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bowel movement issues in children.


Anal stage

The anal stage is the second stage in Sigmund Freud's theory of psychosexual development, lasting from age 18 months to three years. According to Freud, the anus is the primary erogenous zone and pleasure is derived from controlling bladder and bowel movement. The major conflict issue during this stage is toilet training. A fixation at this stage can result in a personality that is too rigid or one that is too disordered.[1]

According to Freud's theory, personality developed through a series of stages throughout childhood. These stages are focused on erogenous areas. Freud believed in the libido, which he referred to as psychosexual energy. To Freud, the libido was the driving force behind all of human behavior.[1]

In order to obtain a healthy personality later on in adulthood all of these stages need to be completed successfully. If issues are not resolved in a stage then fixation will occur resulting in an unhealthy personality.

In general

The anal stage, in Freudian psychology, is the period of human development occurring at about one to three years of age. Around this age, the child begins to toilet train, which brings about the child's fascination in the erogenous zone of the anus. The erogenous zone is focused on the bowel and bladder control. Therefore, Freud believed that the libido was mainly focused on controlling the bladder and bowel movements. The anal stage coincides with the start of the child's ability to control their anal sphincter, and therefore their ability to pass or withhold feces at will. If the children during this stage can overcome the conflict it will result in a sense of accomplishment and independence.


This is the second stage of Freud's psychosexual stages. This stage represents a conflict with the id, ego, and superego. The child is approached with this conflict with the parent's demands. A successful completion of this stage depends on how the parents interact with the child while toilet training. If a parent praises the child and gives rewards for using the toilet properly and at the right times then the child will successfully go through the stage. However, if a parent ridicules and punishes a child while he or she is at this stage, the child can respond in negative ways.

Parents' role

As mentioned before the ability for the children to be successful in this stage is solely dependent upon their parents and the approach they use towards toilet training. Freud believed that parents should promote the use of toilet training with praise and rewards. The use of positive reinforcement after using the toilet at the appropriate times encourages positive outcomes. This will help reinforce the feeling that the child is capable of controlling their bladder. The parents help make the outcome of this stage a positive experience which in turn will lead to a competent, productive, and creative adult. This stage is also important in the child's future relationships with authority.

According to Freud's Psychosexual Theory, parents need to be very careful in how they react to their children during this sensitive stage. During this stage children test their parents, the authority figures, on how much power they really have as opposed to how much room the child has to make his or her own decisions.

Anal-retentive personality

The negative reactions from their parents, such as early or harsh toilet training, can lead the child to become an anal-retentive personality. If the parents tried forcing the child to learn to control their bowel movements, the child may react by deliberately holding back in rebellion. They will form into an adult who hates mess, is obsessively tidy, punctual, and respectful to authority. These adults can sometimes be stubborn and be very careful with their money.

Anal-expulsive personality

Main article: Anal expulsiveness
The opposite of these adults would be anal expulsive adults. Such adults underwent liberal toilet training as opposed to the above reaction. These adults, as children, usually relieved themselves at inappropriate times. As children, they soiled their pants whenever they pleased in rebellion against using the toilet. They did not like to be ordered how and when they should use the toilet. These adults will want to share things with their peers and give things away. They can sometimes be messy, disorganized, and rebellious. They will also be inconsiderate of others' feelings.

However, a child who has successfully completed this stage will be characterized as having used proper toilet training techniques throughout toilet training years and will successfully move on to the next stage of Freud's psychosexual developmental stages. Although the anal stage seems to be about proper toilet training, it is also about controlling behaviors and urges. A child needs to learn certain boundaries when he or she is young so that in the future there will not be contention regarding what is overstepping the boundaries.

Related to cognitive psychology

According to the field of cognitive psychology, Freud's anal stage falls into the category of internal mental states. These internal mental states are referring to belief, idea, motivation and knowledge. Freud revolves the basis of his stages around these main ideas as well. The result of whether a child completes this stage successfully or becomes fixated has a lot to do with the child's knowledge of his or her past with their toilet training experience, the motivation he or she received from the parents during the stage and the child's own belief in how they should react to the situation. Cognitive psychology also focuses on and studies how people perceive, remember and learn their surroundings, environment, and experiences. These are the three main reasons why a child will become either anal-retentive or anal-expulsive after childhood.[1]
  anuj srivastava on 2018-08-04
This is just a forum. Assume posts are not from medical professionals.
Patient age, weight, gender, marital status, country / city.
1- constipation history if any ? 2- headache if any ?
3- must select one option whic is more from below
a) restlessness .. b) weakness
4- your detailed daily routine ? hourly basis. Morning to evening.
5- is it a reoccurring problem ? your current problem i mena.
6- your were physically inactive or active just before this problem ?
7- do you feel more thirsty or thirst-less ?
8- do you feel more cold in body or hot mostly ?
9- any foul smelling gases ? abdomen ? if smelly please mention.
10- when your suffering or pain or symptoms aggravate / increase ?
and when/how ameliorate / feel better ?
11- do you have had B.P or problem ? if yes controlled or not ?
not ?
Had anyone in his family sufferend or died from c-ancer or T.B ? only consider his father, father's brothers, grandfather ..
Had anyone in her family suffered or died from c-ancer or T.B ? only consider her mother, mother's sisters, grandmother.
13- Select one option ONLY which is more / dominant
a) Fear (anything if any but dominant if .. b) Anger (if dominant only and mostly) c) Greed (if any dominant) d) Pride


1- Broiler chicken (white hen which forms in 30 days almost)
2- contaminated water
3- microwave oven.
4 fruits ripen from chemicals.
5- Old pots. specially with black dots at the bottom.

Always check a persons profile who is taking your case to see other cases, details etc.
Best1 last year

Such an enthusiasm(unprecedented I must say :)) in digging up old unanswered posts that you forgot to see this post was not about any complaint but was a general information post posted by Anuj. Anuj is not a patient, he generally answers patients.
maheeru last year
well you saved my time. I even did not read till now and don't want to ..
Best1 last year
anuj srivastava last year
There is no need to read someone's story until they do not respond to my valuable and precious questionnaire.

Did you read my questionnaire carefully and deeply ?
[Edited by Best1 on 2019-07-26 14:48:11]
Best1 last year
I dont have to,read my questionnaire.yours is sketchy.
anuj srivastava last year

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