Journal of Feline Medicine and Surgery

Feline elimination problems are the leading behavioral complaint of cat owners. When presented with a feline elimination problem there are three main diagnostic categories: medical problems, marking or toileting problems. It isimportant to first perform diagnostic tests to rule out and/or address underlying medical issues and all feline housesoiling patients should receive a comprehensive physical examination. When the elimination problem persists after a medical problem has either been ruled out or remedied, a behavioral diagnosis should be obtained. The primary distinction that must be made in a behavioral diagnosis is whether the cat is engaging in marking behavior or selecting a spot other than the litterbox for elimination (a toileting problem). The motivation for urine marking may be territorial behavior or anxiety/stress whereas toileting problems are often triggered by medical causes, aversions, preferences or anxiety. Marking animals should be neutered and additional treatment measures may include reducing conflict and stress in the environment. Drug therapy has been long used to help control urine marking and recent studies have furthered our knowledge about the most appropriate treatments. Treatment for toileting problems should focus on providing an attractive litterbox while reducing the attractiveness or accessibility of inappropriate target spots.

Despite variation in terminology it is clear that the context in which feline aggression occurs is important for classification, prevention and treatment. Many of the aggressions discussed can be considered variants of normal feline behavior, so client education is particularly important. Educated clients will know when their cat can benefit from veterinary intervention, and when closing a door may be sufficient. The goals of treating all feline aggressions should be safety for all concerned, and quality of their living environment for the cats. The greater our knowledge, the more likely we are to achieve these goals.

An increasing body of research work has made it clear that, while Felis catus can survive in the solitary state, social groups with an internal structure, are formed whenever there are sufficient food resources to support them. Most people who have cats have two or more cats. Failure to understand what will promote either friendly or aggressive behavior can lead to various behavior problems, including aggression and conflict over resources, such as food, resting sites and litterboxes. An understanding of the natural social organization, relationships and communication between cats is therefore essential, and is the subject of this paper.

Veterinary behavioral medicine remains an under-supported, under-appreciated, and under-taught specialty within veterinary medicine. Neuropsychopharmacology is the aspect that has provided the field with the most scientific legitimacy, but is also one of the most hotly debated. Paradigms for use of pharmacologic intervention include firstly ruling out any underlying medical cause. If a behavioral diagnosis can be made, treatment with psychotropic medication may be considered, although their use is most effective as part of an integrated treatment program that includes behavior modification. Used without an understanding of the mechanism of action, pharmacologic intervention may only blunt or mask behavior without altering processes or environments that produced the behavior. This paper reviews specific drugs, mechanism of action of those drugs, and relevant uses are reviewed for cats.

Future advances in treatment in veterinary behavioral medicine will be pharmacological and neurophysiological. As the field of veterinary behavioral medicine expands, its paradigm will enlarge to include routine combination therapy and the implementation of neuropharmacological intervention as a diagnostic tool.

Cat owners commonly consider their pets to be members of their families, and many factors contribute to a high level of owner attachment to their cats. Suppression of a cat's emotional needs in favour of the emotional requirements of the owner may produce a less satisfactory relationship for the owner, and usually for the cat as well. Owners' failure to comprehend their cat's true demands of life, and their false expectation of their ability to fulfil human psychological demands lies at the heart of many feline behaviour problems.