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The relative importance of psychopathology, training procedure, and urological pathology in nocturnal enuresis

机译:The relative importance of psychopathology, training procedure, and urological pathology in nocturnal enuresis

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Statistically significant contrasts of ratings of enuretics, dry-organics, and wet-organics (defined after exhaustive urological examination) revealed that the enuretic group had the poorest adjustment at school, more sibling rivalry, more anger and dissatisfaction, more parental conflict, more parental inconsistency, less trust in parents, and less exposure to good training procedures. Results were integrated under the hypothesis that three conditions are necessary for bedwetting to persist: (a) the child feels insecure in the specific sense that he feels he has been or is about to be abandoned; (b) the feeling of abandonment must occur during the critical age range of 2 1/2 to 5 years; and (c) the child expects or experiences that the adult reaction to bedwetting reassures him against abandonment. The symptoms of poor relations with peers, poor adjustment at school, and anger and dissatisfaction are not directly related to enuresis; rather, they, like enuresis, are correlates of the insecurity arising from fear of abandonment.

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