A PERSONAL NOTE TO PHYSICIANS:  

Psychologists have adopted the work of a Pediatric Gastroenterologist, who won the Fourth Nobel Prize for
Physiology and Medicine in 1904, much more thoroughly than has the medical profession. Dr. Ivan Pavlov
studied the front end of the GI tract for salivation and I’ve focused on the opposite end. Earlier, I performed and
published the first significant double-blind, active placebo study of the bedwetting alarm. This eventually led me
to focus on the much more culturally and medically distressing condition of fecal incontinence.

The medical profession came to view the use of suppositories and enemas for Encopresis for “clean out” purposes
only. This bias was introduced out of the Boston Children’s Hospital by D. Levine in publications from 1976 and
1982 in Pediatrics and Pediatric Clinics of North America. These referred to the use of suppositories and enemas
as “anal assault”. Subsequently, two-thirds to three-quarters of general pediatricians have significantly lowered
their use of digital examinations for their patients.

For the most recent abstracts on encopresis, please click here.


A PERSONAL NOTE TO PSYCHOLOGISTS:

The Soiling Solutions® (SS) protocol relies heavily on reconnecting the stimuli associated with voiding (sitting
on the toilet stool, interoceptive voiding cues, etc.) to trigger the voiding response mechanism. The holding
response which is prevalent and, characteristically, first engaged when we experience voiding urges is what
buys us time to get to the toilet. 

This is “natural”, but it can become so dominant that it blocks the voiding response that should take over. The
suppository and enema “primers” (UCSs) in the SS® assure successful voiding. Through a programmed
conditioning process, the enema primer gives way to the relatively inert glycerin suppository, and, finally, to the
child’s own internal triggering cues. This comes under conscious control. The child’s feeling of massive “relief”
with voiding and social reinforcement are usually sufficient operant reinforcements to sustain the voiding habit.

Parents have found the book, “Sneaky Poo” to be very helpful in externalizing the issue toward the Encopresis
monster or “sneaky poo,” rather than one another.

For the most recent abstracts on encopresis, please click here.

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Dear Dr. C:

Believe me, I tried every option before Soiling Solutions because of the fear of giving enemas and
suppositories. 

If your kid needed an enema or die could you do it? Yes! Do I like it? NO! If you could go through two
pretty rough weeks to get over the worst parts of Encopreis, could you do it? Yes!

Our whole family told our son we needed to do this. We all picked the start date, and we agreed it
would be difficult and everyone had their task to do. We selected a family celebration for the end
of the two weeks and went for it.

I did the first twp days of enemas/suppositories. Then my son, who was 7-1/2, started doing them. 
Remember, you don't need to do these every day unless you are having a problem. I am a total wimp
when it comes to these things. My son, after the first couple of times, told me it wasn't so bad and
was actually comforting me! In a couple of days we had our old running around, fun kid back. 

It had been 5 years since we had seen him!

Best wishes.

Faith C.

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