Behavioral treatment of night bingeing and rumination in an adult case of bulimia nervosa.
A 24-year-old female, diagnosed as bulimia nervosa with night bingeing and rumination, was treated by individual and group behavior therapy. A changing criterion design progressively adjusted the criterion for reinforcement as the treatment obtained diminution of night bingeing. Night bingeing was finally eliminated, without evidence of recurrence at 3 month and 2 year follow-ups. Rumination was regarded as a collateral behavior and diminished in tandem with reduction of night bingeing. Other improvements in bulimia nervosa were observed over the course of treatment.
Williamson
D A
DA
Department of Psychology, Louisiana State University, Baton Rouge 70803.
Lawson
O D
OD
Bennett
S M
SM
Hinz
L
L
D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D002032:Bulimia / Q000523:psychology / Q000628:therapy*; D002940:Circadian Rhythm; D003131:Combined Modality Therapy; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D011615:Psychotherapy, Group / Q000379:methods; D014040:Token Economy; D014839:Vomiting / Q000523:psychology / Q000628:therapy*