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January 18, 1947


JAMA. 1947;133(3):197. doi:10.1001/jama.1947.02880030051021

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To the Editor:—  In the November 30 issue of The Journal a communication from Dr. Edwin E. Ziegler, appearing under Correspondence, recommends the "start and stop" method of treatment for enuresis. I was impressed with this regimen while working in the Behaviour Clinic of the late Dr. Ira S. Wile in 1924 and subsequently used it in my own clinic at the University of Nebraska College of Medicine.There seems to be one insurmountable difficulty with the procedure. It is true that many enuretic persons, if not all, suffer from a loss of confidence in their ability to control their urinary bladders. The "start-stop" method, in some cases at least, convinces these youngsters that they do have voluntary control if they choose to exercise such control. There was not a single child in my clinic who ever missed an opportunity to express pride and happiness in his achievement, and even

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