A review of the literature on encopresis in children turns up a plethora of conceptualizations which can be categorized along physiological, interpersonal, intrapsychic, and behavioral lines as well as on combinations thereof. None of the various treatment methods derived from these theoretical viewpoints has been consistently effective. This paper, in describing an eclectic approach, stresses the trial use of a quick-acting suppository (Dulcolax) in combination with supportive measures and positive reinforcement before considering extensive psychological therapies. Data are examined about the treatment of twenty children, half of whom were offered the suppository method. Disappearance of soiling, more prompt in the experimental group, is associated with improvement in the parent-child relationship. A rationale for multilevel intervention is proposed which takes individual and familial differences into account.