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Clinical Pediatrics
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What's this?

Reinforcement of Incontinent Stools in the Treatment of Encopresis

Cathleen C. Piazza

The Kennedy Institute, Severe Behavior Unit, 707 N. Broadway, Baltimore, MD, 21205

Wayne Fisher

The Johns Hopkins University School of Medicine and The Kennedy Institute, Broadway, Baltimore

Shawn Chinn

The Johns Hopkins University School of Medicine and The Kennedy Institute, Broadway, Baltimore

Lynn Bowman

The Johns Hopkins University School of Medicine and The Kennedy Institute, Broadway, Baltimore

In this paper, fecal incontinence and constipation were treated in two mentally retarded individuals using a novel intervention wherein incontinent stools were first rewarded in order to increase the frequency of bowel movements. This intervention was implemented only after more traditional pediatric and behavioral treatments were unsuccessful. The reinforcement of incontinent stools procedure resulted in an increase in both the frequency and the number of continent stools for both individuals. Hypotheses regarding the failure of previous treatments and the success of the current treatment are discussed as well as directions for future research.

Clinical Pediatrics, Vol. 30, No. 1, 28-32 (1991)
DOI: 10.1177/000992289103000105
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Home page
 Behav ModifHome page
T. M. Reimers
A Biobehavioral Approach Toward Managing Encopresis
Behav Modif, October 1, 1996; 20(4): 469 - 479.
[Abstract] [PDF]