Failure to Thrive and Fatal Injury as a Continuum

Child Health and Maltreatment

“…This relationship between NOFT and illness requires more attention as it was not predicted and has not been studied previously. It is somewhat surprising that the pattern of NOFT seems more similar to that of the abused sample than the neglect sample (although there have been previous reports suggesting that NOFT can be a precursor to abuse [Koel, 1969], or that NOFT, as well as abuse, represents a failure in the mother/child relationship [Gelles, 1973;Haynes, Cutter, Gray, O'Keefe, & Kempe, 1983]). Given the co-occurrence of NOFT and the higher incidence of illness (i.e., both appear within the first year and then decrease in frequency), illness cannot be as useful as a predictor of NOFT as it can for abuse.…”

Síndrome del niño maltratado

“…Terapia de los padres para lograr seguridad infantil en el hogar. Koel 30 ha observado que muchos niños curados de sus lesiones por malos tratos fallecen poco tiempo después de su regreso al seno familiar. La conclusión, no por dramática, deja de ser menos obvia.…”

Integrating child injury and abuse-neglect research: Common histories, etiologies, and solutions.

“…Early research, like that on unintentional injury, focused on the injury sites to the human body and on the physical manifestations of abuse. This focus on diagnosis was followed by reporting on the incidence in various subpopulations and then by documenting the detrimental medical (Caffey, 1972; Schmitt & Kempe, 1974) and cognitive (Koel, 1969; Warner, 1977) outcomes of abuse. A psychiatric model for child abuse and neglect evolved, implicating immaturity and psychopathology of the parent as the primary cause of abuse (Cohen, Raphling, & Green, 1966; Heins, 1969; Helfer, 1977).…”