May 14, 1960


Author Affiliations

Suite 2421, Prudential Plaza Chicago 1.

JAMA. 1960;173(2):202. doi:10.1001/jama.1960.03020200074023

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To the Editor:—  In The Journal, March 19, page 1256, Dr. S. Richard Muellner, in his instructive paper entitled "The Development of Urinary Control in Children," pointed out that children who fail by the age of 3 years to enlarge their bladder capacity become enuretic. He has described a rational method for enlarging the bladder capacity and thus stopping the enuresis in such children. Enuresis has always been a mysterious disturbance which physicians have had difficulty treating and which they have tried to correct through symptomatic treatment instead of trying to understand the cause, which seems to be psychological in nature. My observations indicate that enuresis reflects a disturbance between the parents and child. The parents, instead of encouraging the process of growth and development, unknowingly interfere with it.In the first year of life the interest of the child is centered around its mouth. In the second year of

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