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Solitary Psychosis — Three Cases of Monosymptomatic Delusion of Alimentary Stench Treated with Behavioural Psychotherapy

Published online by Cambridge University Press:  29 January 2018

M. D. Beary*
Affiliation:
Department of Psychiatry, St George's Hospital, Blackshaw Road, London, SW17 0QT
J. P. Cobb
Affiliation:
St George's Hospital Medical School, Cranmer Terrace, London, SW17 0QT
*
Correspondence.

Summary

Three cases of monosymptomatic delusion of alimentary stench are described. Each patient was referred for behaviour therapy as a last resort, after extensive medical investigation for halitosis or flatulence and failure of other psychiatric treatment. Two of the patients showed clinical improvement after treatment sustained at follow-up. Monosymptomatic delusion is now a treatable condition and is important to diagnose.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Bebbington, P. C. (1976) Monosymptomatic hypochondriasis, abnormal illness behaviour and suicide. British Journal of Psychiatry, 128, 475478.Google Scholar
British Medical Journal (1978) Editorial, ii, 583.Google Scholar
Milton, F. Patwa, V. K. & Hafner, R. J. (1978) Confrontation versus Belief Modification in persistently deluded patients. British Journal of Medical Psychology, 51, 127130.Google Scholar
Munro, A. (1980) Monosymptomatic hypochondriacal psychosis. British Journal of Hospital Medicine, 24, 3438.Google Scholar
Pryse-Phillips, W. (1971) An Olfactory Reference Syndrome. Acta Psychiatrica Scandinavica, 47, 484510.Google Scholar
Reilly, T. M. Jopling, W. H. & Beard, A. W. (1978) Successful treatment with pimozide of delusional parasitosis. British Journal of Dermatology, 98, 457459.Google Scholar
Riding, B. E. J. & Munro, A. (1975) Pimozide in monosymptomatic psychosis. Lancet, i, 400.Google Scholar
Stern, R. (1978) Behavioural Techniques. London: Academic Press.Google Scholar
Sutalf, L. O. & Levitt, M. D. (1979) Follow-up of a flatulent patient. Digestive Diseases and Sciences, 24, 652654.Google Scholar
Watts, F. N. Powell, G. E. & Austin, S. V. (1973) The modification of abnormal beliefs. British Journal of Medical Psychology, 46, 359363.Google Scholar
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