Failure to Thrive and the Economically Depressed Community

  • Elizabeth F. Gordon
  • Delia M. Vazquez


Failure to thrive (FTT) that has occurred outside of institutions, has typically been viewed as a disorder involving the growth retarded infant and the mother (Elmer, 1960; Patton & Gardner, 1962; Ainsworth, 1969; Fischhoff et al., 1971). Recently Roberts and Maddux (1982) have proposed that additional causative factors within the family system need to be identified and used as a guide to the complex management of this common pediatric disorder. Specifically, they suggest that situational, infant and paternal variables should also be considered as important in understanding the causes of FTT. We further propose that growth failure in young children may result, indirectly, from factors that are present in the larger community system. The study reported here was initiated to address this issue.


Child Abuse Growth Failure Maternal Deprivation Harvard Educational Review Hospital Bill 
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  1. Ainsworth, M.S. Object relations, dependency and attachment: a theoretical review of the infant-mother relationship. Child Development, 1969, 40, 964–1025.CrossRefGoogle Scholar
  2. Angell, D. Michigan hospitals assess recession1s impact in confusing, contradicting variety of ways. Michigan Medicine, 1980, 465–468.Google Scholar
  3. Brenner, M.H. Mental Illness and the Economy. Cambridge, MA: Harvard University Press, 1973a.Google Scholar
  4. Brenner, M.H. Foetal, infant and maternal mortality during periods of economic instability. International Journal of Health Service, 1973b, 3 (2).Google Scholar
  5. Colledge, M. Economic cycles and health: Toward a sociological under-standing of the impact of the recession on health and illness. Social Sciences & Medicine, 1982, _16 1919–1927.Google Scholar
  6. Durkheim, E. Suicide: A Study in Sociology. New York: Free Press, 1952.Google Scholar
  7. Editor. Recession backfires on Michigan doctors. Medical World News, 1981, 39–41.Google Scholar
  8. Editor. Economic report of the governor: Employment. Michigan Employment Security Commission, 1983, 123–124.Google Scholar
  9. Elmer, E. Failure to thrive: Role of the mother. Pediatrics, 1960, 25, 717–725.PubMedGoogle Scholar
  10. Fischhoff, J., Whitten, C.F., Pettit, M.G. A psychiatric study of mothers of infants with growth failure secondary to maternal deprivation. Journal of Pediatrics, 1971, 79 (2), 209–215.PubMedCrossRefGoogle Scholar
  11. Fox, J.E. Recession seen taking hold on health benefits. U.S. Medicine, 1983, _19 (5), 1–11.Google Scholar
  12. Frank, D.A., Allen, D. Primary prevention of failure to thrive: Social policy implications. In D. Drotar (Ed.) New Directions in Failure to Thrive: Research and Clinical Practice. New York: Plenum Publishing Corp., 1985.Google Scholar
  13. Garbarino, J., Sherman, D. High risk neighborhoods and high risk families: The human ecology of child maltreatment. Child Development, 1980, 51_, 188–198.Google Scholar
  14. Gordon, E.F., Gordon, R.C. Child abuse: A review of selected aspects for the primary care physician. Southern Medical Journal, 1979, 12. (8), 985–992.CrossRefGoogle Scholar
  15. Hill, J.M. The psychological impact of unemployment. New Society, 1978, 19, January, 1978.Google Scholar
  16. Kasl, S., Cobb, S. Blood pressure change in men undergoing job loss: A preliminary report. Psychosomatic Medicine, 1970, 32.Google Scholar
  17. Light, R. Abused and neglected children in America: A study of alternative policies. Harvard Educational Review, 1973, 43 (4), 556–598.Google Scholar
  18. Patton, R.G., Gardner, L.I. Influence of family environment on growth: The syndrome of maternal deprivation. Pediatrics, 1962, 30, 957–962.Google Scholar
  19. Roberts, M.C., Maddux, J.E. A psychosocial conceptualization of nonorganic failure to thrive. Journal of Clinical Child Psychology, 1982, 11 (3), 216–226.CrossRefGoogle Scholar
  20. Steinberg, L.D., Catalano, R., Dooley, D. Economic antecedents of child abuse and neglect. Child Development, 1981, 52,. 975-985.Google Scholar
  21. Thompson, H.L. Containing health care costs - world recession is changing the fact of medicine. The Medical Journal of Australia, 1981, 1, (9), 447–448.Google Scholar
  22. Tway, J., Bachafer, H. Recession in hospitals. Voluntary Effort Quarterly, 1980, 2 (1), 2.Google Scholar

Copyright information

© Plenum Press, New York 1985

Authors and Affiliations

  • Elizabeth F. Gordon
    • 1
    • 2
  • Delia M. Vazquez
    • 1
    • 2
  1. 1.Department of PediatricsMichigan State UniversityUSA
  2. 2.University of IowaUSA

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