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© British Association of Social Workers

Social Work with Failure-to-Thrive Children and their Families

Part I: Psychosocial Factors

DOROTA IWANIEC, MARTIN HERBERT and A. S. MCNEISH

Dr. D. Iwaniec, previously a paediatric social worker, now runs the Health Care/Residential Student Unit at Leicester.

Professor M. Herbert, formerly Director of the School of Social Work at the University of Leicester, is now Professor of Clinical Psychology and Head of the Psychology Department at the same University.

Professor A. S. McNeish is a Consultant Paediatrician, formerly Professor of Child Health, University of Leicester; now Professor of Child Health at the University of Birmingham.

Summary

The problem failure-to-thrive is described and a brief review of the main causal theories is provided. Part I of this study details an investigation of psychosocial factors associated with non-organic failure-to-thrive in 17 children (comparing them with two contrast groups).

There were significant differences between the groups (inter alia) in the adverse temperamental attributes of the index children, problems in the mother's feeding of their children and other aspects of their interactions and relationships. The mothers showed no specific psychopathology but were socially disadvantaged in various ways. The implications of these findings—preventive and therapeutic—are discussed.


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