ad of later becoming complete, relapses began to
be more frequent, and that since that time all that can be done seems
only to make matters worse.

_(b)_ In the second place, the influence of suggestion is shown by the
behaviour of the child when removed to a hospital for observation. It
is the invariable experience that the enuresis then promptly stops. In
hospital the attitude of those around the child is entirely different.
She has the comfortable and consoling feeling that in wetting the bed
she is doing exactly what is expected of her. There is even a feeling
that otherwise she is showing herself to be something of a fraud, and
that she has then been admitted to the hospital on false pretences.
Hence, perhaps for the first time in many years, the child is free
from the obsession, and the bed is not wetted.

_(c)_ In the third place, it is easy to recognise in the history of
many of the cases, the ill-effects of circumstances which add new
force to the fear of failure or shake the confidence in the control
which had been regained. Thus a boy, an only child, who had suffered
from enuresis till his seventh year, had regained complete control
till his eleventh year, when he went to school. In his dormitory at
school was a boy who had enuresis, and who was being fined and
punished by the schoolmaster. The enuresis at once reappeared and
continued unchecked so long as he was at school. As might be expected,
school life is very inimical to cure, unless the trouble can be kept
from the knowledge of the other boys. Anything which directly
increases the nervousness of the child--an illness, for example, with
loss of weight and failure of nutrition, or some mental stress, such
as the approach of an examination--is apt to accentuate the enuresis.

_(d)_ In the fourth place, the incontinence sometimes spreads to the
daytime, and the child is wet both by day and night. Further, in bad
cases it is not uncommon to find incontinence of faeces making its
appearance also. These extensions of the fault only take place when
the management continues to be very faulty, when the grown-up people
around them are more than usually distressed and pessimistic, and have
redoubled their expostulations and appeals.

Now these peculiarities of enuresis seem to me only explicable if we
assume that the want of control is due to auto-suggestion, dependent
at the beginning on the unwise attitude adopted towards the fault by
the nurses and parents,