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The multifactorial approach: children and adolescents

The paper describes the therapeutic process in the case of a pre-adolescent with symptoms of functional primary encopresis, based on a multifactorial treatment for children and adolescents.

The specific therapeutic regiment includes participation both of the identified patient (child or adolescent) in group therapy activities (Multiple Activity or Psychodrama Group or Adolescent Group Analysis type), as well as and of the parental couple in a parents group on a monthly basis. It has been established that the above therapeutic regiment helps in developing the general aspect both of individual and family potential, which helps to utilize the healthy potential of the family system, to the advantage of both the ‘patient’ and the other family members.

The above therapeutic regiment appears to: 1) unify the family structure when split to the differentiated roles attributed first to healthy members (parents, siblings) and second to the unhealthy member (identified patient). 2) To mobilise the therapeutic potential in the family structure which in turn favours the persistence of the patient in his/her therapy, and 3) Enhances the benefits development and evolution both of the family structure as a whole and of each family member separately, especially of the identified patient who will gradually be relieved of the symptom which might not be mentioned at all during therapy.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Sidiropoulos, C. The multifactorial approach: children and adolescents. Ann Gen Psychiatry 7 (Suppl 1), S6 (2008).

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