CHRONIC NEUROTIC ENCOPRESIS AS A PARADIGM OF A MULTIFACTORIAL PSYCHIATRIC DISORDER
作者:
JULES BEMPORAD,
RICHARD KRESCH,
RUSSELL ASNES,
ARNOLD WILSON,
期刊:
The Journal of Nervous and Mental Disease
(OVID Available online 1978)
卷期:
Volume 166,
issue 7
页码: 472-479
ISSN:0022-3018
年代: 1978
出版商: OVID
数据来源: OVID
摘要:
Chronic neurotic encopresis (CNE), a childhood psychiatric disorder characterized by inappropriate fecal soiling, necessitates the formation of the following specific etiological factors: a) a neurologically immature developmental musculature, an organic condition which may complicate toilet training; b) premature or harsh toilet training; c) a family constellation in which the father is frequently absent and the mother erratic, emotionally inappropriate, and distant; d) the child's formation of a noncommunicative, passive, dependent personality. All of these factors are helpful in explaining the occurrence of CNE, which is thus seen as the result of a synergistic interaction among them. The complexity of etiological agents dictates a multifactorial rather than unicausal model of mental illness. Future research and tactics of psychother-apeutic intervention should focus on the interplay among these factors rather than attempting to single out one primary predisposing factor.
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