Children who soil: assessment and treatment
Combines psychological/medical assessment & treatment to provide a holistic approach for managing this disorder. Begins with an extensive review of international literature on the subject covering causation theories & curative studies. Explains how to assess the "whole child'' plus his/her family along with the treatment & management of the problem using the "whole child'' method. Describes neurological disorders associated with soiling, its relationship with sexual abuse, the wider implications from research & suggested ways of setting up specific services for the soiling child.
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The whole child approach for soiling
The assessment process medical section
Principles and process of treatment medical
10 other sections not shown
abdominal agency anal dilatation anorectal manometry anus approach assessment associated with soiling author's study behaviour problems behavioural programme Bellman bowel control bowel problem bowel training boys Buchanan Butler & Golding cause cerebral palsy chapter child sexual abuse childhood chronic constipation clean clinician Cognitive restructuring common condition constipation constipation and soiling defaecation diet difficulties disorders effective emotional encopresis encopretic enemas factors faecal incontinence faecal retention faeces feel felt Figure further girls Hirschsprung's disease hospital important initial intestinal involved laxatives learned helplessness Levine long term mother motivation neurological normal overflow paediatric paediatrician pain parents patients physical abuse poor possible professional psychiatric psychological rectal rectum relapses relationship relax result role Rutter secondary senna Senokot sexual abuse social worker soilers soiling child soiling children soiling problem specialist spina bifida stools stresses suggest suppositories symptoms therapist tion treated treatment outcome whole child