BEHAVIORS ARE ALSO INADVERTENTLY OR ACCIDENTALLY REINFORCED, SUCH AS GETTING A REACTION FROM PARENTS OR SIBLINGS, ATTENTION, OR THE BENEFIT OF DELAYING OR AVOIDING SOMETHING THEY DON’T WANT. FECAL SMEARING MAY BE A FORM OF COMMUNICATION, SEEKING ATTENTION, OR A RESPONSE TO DISCOMFORT OR ANXIETY. A CHILD WHO IS SMEARING IS USING THAT BEHAVIOR TO MEET A NEED AND/OR TO COMMUNICATE.