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Enuresis: Punishments or rewards?

Enuresis: Punishments or rewards?


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For a child with enuresis, the ultimate goal is to make him understand that the greatest reward is that stop wetting your bed on your own.

When we punish a child with enuresis, the only thing we are causing is that he does not achieve the confidence in himself that he needs to solve his problem. However, using rewards on dry days can motivate you to keep trying night after night. For this, in addition to the effort on your part, you also need our full support.

In general terms, in the education of our children, except in exceptional cases in which we need to obtain an immediate response, or in which there is a dangerous situation, the use of punishment, especially physical punishment, is not usually justified.

The frequent use of punishments can increase the aggressiveness of children with enuresis and generating undesirable behaviors such as children lying to avoid them. In addition, punishment does not usually modify the child's behavior in the long term, in fact, in families where this measure is abused, relationships between parents and children can deteriorate, preventing the effective resolution of any problem , among them, that of enuresis.

Conversely, the use of a reward system in children with enuresis has been very effective. This award technique must be adapted to the age of the child, for which it is possible to choose the construction at home of a calendar drawn by the child himself with his favorite theme. The calendar must have an upward slope in which there are a series of intermediate goals and a final goal. A certain number of dry nights will be set to reach the intermediate points. In them, we must place prizes that the child finds very appealing, although preferably not material. At the end of the day, something you want very much or are very excited about.

Each day, the object that we have chosen to represent the child in an imaginary way, will move forward or backward on the path depending on whether it dawns with a wet or dry diaper. If possible, the object should be moved first thing in the morning so that the child understands the cause-effect immediately; To make it more comfortable to move it, it is advisable to place an adhesive paste or Velcro on the back. If, for any reason, progress cannot be made in a few days, It is convenient to use the calendar to reward another good deed of the day, so that the child does not sink or get frustrated. On the other hand, in order not to lose the child's motivation, it is advisable to change the setting or the theme of the calendar for successive attempts.

Suggested themes for the calendar:

1. Tower of a castle, in which the prince has to climb to reach the princess, freeing himself from dragons and witches on the way up.
2. Rocket that starts from Earth and has to reach the moon, avoiding a meteor shower, a ship, etc. on the way.
3. Zoo in which the baby tiger has to return to his cage with his mother without being caught on the way by elephants, snakes, hippos or monkeys.
4. Car on a circuit that has to go through puddles, another car in the middle of the road, a puncture of a wheel or pour gasoline to reach the goal.
5. Pirate ship heading to the island of a great treasure, for which it will have to survive a storm, a whale and another boat.

Suggested intermediate goals:

1. Bake a cake with mom.
2. Waiting for dad to come home from work even late, so he can read me a magical story.
3. Make popcorn while watching a movie at home.
4. Make a craft with finger paint and play dough.
5. Dress up in mommy or daddy's clothes one afternoon, and paint your lips or beard.

End goal suggestions:

1. Go see a puppet theater.
2. Walk along a river and eat with a basket in the field.
3. Organize a soccer game with schoolmates between parents and children.
4. Invite a friend to play at home, and have Mom and Dad let us do mischief that day.
5. Organize activities and send for a whole day.

Author: Doctor Rocío Santiago

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Video: Behavioral Intervention for Bedwetting (December 2022).