Letters

Children with enuresis

BMJ 1998; 316 doi: https://doi.org/10.1136/bmj.316.7133.777a (Published 07 March 1998) Cite this as: BMJ 1998;316:777

Nowadays, a strong suspicion of sexual abuse would prompt full investigation

  1. Fiona C M Forbes, Consultant child and adolescent psychiatrist
  1. Child and Family Mental Health Service, Edinburgh Sick Children's NHS Trust, Edinburgh EH9 1LL
  2. Premier Health, Greenhill Health Centre, Lichfield WS13 6JL

    EDITOR—Gosnell has written a moving piece about his experience of childhood enuresis, unsuccessful behavioural and pharmacological treatments, and the fact that in retrospect he attributes the enuresis and hence the failure of treatment to his experience of being regularly sexually abused by an older relative.1 He highlights the silent but miserable stance in which sexually abused victims are frequently placed and how difficult it can be for them to break the silence. He recognises that often these children feel insecure and need time to build up trust in the people offering help, and he suggests that long term psychotherapy should be offered as a first line treatment.

    Unlike in the 1960s, …

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