von Gontard A
Klinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Universität Köln, Deutschland.
Wien Med Wochenschr. 1998;148(22):502-5.
Nocturnal enuresis is associated with emotional suffering. Psychoanalytic claims of a psychogenic aetiology are not tenable. The rate of behavioural disorders is significantly higher among wetting children, especially among day wetters and secondary nocturnal enuretics. Still, most wetting children are not psychiatrically disturbed. A symptom-oriented therapy with an alarm can raise the self-concept and feelings of self-worth. Play-therapies are indicated only when emotional disorders co-exist. A case of a sandplay therapy is presented, which demonstrates that in addition to empirical methodology, a hermeneutic approach is needed to understand the child's subjective experience and meaning.
夜间遗尿与情绪痛苦相关。精神分析学关于心理病因的说法站不住脚。尿床儿童中行为障碍的发生率显著更高，尤其是日间尿床者和继发性夜间遗尿者。然而，大多数尿床儿童并无精神障碍。使用警报器的症状导向疗法可以提升自我概念和自我价值感。只有在存在情绪障碍时才需要游戏疗法。本文介绍了一例沙盘游戏疗法的案例，该案例表明，除了实证方法外，还需要一种诠释学方法来理解儿童的主观体验和意义。
