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August 29, 1953


JAMA. 1953;152(18):1732. doi:10.1001/jama.1953.03690180054024

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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.

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