Hypno-behavioral Therapy, Systemic, and Institutional Management of Encopresis in Childhood and Adolescence

Introduction:Encopresis is the appearance of involuntary stool emissions more than once a month for 6 months after the age of 4 years outside of any place of cleanliness.It decreases with age and is more common in boys than in girls.There are two different classifications: primary and secondary encopresis, non-retentive and retentive encopresis.This disorder can be caused by several factors: educational, psychological, pathophysiological, psychopathological, etc.We used the various knowledge and techniques accumulated over the history of the development of hypnosis, cognitive and behavioral therapy (CBT) and the systemic approach as therapeutic means in the pragmatic sense to help this young patient.Method: To confirm our hypotheses, we used several tools, in particular: a tape recorder and audio cassettes, note-taking on paper, sheets for collecting data after the exercise.For this study, four different phases were listed during this treatment.These are: the creation of a good relationship and the therapeutic framework, the learning of hypnosis and self-hypnosis associated with behavioral exercises, the stabilization phase, the phase of consolidation and generalization of acquired knowledge educationally, academically, socially and emotionally.Results: At the 2 nd session, 2 weeks after admission: A summary meeting with the therapeutic team and the family was held.The results were presented, namely: the cognitive psychological assessment (WISC-III), the emotional test and the psychometric assessment: HAS = 12 points (mild intensity for generalized anxiety) and BDI = 6 points (no depression).From the 5 th session, 8 weeks after admission, the HAS = 1 point (no generalized anxiety) and the BDI = 0 point (absence of depression).We can notice that the positive results were fast with the complete absence of encopresis from the 5 th session of the HBT.Discussion: In our study, the metaphors corresponding to the reality of the patient, his problem and the therapeutic context, were like catalysts in the psychocorporal cure.This HBT led our patient to increase his mastery and his internal self-control and to manage his anxiety towards other ways adapted to reality other than encopresis.The use of the double link made it possible to transform