Margolies R, Gilstein K W
Int J Psychiatry Med. 1983;13(2):141-52. doi: 10.2190/fr6e-tmuv-rphj-yxf3.
This article addresses two issues which have received little attention from researchers or practitioners; encopresis as a chronic disorder, and its treatment via a systems-based approach to therapy. Chronic encopresis is viewed as a complex process rather than a static, symptomatic entity, with emphasis placed on the significance of family transactional patterns in the maintenance of the symptom. The case of a fourteen year old encopretic male is presented to illustrate the utility of assessing family contexts relevant to symptom display.
本文探讨了两个很少受到研究者或从业者关注的问题；作为一种慢性疾病的大便失禁，以及通过基于系统的治疗方法对其进行治疗。慢性大便失禁被视为一个复杂的过程，而非一个静态的、有症状的实体，重点强调家庭互动模式在维持症状方面的重要性。文中呈现了一名14岁大便失禁男性的案例，以说明评估与症状表现相关的家庭环境的实用性。
