Reinforcement of Incontinent Stools in the Treatment of Encopresis

Cathleen C. Piazza, Wayne Fisher, Shawn Chinn, Lynn Bowman

Research output: Contribution to journalArticle

10 Scopus citations


In this paper, fecal incontinence and constipation were treated in two mentally retarded individuals using a novel intervention wherein incontinent stools were first rewarded in order to increase the frequency of bowel movements. This intervention was implemented only after more traditional pediatric and behavioral treatments were unsuccessful. The reinforcement of incontinent stools procedure resulted in an increase in both the frequency and the number of continent stools for both individuals. Hypotheses regarding the failure of previous treatments and the success of the current treatment are discussed as well as directions for future research.

Original languageEnglish (US)
Pages (from-to)28-32
Number of pages5
JournalClinical pediatrics
Issue number1
StatePublished - Jan 1991

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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