Toileting Battles and the Need for Power: CCPT Parent Coaching
In this episode, I respond to a question from Rachel in Missouri about a 5½-year-old client who refuses to poop in the toilet and insists on using a pull-up. We explore how this long-standing habit is likely a reflection of control and vulnerability, and how Child-Centered Play Therapy can gently address the emotional drivers behind it.
I offer specific parent coaching strategies, including how to introduce a future transition date to allow the child time to adjust. I also explain how giving children limited choices—like choosing music or a book while using the toilet—can offer autonomy without re-engaging in power struggles. This episode is a practical case consultation focused on how CCPT principles guide both our clinical decisions and the way we support families through deeply rooted behavioral patterns.
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Common References:
Cochran, N., Nordling, W., & Cochran, J. (2010). Child-Centered Play Therapy (1st ed.). Wiley.
VanFleet, R., Sywulak, A. E., & Sniscak, C. C. (2010). Child-centered play therapy. Guilford Press.
Landreth, G.L. (2023). Play Therapy: The Art of the Relationship (4th ed.). Routledge.
Bratton, S. C., Landreth, G. L., Kellam, T., & Blackard, S. R. (2006). Child parent relationship therapy (CPRT) treatment manual: A 10-session filial therapy model for training parents. Routledge/Taylor & Francis Group.
Benedict, Helen. Themes in Play Therapy. Used with permission to Heartland Play Therapy Institute.