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Are Obese Kids Victims of Child Abuse?

The report considers what can be done to reduce the psychological abuse of children, both on a population and an individual level. It is rather coy about what kind of families are most likely to maltreat their children psychologically, perhaps because this would produce yet one more stick with which to beat the poor; and as for the "treatment" of individuals, the report supposes that most psychological maltreatment is the result of error or misunderstanding rather than of malice and depravity. Thus, it can be righted by a little training and exhortation. Doctors are uncomfortable when confronted by the intractability of human malice, and perhaps it is as well that they should be.

I read something in the report that took me back to my student days:

Severe forms of psychological deprivation can be associated with psychosocial short stature, a condition of short stature or growth failure formerly known as psychosocial dwarfism.

Back in the early '70s, we were taught that the failure of abused children to grow normally through what was then called "maternal neglect" was caused by an insufficiency of food. A horrific experiment had been performed in which maternally deprived children were taken from their mothers and divided into three groups: those given food and affection, those given food but no affection, and those given affection but not enough food. The children in the first two groups grew in an accelerated fashion and by the same amount, those in the third did not. The horrible conclusion was that affection was not necessary to growth.

I am very glad if this is not so. I note, however, the report’s weasel words "associated with" rather than the unequivocal "caused by." And speaking for myself – and only for myself – I think the psychological maltreatment that I suffered as a child did me some good as well as harm. It put a certain iron in the soul as well as gave me certain defects of character.


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