Child and Adolescent Social Work Journal

, Volume 22, Issue 2, pp 229–242 | Cite as

Understanding Play in the Treatment of an Encopretic Boy



This paper provides a clinical illustration of the symbolic use of play in the treatment of an encopretic boy of eight. The historical and contemporary literature relating to both play and to encopresis are reviewed. Process material and case formulation are presented to provide examples of the way in which intrapsychic conflict is interpreted.


Encopresis Symbolic play 


  1. Anthony, E. J. 1957An experimental approach to the psychopathology of childhood: EncopresisBritish Journal of Medical Psychology30146175PubMedGoogle Scholar
  2. Bornstein, B. 1951On latencyPsychoanalytic Study of the Child6279285Google Scholar
  3. Call, J. D.,  et al. 1963Psychogenic megacolon in three preschool boysAmerican Journal of Orthopsychiatry33923928PubMedGoogle Scholar
  4. Feigelson, C. I. 1974Play in child analysisPsychoanalytic Study of the Child292126PubMedGoogle Scholar
  5. Fenichel, O. 1945The Psychoanalytic Theory of NeurosisNortonNew YorkGoogle Scholar
  6. Fowler, G. B. 1882Incontinence of feces in childrenAmerican Journal of Obstetrics1598105Google Scholar
  7. Freud, A. 1963The concept of developmental linesPsychoanalytic Study of the Child18245265PubMedGoogle Scholar
  8. Freud, A., Burlingame, D. 1944Infants Without FamiliesInternational. Universities PressNew YorkGoogle Scholar
  9. Glenn, J. 1977Psychoanalysis of a constipated girl: Clinical observations during the fourth and fifth yearsJournal of the American Psychoanalytic Association25141161PubMedGoogle Scholar
  10. Goodhart, J. F., Still, G. F. 1905Diseases of childrenChurchillLondonGoogle Scholar
  11. Hall, M. B. 1941Encopresis in childrenBritish Medical Journal2890Google Scholar
  12. Mahler, M., La Perriere, K. 1965Mother-child interaction during separation individuation Psychoanalytic Quarterly34483498PubMedGoogle Scholar
  13. Marans, S., Mayes L. C., & Colonna A. B. (1980). Psychoanalytic views of children’s play. In Sandler, J. et al, (Eds.), The technique of child psychoanalysis: Discussions with Anna Freud. Cambridge: Harvard University PressGoogle Scholar
  14. Morichaw-Beauchant, R. 1922False incontinence in childrenParis Medical1283Google Scholar
  15. Nussey, A. M. 1941Encopresis in childrenBritish Medical Journal2927Google Scholar
  16. Peller, L. E. 1954Libidinal phases, ego development, and playPsychoanalytic Study of the Child9178198Google Scholar
  17. Richmond, J. 1954Syndrome of fecal polling and megacolonAmerican Journal of Orthopsychiatry24391401PubMedGoogle Scholar
  18. Shane, M. 1967Encopresis in a latency boy – An arrest along a developmental linePsychoanalytic Study of the Child22296314PubMedGoogle Scholar
  19. Shirley, H. F. (1938). Journal of Pediatrics 12, 367Google Scholar
  20. Waelder, R. 1933The psychoanalytic theory of playPsychoanalytic Quarterly2208224Google Scholar
  21. Weissenberg, W. W., & Wilson, J. L. (1926). Uber EnkropresisGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Baltimore-Washington Institute and Society for Psychoanalysis Clinical Social Work InstituteWashingtonUSA

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