ABSTRACT

Enuresis is chiefly nocturnal, perhaps only also diurnal as an expression of the degree of illness. Children with this type of enuresis are usually brought for the incontinence, or for some other clearly psychological symptom such as nervousness, phobias, and stuttering. These children form an enormous heterogeneous group, but in each case the enuresis is the physical accompaniment of a fantasy of micturating. Two physical conditions may be mentioned in any communication on enuresis. Firstly, nocturnal epilepsy may be unnoticed except by the wet bed found in the morning. Secondly, infected urinary tract may lead to increased frequency and urgency of micturition, and so to incontinence. Enuresis represents an abnormal persistence of a normal stage of emotional currency; in psycho-neurosis micturition can become re-invested with feeling which properly belongs to the genital organization, and is in consequence subject to the inhibitions and compulsions and anaesthesias and excitement of that department.