Psychology 2042A/B Chapter 13: Chapter 13 Disorders of Basic Functins

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Chapter 13: disorders of basic functions: problems of elmination. For child, pleasing parent, sense of mastery feeling no longer being a baby may all contribute to the importance of achieving toileting control. Usual sequence of acquisition; night bowel, day bowel, day bladder, night bladder. Praise and concrete positive reinforces and doing so in a relaxed manner is effective. Enuresis: repeated voiding of urine during day or night into the bed or clothes when such voiding is not due to physical disorder: greek, i make water . Lack of urinary control not diagnosed as enuresis prior age 5. Dsm def: frequency of twice weekly for at least 3 months or wetting that is associated with clinically significant distress or impairment in important areas of functioning. Primary if: child has never demonstrated bladder control. Secondary if: problem is preceded by period of urinary continence: 85% cases are of nighttime wetting alone/primary.

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