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November 30, 1946


Author Affiliations

Lancaster, Pa.

JAMA. 1946;132(13):809. doi:10.1001/jama.1946.02870480055022

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To the Editor:—  I have read with considerable interest the article on "Enuresis, a Psychologic Problem of Childhood," by Dr. Clifford Sweet in The Jounral, October 5. I am in agreement with Dr. Sweet's concept of the condition and with his recommendations for treatment. The treatment he recommends includes (1) examinations for organic disease or defect and their correction, if any are found (such defects are probably present in only a small percentage of cases of enuresis) and (2) psychotherapy, which, as stated by Dr. Sweet, consists in "reeducation of the parents and the child rather than the use of any drug, change in diet or fluid intake or any surgical instrument."There is, however, a specific form of psychotherapy which I should like to recommend. It should probably be referred to as a psychoneuromuscular exercise. It is very simple and succeeds only in the case of children who are

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