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Pensando familias

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OLIVEIRA, Ana Paula de; PEREIRA, Veronica Aparecida  and  BOTTEGA, Daniela Cristina. Family influences in child psychotherapy process: diurnal and nocturnal enuresis - a case study. Pensando fam. [online]. 2017, vol.21, n.1, pp. 50-62. ISSN 1679-494X.

Enuresis may cause physical discomfort plus social and/or academic impairment. In this treatment, the family presents itself as an important mediator, enabling implementation of routines that contribute to improvement. In this study we present a case of bedwetting children, from the Applied Behavior Analysis, describing the frame maintenance contingencies and the necessary changes in the family context. This case was about an eight years old girl complaining of diurnal and nocturnal enuresis. Psychological care was provided during 52 sessions held in a school-clinic. Assessment led to interventions related to self-care, based on positive behavioral management strategies, self-registering and pelvic muscle training. The girl’s mother was an important mediator for acquisition of repertoires that allowed greater self-control, self-care and child autonomy, leading to elimination of the enuresis.

Keywords : Enuresis; Self-control; Applied Behavior Analysis.

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