The successful treatment of diurnal and nocturnal enuresis and encopresis

Two children, a boy aged six and a girl aged five-and-one half, were treated for diurnal enuresis. The boy was also treated for bedwetting and the girl for encopresis. The treatment program was conducted by the children’s parents and featured daily, weekly, and monthly rewards, a feedback "star chart" and nonexclusionary timeout for accidents. The girl’s daytime wetting and soiling were treated simultaneously with soiling being eliminated first. After the boy’s daytime wetting had been eliminated, he was given dry-bed training (Azrin, Sneed, & Foxx, 1974) with equal success. Long term follow-ups revealed that all forms of toileting accidents had been eliminated.