Abstract

A 12-year-old girl with a history of chronic encopresis was treated by periods of isolation as a punishment for fecal soiling, and later, in addition, by relieving her of dishwashing when she did not soil. The undesirable behavior virtually ceased after 41 weeks of this management in the home situation. There was no evidence of symptom substitution and, in fact, there were indications of enhanced academic and interpersonal performance. At a 3-month follow-up the improvement was reported to have been maintained.

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