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To the Editor:
—In an article in The Journal (152:381 [May 30] 1953), T. V. Geppert reports favorable results in treating a group of patients with chronic nocturnal enuresis. They were treated by being awakened by an automatic electric alarm immediately after the commencement of nocturnal urination. I proposed a similar type of therapy a few years ago in the Swiss Medical Weekly (Schweiz. med. Wchnschr.78:361, 1948). The purpose of my procedure was the same: to condition the patients to awaken at the very moment of enuresis. Instead of an automatic electric alarm, which may disturb other persons too, a harmless but awakening electric current was used to condition the patient. This conditioning therapy allows the treatment of many children in the same room with individual conditioning stimuli.
Fischer R. NOCTURNAL ENURESIS. JAMA. 1953;152(18):1732. doi:10.1001/jama.1953.03690180054024