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Enuretic Child Case Study

Vignette:

Michael, age 7, has three younger siblings and is being seen individually with mom family sessions. Michael was potty trained at age 3 and has been wetting the bee night for 3 weeks, since his seventh birthday. His physician has ruled out biological causes. Michael states that his father is always at work and his mother is busy v the younger children. His academic and social functioning is normal, and the urination is only at home. Michael's mother states that they have tried "everything" and d not know what else to do.

- How would the presenting problem be conceptualized from this perspective?
- What would be some examples of interventions from this perspective?
- Describe the role of the counselor from this perspective.

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(1) How would the presenting problem be conceptualized from this perspective?

Bedwetting from the cognitive perspective involves training the child to become aware that bedwetting is not his or her fault. Based on the research that the habit is likely to occur is determined by factors such as hereditary and learning. Enuretic (bedwetting) children have smaller functional bladder capacities. Some evidence is presented to suggest that some bed-wetting children produce less anti-diuretic hormone during sleep, which causes them to produce more urine at night. However, the most common reasons suggested for bedwetting include: (a) delays in physical maturation, (b) deep sleep, (c) allergies, (d) emotional sleep, and (e) physical learning. (www.abet.org)

Delay in physical maturation suggests that enuretic children often have smaller functional bladder capacities. Some evidence indicates that at least some bed-wetting children also produce less anti-diuretic hormones during sleep, which causes them to produce more urine at night. The notion that children wet the bed because they are deep sleepers, however, is not supported by research. Moreover, most children are considered deep sleepers, and bedwetting can occur as any stage during sleep. Similarly, based on the research, food allergies are rarely related to bed-wetting. Children may wet more frequently if taking medications. Thus, they are ...

Solution Summary

This solution describes a cognitive treatment for bedwetting for a specific case. 855 words with references

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