Knowledge

Paruresis

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42: 1024:"Procedure for Inmates Claiming to be Unable to Urinate in Presence of Others: The following procedures shall be employed when the watch commander reasonably believes that the inmate is unable to provide a urine specimen due to an alleged inability to urinate in the presence of others (shy bladder). Reasonable belief is based upon the following criteria, including, but not limited to: Medical or mental health records supporting the inmate's claim (to be evaluated by health services or OMH staff), prior disciplinary and/or computerized urinalysis testing data indicating a history of urinalysis testing violations, if applicable, and the inmate's behavior and demeanor at the time of request for the urine sample . . . . Staff shall not witness the inmate urinate into the specimen container." 492:, "No definitive or objective test is available to confirm or refute the presence of paruresis. The absence of prior treatment or the ability to void in some social situations but not in others does not rule it out. Although modalities associated with the treatment of social phobias help some individuals, no universally effective medication or other treatment exists. Coercive interventions, such as forcing fluids while observing a person with paruresis, are ineffective and can cause serious medical complications. Alternatives to observed urine specimen collection for individuals who self-report paruresis include unobserved collections in a dry room, 1039:"There may be extenuating medical (e.g., dehydration, kidney problems, medication, etc.) and psychological (e.g., social phobias) conditions that may preclude the giving of a sample. In such cases, the inmate must provide written evidence from the health care staff indicating such a condition. The Warden shall, in extreme cases, authorize the use of an alternative drug testing method for those inmates who have a documented medical condition that would prohibit the use of urinalysis testing. Approval of the commissioner or his designee is required prior to the use of any alternate drug testing method or instrument." 432: 461:
dehydrated, etc.). Staff may consider supervising indirectly an inmate who claims to be willing but unable to provide a urine sample under direct visual supervision. For example, this might be accomplished by allowing the inmate to provide the sample in a secure, dry room after a thorough search has been made of both the inmate and the room." At least six state prison systems—
228:, fear of exposure, or fear of being judged for not being able to urinate. Other people may find that they are unable to urinate while in moving vehicles, or are fixated on the sounds of their urination in quiet restrooms or residential settings. In severe cases, a person with paruresis can urinate only when alone at home or through the process of catheterization. 393:. In graduated exposure therapy, the subject has a trusted person stand outside the restroom at first, and once the fear is overcome the observer is brought closer in, until step by step the phobia is vanquished. The International Paruresis Association provides a detailed discussion of this method on its website. In addition to gradual exposure therapy, 460:
FBOP Program Statement 6060.08 states, "Ordinarily, an inmate is expected to provide a urine sample within two hours of the request, but the Captain (or Lieutenant) may extend the time if warranted by specific situations (for example, the inmate has a documented medical or psychological problem, is
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provides that "An inmate is presumed to be unwilling if the inmate fails to provide a urine sample within the allotted time period. An inmate may rebut this presumption during the disciplinary process." Although U.S. courts have ruled that failure to treat properly diagnosed paruresis might violate
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tribunals also recognise it. It is listed in the NHS on-line encyclopaedia of conditions and disorders. It is now reported to have been accepted as a valid reason for jury service excusal. From 1 August 2005, the guidance on the rules relating to the testing of those on probation in the UK cites
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prisoner's constitutional rights, the courts have also "routinely rejected suspicious or unsubstantiated attempts to invoke it in defense of failure to complete drug testing," particularly when there were no medical record or physician testimony to back up the claim of paruresis.
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was coined by Williams and Degenhart (1954) in their paper "Paruresis: a survey of a disorder of micturition" in the Journal of General Psychology 51:19–29. They surveyed 1,419 college students and found 14.4% had experienced paruresis, either incidentally or continuously.
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Some drug testing authorities find paruresis a nuisance, and some implement "shy bladder procedures" which pay no more than lip service to the condition, and where there is no evidence that they have conducted any real research into the matter. In the U.S.
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The International Paruresis Association stresses the importance of medical documentation of one's condition since "he person who is unable to produce a urine sample is presumed guilty in the absence of any evidence." Some prisons have offered the use of a
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Nurses and others who work in medical offices have long been aware that some individuals are unable to produce urine samples. This phenomenon, sometimes called "bashful bladder," paruresis, is the inability to urinate in public
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are an application of behavior therapy for dealing with this disorder. Some paruretics experience delayed urination and must wait for their need to void to overcome their anxiety, while others are unable to urinate at all.
1015: (N.D. Florida, Panama City Division) ("DOC's Procedure 602.010, Bashful Bladder Procedure, which outlines the steps to be taken to obtain a urine specimen from an inmate who claims that he suffers from BBS."). 368:) have excessive fears of humiliation or embarrassment in various social settings, such as in speaking in public, urinating in a public rest room (also called shy bladder), and speaking to a date." The 397:
is used to change a patient's mental approach to the condition, from one of a person who cannot urinate, to a person who can urinate or is not overly fearful when they can't publicly urinate.
457:"—i.e., a cell with no toilet facilities, but only a container for the prisoner's waste—as an accommodation to inmates who are hindered by paruresis from providing an observed urine sample. 578: 504:('Test for Drugs of Abuse' 2002). These alternatives preclude the need for futile attempts to differentiate inmates with true paruresis from those who fabricate complaints." 673: 1012: 1660: 220:
Some people have brief, isolated episodes of urinary difficulty in situations where other people are in close proximity. Paruresis, however, goes beyond simple
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Benjamin J. Sadock; Harold I. Kaplan; Virginia A. Sadock. "35.8 Behavior Therapy. Table 35.8–2: Some Common Clinical Applications of Behavior Therapy".
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Paruresis was described in section 300.23 of the DSM-IV-TR as "performance fears ... using a public restroom" but it was not mentioned by name. The
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Paruresis is also known by many colloquial terms, including bashful bladder, bashful kidneys, stage fright, pee-shyness, and shy bladder syndrome.
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Outdoor urinal in Paris (1865). Paruresis is a type of phobia in which one is unable to urinate in the presence of others, as in a public toilet.
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Some individuals fear and avoid urinating in public restrooms when other individuals are present (i.e., paruresis, or 'shy bladder syndrome'.)
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Code of Federal Regulations, Title 28: Judicial Administration, Part 550—Drug Programs, Subpart D—Urine Surveillance, § 550.31 Procedures
1134: 646: 2132: 2088: 1191: 331:) also may be involved, as its inhibition results in relaxation of the detrusor and prevents the relaxation of the internal sphincter. 297: 1947: 1564: 1377: 670: 1357: 1683: 466: 1068: 2144: 1292: 482: 1394: 1369: 1204: 1093: 820: 474: 470: 2180: 2000: 1898: 462: 156: 103: 312:) muscle area, or some combination of the above, may be involved. It is possible that there is an inhibition of the 2272: 1509: 1480: 1421: 1514: 1309: 1234: 348: 2449: 2167: 1952: 1923: 1184: 2464: 1693: 1411: 1387: 1110: 542: 2469: 2356: 1893: 1426: 1271: 394: 390: 1601: 1399: 445: 344:
paruresis as a valid reason for inability to produce a sample which is not to be construed as a refusal.
289: 2414: 2459: 2351: 1266: 386: 277: 269: 237: 485:—have modified their drug testing regulations to provide accommodations for prisoners with paruresis. 339:
The condition is catered for in the rules for mandatory urine testing for drugs in UK prisons, and UK
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Benjamin J. Sadock; Harold I. Kaplan; Virginia A. Sadock. "16.3 Specific Phobia and Social Phobia".
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that portrayed a paruretic as goofy, wearing a fanny pack, and having his hair parted in the middle.
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The condition has been occasionally portrayed in popular culture, sometimes for comedic effect or
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It appears that paruresis involves a tightening of the sphincter or bladder neck due to a
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In terms of treating the mental aspect of paruresis, such treatment can be achieved by
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Florida Department of Corrections Procedure 602.010, mentioned in footnote 12 of
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describes shy bladder as "inability to void in a public bathroom" and notes that
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Bashful bladder, bashful kidneys, stage fright, pee-shyness, shy bladder syndrome
2299: 886: 787: 772: 697:(4th (Text Revised) ed.). American Psychiatric Association. 2000. pp.  2234: 2175: 2099: 1908: 1875: 1858: 1848: 595: 317: 1042: 958: 840:
Weil, Monroe (May 2001). "A treatment for paruresis or shy bladder syndrome".
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Soifer, Steven; Nicaise, Greg; Chancellor, Michael; Gordon, David (2009).
2107: 1838: 1569: 1319: 324: 305: 209: 848:(5). New York, NY: Association for Advancement of Behavior Therapy: 108. 240:(VCUG) in the past. "Complications that can occur in both sexes include 2424: 2117: 2022: 1723: 1448: 1443: 1239: 725: 712:
Antonio Prunas (July–August 2013). "La sindrome della vescica timida".
273: 181: 2377: 2309: 2127: 1586: 1324: 1249: 1043:"Policy #506.21(VI)(B)(9), Inmate Drug/Alcohol Testing and Sanctions" 245: 201: 867: 651:
UKPT – United Kingdom Paruresis Trust – Shy Bladder Syndrome Support
2112: 1782: 1749: 1675: 868:"Breath-Hold Technique – International Paruresis Association (IPA)" 850: 534: 313: 249: 1040: 948:, 13 AD 3d 947 – NY: Supreme Court, Appellate Div., 3rd Dept. 2004 755:(5th ed.). American Psychiatric Association. 2013. pp.  546:, the character Penny is revealed to suffer from bladder shyness. 530: 526:, a nerdy character with paruresis is one of many bathroom jokes. 435:
Observed urine tests can be problematic for those with paruresis.
221: 596:"Paruresis or Shy Bladder Syndrome: An Unknown Urologic Malady?" 208:. The analogous condition that affects bowel movement is called 16:
Inability to urinate in the real or imaginary presence of others
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Williams, Griffith W.; Degenhardt, Elizabeth T. (1 July 1954).
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resulting from VCUG was considered the same as from a violent
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In 2015, the International Paruresis Association protested a
127: 71: 1781: 1159: 351:, who include it in their on-line directory of conditions. 321: 257: 130: 935:, 2007 NY Slip Op 32130 – NY: Supreme Court, New York 2007 204:
in the real or imaginary presence of others, such as in a
77: 1164: 1135:"Shy bladder group protests DirecTV ad starring Rob Lowe" 987: 145: 92: 74: 576:
Paruresis – shy bladder syndrome – Better Health Channel
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Soifer, Steven (2001). "Evolving Legal Ramifications".
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Diagnostic and Statistical Manual of Mental Disorders
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Diagnostic and Statistical Manual of Mental Disorders
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Diagnostic and Statistical Manual of Mental Disorders
157: 148: 142: 121: 104: 95: 89: 65: 136: 124: 83: 68: 747:"300.23, Social Anxiety Disorder (Social Phobia)". 133: 80: 1217: 1041:Tennessee Department of Correction (1 June 2011). 887:"Paruresis: A Survey of a Disorder of Micturition" 884: 748: 690: 689:"300.23, Social Phobia (Social Anxiety Disorder". 364:states, "Persons with social phobias (also called 1088:(2nd ed.). American Psychiatric Publishing. 1083: 959:"FAQ – International Paruresis Association (IPA)" 802: 2441: 1626: 990:"Urine Surveillance and Narcotic Identification" 236:One possible cause of paruresis is undergoing a 1029:. New York Department of Correctional Services. 2399: 1058: 988:Federal Bureau of Prisons (24 November 1999). 711: 1185: 252:, and stopping urination. In the literature, 790:Kaplan & Sadock's Synopsis of Psychiatry 775:Kaplan & Sadock's Synopsis of Psychiatry 362:Kaplan & Sadock's Synopsis of Psychiatry 976:Meeks v. Tennessee Department of Correction 809:Social Phobia: From Shyness to Stage Fright 671:American Urological Association – Paruresis 2089:Other specified feeding or eating disorder 1356: 1192: 1178: 40: 963:International Paruresis Association (IPA) 872:International Paruresis Association (IPA) 626:"NHSDirect Site – reference to paruresis" 2352:Disorganized (hebephrenic) schizophrenia 1948:Depersonalization-derealization disorder 978:, Tenn: Court of Appeals, Nashville 2008 833: 430: 2442: 1108: 1086:Handbook of Correctional Mental Health 490:Handbook of Correctional Mental Health 421: 2398: 2266: 2201: 2053: 1780: 1625: 1535: 1355: 1216: 1173: 1165:United Kingdom Paruresis Trust (UKPT) 1084:Scott, Charles L. (15 October 2009). 215: 1536: 839: 358:(DSM-5) mentions paruresis by name. 2055:Physiological and physical behavior 1160:International Paruresis Association 860: 347:The condition is recognised by the 13: 2001:Psychogenic non-epileptic seizures 1395:Emotional and behavioral disorders 1109:Holden, Stephen (7 October 2005), 507: 263: 14: 2481: 2181:Hypoactive sexual desire disorder 1153: 891:The Journal of General Psychology 1481:X-linked intellectual disability 117: 61: 1310:Intermittent explosive disorder 1235:Ego-dystonic sexual orientation 1127: 1102: 1077: 1052: 1033: 1018: 999: 981: 969: 951: 938: 926: 917: 878: 796: 781: 426: 349:American Urological Association 200:in which a person is unable to 1953:Dissociative identity disorder 1218:Adult personality and behavior 766: 740: 705: 682: 664: 639: 618: 587: 569: 413: 1: 1063:. New Harbinger. p. 98. 903:10.1080/00221309.1954.9920203 562: 2357:Pseudoneurotic schizophrenia 1894:Generalized anxiety disorder 1627:Neurological and symptomatic 1272:Sexual relationship disorder 805:"The Drama of Social Phobia" 516:. Examples of this include: 395:cognitive behavioral therapy 391:cognitive behavioral therapy 380: 334: 7: 2133:REM sleep behavior disorder 1602:Seasonal affective disorder 1400:Separation anxiety disorder 550: 446:Code of Federal Regulations 298:external urethral sphincter 290:internal urethral sphincter 10: 2486: 2400:Symptoms and uncategorized 1501:developmental disabilities 1267:Sexual maturation disorder 1013:256 F.Supp.2d 1326 811:. Perseus Books. pp.  803:Marshall, John R. (1994). 400: 387:graduated exposure therapy 278:involuntary nervous system 270:sympathetic nervous system 238:voiding cystourethrography 2405: 2394: 2370: 2362:Simple-type schizophrenia 2339: 2331:Schizophreniform disorder 2308: 2287: 2283: 2262: 2215: 2197: 2166: 2143: 2097: 2064: 2060: 2049: 1971: 1938: 1886: 1829: 1820: 1801: 1797: 1776: 1742: 1709:Mild cognitive impairment 1694:Creutzfeldt–Jakob disease 1674: 1636: 1632: 1621: 1592:Major depressive disorder 1545: 1531: 1497:Psychological development 1496: 1471: 1368: 1364: 1351: 1280: 1227: 1223: 1212: 1111:"Film in review; Waiting" 494:testing of hair specimens 231: 175: 53: 48: 39: 31: 26: 2410:Impulse-control disorder 2326:Schizoaffective disorder 2321:Brief reactive psychosis 2018:Mass psychogenic illness 1981:Body dysmorphic disorder 1760:Post-concussion syndrome 1370:Emotional and behavioral 581:2 September 2006 at the 260:, especially in girls." 2347:Childhood schizophrenia 1699:Frontotemporal dementia 1656:High-functioning autism 1473:Intellectual disability 540:In the American sitcom 366:social anxiety disorder 276:rush that produces the 1864:Specific social phobia 1755:Organic brain syndrome 1597:Melancholic depression 1358:Childhood and learning 842:The Behavior Therapist 714:Rivista di Psichiatria 436: 286:central nervous system 280:response probably has 2450:Urological conditions 2420:Psychomotor agitation 2210:and substance-related 2153:Postpartum depression 2033:Somatization disorder 1919:Acute stress reaction 1684:AIDS dementia complex 434: 2465:Body-related phobias 2415:Klüver–Bucy syndrome 2245:Substance dependence 2158:Postpartum psychosis 1704:Huntington's disease 1486:Lujan–Fryns syndrome 1335:Personality disorder 1061:Shy Bladder Syndrome 676:28 July 2009 at the 374:relaxation exercises 329:Barrington's nucleus 254:psychological trauma 194:shy bladder syndrome 2470:Situational phobias 2295:Delusional disorder 2240:Stimulant psychosis 2230:Physical dependence 2084:Rumination syndrome 1986:Conversion disorder 1963:Psychogenic amnesia 1813:with depressed mood 1811:Adjustment disorder 1714:Parkinson's disease 1689:Alzheimer's disease 1582:Atypical depression 1418:Social functioning 1293:Munchausen syndrome 1288:Factitious disorder 1027:"7 NYCRR 1020.4(e)" 543:The Big Bang Theory 520:In the 2005 comedy 422:Society and culture 2314:schizophrenia-like 1958:Dissociative fugue 1407:Movement disorders 726:10.1708/1319.14632 600:Urological Nursing 557:The Sound Princess 500:with a patch, and 437: 341:Incapacity Benefit 316:command through a 216:Signs and symptoms 2460:Anxiety disorders 2437: 2436: 2433: 2432: 2390: 2389: 2386: 2385: 2258: 2257: 2193: 2192: 2189: 2188: 2045: 2044: 2041: 2040: 1934: 1933: 1772: 1771: 1768: 1767: 1729:Vascular dementia 1651:Asperger syndrome 1617: 1616: 1527: 1526: 1523: 1522: 1461:Tourette syndrome 1347: 1346: 1343: 1342: 1070:978-1-57224-227-2 944:In the matter of 933:Medard v. Doherty 442:Bureau of Prisons 288:involvement. The 187: 186: 21:Medical condition 2477: 2396: 2395: 2285: 2284: 2264: 2263: 2199: 2198: 2074:Anorexia nervosa 2062: 2061: 2051: 2050: 2028:Psychogenic pain 1996:Globus pharyngis 1844:Childhood phobia 1827: 1826: 1799: 1798: 1778: 1777: 1634: 1633: 1623: 1622: 1533: 1532: 1432:Selective mutism 1383:Conduct disorder 1366: 1365: 1353: 1352: 1330:Trichotillomania 1305:Gender dysphoria 1300:Fear of intimacy 1257:Sexual anhedonia 1225: 1224: 1214: 1213: 1201:Mental disorders 1194: 1187: 1180: 1171: 1170: 1147: 1146: 1144: 1142: 1131: 1125: 1124: 1123: 1121: 1106: 1100: 1099: 1081: 1075: 1074: 1056: 1050: 1049: 1047: 1037: 1031: 1030: 1022: 1016: 1010: 1003: 997: 996: 994: 985: 979: 973: 967: 966: 955: 949: 942: 936: 930: 924: 921: 915: 914: 882: 876: 875: 864: 858: 849: 837: 831: 830: 800: 794: 793: 785: 779: 778: 770: 764: 763: 754: 744: 738: 737: 709: 703: 702: 696: 686: 680: 668: 662: 661: 659: 657: 643: 637: 636: 634: 632: 622: 616: 615: 591: 585: 573: 308:(especially the 192:, also known as 164: 160: 155: 154: 151: 150: 147: 144: 141: 138: 135: 132: 129: 126: 123: 111: 107: 102: 101: 98: 97: 94: 91: 88: 85: 82: 79: 76: 73: 70: 67: 44: 24: 23: 2485: 2484: 2480: 2479: 2478: 2476: 2475: 2474: 2440: 2439: 2438: 2429: 2401: 2382: 2366: 2335: 2313: 2304: 2279: 2254: 2211: 2208:substance abuse 2185: 2162: 2139: 2093: 2079:Bulimia nervosa 2056: 2037: 2013:Hypochondriasis 2008:False pregnancy 1991:Ganser syndrome 1973:Somatic symptom 1967: 1930: 1882: 1871:Specific phobia 1816: 1793: 1764: 1738: 1670: 1666:Savant syndrome 1638:Autism spectrum 1628: 1613: 1541: 1519: 1498: 1492: 1467: 1360: 1339: 1315:Dermatillomania 1276: 1262:Sexual anorexia 1219: 1208: 1198: 1156: 1151: 1150: 1140: 1138: 1133: 1132: 1128: 1119: 1117: 1107: 1103: 1096: 1082: 1078: 1071: 1057: 1053: 1045: 1038: 1034: 1025: 1023: 1019: 1006: 1004: 1000: 992: 986: 982: 974: 970: 957: 956: 952: 946:Becker v. Goord 943: 939: 931: 927: 922: 918: 883: 879: 866: 865: 861: 838: 834: 823: 801: 797: 786: 782: 771: 767: 746: 745: 741: 710: 706: 688: 687: 683: 678:Wayback Machine 669: 665: 655: 653: 645: 644: 640: 630: 628: 624: 623: 619: 592: 588: 583:Wayback Machine 574: 570: 565: 553: 510: 508:Popular culture 429: 424: 416: 403: 383: 337: 302:striated muscle 296:tissue) or the 266: 264:Pathophysiology 234: 218: 206:public restroom 196:, is a type of 171: 162: 158: 120: 116: 115: 109: 105: 64: 60: 22: 17: 12: 11: 5: 2483: 2473: 2472: 2467: 2462: 2457: 2452: 2435: 2434: 2431: 2430: 2428: 2427: 2422: 2417: 2412: 2406: 2403: 2402: 2392: 2391: 2388: 2387: 2384: 2383: 2381: 2380: 2374: 2372: 2368: 2367: 2365: 2364: 2359: 2354: 2349: 2343: 2341: 2337: 2336: 2334: 2333: 2328: 2323: 2317: 2315: 2306: 2305: 2303: 2302: 2297: 2291: 2289: 2281: 2280: 2260: 2259: 2256: 2255: 2253: 2252: 2247: 2242: 2237: 2235:Rebound effect 2232: 2227: 2222: 2216: 2213: 2212: 2195: 2194: 2191: 2190: 2187: 2186: 2184: 2183: 2178: 2176:Hypersexuality 2172: 2170: 2164: 2163: 2161: 2160: 2155: 2149: 2147: 2141: 2140: 2138: 2137: 2136: 2135: 2130: 2125: 2115: 2110: 2104: 2102: 2095: 2094: 2092: 2091: 2086: 2081: 2076: 2070: 2068: 2058: 2057: 2047: 2046: 2043: 2042: 2039: 2038: 2036: 2035: 2030: 2025: 2020: 2015: 2010: 2005: 2004: 2003: 1998: 1993: 1983: 1977: 1975: 1969: 1968: 1966: 1965: 1960: 1955: 1950: 1944: 1942: 1936: 1935: 1932: 1931: 1929: 1928: 1927: 1926: 1921: 1911: 1909:Panic disorder 1906: 1901: 1896: 1890: 1888: 1884: 1883: 1881: 1880: 1879: 1878: 1876:Claustrophobia 1868: 1867: 1866: 1861: 1859:Anthropophobia 1851: 1849:Social anxiety 1846: 1841: 1835: 1833: 1824: 1818: 1817: 1815: 1814: 1807: 1805: 1795: 1794: 1774: 1773: 1770: 1769: 1766: 1765: 1763: 1762: 1757: 1752: 1746: 1744: 1740: 1739: 1737: 1736: 1731: 1726: 1721: 1719:Pick's disease 1716: 1711: 1706: 1701: 1696: 1691: 1686: 1680: 1678: 1672: 1671: 1669: 1668: 1663: 1658: 1653: 1648: 1642: 1640: 1630: 1629: 1619: 1618: 1615: 1614: 1612: 1611: 1606: 1605: 1604: 1599: 1594: 1589: 1584: 1574: 1573: 1572: 1567: 1562: 1557: 1546: 1543: 1542: 1529: 1528: 1525: 1524: 1521: 1520: 1518: 1517: 1512: 1506: 1504: 1494: 1493: 1491: 1490: 1489: 1488: 1477: 1475: 1469: 1468: 1466: 1465: 1464: 1463: 1453: 1452: 1451: 1446: 1436: 1435: 1434: 1429: 1424: 1416: 1415: 1414: 1404: 1403: 1402: 1392: 1391: 1390: 1380: 1374: 1372: 1362: 1361: 1349: 1348: 1345: 1344: 1341: 1340: 1338: 1337: 1332: 1327: 1322: 1317: 1312: 1307: 1302: 1297: 1296: 1295: 1284: 1282: 1278: 1277: 1275: 1274: 1269: 1264: 1259: 1254: 1253: 1252: 1247: 1237: 1231: 1229: 1221: 1220: 1210: 1209: 1205:Classification 1197: 1196: 1189: 1182: 1174: 1168: 1167: 1162: 1155: 1154:External links 1152: 1149: 1148: 1137:. usatoday.com 1126: 1115:New York Times 1101: 1095:978-1585623891 1094: 1076: 1069: 1051: 1032: 1017: 998: 980: 968: 950: 937: 925: 916: 877: 859: 855:2002-13573-001 832: 822:978-0465078967 821: 795: 792:. p. 957. 780: 777:. p. 597. 765: 739: 704: 681: 663: 638: 617: 586: 567: 566: 564: 561: 560: 559: 552: 549: 548: 547: 538: 527: 509: 506: 428: 425: 423: 420: 415: 412: 402: 399: 382: 379: 336: 333: 318:reflex pathway 272:response. The 265: 262: 233: 230: 217: 214: 212:or shy bowel. 185: 184: 179: 173: 172: 170: 169: 57: 55: 51: 50: 46: 45: 37: 36: 33: 29: 28: 20: 15: 9: 6: 4: 3: 2: 2482: 2471: 2468: 2466: 2463: 2461: 2458: 2456: 2453: 2451: 2448: 2447: 2445: 2426: 2423: 2421: 2418: 2416: 2413: 2411: 2408: 2407: 2404: 2397: 2393: 2379: 2376: 2375: 2373: 2369: 2363: 2360: 2358: 2355: 2353: 2350: 2348: 2345: 2344: 2342: 2340:Schizophrenia 2338: 2332: 2329: 2327: 2324: 2322: 2319: 2318: 2316: 2311: 2307: 2301: 2298: 2296: 2293: 2292: 2290: 2286: 2282: 2278: 2274: 2270: 2269:Schizophrenia 2265: 2261: 2251: 2248: 2246: 2243: 2241: 2238: 2236: 2233: 2231: 2228: 2226: 2223: 2221: 2220:Drug overdose 2218: 2217: 2214: 2209: 2205: 2200: 2196: 2182: 2179: 2177: 2174: 2173: 2171: 2169: 2168:Sexual desire 2165: 2159: 2156: 2154: 2151: 2150: 2148: 2146: 2142: 2134: 2131: 2129: 2126: 2124: 2121: 2120: 2119: 2116: 2114: 2111: 2109: 2106: 2105: 2103: 2101: 2096: 2090: 2087: 2085: 2082: 2080: 2077: 2075: 2072: 2071: 2069: 2067: 2063: 2059: 2052: 2048: 2034: 2031: 2029: 2026: 2024: 2021: 2019: 2016: 2014: 2011: 2009: 2006: 2002: 1999: 1997: 1994: 1992: 1989: 1988: 1987: 1984: 1982: 1979: 1978: 1976: 1974: 1970: 1964: 1961: 1959: 1956: 1954: 1951: 1949: 1946: 1945: 1943: 1941: 1937: 1925: 1922: 1920: 1917: 1916: 1915: 1912: 1910: 1907: 1905: 1902: 1900: 1897: 1895: 1892: 1891: 1889: 1885: 1877: 1874: 1873: 1872: 1869: 1865: 1862: 1860: 1857: 1856: 1855: 1854:Social phobia 1852: 1850: 1847: 1845: 1842: 1840: 1837: 1836: 1834: 1832: 1828: 1825: 1823: 1819: 1812: 1809: 1808: 1806: 1804: 1800: 1796: 1792: 1789:-related and 1788: 1784: 1779: 1775: 1761: 1758: 1756: 1753: 1751: 1748: 1747: 1745: 1741: 1735: 1732: 1730: 1727: 1725: 1722: 1720: 1717: 1715: 1712: 1710: 1707: 1705: 1702: 1700: 1697: 1695: 1692: 1690: 1687: 1685: 1682: 1681: 1679: 1677: 1673: 1667: 1664: 1662: 1659: 1657: 1654: 1652: 1649: 1647: 1644: 1643: 1641: 1639: 1635: 1631: 1624: 1620: 1610: 1607: 1603: 1600: 1598: 1595: 1593: 1590: 1588: 1585: 1583: 1580: 1579: 1578: 1575: 1571: 1568: 1566: 1563: 1561: 1558: 1556: 1553: 1552: 1551: 1548: 1547: 1544: 1539: 1534: 1530: 1516: 1513: 1511: 1508: 1507: 1505: 1502: 1495: 1487: 1484: 1483: 1482: 1479: 1478: 1476: 1474: 1470: 1462: 1459: 1458: 1457: 1454: 1450: 1447: 1445: 1442: 1441: 1440: 1437: 1433: 1430: 1428: 1425: 1423: 1420: 1419: 1417: 1413: 1410: 1409: 1408: 1405: 1401: 1398: 1397: 1396: 1393: 1389: 1386: 1385: 1384: 1381: 1379: 1376: 1375: 1373: 1371: 1367: 1363: 1359: 1354: 1350: 1336: 1333: 1331: 1328: 1326: 1323: 1321: 1318: 1316: 1313: 1311: 1308: 1306: 1303: 1301: 1298: 1294: 1291: 1290: 1289: 1286: 1285: 1283: 1279: 1273: 1270: 1268: 1265: 1263: 1260: 1258: 1255: 1251: 1248: 1246: 1243: 1242: 1241: 1238: 1236: 1233: 1232: 1230: 1226: 1222: 1215: 1211: 1206: 1202: 1195: 1190: 1188: 1183: 1181: 1176: 1175: 1172: 1166: 1163: 1161: 1158: 1157: 1136: 1130: 1116: 1112: 1105: 1097: 1091: 1087: 1080: 1072: 1066: 1062: 1055: 1044: 1036: 1028: 1021: 1014: 1009: 1002: 991: 984: 977: 972: 964: 960: 954: 947: 941: 934: 929: 920: 912: 908: 904: 900: 896: 892: 888: 881: 873: 869: 863: 856: 852: 847: 843: 836: 829: 824: 818: 814: 810: 806: 799: 791: 784: 776: 769: 762: 758: 753: 752: 743: 735: 731: 727: 723: 720:(4): 345–53. 719: 715: 708: 700: 695: 694: 685: 679: 675: 672: 667: 652: 648: 642: 627: 621: 613: 609: 605: 601: 597: 590: 584: 580: 577: 572: 568: 558: 555: 554: 545: 544: 539: 536: 532: 528: 525: 524: 519: 518: 517: 515: 505: 503: 502:blood testing 499: 498:sweat testing 495: 491: 486: 484: 480: 476: 472: 468: 467:Massachusetts 464: 458: 456: 450: 447: 443: 433: 419: 411: 408: 398: 396: 392: 388: 378: 375: 371: 367: 363: 359: 357: 352: 350: 345: 342: 332: 330: 326: 323: 320:as well. The 319: 315: 311: 310:pubococcygeus 307: 303: 299: 295: 294:smooth muscle 291: 287: 283: 279: 275: 271: 261: 259: 255: 251: 247: 243: 239: 229: 227: 226:embarrassment 223: 213: 211: 207: 203: 199: 195: 191: 183: 180: 178: 174: 167: 166: 153: 114: 113: 100: 59: 58: 56: 54:Pronunciation 52: 47: 43: 38: 34: 30: 25: 19: 2300:Folie à deux 2225:Intoxication 2206:substances, 2204:Psychoactive 2123:Night terror 1940:Dissociative 1904:Panic attack 1456:Tic disorder 1139:. Retrieved 1129: 1118:, retrieved 1114: 1104: 1085: 1079: 1060: 1054: 1035: 1020: 1008:Pate v. Peel 1007: 1001: 983: 975: 971: 962: 953: 945: 940: 932: 928: 919: 897:(1): 19–29. 894: 890: 880: 871: 862: 845: 841: 835: 826: 808: 798: 789: 783: 774: 768: 760: 750: 742: 717: 713: 707: 692: 684: 666: 654:. Retrieved 650: 641: 629:. Retrieved 620: 606:(2): 87–94. 603: 599: 589: 571: 541: 533:ad starring 521: 511: 489: 487: 459: 451: 438: 427:Drug testing 417: 406: 404: 384: 369: 365: 361: 360: 353: 346: 338: 267: 235: 219: 193: 189: 188: 18: 2273:schizotypal 2108:Hypersomnia 2098:Nonorganic 1839:Agoraphobia 1570:Cyclothymia 1565:Bipolar NOS 1540:(affective) 1412:Stereotypic 1320:Kleptomania 414:Other names 325:micturition 306:levator ani 210:parcopresis 32:Other names 2444:Categories 2425:Stereotypy 2288:Delusional 2277:delusional 2250:Withdrawal 2118:Parasomnia 2023:Nosophobia 1803:Adjustment 1791:somatoform 1724:Sundowning 1577:Depression 1560:Bipolar II 1449:Stuttering 1444:Cluttering 1240:Paraphilia 1141:19 January 828:restrooms. 647:"Projects" 563:References 523:Waiting... 282:peripheral 274:adrenaline 182:Psychiatry 2378:Catatonia 2310:Psychosis 2145:Postnatal 2128:Nightmare 1734:Wandering 1587:Dysthymia 1555:Bipolar I 1510:Pervasive 1325:Pyromania 1250:Voyeurism 1245:Fetishism 911:0022-1309 483:Tennessee 407:paruresis 405:The term 381:Treatment 335:Diagnosis 246:hematuria 190:Paruresis 177:Specialty 27:Paruresis 2113:Insomnia 1783:Neurotic 1750:Delirium 1676:Dementia 1515:Specific 851:PsycINFO 734:24056834 674:Archived 656:5 August 631:5 August 612:19507406 579:Archived 551:See also 535:Rob Lowe 488:Per the 479:New York 475:Michigan 471:Maryland 455:dry cell 370:Synopsis 327:center ( 314:detrusor 250:nocturia 2455:Shyness 1822:Anxiety 1661:PDD-NOS 1550:Bipolar 1203: ( 853:record 531:DirecTV 463:Florida 401:History 322:pontine 222:shyness 202:urinate 2066:Eating 1914:Stress 1831:Phobia 1787:stress 1646:Autism 1439:Speech 1228:Sexual 1120:9 June 1092:  1067:  1011:, 909:  819:  732:  610:  514:parody 444:, the 232:Causes 198:phobia 168: 2371:Other 2100:sleep 1887:Other 1743:Other 1609:Mania 1281:Other 1046:(PDF) 993:(PDF) 108:-yuu- 2275:and 1924:PTSD 1538:Mood 1378:ADHD 1143:2016 1122:2020 1090:ISBN 1065:ISBN 907:ISSN 817:ISBN 730:PMID 658:2018 633:2018 608:PMID 481:and 389:and 284:and 258:rape 165:-sis 112:-sis 2312:and 1899:OCD 1427:RAD 1422:DAD 1388:ODD 899:doi 757:203 722:doi 699:453 304:), 242:UTI 163:REE 161:-ə- 159:PAR 128:ɑːr 110:REE 106:PAR 72:ɑːr 2446:: 2271:, 1785:, 1113:, 961:. 905:. 895:51 893:. 889:. 870:. 846:24 844:. 825:. 815:. 813:32 807:. 759:. 728:. 718:48 716:. 649:. 604:29 602:. 598:. 496:, 477:, 473:, 469:, 465:, 244:, 224:, 140:iː 87:iː 1503:) 1499:( 1207:) 1193:e 1186:t 1179:v 1145:. 1098:. 1073:. 1048:. 995:. 965:. 913:. 901:: 874:. 857:. 736:. 724:: 701:. 660:. 635:. 614:. 453:" 300:( 292:( 152:/ 149:s 146:ɪ 143:s 137:r 134:ˈ 131:ə 125:p 122:ˌ 119:/ 99:/ 96:s 93:ɪ 90:s 84:r 81:ˈ 78:ʊ 75:j 69:p 66:ˌ 63:/

Index


/ˌpɑːrjʊˈrsɪs/
PAR-yuu-REE-sis
/ˌpɑːrəˈrsɪs/
PAR-ə-REE-sis
Specialty
Psychiatry
phobia
urinate
public restroom
parcopresis
shyness
embarrassment
voiding cystourethrography
UTI
hematuria
nocturia
psychological trauma
rape
sympathetic nervous system
adrenaline
involuntary nervous system
peripheral
central nervous system
internal urethral sphincter
smooth muscle
external urethral sphincter
striated muscle
levator ani
pubococcygeus

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