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Elimination Disorders in Children and Adolescents

by Edward R. Christophersen, Patrick C. Friman

Series: Advances in Psychotherapy – Evidence-Based Practice - Volume 16

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A compact, “how-to” manual on effective, evidence-based treatments for enuresis and encopresis.

The aim of this book is to provide readers with a practical overview of the definitions, characteristics, theories and models, diagnostic and treatment recommendations, and relevant aspects and methods of evidence-based psychosocial treatments for encopresis and enuresis, primarily in children. Although treatments and research for elimination disorders are reviewed in general, particular attention is directed at constipation and encopresis, toileting refusal, and diurnal and nocturnal enuresis due to the high incidence of these conditions in children. Case vignettes, websites, and suggestions for further reading are provided for the interested reader.

From the Reviews

"[The authors] produced this masterful volume to provide readers with a practical overview of elimination disorders. [...] It is also refreshing to have a comprehensive review of evidence-based therapies extending beyond cognitive-behavioural methods. The book speaks to every clinician who has to treat enuresis and encopresis in children ans adolescents. [It] serves as a guidebook for standard practice."
Caroline Shea, MBChB, Dept. of Psychiatry, Shatin Hospital in East Asian Arch of Psychiatry, Vol. 21, 2011

“Christophersen and Friman have produced a masterful volume... The book is very thorough, covering symptoms, etiology, assessment, treatment, and outcome of enuresis and encopresis as well as numerous related disorders. The book is clearly written, yet reviews the relevant research in depth. This book will be a standard reference in the area.”
C. Eugene Walker, PhD, Professor Emeritus and former Director of Training in Pediatric Psychology, University of Oklahoma Medical School, Oklahoma City, OK

“Enuresis and encopresis are two of the toughest problems in general pediatrics. Drs. Christophersen and Friman take a look at the available interventions and recommend an evidence-based, practical, multi-disciplinary approach.”
Barton D. Schmitt, MD, Medical Director, Enuresis-Encopresis Clinic, The Children‘s Hospital, University of Colorado School of Medicine, Aurora, CO

“This is a strong treatise on evidence-based interventions for two common, but often misunderstood and mistreated childhood disorders, namely encopresis and enuresis. Christophersen and Friman, highly respected clinical researchers who have wide experience in their own clinical and pediatric psychology practices, integrate the scientific base with clinical implications and patient characteristics to provide an exceptional resource for use in clinical practice. Their book includes clear advice (and clinical handouts and forms) about implementing effective interventions, course, and prognosis. They have done the field a valuable service with this volume.”
Michael C. Roberts, PhD, ABPP, Professor and Director, Clinical Child Psychology Program, University of Kansas, Lawrence, KS

"For the clinician who works with children, the book Elimination Disorders in Children and Adolescents will be an invaluable, scientifically informed resource to guide practice. …[and] a great addition to the library of any mental health practitioner who works with children and their families. The text can be easily read over an afternoon, and the clearly outlined sections make it an excellent reference. … Authors Edward R. Christophersen and Patrick C. Friman succinctly and clearly outline the history, etiology, differential diagnostic considerations, and treatment strategies for addressing elimination disorders. The text covers constipation and encopresis, nocturnal enuresis, and diurnal enuresis. Each chapter is well organized, with tables and bolded summary statements that allow the busy practitioner to quickly identify sections of particular interest. [They] recognize that many psychologists may not feel comfortable or competent to treat a child with an elimination disorder, thinking these conditions fall primarily within the scope of a medical professional. Even the reluctant clinician should feel better equipped to talk with families about elimination problems after reading this informative text."
Lisa Fitzgibbons in PsycCRITIQUES, Vol. 55, 2010

"A wonderful book [...] that provides a solid understanding of the complexity of both diagnosis and treatment for these disorders. Readers will appreciate the multidisciplinary approach and the discussion of the latest advances in the field. [...] The authors have succeeded in creating a worthwhile addition to the field."
Nicholas Greco IV, MS, BCETS, CATSM (College of Lake County) in Doody's Book Review, 2010

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