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July 27, 1929, Vol 93, No. 4 >

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ARTICLE | July 27, 1929

ENURESIS

RALPH C. HAMILL, M.D.
JAMA. 1929;93(4):254-257. doi:10.1001/jama.1929.02710040006002.
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ABSTRACT

At the Children's Memorial Hospital, enuresis is referred to the psychiatric clinic. There it is handled on the theory that the condition is a conduct disorder; this is done because of certain conceptions of the state of consciousness in sleep. These conceptions are as follows: 1. The sleeping adult can make himself responsible for a certain type of conduct. 2. The sleeping child apparently remains asleep under conditions in which an adult would certainly waken, but the observer may get the impression that this sleep is being voluntarily maintained by the child. 3. The mass of sensory stimuli incident to the act of micturition, the passage of urine through the urethra and the contact of the liquid with the surface of the body seem much greater than the stimuli ordinarily required to waken a person. A short analysis of each of these three postulates is in order.

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