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2nd. Edition
Imaginary Bad Breath
("Halitophobia")
Several of the contributors in this present volume (Eli et al., Miyazaki et
al., Rosenberg and Leib, Preti et al., Yaegaki) allude to the problems associated with
imaginary bad breath ("halitophobia"). Although various psychological terms have
been used to describe this population, (e.g., delusion, hypochondria, obsessive-compulsive
disorder, olfactory reference syndrome) none are satisfactory. In milder cases,
"halitophobics" worry about having bad breath constantly and tend towards
obsessive oral care and masking techniques, yet get on with their lives. Others may go
from specialist to specialist (Hawkins, 1987), spend decades in isolation, have their
teeth extracted (Massler et al., 1951) and may even commit suicide (Yaegaki, this volume).
Since the current success rate in dealing with such individuals appears to be low, we must
seek ways to develop treatment regimens combining psychological and/or psychiatric
counseling together with physiological feedback, in order to adequately treat those
suffering from this debilitating problem.
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