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The Clean Kid Manual:
The Clean Kid Manual (CKM) for Encopresis of the Functional Fecal Retention (FFR) form was first privately published in
1998
after
the author, Dr. Robert W. Collins, a Clinical Psychologist, developed his unique treatment protocol for encopresis or fecal
incontinence.
It is now
in its Fourth Edition and it is only sold over the Internet at (Store) or by health professionals. A 5th edition will
likely be introduced in
mid or late
2011 with added chapters on bladder incontinence, especially nocturnal enuresis or
bedwetting.
Purchase of the CKM from this website will allow automatic participation on the SS® Parents Forum with over 300 parents ... many of
whom
are
“oldbies” that look forward to sharing their hard won expertise with the “newbies.” Founder, Dr. Collins, no longer does
private
consultations
with
parents. He looks forward to more professionals who will monitor and consult with CKM purchasers.
Currently, there is a professional, a Social
Worker, Eunice Lehmacher, MSW, at www.mindfulmomentsinsc.com, who offers private
consultations
to purchasers and members of the SS® Parents
forum. Professionals who purchase the CKM and offer consultation services
for the SS® protocol
will be listed for encopresis treatment centers after completing the necessary form.
Unique Features of the Soiling Solutions (SS®) Protocol Include:
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The "bottom up" use of suppositories and enemas assures more powerful voiding signals followed by very
successful bowel movements (BMs).
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"Top down" or oral agents only offer confusing and delayed signals because they have to operate through
the entire lengthy Gastrointestinal (GI) tract.
- "Top down" agents also make a child more likely to "leak" or "ooze" stool during the day.
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"Top down" voiding signals only multiply "holding" responses that the child can fight off and actually build up
resistance to voiding! How self-defeating for children for which it does not work!!!
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Assuring a BM relieves GI pressure enough in time to prevent soiling for a whole day until the next treatment
hour.
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Successful voidings on their own with two opportunities heads off using the suppository or enema.
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Daily guaranteed voidings assure "fresher" and softer stools as the child resists less and less, gains
confidence, and becomes more bowel competent.
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Successful voidings "desensitize" the child and having BMs becomes normalized.
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The use of suppositories and enemas are not intended as punishment, they simply "retrain" or condition
the bowel signals and voiding responses that lead to more successful and complete BMs.
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If parents use a punishing attitude, the protocol will not work and will only make the child more fearful
and resistant to BMs. We are advocating a legitimate, rational, medical and behavioral conditioning
approach.
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