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Complex factors in inhibition of defecation: Review and case study

Authors
Journal
Journal of Behavior Therapy and Experimental Psychiatry
0005-7916
Publisher
Elsevier
Publication Date
Volume
3
Issue
2
Identifiers
DOI: 10.1016/0005-7916(72)90013-4
Disciplines
  • Medicine

Abstract

Abstract Control of eliminative problems in children through planned reinforcedment is briefly reviewed. Constipation can be less amenable than frequent soiling to modification by a strictly operant methodology, and raises the possibility of congenital anomalies. Since birth, a 4-yr-old boy had been subjected to several hospitalizations, numerous inconclusive medical examinations, daily laxatives, and suppositories for chronic constipation. With the introduction of repetitive suggestions and a material reinforcer, bowel movements were accelerated from nil unless suppositories were used, to a terminal rate of one per day without suppositories or laxatives of any kind.

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