Abstract

Bell and pad intervention to treat enuresis in a 21 year old mentally retarded male, living in a half-way house for intellectually handicapped people, is reported. Enuresis was not significantly reduced after 22 weeks of standard bell and pad treatment. Therapist involvement in the programme was de-emphasized to offset the possibility that therapist visits were reinforcing wet nights. This de-emphasis was supported by behavioural contracting. These programme supplements were associated with an immediate reduction to no wet nights. A six month Follow-up revealed the subject had wet his bed only very occasionally. No “symptom substitution” was evident.

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