I see that the BMJ (British Medical Journal, as it was once known) has come out with practice guidelines for bedwetting.
Number one on the list (ok, pun intended) for intervention is the bell-and-pad method (aka enuresis alarm). This just happens to be arguably the very first behavioural treatment for a distressing psychological problem, going back to the Mowrers in 1938. And it works very well, as randomized controlled studies have shown. I believe that the use of this device is well-established, not only in Britain, but also Australia (where some years ago enuresis devices were rated by a consumer reports-type organization in their publication). But there has always been resistance to its use in North America, probably because of lingering Freudian nonsense about it being merely a sign of a "deep-seated problem" which must be treated rather than treating the bed- wetting behaviour itself. e.g. Recently the American comedian Sarah Silverman published an autobiography in which her trauma at experiencing untreated enuresis figured prominently. I do not believe she was offered treatment by enuresis alarm. Perhaps this BMJ article will encourage more use of it in North American. Probably not, it being a British publication. BTW, speaking of toilet talk, I can't believe that no one on this list reacted to my slipping in a mention of caganers among the things that men collect, in my recent post on collecting. If we can't have a little toilet humour on this list from time to time, what good is it, anyway? Nunes, V. et al (2010). Practice Guidelines: Management of bedwetting in children and young people: summary of NICE guidance. BMJ 341:c5399 Available free at http://www.bmj.com/content/341/bmj.c5399.full [NICE stands for National Institute for Helath and Clinical Excellence of the British NHS [National Health Service-- socialized medicine, oh, the horror, the horror]. Stephen -------------------------------------------- Stephen L. Black, Ph.D. Professor of Psychology, Emeritus Bishop's University Sherbrooke, Quebec, Canada e-mail: sblack at ubishops.ca --------------------------------------------- --- You are currently subscribed to tips as: arch...@jab.org. To unsubscribe click here: http://fsulist.frostburg.edu/u?id=13090.68da6e6e5325aa33287ff385b70df5d5&n=T&l=tips&o=6135 or send a blank email to leave-6135-13090.68da6e6e5325aa33287ff385b70df...@fsulist.frostburg.edu
