i always wonder if any teachers from JB's school were interviewed?
the toilet training seems to be an issue, i am assuming (rightly or wrongly) that JB would also have had accidents or needed help with wiping herself at school but this has never been mentioned
here is a link,via CIAP, re: encopresis and enuresis,on point 4 there is a table with physiological and psychological reasons for why a child might develop one or both of them.
http://www.mdconsult.com.acs.hcn.co...50062-5&isbn=1-56053-418-4&uniqId=448837372-2
from the same article, advice in how to deal with soiling:
11. Should the child be reminded to toilet?
Normal children and adults perceive when their rectum is full, but chronic constipation causes stretching and desensitization of the lower gastrointestinal tract. Psychological reluctance and constitutional inattention also may contribute to the childs failure to initiate trips to the bathroom. It is therefore recommended that the child be gently reminded to adhere to scheduled sittings on the toilet after breakfast and dinner either until a bowel movement has occurred or until 10 minutes have expired. To take full advantage of the gastrocolic reflex, 530 minutes after eating is optimal. Bending forward while sitting, relaxing the anus and buttocks, and pushing gently with the abdomen may help. For shorter children, a foot stool is recommended to enhance pushing leverage and to provide a greater sense of security. If recurrent soiling occurs (indicating a full rectum) or if the child complains of stomachache, cramping, or feeling blocked up, a more intensive program of sitting on the toilet is indicated. On weekends and after school, 10 minutes of every hour should be dedicated to sitting on the toilet until a large bowel movement has been produced.
Individuals in the childs other significant environments (e.g., school, day care, family relatives) should be advised to allow the child unfettered access to bathrooms and to offer gentle reminders when there are indications of flatulence, abdominal cramping, or frank soiling. Lectures, harsh criticism, and shame induction should be avoided.
12. How should a caregiver respond to soiling?
Evidence (either olfactory or visual) of soiling should be met with an immediate, firm but restrained request that the child clean him- or herself and put on fresh clothing. Spare undergarments should be available at school or at day care. The child should be involved in scraping off (e.g., with a spatula or spoon) solid waste and then washing the soiled underwear in the toilet. A bucket of water with bleach and a lid can be left for this purpose in the bathroom. This procedure reinforces the message that soiling is not catastrophic but neither is it to be tolerated.
i am not sure that a child needs to be involved in removing the waste from her/his underpants as i think she or he would be embarrassed and upset enough, you can let them help if they want to,with the washing but my approach with my kids was more of : accidents do happen as it wasn't severe or something that happened frequently.
how severe were those issues with JB?