title: [Psychosomatic aspects of encopresis].
abstract: 37 children (aged 4 1/2-15 1/2 years) with encopresis were seen at the psychosomatic outpatient unit of the university children's hospital of Graz in the course of two years, comprising 1.8% of all our outpatients of that time (n = 2037). They had been referred to us by pediatricians general practitioners, welfare institutions and the local children's surgical hospital. Based an our observations and data-analysis of this heterogenic group we would like to suggest a subdivision of the new classification group of "elimination disorders" (307.70/307.60 DSM III-R) into three main subgroups; according to the use of the fifth digit in the DSM III-R (e.g. mood disorders 296.xx) we define: 307.71: primary infantile encopresis (group I); 307.72: primary reactive encopresis (group II a); 307.73: secondary reactive encopresis (group II b); 307.74: late "neurotic" encopresis (group III); 307.70: not otherwise specified NOS. Moreover, we hope to draw attention to the specific psychodynamics of this functional disorder, since we believe this to be a fundamental prerequisite for any successful therapeutic intervention.
authors.affiliation: Psychosomatische Abteilung, Universitäts-Kinderklinik Graz.
authors.forename: M
authors.initials: M
authors.lastname: Kratky-Dunitz
authors.forename: P J
authors.initials: PJ
authors.lastname: Scheer
mesh_terms: D000293:Adolescent; D002648:Child; D002667:Child Reactive Disorders / Q000523:psychology; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004688:Encopresis / Q000523:psychology* / Q000628:therapy; D006801:Humans; D009497:Neurotic Disorders / Q000523:psychology; D010553:Personality Development; D011602:Psychophysiologic Disorders / Q000523:psychology* / Q000628:therapy; D011613:Psychotherapy / Q000379:methods
vernacular_title: Psychosomatische Aspekte der Enkopresis.