Anorexia nervosa: do we need a scapegoat?
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A representative sample of 55 mainstreamed 9-10-year-olds with hemiplegia were compared with all classmates on sociometric measures of popularity and friendship, and with 55 matched controls on measures of victimization. Children with hemiplegia were more rejected and less popular, had fewer friends, and were more often victimized; they were not more likely to be bullies themselves. These differences were not fully accounted for by group differences in teacher-estimated IQ and behaviour. Possible explanations range from neurologically determined deficits in mentalizing skills to peer prejudices about children with disabilities. The development of appropriate intervention strategies should be a high priority, particularly since peer problems not only result in current distress but also predict psychosocial problems in the future.
ANOTHER PUBLIC HEALTH CRISIS: Coming into public view after the AIDS transfusion and the mad cow crises, asbestos-related health risks have provoked an atmosphere of panic incompatible with calmly planned public health prevention programs. The avalanche of passionate reactions has led to an inextricable dead-end situation. SCAPEGOATS: Faultfinders have accused a long list of scapegoats--scientists, physicians, experts, public health officials, industrial leaders and the media--but court actions do not favor rigorous analysis of health safety dispositions. What is needed is a pondered examination of the sinister chain of events which has made such a wasteful situation possible. MEETING PUBLIC DEMANDS: Prohibiting asbestos cannot solve the problem once and for all. Asbestos removal programs must be conducted in terms of a solid risk/benefit analysis and more generally, management of environment-related health risks must be based on specific and credible measures. Without a real rehabilitation of environmental medicine, there is a genuine risk of seeing crisis situations override public health decision making.
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