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D.R.I.

 

My Mom uses this:

D.R.I. Bedwetting Management System

 

 

The Program

 

D.R.I. (Diaper Remediation Initiative) is a management and motivational system whereby a chronic bedwetter is returned to diapers using techniques of mild creative shaming. It should be undertaken only after other methods have failed. It is assumed that medical interventions have been attempted have proved unsuccessful.

 

Responsibility for managing the problem is temporarily taken over by parents/caregivers or their designates in a manner that emphasizes practicality and convenience for the latter, rather than the concerns of the bedwetter, although those also are taken into account in a secondary manner. It is understood that a certain loss of independence, privacy and dignity is inevitable on the part of the enuretic child or youth, but there are usually commensurate gains in terms of practical management of the problem and in the eventual achievement of dryness.

 

Types of Diapers

 

For the parent or guardian contemplating returning a chronically bedwetting child or youth to diapers using the D.R.I. method, it is recommended that cloth diapers and plastic pants be chosen for the purpose.

 

Youth-sized cloth diapers are available in several styles; a pre-fold pin-on type is recommended (about a half-dozen to a dozen should be obtained) along with cloth baby diapers for use as liners/inserts as required. Youth sized plastic and rubber pants are also easily obtainable, both in snap-on and pull-on styles. Both are recommended, in plain white or translucent (in the case of plastic). Nursery prints are also available, but are not recommended, for reasons stated below. Four to six pairs of waterproof pants are ideal.

 

Although disposable diapers may be considered more convenient, for the purposes of the D. R. I. program cloth and plastic pants are preferable for the following reasons:

 

  1. They allow the enuretic youth to feel wetness after urination;
  2. The bulk between the legs and against the body serves as a constant reminder to the wearer that he is in diapers;
  3. Cloth diapers necessitate the use of accessories such as diaper pins, and plastic or rubber pants; for the purposes of DRI, more is better.
  4. Extra diapers can be added to increase absorbency and prevent leaks;
  5. Cloth diapers can't easily be hidden under night clothing;
  6. A multi-sensory experience for the enuretic is desirable and best served by wearing cloth; touch (bulk against the skin and a sense of wetness), sound (the crinkling of plastic or rubber pants), sight (bulkiness helps, whether or not clothing is worn over the waterproof pants), and smell (of plastic or rubber, baby powder, and a slight scent of urine eventually acquired by hand washed diapers). Thus four of the five senses are acutely engaged in the process.

 

Breaking the News

 

By the time the enuretic child or youth is informed of the decision to return him to diapers (for the sake of simplicity we will refer to the male gender, as most bedwetters are male), diapering supplies should already be on hand. These should include, at the least, diapers, pins, waterproof pants and baby powder. It is assumed that the youth's bed is already protected by a plastic sheet. Allowing him to examine the products beforehand will reinforce the fact that the decision is firm and final; and while reasons can be discussed, it should be emphasized to the youth that the decision is final and not negotiable. Allowing the enuretic at least a few hours to contemplate the inevitable return to diapers can ease the transition. If necessary, he should be informed that resistance will involve serious sanctions.

 

Reasons can include:

 

  1. Obviously, to prevent wet beds and odor;
  2. To improve sleep by eliminating the necessity to change sheets during the night;
  3. To lessen disruption to sibling room-mate (where applicable) and household;
  4. To reduce volume of laundry;
  5. To emphasize practical consequences of bedwetting;
  6. To supply incentive to attain dryness.

 

The Routine

 

The enuretic should be informed that he will be expected to cooperate in the following regime: At a specific time each evening, (7 pm recommended) he will make himself available in his room for diapering. It will be emphasized that there are absolutely no exceptions to this new regimen; not visitors, not travel , nor any other excuse. Consistency is crucial.

 

It will be explained that others will be in control of the youth's enuresis until he is ready to control urination by himself. This will include parents or their designates including siblings, other family members, or 'babysitters'. (More on terminology below.)

 

Management, Not Punishment

 

It will be explained to the youth that being returned to diapers is an enuresis management strategy, not a punishment, and that management options will be at the discretion and convenience of the parent/caregiver. It will be emphasized that the purpose of the program is to help, not to treat him or make him feel like a baby. Hence plain diapers and waterproof pants should be employed, never nursery prints. Likewise items of clothing such as youth-sized onesies should be avoided.

 

Diapering Supplies

 

While basic supplies will consist of items mentioned above, other useful additions will include a change pad, a diaper pail, diaper rash ointment, baby wipes, and medical gloves (for changing wet diapers). Ideally, the enuretic's equipment will include a back-saving change table. A roughly six-foot long folding worktable is inexpensive and ideal for the purpose, and can be fitted with a blanket and the youth's change pad. A shelf can easily be added to run below between the legs, and can hold diapers and other supplies. If discretion is desired, a long enough blanket can conceal the diapering supplies; however, it is recommended that they remain in plain sight.

 

Terminology

 

The enuretic youth should never be called a 'baby' or 'infant' or otherwise denigrated because of his enuresis. On the other hand, euphemisms should be avoided. His diapers should be straightforwardly referred to as such, and other equipment should be referred to by name, i.e. change table, diaper pail, etc. It is permissible to refer to his plastic or rubber pants as 'baby pants' because of the wide use of the term in the vernacular.

 

Diapering

 

At the appointed time, the enuretic youth will position himself upon the change table. At this point he will be wearing just a tee-shirt. A diaper will have been prepared by combining a youth diaper and one or more triple folded (lengthwise) cloth baby diapers. The diaper will be powdered, and slipped under the youth's backside. Powder will be applied to his frontal diaper area, and then the diaper will be raised between his legs and tightly secured back to front with one diaper pin on either side. Then plastic or rubber pants will be applied, taking care to ensure that the diapers are fully covered. He will then be free to remove himself from the change table and rejoin the family. If pajamas or track pants are permitted he can then put them on, although it is recommended that the youth's diapers and waterproof pants should remain uncovered.

 

Caregivers

 

Who does the diapering in the family is a matter for parents to decide. However, as an aim of the program is to make the task as easy as possible on the caregivers, it is recommended that diapering be a shared function among family members and their designates. Older or younger siblings can easily handle the task, and extended family members or friends can also be called upon at times. In the absence of a same sex caregiver, it is permissible for a member of the opposite sex to handle the youth's diapering, as long as the act is carried out to near-professional nursing standards, as it should always be. Disciplinary authority can be accorded to each caregiver, or they can report to a central figure.

 

Post Diapering

 

The diapered youth will be expected to carry on as normally as possible prior to bedtime. He will not be allowed to 'hide', but might be asked to do chores such as hand-laundering and hanging diapers on a rack to air-dry, rinsing his diaper pail, etc. He will be expected to answer any questions posed by visitors in a truthful and straightforward manner. For example, 'I'm wearing diapers to help manage a problem I have with enuresis.'

 

Teasing

 

If siblings are involved, there is bound to be some teasing on their part or on the part of their friends. This is to be discouraged, but some inevitable minor teasing might serve as a motivation to become dry.

 

Babysitting

 

Once diapered, the youth needs to be supervised by a family member or other caregiver. This might sometimes lead to conflicts, for example if a sibling is forced to stay home to 'babysit', but that is part of the shared family burden. It is permissible, in some instances, to ask family friends to undertake the task, or even someone unknown to the diapered youth, as long as professionalism is involved. Disciplinary authority to be in accordance with same under 'Caregivers'.

 

Sanctions

 

Even before being returned to diapers, the enuretic youth must understand that his cooperation is required and expected, and that failure on his part to submit to the process will bring severe sanctions, along with forced compliance. These can consist of anything from lost privileges, to threats of, or actual spankings. Most parents/caregivers who have had to resort to spanking a youth for non-compliance have not had to repeat the punishment. The youth quickly learns that he is in a double no-win situation—spanked, then diapered. Severe sanctions should be reserved for only the most serious infractions—non-cooperation in the diapering process, and unauthorized removal of diapers.

 

Frequency of Wetting

 

While each case is different, studies have shown that once returned to diapers, the average youth will initially wet more often. Thus thrice weekly wet beds might translate to five or even seven nights of wet diapers. The phenomenon is not completely understood (perhaps shame, perhaps security), but it is known that after approximately three months, the dryness achievement rate approaches that of untreated enuretics, then quickly overtakes it. About 80% of youth in the D.R.I. program achieve dryness within six months. The program is suspended when a youth has been dry for thirty consecutive nights. The plastic sheet is retained for some time longer. Diapering supplies may be donated or requested at the address below.

 

© 2008 D. R. I. Inc. Reprinting permitted.

dri.exchange@gmail.com

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bedwetterbrad bedwetterbrad 16-17, M 13 Responses Sep 7, 2008

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I bedwet until I was away from my parents for good. That is until I went into the military. I stopped virtually overnight. My case was purely psycological. I was rebeling against something. My parents were Great, except in one area. Thing is bedwetting can be brought on by maladies like mine or in other cases it is physical. A good shrink might have helped me but I was 12 in 1952 and people just didn't go to shrinks back then.

Creative shaming is wrong. I knew how/what my response/answer was going to be but I decided to quickly scroll and read a bit out of curiousity.

I have read about this system elsewhere, and it sounds very old-fashioned, even obsolete. Back in the 50s/60s, when I was growing up, as a chronic bedwetter, it was falsely believed a child could be shamed out of this condition. I mean, public shaming, too. Very cruel, if you ask me!<br />
My parents kept a rubber sheet on my bed, but, thankfully, they never shamed me with diaper usage.<br />
I wear them at night now, as a last resort. Perhaps it is justified to use them instead of frequently waking up in a drenched bed, but not in a humiliating fashion, in any manner, anytime, any age.<br />
Honestly, does this system really work for you, Brad? Have you shown any improvement?<br />
I do not wish for anyone to endure what I had to as a child. <br />
Good luck!

I, too, have found a service that helps me... www.weeproblem.weebly.com This is a very nice website, I suggest fellow bedwetters or bedwetting enthusiasts take a look. Read my story as well.

I see only one advantage to the diaper clean up and dry bed .i'm 59 now still have wetting accidents was dipered up 17 yrs old when i left home being teased about learning a diaper having to report to my my parents to see if i was wet or dry if i was wet i was made to take off my diaper and spanked[beaten] bare butt for wetting this was done in front of my siblings or who ever was there at the time

Hi i am almost twnty and still wet most nights. i was on a similar program i guesss as when the goodnights leaked was put into cloth diapers and plastic pants and was diapered around 7 each night until I was 14. i also was diapered for long trips and stuff too. i am still in my diapers but at 9 now and actualy am glad to be as wet beds are really bad to wake up in. I just hope that every one realizes that no real bedwetter wants to wet his bed and the feeling of waking up in a soaked bed id traumatic. I got use to being diapered soon after it started and was never teased or humiliaated about being in them. I only wish that it had worked as it helpped 3 of my cousins stop wetting afre about 6 months or so. I sure don't feel abused and think that the diapering time gave me and my Mom some time to talk with out my brothers and sisters enterupting. I wish that i didn't wet but since I do am geatful to be able to contain it.

My mom did not actually use a system but in practice I had pretty much the same thing as DRI. The main differences were that first, I usually had to wear them during the day if we were on a trip, and second I often got spanked for being wet in the morning. also I had a stepbrother (2 years younger) who my parents thought was super mature and responsible (your typical A student athlete type) who my mom generally put over me and he made my life pretty miserable.

Humiliation never works. Understanding and letting a boy decide how to deal with his bedwetting iss the only sensible solution. Let him be responsible.

I'm not exactly sure about your technique. I was treated exactly the same way until age 13, i.e. diapered every night in cloth diapers with plastic pants, at the same time,about 7 or so, with little or no privacy from siblings, and also not allowed to remove my wet diaper in the morning because of trying to "fool" my parents into thinking I had a dry night. Many mornings I would spend 2 hours or more in my wet diaper from the previous night which was obvious to anyone awake. The approach was simple, as long as I wet the bed I was going to wear diapers to bed. After age 13 I was allowed to soak my bed instead, which by the way was much worse than having it controlled by a diaper. My brothers were not supposed to tease me about it but always did and it was more or less treated as something I should just out grow and the teasing and humiliation would go away. Oddly enough trying to hide the bedwetting from friends became much harder when I had wet sheets to deal with and the smell of a bedwetters bedroom is hard to cover up.<br />
I am thus conflicted about your assertion as being a cure treatment but would encourage parents to use diapers rather than alowing the struggle with wet beds. A child will certainly feel babyish wearing a diaper to bed but believe me I didn't feel any less babyish waking up floating around either so I suggest pushing the more controlled avenue.

After reading your article, I would like to make a recommendation. I would encourage you to discontinue the use of diapers since they only keep the bed dry, not the child, as well as prolong the child’s suffering from the bedwetting and sleep disorder. There is a false belief that older children will get discourage by wearing Pull Ups and be able to wake up and go to the bathroom. Our experience with tens of thousands of bedwetting cases indicates this has never occurred. If a child could wake up, they would. <br />
<br />
The Enuresis Treatment Center has researched and developed treatment programs for over 30 years. The research validates the real problem; bedwetting is caused by an abnormally deep sleep, which doesn’t allow for the bedwetter's brain and bladder to connect to effectively respond to each other. It is a serious condition which produces non-restorative sleep. I would also encourage you to visit their website and take advantage of their extensive knowledge on treating this issue. For 34 years, their time tested approach has successfully ending the suffering for thousands of children, teenagers, and adults from around the world who thought there was no hope. Sincerely, Lyle D. Danuloff, Ph.D. www.nobedwetting.com

My experience ending bedwetting occured when I was six. I received the only spanking I ever got from my mother. She felt so terrible. My own son overcoming bedwetting prompted me to create a website on the subject. I write about my own experience on the about page: http://www.onbedwetting.com/about.php <br />
<br />
Thanks for describing your interesting, and well-thought-out method.

As a child I went through something similar but I am sure it was not as well planned and thought out.

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