You Have a Friend Whose Child Has Enuresis and She

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The Answer is Key terms and concepts that may be included in student responses:
- enuresis-children over the age of five wet their clothing or bed at least twice a week for three months
- most children wet only at night; relatively common in childhood-prevalence 15 to 20%; by adolescence decreases to 1 to 2%; runs in families; children may have inherited a biological vulnerability to the disorder
- psychodynamic and family systems perspectives-enuresis due to conflicts and anxiety caused by disruptions or dysfunction in the family
- behavioural perspective-enuresis due to lax or inappropriate bladder training; children never learn appropriate bladder control
- children with enuresis are usually taken to their pediatrician or primary care physician rather than mental health specialists; primary care physicians generally prescribe antidepressants to treat enuresis; up to 95% relapse once the medication is discontinued; new drug-synthetic antidiuretic hormone (ADH) used to reduce nighttime enuresis
- behavioural method-bell and pad method (based on classical conditioning)-pad is placed under the child while sleeping; pad has a sensing device to detect urine; if the child wets the pad while sleeping a bell connected to the pad rings and awakens the child
- recent studies indicated that over 70% of children were completely cured of bedwetting using the bell and pad method

You Have a Friend Whose Child Has Enuresis and She

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