I have a kitty who will some times go potty on the couch (both urination and defication) and all medical, social, emotional issues have been resolved, so I have to live with it.

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Have you tried using the litters that "attract" cats to a litter box? Usually they are used for kittens or to re-train cats. I've seen them in petstores (like PetsMart). The one that comes to mind is "Cat Attract" or something like that. Maybe if he has a strong attraction to the litter, he'll use your couch less. Just a thought as it sounds like you've covered all the other avenues.
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Tammy
Stanley and Pookey

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