Abstract

Chronic constipation was successfully eliminated in a 3-yr-old girl through a regimen combining behavioral and medical treatments. The onset of constipation was at birth. The procedures entailed use of mineral oil to produce reflex defecation concurrent with a token economy established by the parents in the home. After symptom remission, the behavioral- medical interventions were systematically faded. At 39-, 67-, and 93-week follow ups there was no recurrence of constipation and no symptom substitution.

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