Chapter 28. Elimination Disorders

Edwin J. Mikkelsen, M.D.
DOI: 10.1176/appi.books.9781585623921.462819



Enuresis has been described throughout recorded time. A comprehensive summary by Glicklich (1951) found descriptions going back to the Papyrus Ebers of 1550 b.c. The history of enuresis is also rich with regard to the various treatment modalities that have been used over the years. Unfortunately, many of these would now appear to be sadistic in nature, given our current base of knowledge.

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Table Reference Number
TABLE 28–1. DSM-IV-TR diagnostic criteria for enuresis
Table Reference Number
TABLE 28–2. Medical causes of enuresis
Table Reference Number
TABLE 28–3. DSM-IV-TR diagnostic criteria for encopresis
Table Reference Number
TABLE 28–4. Medical causes of encopresis


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Which of the following comorbid psychiatric disorders is most common in children with secondary enuresis?
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In a large longitudinal study, researchers found that the most effective treatment of enuresis, in terms of degree of relapse after the cessation of active treatment, was
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