I’m not sure what has changed to prompt him to start doing this and I honestly feel lost and alone. ... it's an entirely different matter to be handling the feces and smearing it on walls. Not all therapists are created equal and make sure the one you choose has in-depth (more than a scattered handful of clients) experience working with foster kids and children who have experienced severe abuse/sexual abuse. I noticed it a handful of times at home, I would use the bathroom after him and notice poop on different surfaces. You probably know many of the more obvious signs of mental and emotional abuse. In a retrospective analysis of three comparison groups of 4-12 year olds, we studied 466 children documented and treated for sexual abuse; 429 psychiatrically referred children with externalizing problems and 641 normative children recruited from the community, with the latter two samples having abuse ruled out. Reward systems generally don’t work for this behavior. Please help. Photo: Adobe Stock/petite usagi. I’m curious….if my son is smearing would this be a sure sign that there is some sort of mental illness? I think it’s for attention or out if boredom as he’s basically been a prisoner since Covid and lockdown started back in March apart from a few outings. If you ask an occupational therapist, sensory integration strategies will be the recommended solution. I’ve also heard that scatophilia (sexually aroused by poop) is also associated w/ mental distubances. Or a sign of severe child abuse? By learning the signs of abuse, volunteering with local organizations, and working with local lawmakers to create stricter policies regarding animal welfare, you can take action to help stop animal abuse starting now. While bed wetting may be a warning sign of sexual abuse, it usually occurs in combination with other symptoms. 2003 Sep;112(3 Pt 1):e202-7. Coprophagia, better known as the oral intake of one's own feces, is often observed in elderly people afflicted with Alzheimer's disease and other forms of dementia. We’re here for you during COVID-19, providing information and resources like we always have for the past 17 years. Has learning problems (or difficulty concentrating) that cannot be attributed to specific physical or psychological causes 4. Animated characters on videos do…, When at a restaurant this week, I went to use the bathroom. My Son is three, and is in the process of being diagnosed with Autism. Tip Sheet: Warning Signs of Possible Sexual Abuse In A Child's Behaviors Any one sign doesn't mean that a child was sexually abused, but the presence of several suggests that you begin asking questions and consider seeking help. I would even wipe a little bit on the wall if there was excess poop on my finger. Substitutions should be offered throughout the day and consistently used until they become routine. We found out that our son was chronically constipated after having an abdominal ultrasound done. Toileting is a complex process and can’t be mastered in a few steps. Child Maltreat. It could be more now that he gets it on his hands when wiping and isn’t cleaning them well. I would also introduce wet wipes for bowel movements as they do a better job of cleaning than toilet paper. I felt I had no one to talk to and felt really alone.    My step daughter is 6 and has angelmans. 2011 Jun 13;37:28. doi: 10.1186/1824-7288-37-28. I bought some clay and Plato tonight for him to play with, as I wonder if this is a texture issue for him. Has not received help for physical or medical problems brought to the parents’ attention 3. 1997 Jan;21(1):11-8. doi: 10.1016/s0145-2134(96)00130-5. Urine is a sterile substance, but fecal matter is far from sterile. Anal-themed terms of abuse are particularly widespread, especially in Germany and the USA. The cause of smearing has to be determined before any strategies can be put in place. Is this still considered smearing? The predictive utility of fecal soiling as an indicator of sexual abuse status was examined. Consult-liaison psychiatrists often encounter difficult clinical scenarios. I have an 11 year old son that is smearing. I am so stressed out. Maureen Bennie created the Autism Awareness Centre in 2003 to address what she saw as a gap in support and advocacy for those struggling with autism and autism spectrum disorders. Similar rates of soiling were reported among abused children, with and without penetration, and the psychiatric sample. Encopresis and sexual abuse in a sample of boys in residential treatment. You may have to look at using something like PEG-3350 but please talk to your doctor about this. Toileting is a complex process and as parents, we have to be the detective to figure out why certain behaviors are happening. For the life of me I don’t know why he started doing this? Perhaps the smearing is a sign that the person is too far gone to even realize how nasty poop is. Insects are valuable as forensic indicators in cases of abuse and neglect. SHARE. We hope that reading this and sharing it, will enable more of us in the community to report child abuse if we suspect something may be occurring. I would highly recommend that you watch the webinar I gave on toilet training – https://autismawarenesscentre.com/shop/webinar/teaching-toileting-to-individuals-with-asd-webinar/ . Signs of physical abuse may include: Bruises, welts, or other injuries that can’t be explained or don’t match with the child’s story Burns , especially from cigarettes, that can’t be explained I hear you! RAD is often seen in adopted children, where the initial attachment with the biological mother has been disrupted, even if the child was very young or an infant when adopted. Is the nappy only for nighttime? They need support from professionals to understand and develop toileting skills for the individual. You’ve also figured out the function of the smearing which is half the battle. To accommodate these sensory experiences try: Scent: smell sharp smelling cheese or play doh that is scented You need to keep an elimination chart for two weeks to confirm what time he has his bowel movement everyday. I feel so sorry for all of the people going through similar things especially the kids/adults with the “problem” I would love some suggestions. Soiling seems to represent one of many stress-induced dysregulated behaviors. I will then tell him to go wash and start cleaning up. You say it is increasing every time he goes to the bathroom. Standardized parent report measures identified soiling status and sexual acting out behaviors. Sometimes he just squishes it in his hands, but other times, like when he is in bed, he smeatrs himself with poop from head to toe. Psychological testing in evaluation of child sexual abuse. Please read the book I have recommended in this blog post called What to Do About Smearing. He is perfectly capable of performing self-care tasks but he also recently stopped washing fully except his face and teeth or just very early morning washing to get rid of poop traces. Ignore: Ignoring the behavior of feces-smearing is not a viable option for obvious reasons. The girl also said Zimmerman wiped the feces-filled diaper in the boy's face and had to give the boy a shower because of the mess. Not all therapists are created equal and make sure the one you choose has in-depth (more than a scattered handful of clients) experience working with foster kids and children who have experienced severe abuse/sexual abuse. Child Abuse Negl. Please read the What to Do About Smearing book as it is a very comprehensive read about toileting difficulties. 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