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Comment by jrochkind1

2 years ago

The problem is that the phrase "a valid concern" would lead me to think "something doctors and parents should consult on (also with the child themself!) and determine if there is cause for alarm, and if so decide collaboratively what the proper course of action is." Sure! Of course! That's what you do with valid health concerns, right?

What it actually means is "something for which social workers will decide whether to take your child away from you for". That's a pretty big escalation from a "valid concern", but one that happens if "the system" decides you are a target. "A valid concern" is in that case a code word for "credible presumptive evidence of child abuse". A child being underweight is a valid thing to be concerned about, it is not on it's own credible presumptive evidence of abusive parenting, no.

Abusers sometimes take their victims elsewhere - new doc, new town, new state - when people start getting suspicious. The victim may also be retaliated against; accused of trying to get help. There’s a risk to consulting someone you suspect might be the perpetrator.

  • If the parent is abusive, trying to get their cooperation in fixing the problem may be an effective means to out them.

    They had absolutely no reason to believe I was abusing him. Most likely, they were just trying to cover their own butts and err in that direction rather than in the direction of "what's best for this child?"

    That's without getting into larger concerns of "What on earth is wrong with the world that a junk food diet is the medically recommended diet for a serious medical condition?"

  • There's also a pretty big risk to assuming abuse when it isn't present, removing a child from their parents is an action causing great trauma to the child. Even just putting the family through an adversarial process where removal is threatened can be very traumatic to all involved. If there is a challenging health issue going on too, adding all that on top is actually adding barriers to addressing the challenging health issue, and is harmful.

    The solution to reducing risk and harm is not to always err on the side of assuming abuse and making families prove otherwise.

    • There's no perfect answer; there will always be judgement calls that turn out to be wrong, even when made in good faith. You're correct that false accusations of abuse can be devastating to families; missing real abuse is similiarly devastating.

      As I've said elsewhere in this thread, I'm glad I don't have to make these calls.

  • I doubt the proper answer to this risk is to assume abuse. I don’t mean to say the answer is easy but the described behavior towards this person for how they try to help their child is sickening.

    • Any approach here will have bad results on a population-level; there's no perfect answer. I'm very glad I'm not personally responsible for decisions that could destroy families or doom kids to torture if the wrong judgement call is made.