r. Robert W. Collins, PhD was invited as a distinguished visiting professor to the University of Western Australia in 1975 because of his work validating the specific mechanism for the success of Psychology’s oldest clinical instrument, the bedwetting alarm. Basically, he showed that an alarm going off with minimum delay at the precise time of beginning to wet the bed activated the urinary sphincter to shut off the urine stream.
Repeating this “conditioning” over a number of nights led the children to take over from the external alarm to rely on their own internal cues (alarm) of a filling bladder to get up and void or eventually learn to allow sleeping through the night dry. This method is widely recognized as the best means for helping children to become dry by learning to use their own natural resources for becoming dry. Relapse is much less likely than occurs with the use of medication when it is discontinued or loses its effectiveness.
Bedwetting (Enuresis) and Encopresis
Encopresis is a much more intense and distressing problem to parents desperately seeking help when the usual medical approaches failed. Often when soiling is successfully treated the bladder incontinence, if present, is also solved. This is recognized in the latest edition of the Clean Kid Manual published in 2012 with the addition of chapters for both day and night wetting accidents. At this time it made no sense to publish the separate manual, The Dry Bed Manual. It has been discontinued.