That striking subject header is actually the sub-title of a new 
book by the offensive comedian Sarah Silverman.

The full title is this:

The Bedwetter: Stories of Courage, Redemption and Pee 
(HarperCollins, 2010).

The book is described as "pee-your-pants funny", but only, of 
course, if you appreciate Ms. Silverman's brand of humour (me, 
not so much). 

But it's not all funny, apparently. I caught an interview with her 
on US National Public Radio, and there's an article about her 
and her book at 
http://www.parentcentral.ca/parent/articlePrint/799879

She was a bed-wetter, well into adolescence, and suffered 
greatly because of it. Given her description, a case could even 
be made that the trauma it produces surpasses that associated 
with child sexual abuse (you'll have to see Susan Clancy about 
that, though).

Silverman,in fact, credits her experience with bed-wetting as 
being the source of her courage as a stand-up comedian.  She 
is quoted as saying "I was sent to sleepover camp since I was 
six, and it was a recipe for disaster..Tthe silver lining is "There's 
not much to lose in life after that. (When I was) doing stand-
up...the prospect of bombing was like "Who cares?"

It's ironic that a treatment which likely would have saved 
Silverman from her trauma has existed since 1938. At a time 
when psychoanalysis was firmly established, and peeing in bed 
was a sign of "deep-seated issues", such as to get revenge on 
the parents or the world, or to cool off a hot penis (not for Sarah, 
obviously, but I'm not kidding about those diagnoses), the 
treatment was behavioural. It was the bell-and-pad method, 
invented by the Mowrers in 1938.

The method was simple. The bell was a device to wake the child 
up; the pad was moisture-sensitive. A few drops of urine would 
trigger it. The child would wake up, inhibit urination, change the 
pad and the sheets if necessary, and go back to sleep. A week 
or so later he or she was dry. 

We can argue (and I think they still do) whether the mechanism 
was classical, operant, or avoidance conditioning. The main 
thing was it worked, and still does, especially with new 
technology. If only little Sarah's parents had known about it, we 
might have been spared one talented but offensive comic.

If you go to the HarperCollins website at 
http://tinyurl.com/pee-book,  and click on "browse", you can read 
excerpts from the book, including the full chapter on her bed-
wetting experiences.

Stephen

Mowrer O, Mowrer W. (1938). Enuresis: A method for its study 
and treatment. American Journal of Orthopsychiatry; 8:436-59.

--------------------------------------------
Stephen L. Black, Ph.D.          
Professor of Psychology, Emeritus   
Bishop's University               
e-mail:  sblack at ubishops.ca
2600 College St.
Sherbrooke QC  J1M 1Z7
Canada
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