Abstract
Discusses a unique cognitive-behavioral play therapy approach utilized with an encopretic child. A 5-year, 3-month-old male triplet presented with primary nonretentive encopresis, as well as a language disorder. The treatment included individual cognitive-behavioral play therapy with the child, which was yoked to a parent-implemented behavioral management program. Treatment success, defined as the child's ceasing soiling and demonstrating appropriate toilet use, was maintained through 45-month follow-up.