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Kids With Special Needs and Disabilities
Reply to "Very stubborn 12 year old with encopresis?"
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[quote=Anonymous]OP, Freudians use the word "overdetermined" about symptoms and behavior, which means that symptoms have multiple reasons and causes and it's impossible to say that x caused y symptom. Symptoms tend to be overdetermined rather than come in neat packages. Maybe in the beginning her tush was sore and she withheld poo because of that; then there were some issues about control or she liked the feeling or whatever; in her mind she was embarrassed too. So layers of reasons and she doesn't know or understand at this point why she does it. I do think she's at an age where she should be taking the lead oar with her own hygiene and bowel movement protocol. Any way to empower her more on that front?[/quote]
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