this polyuria a further argument against the view recently advanced
that a small and contracted irritable bladder is the cause of
enuresis. We do, of course, meet with cases of irritable bladder often
enough, but the complaint is then not of incontinence, but always of
the discomfort of having to rise so frequently for micturition.

To deprive the child of fluid, to wake her many times at night, to
tilt the foot of the bed, are devices which may help in the hands of
some one who is confident of his ability to cure the condition and can
communicate the confidence to the child. Carried out hopelessly and
pessimistically by a tired and exasperated mother, they are well
calculated to strengthen the hold which the obsession has on the
child, so that often we meet with a mother who rightly enough
maintains that the more she wakes the child, the oftener the bed is
wet, till she wonders where it all comes from.

The treatment of enuresis to be successful must be conducted through
and by means of the grown-up persons who have the control of the
children. To stop the development of enuresis in early infancy we must
intervene to prevent the concentration of the child's mind on the
difficulty. During the time when control is ordinarily developed, in
the second and third year, judicious management of the child is
essential. The emphasis should be laid upon successes, not upon
failures. For every child his reputation will sway in the balance for
a time. He must be helped and encouraged to self-confidence, not
rendered diffident or self-conscious.

If the case is well established before it comes under our notice, the
mother, the nurse, the schoolmaster, or whoever is responsible for the
child's management, must understand clearly the nature of the trouble.