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November 14, 1977


Author Affiliations

McCornack Center for the Healing Arts Mendocino, Calif

JAMA. 1977;238(20):2144. doi:10.1001/jama.1977.03280210036011

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To the Editor. —  I was recently challenged in my medical practice to devise a treatment for a 16-year-old boy with an intractable case of nocturnal enuresis. For as long as the patient could remember, he had always been a bed wetter. He had gone through the standard regimens of limiting his fluids before bedtime, the use of drugs such as imipramine hydrochloride (Tofranil), and being awakened by a bell when his voided urine completed an electric circuit, all of these were unsuccessful. The boy was becoming, in the meanwhile, increasingly concerned about his lack of bladder control. He was living in a boys' home where his peers were shaming him and his classmates would not associate with him if he had not showered before leaving for school. Girls his own age wanted nothing to do with him.In the office he was obviously embarrassed and very anxious that he