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Journal of Pediatric Psychology 9(2) pp. 231-239, 1984
© 1984 Society of Pediatric Psychology

research-article

The Elimination of Ruminative Vomiting in a 15-Month-Old Child with Gastroesophageal Reflux1

Lynda S. Madison2 and Susan A. Adubato

University of Nebraska Medical Center Omaha

2All correspondence should be addressed to Lynda Sallach Madison, Meyer Children's Rehabilitation Institute, Psychology Department, 444 South 44th Street, Omaha, Nebraska 68131.

The ruminative vomiting of a 15-month-old boy with gastroesophageal reflux was eliminated through outpatient behavioral intervention. Amplification of the sound of the child's regurgitation allowed treatment to be more precisely response-contingent. Response-contingent withdrawal of attention, signaled by a loud "click" and the word "no," provided a simple, safe, and effective treatment technique that was administered entirely by the parents at home. Although limited to children whose rumination is reinforced by adult attention, these techniques may prove useful to professionals faced with eliminating ruminative vomiting in children with gastroesophageal reflux.

Key words: vomiting; rumination; gastroesophageal reflux; regurgitation; parent training.


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