Paruresis is also known as stage fright, pee shyness, urophobia, shy bladder syndrome as well as bashful bladder. Degehart and Williams were the first ones to come up with this term in 1954 as they did their research on just how many college students suffer from it where they found that at least 14.4% of them suffered from it either continuously or incidentally.
Paruresis can be defined as one of the phobia types where the person suffering from it is afraid of passing urine or urinating in other people’s presence. This presence can either be imaginary or real. This will include the sufferer of this phobia not being able to urinate for example when in a restroom that is public.
Study has shown that of the many people who seek to be treated from this condition, 90% of them are male. In 1994, for instance in the United States, it was established that this disorder had affected at least 17 million people. This represented about 6.6% of all Americans. According to the anecdotal evidence, approximately 10 percent of all the people who suffer from it have had tremendous effects on their lives. Some have been so greatly affected that their normal lives are controlled by the condition daily.
The causes of this disorder
This disorder can be said to be caused by a number of factors. The key factors that may cause this condition are discussed below.
This is when the condition is caused by an experience the sufferer may have had that was very traumatic at one time ion their lives as they were urinating. This may probably have happened when they were in their childhood years such that they were very embarrassed. The incident occurred in most cases in a public place such as a restroom. This then goes to produce conditioned response for the sufferer.
Basically it is the subconscious of the sufferer that has been condition to respond in a particular way. Each time, the sufferer of this condition is subconsciously alerted to see as a threat anyone in the room when he or she wants to urinate. Thus the subconscious interprets everyone in the room when urinating as a potential threat for the sufferer and thus prompts the sufferer not to continue with his or her urinating.
When the sufferer interprets the people as a threat, the sympathetic system is triggered in order to allow the relaxation of the muscle, detrusor urinae which causes the urine to be stored instead of it being released. Both the external and internal urethral sphincters are also contracted thus preventing the urine from being released by the bladder.
However, when the threat stimulus is removed, there is a collapse of the sympathetic system allowing the urine to be released.
Although it has not been proven yet, there is some evidence to suggest that this condition may be hereditary as there have been cases where members of a family have been found to have this disorder.
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