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Clinical Pediatrics
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Encopresis Responsive to Non-psychiatric Interventions

With Remittance of Familial Psychopathology

H. Patrick Stern, MD

Department of Pediatrics, University of Arkansas for Medical Sciences, Psychiatry and Behavioral Science, University of Arkansas for Medical Sciences, Division of Behavioral Pediatrics, Arkansas Children's Hospital, Little Rock, AK 72205

Michael T. Prince, PhD

Department of Pediatrics, University of Arkansas for Medical Sciences, Developmental Behavioral Pediatrics, Arkansas Children's Hospital, Little Rock, Arkansas

Suzanne E. Stroh, RNP

Division of Behavioral Pediatrics, Arkansas Children's Hospital, Little Rock, AK 72205

A case report of an adolescent with primary encopresis is presented in which the patient responded to standard medical interventions despite apparent significant psychopathology in the child and family. Psychological symptoms proved to be secondary and resolved with successful medical treatment and with attending to other concerns, such as this patient's school problems. Behavioral and medical literature related to encopresis is reviewed. It indicates that encopresis is associated more consistently with physiological abnormalities of the bowel rather than definable psychological disorders.

Clinical Pediatrics, Vol. 27, No. 8, 400-402 (1988)
DOI: 10.1177/000992288802700810
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[Abstract] [PDF]