TY - JOUR
T1 - Foam Rubber Pica and Cautopyreiophagia in a Highly Educated Woman
T2 - A Clinical Case Study
AU - Van Wert, Michael
AU - McVey, Kelsey
AU - Donohue, Tammy
AU - Wasserstein, Taylor
AU - Curry, Jefferson
AU - Goldstick Rosner, Naomi
AU - Kimchi, Eitan
AU - McCann, Una
N1 - Funding Information:
We would like to thank “Vera,” who is featured in this case study, for her hard work on her mental health, allowing us to tell her story, and for reviewing the case study. The author(s) received no financial support for the research, authorship, and/or publication of this article.
Publisher Copyright:
© The Author(s) 2021.
PY - 2021/12
Y1 - 2021/12
N2 - Pica, the developmentally and culturally-inappropriate eating of non-nutritive and non-food substances, is most often documented in people with developmental disabilities and children, frequently in institutional and residential settings. To date, there are no randomized clinical trials on pica-specific treatments, and very little literature is available regarding the characteristics or treatment of pica in adults with no intellectual or social deficits, and co-morbid disorders. This case study addresses this gap, and involves a highly educated 30 year-old American woman with foam rubber pica and burned match consumption (cautopyreiophagia) behaviors, along with co-morbid depressive, anxiety, and obsessive-compulsive symptoms, who received treatment in a general intensive outpatient program for adults in a large urban community psychiatry setting. The case study describes how the Biosocial Theory and Transtheoretical Model of Health Behavior Change were used to conceptualize this woman’s symptoms and guide a treatment team of clinicians who did not specialize in pica. Providers in non-specialty clinic settings would benefit from reflecting on ways to adapt evidence-based techniques to the treatment of uncommon symptoms.
AB - Pica, the developmentally and culturally-inappropriate eating of non-nutritive and non-food substances, is most often documented in people with developmental disabilities and children, frequently in institutional and residential settings. To date, there are no randomized clinical trials on pica-specific treatments, and very little literature is available regarding the characteristics or treatment of pica in adults with no intellectual or social deficits, and co-morbid disorders. This case study addresses this gap, and involves a highly educated 30 year-old American woman with foam rubber pica and burned match consumption (cautopyreiophagia) behaviors, along with co-morbid depressive, anxiety, and obsessive-compulsive symptoms, who received treatment in a general intensive outpatient program for adults in a large urban community psychiatry setting. The case study describes how the Biosocial Theory and Transtheoretical Model of Health Behavior Change were used to conceptualize this woman’s symptoms and guide a treatment team of clinicians who did not specialize in pica. Providers in non-specialty clinic settings would benefit from reflecting on ways to adapt evidence-based techniques to the treatment of uncommon symptoms.
KW - intensive outpatient program
KW - mental health
KW - pica
KW - psychiatry
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U2 - 10.1177/15346501211014284
DO - 10.1177/15346501211014284
M3 - Article
AN - SCOPUS:85105703311
SN - 1534-6501
VL - 20
SP - 468
EP - 481
JO - Clinical Case Studies
JF - Clinical Case Studies
IS - 6
ER -