners
LocationEast Melbourne, Vic.
Link to full text
Publication classificationC1 Refereed article in a scholarly journal
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