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Abstract
This paper reports on the treatment of a nine-year-old boy with primary encopresis that combines structural and strategic approaches. The essential organizational features exhibited by the family, the contexual approach to therapy, the individual and collective responses to therapy, and the follow-up at 3 months and 1½ years are described. The effect of therapy on encopresis, a disorder affecting the entire family, and on several other significant symptoms in the family is also discussed. We concluded that the dysfunctional patterns of family interaction contributed to the development and maintenance of the symptoms observed.