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  Vol. 131 No. 5, May 1977 TABLE OF CONTENTS
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The Syndrome of Abuse Dwarfism (Psychosocial Dwarfism or Reversible Hyposomatotropism)

Behavioral Data and Case Report

John Money, PhD

Am J Dis Child. 1977;131(5):508-513.


Abstract

• In abuse dwarfism the behavioral signs include some or all of the following: (1) a history of unusual eating and drinking behavior, reversible on change of domicile, such as eating from a garbage can and drinking from a toilet bowl, stealing food, alleged picky eating and rejecting food at the table, polydipsia and polyphagia, possibly alternating with vomiting and possibly also with self-starvation; (2) a history of such behavioral symptoms as enuresis, encopresis, social apathy or inertia, defiant aggressiveness, sudden tantrums, crying spasms, insomnia, eccentric sleeping and waking schedule, pain agnosia, and self-injury, all occurring only in the growth-retarding environment; (3) retarded motor development, with improvement on removal of the child from the domicile of abuse; (4) retarded intellectual growth, reversible on change of domicile by as much as 30 to 50 IQ points; and (5) a history of pathologic family relationships, including unusual cruelty and neglect, either somatic or psychic or both.

(Am J Dis Child 131:508-513, 1977)



Author Affiliations

From the Departments of Psychiatry and Behavioral Sciences and Pediatrics, Johns Hopkins University and Hospital, Baltimore.


Footnotes

Reprint requests to Department of Psychiatry, Phipps 400, Johns Hopkins University School of Medicine, Baltimore, MD 21205 (Dr Money).



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