1/4. The reduction of soiling behaviour in an 11-year-old boy with the parent as therapist.An 11-year-old boy who had soiled daily for six years since entering school had threatened to commit suicide. Following an initial assessment, a parent was trained to monitor an experimental procedure that effectively reduced soiling to a level where the only occurrence noted in two months resulted from a bout of diarrhoea.- - - - - - - - - - ranking = 1keywords = behaviour (Clic here for more details about this article) |
2/4. 5. constipation and toileting issues in children.constipation is common in children, with prevalences ranging from 0.3% up to 28%. In most children, constipation is functional (ie, without objective evidence of a pathological condition). Painful defecation has been proposed as the primary precipitant of functional faecal retention in early childhood. Faecal soiling is often secondary to constipation, and may occur during spontaneous relaxation of the sphincters precipitated by rectal distension. Management in general practice combines behavioural modification techniques with prolonged courses of laxatives. Treatment is usually successful, but may take up to 6-12 months. Significant numbers of children with initially good responses to therapy for constipation relapse in the long term. Long-term relapse is more frequent in children under 4 years at onset of symptoms and in whom there is a history of faecal soiling associated with constipation.- - - - - - - - - - ranking = 0.25keywords = behaviour (Clic here for more details about this article) |
3/4. Development of a young man with prader-willi syndrome and secondary functional encopresis.A case review of a twenty-two year old man suffering from prader-willi syndrome, Secondary Functional encopresis, mental retardation and aggressive behaviour is presented. Emphasis is made in assessing this man from various developmental perspectives. This includes: personality development, cognitive development, physical abilities, sexual development and family life stage. The role of a psychiatrist in treating this complex problem is established. An eclectic approach to treatment is reviewed using many therapeutic modalities found effective with the mentally handicapped. These modalities include: group therapy, play therapy, individual psychotherapy, behavioural therapy, family therapy, and use of medication. A literature review of prader-willi syndrome is included.- - - - - - - - - - ranking = 0.5keywords = behaviour (Clic here for more details about this article) |
4/4. A behavioural programme for the modification of encopresis.This paper describes a behaviour modification programme for the treatment of encopresis. The programme, which is carried out by the parents over a relatively short period of time in the home setting, aims to make the child aware of internal cues prior to elimination and to rearrange the contingencies for appropriate use of the toilet. To date, seven of eleven children, both continuous and discontinuous encopretics, have been treated successfully and have remained clean for up to 7 months regardless of other problems in the child and his family. From a relatively detailed analysis of those treated it can be concluded that a behavioural approach is effective with chronic encopretic children, many of whom had been previously treated unsuccessfully by both physical and psychotherapeutic procedures. The failures suggest, firstly that careful assessment of each child and the motivation of the parents is required, so that the standard programme can be modified to suit each individual case. Secondly a maintenance programme must follow the intensive treatment procedure to ensure that parents continue to handle the child consistently.- - - - - - - - - - ranking = 1.5keywords = behaviour (Clic here for more details about this article) |