Bosch J D
Vrije Universiteit, Vakgroep Kinder- en Jeugdpsychologie, Amsterdam.
Tijdschr Kindergeneeskd. 1991 Apr;59(2):68-72.
A 'behavioral pediatric' approach applied to the treatment of children with chronic retentive encopresis is reported. The treatment program, based on behavioral psychological principles, in which the parents participate, is found to be highly effective in eliminating the problem of encopresis. However, it will be shown through casuistry that general psychological functioning in children can affect the course of the therapeutic process. Both 'somatic' attitudes and psychological obstacles need to be taken into account. Unbiased diagnostics and more differentiated therapeutic indications are necessary conditions for a favourable outcome of treatment.
报告了一种应用于慢性便秘型大便失禁儿童治疗的“行为儿科”方法。基于行为心理学原理且有家长参与的治疗方案，被发现对消除大便失禁问题非常有效。然而，通过个案分析将表明，儿童的一般心理功能会影响治疗过程的进展。“躯体”态度和心理障碍都需要考虑在内。无偏见的诊断和更具针对性的治疗指征是治疗取得良好效果的必要条件。
