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[Functional enuresis. Which is the border between the organic and the pathological?]
1Servizio di Neuropsichiatria Infantile, E.O. Ospedali Galliera, Genova.
Minerva Pediatrica
|June 1, 1996
Summary
Psychological support and psychotherapy are crucial for treating functional enuresis (bedwetting) in children. While not always eliminating the symptom, these interventions effectively manage associated neurotic issues and improve a child's overall personality.
Area of Science:
- Pediatric Psychology
- Child Psychiatry
- Clinical Psychology
Context:
- Functional enuresis (bedwetting) in children often involves significant psychological distress.
- The emotional implications of enuresis are frequently underestimated in clinical practice.
- Previous literature highlights specific personality and family dynamics in enuretic children.
Purpose:
- To investigate the role of psychological aspects in the treatment of functional enuresis.
- To evaluate the effectiveness of psychodiagnostic evaluations and psychotherapy in enuretic patients.
- To explore the relationship between psychological factors and the persistence of enuresis.
Summary:
- A study of 13 enuretic patients revealed common psychological features, including enmeshed mother-child relationships, aggression, depression, and difficulties with sexual identification.
- Psychodiagnostic evaluations and psychotherapy (over 6 months) were employed in some cases.
- Psychological care and short-term psychotherapy alleviated neurotic symptoms and improved personality, though symptom resolution varied; some patients showed reduced episode frequency but persistent enuresis.
Impact:
- Highlights the necessity of integrating psychological care into enuresis treatment protocols.
- Suggests tailored clinical approaches based on enuresis type (e.g., secondary enuresis, neurotic personality).
- Emphasizes viewing enuresis as a complex interplay of organic and psychological factors, often requiring long-term therapeutic engagement.