In their superb study of toilet training (Pediatrics 60:170, August 1977), deVries and deVries reminded me that I had heard of early toilet training before. Accordingly, inquiries among our patient population here at Montefiore revealed that this process was not uncommon among Jamaicans when they resided in Jamaica. I found no instances of early toilet training among Jamaicans after they moved to the United States, even though they had previously done it in Jamaica. The methods used were essentially the same as those used by the Digos: the use of sounds, endearments, reward, and the absence of punishment.

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