CHILD ABUSE SYNDROME: THE "GRAY AREAS" IN ESTABLISHING A DIAGNOSIS

PEDIATRICS ◽  
1969 ◽  
Vol 44 (4) ◽  
pp. 594-600
Author(s):  
Larry B. Silver ◽  
Christina C. Dublin ◽  
Reginald S. Lourie

Despite almost universal legislation requiring physicians in the United States to report instances of suspected child abuse and in the face of published efforts to clarify and to define legal, medical, and social issues associated with the "batered child syndrome," some physicians find it hard to accept the reality of willful abuse of children. An attempt was made to explore further those situations in which the physician found it difficult to establish or rule out the diagnosis of child abuse. In each of the types of such cases, the major issues were the physician's subjective personal feelings, his misunderstandings of the Child Abuse Laws, or of his role and responsibilities. It is easy to comment that, if the physician understands that the Child Abuse Laws only make him responsible for reporting a case in which there is reasonable cause to suspect a case of abuse and if he understands that he is not responsible for establishing that the case is truly one of child abuse or for indentifying the abuser, then there would be few cases in the "gray area." It is not as easy to explain away or develop an approach to minimize the physicians' subjective feelings or personal views which confound his ability to establish this clinical impression. It is essential that all suspected instances of abuse be reported. Only then can community agencies become active to protect the child, to assist the family, and to interrupt the pattern of violent behavior.

Author(s):  
Christopher Maggio

Abstract Various research has demonstrated that rapid racial demographic change may aid in triggering various forms of backlash under certain conditions. This has led scholars to speak of Whites “defending” their local environment in the face of eroding racial dominance. However, little research has addressed how perceptions of racism among minorities may be triggered under conditions of demographic change. This study attempts to fill this gap in the literature by examining the relationship between racial demographic change for Blacks, Hispanics, and Asians and perceptions of racial problems among these groups in the United States. Using standard OLS regressions, ordered logistic regressions, multinomial logistic regressions, and techniques accounting for selection into treatment, I find that Blacks and Hispanics living in counties undergoing rapid growth of Black and Hispanic populations, respectively, have higher perceptions of racial problems. Asians show no evidence of increased perceptions of racial problems in counties undergoing rapid Asian growth. For Blacks, this relationship is concentrated among those without at least a four-year degree and residents of counties with lower initial White populations (and higher initial Black populations). For Hispanics, it is similarly concentrated among those without at least a four-year degree, but also is likely stronger among residents of counties with higher initial White populations (and lower initial Hispanic populations), highlighting unique racial dynamics. This research adds to a growing body of work showing the importance of examining demographic change at the local level in order to understand some of today’s most pressing political and social issues.


2019 ◽  
Vol 35 (2) ◽  
pp. 255-281
Author(s):  
Sylvia Dümmer Scheel

El artículo analiza la diplomacia pública del gobierno de Lázaro Cárdenas centrándose en su opción por publicitar la pobreza nacional en el extranjero, especialmente en Estados Unidos. Se plantea que se trató de una estrategia inédita, que accedió a poner en riesgo el “prestigio nacional” con el fin de justificar ante la opinión pública estadounidense la necesidad de implementar las reformas contenidas en el Plan Sexenal. Aprovechando la inusual empatía hacia los pobres en tiempos del New Deal, se construyó una imagen específica de pobreza que fuera higiénica y redimible. Ésta, sin embargo, no generó consenso entre los mexicanos. This article analyzes the public diplomacy of the government of Lázaro Cárdenas, focusing on the administration’s decision to publicize the nation’s poverty internationally, especially in the United States. This study suggests that this was an unprecedented strategy, putting “national prestige” at risk in order to explain the importance of implementing the reforms contained in the Six Year Plan, in the face of public opinion in the United States. Taking advantage of the increased empathy felt towards the poor during the New Deal, a specific image of hygienic and redeemable poverty was constructed. However, this strategy did not generate agreement among Mexicans.


Author(s):  
Timothy Matovina

Most histories of Catholicism in the United States focus on the experience of Euro-American Catholics, whose views on social issues have dominated public debates. This book provides a comprehensive overview of the Latino Catholic experience in America from the sixteenth century to today, and offers the most in-depth examination to date of the important ways the U.S. Catholic Church, its evolving Latino majority, and American culture are mutually transforming one another. This book highlights the vital contributions of Latinos to American religious and social life, demonstrating in particular how their engagement with the U.S. cultural milieu is the most significant factor behind their ecclesial and societal impact.


Author(s):  
Christopher A. Bail

In July 2010, Terry Jones, the pastor of a small fundamentalist church in Florida, announced plans to burn two hundred Qur'ans on the anniversary of the September 11 attacks. Though he ended up canceling the stunt in the face of widespread public backlash, his threat sparked violent protests across the Muslim world that left at least twenty people dead. This book demonstrates how the beliefs of fanatics like Jones are inspired by a rapidly expanding network of anti-Muslim organizations that exert profound influence on American understanding of Islam. The book traces how the anti-Muslim narrative of the political fringe has captivated large segments of the American media, government, and general public, validating the views of extremists who argue that the United States is at war with Islam and marginalizing mainstream Muslim-Americans who are uniquely positioned to discredit such claims. Drawing on cultural sociology, social network theory, and social psychology, the book shows how anti-Muslim organizations gained visibility in the public sphere, commandeered a sense of legitimacy, and redefined the contours of contemporary debate, shifting it ever outward toward the fringe. The book illustrates the author's pioneering theoretical argument through a big-data analysis of more than one hundred organizations struggling to shape public discourse about Islam, tracing their impact on hundreds of thousands of newspaper articles, television transcripts, legislative debates, and social media messages produced since the September 11 attacks. The book also features in-depth interviews with the leaders of these organizations, providing a rare look at how anti-Muslim organizations entered the American mainstream.


Author(s):  
D Samba Reddy

Thirty-nine (39) new drugs have been approved by the U.S. FDA in 2012, a record highest number of approvals since 1996. The record is a sign that pharma companies are poised to tap recent advances from genomics and proteomics. This list includes novel new drugs, known as new molecular entities (NMEs), biologics and new products. Many life-saving drugs are approved for marketing. The list includes a total of 10 drugs for cancer treatment, and nearly a quarter of those approved in 2012 had orphan drug status.  Among the breakthrough drugs approved in 2012 were ivacaftor (cystic fibrosis), vasmodegib (skin cancer), HPC-C (human cord blood product), ruxolitinib (myelofibrosis) and a new combination drug to treat HIV. In addition,  several unique products were approved for the treatment of macular degeneration, chronic weight management, overactive bladder, actinic keratosis, erectile dysfunction, glaucoma, respiratory distress syndrome, and COPD. The approval of 39 drugs in 2012 underscores a robust success rate and confirms that innovation is once again beginning to pay off. In the existing climate of reduced revenues in the face of generic competitions, the future and survival of big companies rests heavily on their unique niche products. It is apparent that big Pharma and a growing number of emerging Biotechs alike have focused their attention on developing new NMEs for rare diseases. In 2012, the length of the FDA’s review is shorter than agencies in other countries. Innovative models adopted for R&D strategies, communications, and new regulatory changes appear to shorten development timelines. Despite record drug approvals, there is bleak scope for blockbusters because most of these drugs have a limited market. The pipeline for blockbusters appears very low. However, there is unmet medical need for new drugs in autism, Alzheimer’s disease and epilepsy. Overall, the new drug approval list unveils unique and reemerging trends indicating that the pharma companies are poised for big growth from new brands approved for marketing for narrow-spectrum indications.    


Author(s):  
William W. Franko ◽  
Christopher Witko

The authors conclude the book by recapping their arguments and empirical results, and discussing the possibilities for the “new economic populism” to promote egalitarian economic outcomes in the face of continuing gridlock and the dominance of Washington, DC’s policymaking institutions by business and the wealthy, and a conservative Republican Party. Many states are actually addressing inequality now, and these policies are working. Admittedly, many states also continue to embrace the policies that have contributed to growing inequality, such as tax cuts for the wealthy or attempting to weaken labor unions. But as the public grows more concerned about inequality, the authors argue, policies that help to address these income disparities will become more popular, and policies that exacerbate inequality will become less so. Over time, if history is a guide, more egalitarian policies will spread across the states, and ultimately to the federal government.


Author(s):  
Richard Gowan

During Ban Ki-moon’s tenure, the Security Council was shaken by P5 divisions over Kosovo, Georgia, Libya, Syria, and Ukraine. Yet it also continued to mandate and sustain large-scale peacekeeping operations in Africa, placing major burdens on the UN Secretariat. The chapter will argue that Ban initially took a cautious approach to controversies with the Council, and earned a reputation for excessive passivity in the face of crisis and deference to the United States. The second half of the chapter suggests that Ban shifted to a more activist pressure as his tenure went on, pressing the Council to act in cases including Côte d’Ivoire, Libya, and Syria. The chapter will argue that Ban had only a marginal impact on Council decision-making, even though he made a creditable effort to speak truth to power over cases such as the Central African Republic (CAR), challenging Council members to live up to their responsibilities.


2021 ◽  
Vol 118 (1) ◽  
pp. 102-107
Author(s):  
Richard Francis Wilson

This article is a theological-ethical Lenten sermon that attempts to discern the transcendent themes in the narrative of Luke 9-19 with an especial focus upon “setting the face toward Jerusalem” and the subsequent weeping over Jerusalem. The sermon moves from a passage from William Faulkner’s As I Lay Dying through a series of hermeneutical turns that rely upon insights from Dietrich Bonhoeffer, Martin Luther King, Jr., Will Campbell, Augustine, and Paul Tillich with the hope of illuminating what setting of the face on Jerusalem might mean. Tillich’s “eternal now” theme elaborates Augustine’s insight that memory and time reduce the present as, to paraphrase the Saint, that all we have is a present: a present remembered, a present experienced, and a present anticipated. The Gospel is a timeless message applicable to every moment in time and history. The sermon seeks to connect with recent events in the United States and the world that focus upon challenges to the ideals of social justice and political tyranny.


Human Arenas ◽  
2021 ◽  
Author(s):  
Paul Croce

AbstractThis article addresses the call of the Psychology of Global Crises conference for linkage of academic work with social issues in three parts: First, examples from conference participants with their mix of bold calls for social transformation and realization of limits, a combination that generated few clear paths to achieving them. Second, presentation of Jamesian practical idealism with psychological insights for moving past impediments blocking implementation of ideals. And third, a case study of impacts from the most recent prominent crisis, the global pandemic of 2020, which threatens to exacerbate the many crises that had already been plaguing recent history. The tentacles of COVID’s impact into so many problems, starting with economic impacts from virus spread, present an opportunity to rethink the hope for constant economic growth, often expressed as the American Dream, an outlook that has driven so many of the problems surging toward crises. Jamesian awareness of the construction of ideological differences and encouragement of listening to those in disagreement provide not political solutions, but psychological preludes toward improvements in the face of crises.


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