The Azrin and Foxx toileting study published in 1971 represented a culmination of earlier research efforts regarding the toilet training of the severely and profoundly retarded client. This article uses the landmark study to provide a frame of reference for reviewing a decade of toilet training research. Efforts attempting to replicate the original study have been few in number and have yielded equivocal results. Modifications of the original study have added more information and have generated new areas of inquiry that give direction to toilet training research for the next decade.
AshkenaziZ.The treatment of encopresis using a discriminative stimulus and positive reinforcement. Journal of Behavior Therapy and Experimental Psychiatry, 1975, 6, 1551–1557.
2.
AzrinN. H.Toilet training the profoundly and severely retarded. Journal of Research and Training, 1973, 1, 9–13.
3.
AzrinN. H.FoxxR. M.A rapid method of toilet training the institutionalized retarded. Journal of Applied Behavior Analysis, 1971, 4, 89–99.
4.
AzrinN. H.FoxxR. M.Toilet training in less than a day. New York: Simon & Schuster, 1974.
5.
AzrinN. H.SneedT. J.FoxxR. M.Dry bed: A rapid method of eliminating bedwetting (enuresis) of the retarded. Behavior Research and Therapy, 1973, 11, 427–434.
BettisonS.Toilet training the retarded: Analysis of the stages of development and procedures for designing programs. Australian Journal of Mental Retardation, 1978, 5 (3), 95–100.
8.
BettisonS.DavisonD.TaylorP.FoxB.The long-term effects of a toilet training program for the retarded: A pilot study. Australian Journal of Mental Retardation, 1976, 4 (4), 28–35.
9.
ButlerJ. F.Toilet training a child with spina bifida. Journal of Behavior Therapy and Experimental Psychiatry, 1976, 7 (1), 63–65.
10.
DixonJ. W.SaudargasR. A.Toilet training, cueing, praise and self-cleaning in the treatment of classroom encopresis: A case study. Journal of School Psychology, 1980, 18, 135–140.
11.
DoleysD. M.Assessment and treatment of enuresis and encopresis in children. In HersenM.EislerR. M.MillerP. M. (Eds.), Progress in behavior modification (Vol. 6). New York: Academic Press, 1978.
12.
DoleysD. M.ArnoldS.Treatment of childhood encopresis: Full cleanliness training. Mental Retardation, 1975, 13, 14–16.
13.
DonlonE. T.BurtonL. F.The severely and profoundly handicapped: A practical approach to teaching. New York: Grune and Stratton, 1976.
14.
EdgarC. L.KohlerH. F.HardmanS.A new method for toilet training developmentally disabled children. Perceptual Motor Skills, 1975, 41 (1), 63–69.
15.
EllisN. R.Toilet training the severely defective patient: An S-R reinforcement analysis. American Journal of Mental Deficiency, 1963, 68, 98–103.
16.
EngelE. T.NikoomaneshP.SchusterM. M.Operant conditioning of restosphinceteric responses in the treatment of fecal incontinence. New England Journal of Medicine, 1974, 290, 646–649.
17.
EpsteinL. H.KatzR. C.ZlutnickS.Behavioral medicine. In HersenM.EislerR. M.MillerP. M. (Eds.), Progress in behavior modification (Vol. 7). New York: Academic Press, 1979.
18.
EpsteinL. H.McCoyJ.Bowel control of Hirschprung's Disease. Journal of Behavior Therapy and Experimental Psychiatry, 1977, 8, 97–99.
19.
EymanR. R.TarjanG.CassadyM.Natural history of acquisition of basic skills by hospitalized retarded patients. American Journal of Mental Deficiency, 1970, 75, 120–129.
20.
FoxxR. M.AzrinN. H.Toilet training the retarded: A rapid program for day and night-time independent toileting. Champaign, IL: Research Press, 1973.
21.
FredericksH. D.RiggsC.FureyT.GroveD.MooreW.McDonnellJ.JordanE.HansenW.BaldwinV.WadlowM.Teaching research curriculum for the moderately and severely retarded. Springfield, IL: Charles C Thomas, 1976.
22.
FreemanB. J.PribbleW.Elimination of inappropriate toileting by overcorrection. Psychological Reports, 1974, 35, 802.
23.
FriedR.A device for enuresis control. Behavior Therapy, 1974, 5, 682–684.
24.
GallenderD.Teaching eating and toileting skills to the multihandicapped in the school setting. Springfield, IL: Charles C Thomas, 1980.
25.
GeorgeT. W.ColemanJ.WilliamsP.The systematic use of positive and negative consequences in managing classroom encopresis. Journal of School Psychology, 1977, 15, 250–254.
26.
GilesD. K.WolfM. M.Toilet training in institutionalized, severe retardates: An application of operant behavior modification techniques. American Journal of Mental Deficiency, 1966, 70, 766–780.
27.
GlenE. S.RowanD.Enuretic alarm trainer for night and day. The Lancet, 1974, October 26, 987–988.
28.
GrossmanH. J. (Ed.) Manual on terminology and classification in mental retardation. Washington: American Association on Mental Deficiency, 1977.
HundziakM.MaurerR. A.WatsonL. S.Operant conditioning in toilet training of severely retarded boys. American Journal of Mental Deficiency, 1965, 70, 120–125.
31.
JarrettF. J.GauthierJ.OliverR. D.Operant management of the behavioral sequelae of Wilson's Disease: A case report. Canadian Psychiatric Association Journal, 1978, 23, 399–403.
32.
JonesH. G.The application of conditioning and learning techniques to the treatment of a psychiatric patient. Journal of Abnormal and Social Psychology, 1956, 52, 414–420.
KimbrellD. L.LuckeyR. E.BarbutoP. F. P.LoveJ. G.Operation dry pants: An intensive habit training program for severely and profoundly retarded. Mental Retardation, 1967, 5, 32–36.
35.
KimmelH. D.KimmelE.An instrumental conditioning method for the treatment of enuresis. Journal of Behavior Therapy and Experimental Psychiatry, 1970, 1, 121–123.
36.
KingL. W.TurnerR. D.Teaching a profoundly retarded adult at home by nonprofessionals. Journal of Behavior Therapy and Experimental Psychiatry, 1975, 6, 117–121.
37.
KohlenbergR. J.Operant conditioning of human anal sphincter pressure. Journal of Applied Behavior Analysis, 1973, 6, 201–208.
38.
LancioniG. E.Teaching independent toilet training to profoundly retarded deaf-blind children. Behavior Therapy, 1980, 11, 234–244.
39.
LitrownikA. J.A method for home training an incontinent child. Journal of Behavior Therapy and Experimental Psychiatry, 1974, 5, 77–80.
40.
MahoneyK.Van WagenenR. K.MeyersonL.Toilet training of normal and retarded children. Journal of Applied Behavior Analysis, 1971, 4, 173–181.
41.
MatsonJ. L.Simple correction for treating an autistic boy's encopresis. Psychological Reports, 1977, 41, 802.
42.
MowrerO. H.MowrerW. M.Enuresis: A method for its study and treatment. American Journal of Orthopsychiatry, 1938, 8, 436–459.
43.
MuellnerS. R.Development of urinary control in children: A new concept in cause, prevention and treatment of primary enuresis. Journal of Urology, 1960, 84, 714–716 (a).
44.
MuellnerS.Development of urinary control in children. Journal of the American Medical Association, 1960, 172, 1256–1261 (b).
45.
MyersD. B.SimcoM. E.StalmaE. S.The right-to-education child: A curriculum for the severely and profoundly mentally retarded. Springfield, IL: Charles C Thomas, 1973.
46.
NilssonD. E.Treatment of encopresis: A token economy. Journal of Pediatric Psychology, 1976, 4, 42–46.
47.
OsarchukM.Operant methods of toilet-behavior training of the severely and profoundly retarded: A review. Journal of Special Education, 1973, 7, 423–437.
48.
PassmanR. H.An automatic device for toilet training. Behavior Research and Therapy, 1975, 13, 215–220.
49.
SchaeferC. C.Childhood encopresis and enuresis. New York: Van Nostrand Reinhold, 1979.
50.
SmithP. S.A comparison of different methods of toilet training and mentally handicapped. Behavior Research and Therapy, 1979, 17, 33–43.
51.
SmithP. S.BrittonP. G.JohnsonM.ThomasD. A.Problems involved in toilet-training profoundly retarded. Behavior Research and Therapy, 1975, 13, 301–307.
52.
SmithP. S.SmithL. J.Chronological age and social age as factors in intensive daytime toilet training of institutionalized mentally retarded individuals. Journal of Behavior Therapy and Experimental Psychiatry, 1977, 8, 269–273.
53.
SpencerR. L.TemerlinM. K.TrousdaleW. W.Some correlates of bowel control in the profoundly retarded. American Journal of Mental Deficiency, 1968, 72, 879–882.
54.
SuhelP.KraljB.PlevnikS.Advances in nonimplatable electrical stimulators for correction of urinary incontinence. T. I. T. Journal of Life Sciences, 1978, 8, 11–16.
55.
Van WagenenR. K.MeyersonL.KerrN. H.MahoneyK.Field trials of a new procedure for toilet training. Journal of Experimental Child Psychology, 1969, 8, 147–159.
56.
WattsC.A primary approach to encopresis. Special Education: Forward Trends, 1977, 4, 25–26.
57.
WayeM. F.MelnyrW. T.Toilet training of a blind retarded boy by operant conditioning. Journal of Behavior Therapy and Experimental Psychiatry, 1973, 4, 267–268.
58.
WehmanP.Curriculum design for the severely and profoundly handicapped. New York: Human Sciences Press, 1979.
