is “safe” when unfamiliar adults are around. In this situation, it is easy to see what the child has observed. He has learned that public facilities are a sanctuary where he can act any way he wishes. His parents are in a bind because of their self-imposed restriction. The remedy for this situation is simple: when little Roger decides to disobey in public, respond exactly as you would at home, except that Roger should be removed to a place where there is privacy. Or if he is older, you can promise to take up the matter as soon as you get home. Roger will quickly learn that the same rules apply everywhere, and that sanctuaries are not so safe after all.
Q Should a child be disciplined for wetting the bed? How can you deal with this difficult problem?
A Unless it occurs as an act or defiance after the child is awake, bed-wetting (enuresis) is an involuntary act for which he is not responsible. Disciplinary action under those circumstances is unforgivable and dangerous. He is humiliated by waking up wet, anyway, and the older he gets, the more foolish he feels about it. The bed wetter needs considerable reassurance and patience from parents, and they should try to conceal the problem from those who would laugh at him. Even good-natured humor within the family is painful when it is at the child’s expense.
Bed-wetting has been the subject of much research, and there are several different causes in individual cases. In some children, the problem is physiological, resulting from a small bladder or other physical difficulty. A pediatrician or a urologist may be consulted in the diagnosis and treatment of such cases.
For others, the problem is unquestionably emotional in origin. Any change in the psychological environment of the home may produce midnight moisture. During summer camps conducted for young children, the directors often put plastic mattress covers on the beds of all the little visitors. The anxiety associated with being away from home apparently causes a high probability of bed-wetting during the first few nights, and it is particularly risky to be sleeping on the lower level of bunk beds! By the way, mattress covers are widely available and are a worthwhile investment for the home. They don’t solve the problem, of course, but they do save in the “mopping up” effort afterward.
There is a third factor that I feel is the most frequent cause of enuresis, other than physical factors. During children’s toddler years, they wet the bed because they simply have not mastered nighttime bladder control. Some parents then begin getting their children up at night routinely to go to the potty. There the youngster is still sound asleep, being told to “go tinkle” or whatever. Thus, as the toddler grows older and the need arises to urinate at night, he often dreams he is being told to turn loose. Even when partially awakened or disturbed at night, the child can believe he is being ushered to the bathroom. I would recommend that parents of older bed wetters stop getting them up at night, even if the bed-wetting continues for a while.
There are other remedies which sometimes work, such as electronic devices that ring a bell and awaken the child when the urine completes an electrical circuit. If the problem persists, a pediatrician or child psychologist can guide you in seeking a solution. In the meantime, it is important to help the child maintain self-respect despite his embarrassing trouble. And by all means, conceal your displeasure if it exists.
A sense of humor may help. I received a letter from a mother who wrote down her three-year-old son’s bedtime prayer, “Now I lay me down to sleep. I close my eyes, I wet the bed.”
Q How long should a child be allowed to cry after being disciplined or spanked? Is there a limit?
A Yes, I believe there should be a limit. As long as the tears represent a genuine release of emotion, they should be permitted to fall. But crying can quickly change from inner sobbing to an