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Psychological Aspects of Faecal Incontinence

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Abstract

There are many routes to becoming a patient with faecal incontinence (FI), many aetiologies of the disorder, and many personal histories. The “meaning” of the FI will be different for each patient, and his or her way of managing it will depend not only on aetiology but also on a number of personal, social and medical factors. Is the FI secondary to a medical or surgical mishap, or is it the by product of a life-saving surgical resection, an “act of God”, or an “act of man”? Has the FI been with the patient since childhood, and has he or she developed coping strategies; or is it of recent onset and as yet “new”, foreign and unmanageable? What medical support is available to the patient? What emotional support-from family, partner, friends and work associates-is available? Is the partner supportive, or resentful and disgusted? What habitual defence mechanisms do, the patient use in order to deal with adversity, and are these mechanisms overall successful or counterproductive?

Keywords

  • Irritable Bowel Syndrome
  • Faecal Incontinence
  • Home Parenteral Nutrition
  • Psychosexual Functioning
  • Develop Coping Strategy

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Freud S (1914) On narcissism: an introduction. In: Strachey J (ed and trans) The standard edition of the complete psychological works of Sigmund Freud, vol. 14. Hogarth Press London, pp 73–102

    Google Scholar 

  2. Abraham K (1920) The narcissistic evaluation of excretory processes in dreams and neuroses. In: Selected papers of Karl Abraham. Hogarth Press London

    Google Scholar 

  3. Abraham K (1921) Contributions to the theory of the anal character. In: Selected papers of Karl Abraham. Hogarth Press London

    Google Scholar 

  4. Freud S (1908) Character and anal erotism. In: Strachey J (ed and trans). The standard edition of the complete psychological works of Sigmund Freud. Hogarth Press London

    Google Scholar 

  5. Elias N (1978) The History of manners: The civilizing process. New York Pantheon books

    Google Scholar 

  6. Garcia JA, Crocker J, Wyman JF (2005) Breaking the cycle of Stigmatisation. J Wound Ostomy Continence Nurs 32(l):38–52

    PubMed  Google Scholar 

  7. Joachim G, Acorn S (2000) Stigma of visible and invisible chronic conditions. J Adv Nurs 32(l):243–248

    PubMed  CrossRef  CAS  Google Scholar 

  8. White C (1997) Living with a stoma. Sheldon Press London

    Google Scholar 

  9. Whorton JC (2000) Inner hygiene: constipation and the pursuit of health in modern society. Oxford University Press New York

    Google Scholar 

  10. Cavet J (1998) People don’t understand: children, young people and their families living with a hidden disability. National Children’s Bureau London

    Google Scholar 

  11. Koch T, Selim P, Kralik D (2002) Enhancing lives through the development of a community-based participatory action research program. J Clin Nurs 11(2):109–117

    PubMed  CrossRef  Google Scholar 

  12. Norton C, Chelvanayagam S (2004) Bowel continence nursing. Beaconsfield Publishers Beaconsfield

    Google Scholar 

  13. Chelvanayagam S, Stern JM (2007) Using therapeutic groups to support women with faecal incontinence? Br J Nurs 16:214–218

    PubMed  Google Scholar 

  14. Bharucha A, Zinsmeister A, Locke R et al (2005) Prevalence and burden of fecal incontinence: a populationbased study in women. Gastroenterology 129:42–49

    PubMed  CrossRef  Google Scholar 

  15. Perry S, Shaw C, McGrother C et al (2002) The prevalence of faecal incontinence in adults aged 40 years or more living in the community. Gut 50:480–484

    PubMed  CrossRef  CAS  Google Scholar 

  16. Whitehead W (2005) Diagnosing and managing faecal incontinence: if you don’t ask, they won’t tell. Gastroenterology 129:6

    PubMed  CrossRef  Google Scholar 

  17. Trachter AB, Rogers A, Leblum SR (2002) Inflammatory bowel disease in women: impact on relationship and sexual health. Inflamm Bowel Dis 8(6):413–421

    PubMed  CrossRef  Google Scholar 

  18. Collings S, Norton C (2004) Women’s experiences of faecal incontinence: a study. Br J Community Nurs 9(12):520–523

    PubMed  Google Scholar 

  19. Diseth TH, Emblem R (1996) Somatic function, mental health and psychological adjustment of adolescents with anorectal anomalies. J Pediatr Surg 31:638–643

    PubMed  CrossRef  CAS  Google Scholar 

  20. Fisher SE, Breckon K, Andrews H, Keighley M (1989) Psychiatric screening for patients with faecal incontinence or chronic constipation referred for surgical treatment. Br J Surg 76:352–355

    PubMed  CrossRef  CAS  Google Scholar 

  21. Hagglof B, Andren O, Bergstrom E et al (1998) Selfesteem in children with nocturnal enuresis and urinary incontinence. Eur Urol 33(Suppl 3):16–19

    PubMed  Google Scholar 

  22. Burgio KL, Locher J, Roth D, Goode P (2001) Psychological improvements associated with behavioural and drug treatment of urge incontinence in older women. J Gerontol B Psychol Sci Soc 56:P46–P51

    CAS  Google Scholar 

  23. Millard RJ, Oldenburg B (1983) The symptomatic, urodynamic and psychodynamic results of bladder reeducation programs. J Urol 130:715–719

    PubMed  CAS  Google Scholar 

  24. Rosenzweig BA, Hischke D, Thomas S et al (1991) Stress incontinence in women; psychological status before and after treatment. J Reprod Med 36:835–838

    PubMed  CAS  Google Scholar 

  25. Heymen S (2004) Psychological and cognitive variables affecting treatment outcomes for urinary and fecal incontinence. Gastroenterology 126:S146–151

    PubMed  CrossRef  Google Scholar 

  26. Fenner DE, Genberg B, Brahama P et al (2003) Fecal and urinary incontinence after vaginal delivery with anal sphincter disruption in an obstetrics unit in the United States. Am J Obstet Gynecol 189(6) 1543–1550

    PubMed  CrossRef  Google Scholar 

  27. Stern JM (2003a) Psychiatry, psychotherapy and gastroenterology: bringing it all together. Aliment Pharmacol Ther 17:175–184

    PubMed  CrossRef  CAS  Google Scholar 

  28. Stern JM (2003b) Stomas, sorrow and shame. In: Stigma in healthcare: understanding the psychology of the stigma of incontinence. Simon Foundation Chicago

    Google Scholar 

  29. Stern JM (2006) Home parenteral nutrition and the psyche: psychological challenges for patient and family. Proceedings of the Nutrition Society, vol. 65(3). CABI Publishing Oxfordshire, pp 222–226

    Google Scholar 

  30. Montgomery C (2002) Role of dynamic group therapy in psychiatry. Adv Psychiatr Treat 8(1):34–41

    CrossRef  Google Scholar 

  31. Vamos M (2006) Psychotherapy in the medically ill: a commentary. Aus N Z J Psychiatry 40(4):295–309

    CrossRef  Google Scholar 

  32. Norton C, Kamm MA (1999) Outcome of biofeedback for faecal incontinence. Br J Surg 86:1159–1163

    PubMed  CrossRef  CAS  Google Scholar 

  33. Norton C, Chelvanayagam S, Wilson-Barnett, J et al (2003) Randomised controlled trial of biofeedback for fecal incontinence. Gastrtoenterology 125:1320–1329

    CrossRef  Google Scholar 

  34. Frank J (1961) Persuasion and healing. Johns Hopkins Press Baltimore

    Google Scholar 

  35. Stern JM (1999) Psychoanalytic psychotherapy in a medical setting. Psychoanal Psychother 13(l):51–68

    CrossRef  Google Scholar 

  36. Stern JM (2005) Psychotherapy-individual, family and group. In: Wright P, Stern J, Phelan M. Core psychiatry, 2nd edn. Elsevier Saunders London, pp 541–564

    Google Scholar 

Download references

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© 2007 Springer-Verlag Italia

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Stern, J.M. (2007). Psychological Aspects of Faecal Incontinence. In: Ratto, C., Doglietto, G.B., Lowry, A.C., Påhlman, L., Romano, G. (eds) Fecal Incontinence. Springer, Milano. https://doi.org/10.1007/978-88-470-0638-6_5

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  • DOI: https://doi.org/10.1007/978-88-470-0638-6_5

  • Publisher Name: Springer, Milano

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