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(There are now 33 bed-buzzers available through the Clinic)
IV RESULTS:-
During 1968, 77 cases were discharged "dry"
= 57 (Kenwood) and 20 (Mayesbrook)
+ 48 cases who were considered "self-discharged"
Total discharges (old and new cases) -
= 236 (including removals and defaulters).
V COMMENT AND CONCLUSIONS:
The Etiology of Enuresis has been ascribed to so many factors, and
it's treatment varied accordingly — with equally varying successes and
failures, that one is now faced with a vast series of "series of cases"
to study and compare.
In drawing conclusions from so wide a field, whether the cases be
grouped (1) Etiologically:- according to age, sex, disposition, emotional
instability, depth of sleep, family background etc., etc., or (2)
Therapeutically:- following the use of placebos, "buzzers", charts, or
the variety of drugs proven to be of some value in this symptom-complex
- it becomes increasingly obvious that rarely, if at all, is there only one
predisposing factor.
Similarly, in the majority of cases, results show that the most
effective therapeutic attack is a combined one. A sympathetic persuasive
approach, with the establishment of a regular routine and charting
system, supported by the use of bed-buzzer (and or-concurrent administration
of a bonded amphetamine) or of Amitriptylene, or of Imipramine,
or even of a placebo, has given a higher success rate than the mere
handing out of pills and prescriptions.