Hürter A, Piske-Keyser K
Prax Kinderpsychol Kinderpsychiatr. 1989 May-Jun;38(5):171-7.
The treatment of a case of encopresis of six years duration in a boy now ten years of age demonstrates how physiological and dynamical processes in personal relationships combine in a common evolution. Through this the encopresis has become chronic and has lead to other instances of developmental retardation in the form of inadequate school performance. The fundamental concept behind the psychotherapeutical treatment stems from the recognition of an inner connection between the current symptoms, the chronic nature of the disease and the lack of success of previous disciplinary, medical and psychotherapeutical attempts at a solution.
一名现年10岁的男孩患便秘失禁症已有6年，对该病例的治疗表明了人际关系中的生理和动态过程是如何在一个共同的演变过程中结合在一起的。由此，便秘失禁症已变成慢性，并导致了其他发育迟缓的情况，表现为学业成绩不佳。心理治疗背后的基本理念源于认识到当前症状、疾病的慢性性质以及先前纪律、医学和心理治疗尝试解决问题的失败之间存在内在联系。
