BRIEF PSYCHOTHERAPY WITH ENURETICS IN THE ARMY

This study represents the results of brief psychotherapy in 25 enuretics seen in the Mental Hygiene Consultation Service, Camp Lee, Virginia. There were 16 cases in which the treatment was considered successful; 4 cases showed improvement; and 5 cases were therapeutic failures.

The therapeutic plan was conceived in a definite and uniform manner so that almost identical explanations and emotional approaches were used in all cases. Enuresis was regarded as an immature behavior pattern, indicating that the patient lacked an emotionally satisfactory and appropriate relationship to significant adults.

A therapeutic situation was created in which the patient's emotional needs could be worked out and satisfied, thus permitting him to develop maturity and independence. As a result the enuresis disappeared. At first there was no attempt to have the patient become fully aware of his interpersonal relationships; instead, he was allowed to work them out in the therapeutic setting. The therapist assumed the role of the significant parental figure.

To these immature, dependent individuals the army regime at first was an overwhelming, frightening experience wherein they were unable to turn to their lifelong emotional supports. The parental role of the therapist therefore became magnified. The aid given in easing the patient's training schedule or in modifying his burden in the Army increased his feeling of attachment. Although this program proved successful in the military setting, it is doubtful that it can be applied unmodified to civilian practice where the degree of control over the patient's daily life is not as great and where the patient can continue to maintain his usual sources of emotional supports.