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Detailed assessment revealed repetitive eructation which was construed as a learned behavior precipitated and maintained by aerophagia (air swallowing) secondary to regular binge\u2010eating. Eructation was associated with a strong sense of \u201crelief\u201d that shared a common phenomenology with other purging behaviors. Repetitive eructation was addressed as part of outpatient treatment using a cognitive\u2010therapy approach. Eructation became less frequent during outpatient treatment but the patient disengaged after six sessions. We define a new term \u201ceructophilia\u201d where repetitive eructation takes on an ego\u2010syntonic, self\u2010contained, and autonomous quality which serves as a reinforcing stimulus in itself. Issues of phenomenology and motivating factors are further discussed. \u00a9 2011 by Wiley Periodicals, Inc. 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