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pnwmom

(109,023 posts)
Tue Jun 17, 2014, 06:53 PM Jun 2014

Justina Pelletier, the teen with the mitochondrial disorder, has been freed to return home.

This is the Connecticut girl who went to the ER at Boston Children's hospital for treatment of complications of the flu, and ended up in a locked psychiatric ward for a year, followed by several more months under the "care" of the state of Massachusetts.

She had been treated by doctors at Tufts University for years, for the same mitochondrial disease her older sister had, but the newly minted Harvard psychiatrist who first saw her at Boston Children's decided she actually had a somatic disorder instead -- her disease was in her mind -- and that her parents were committing medical child abuse by subjecting her to the medical care of the Tufts doctors. Custody was taken from her parents and put in the hands of the state, who followed the advice of psychiatrists rather than metabolic specialists, and watched her physical condition continue to deteriorate.

Recently, the state returned the direction of her care to the metabolic specialists at Tufts, and began allowing her family to have increased contact with her. Finally, the state of MA agreed with the girl's attorney to return her to her parent's custody in Connecticut.

Connecticut has never been involved in the case and she is not under CT's supervision now. Her custody has been fully returned to her parents.

Expect more cases like this, because the definition of somatic disorder followed by psychiatrists was greatly expanded a couple years ago, and many physically ill children and adults could be labeled with this diagnosis -- including people with diabetes and cancer.

The first link is to a video of Justina making a plea for her release:

http://www.boston.com/news/local/massachusetts/2014/06/09/justina-pelletier-begs-for-release/KAIkIbjknzA9zstpx1kxyL/story.html

http://www.courant.com/news/connecticut/hc-justina-pelletier-coming-home-0618- 20140617,0,5384062.story

Justina was admitted to Boston Children's Hospital in February 2013 to see her doctor, who had recently transferred from Tufts Medical Center.

Instead of her physician, other doctors treated her and disagreed with the family that Justina's symptoms — including weakness, headaches and abdominal pain — were caused by mitochondrial disease, a diagnosis she received at Tufts in 2011.

Doctors at Boston Children's, however, said they thought her symptoms were psychologically induced, and diagnosed Justina with somatoform disorder, a mental disorder.

Boston Children's officials reported their suspicions of medical child abuse, and the state then refused to release Justina to her parents.

http://www.bostonglobe.com/metro/2014/06/17/judge-orders-custody-justina-pelletier-returned-parents/mDWtuGURNawSuObO0pDX4J/story.html

The teenager from West Hartford, Conn., had been at the center of a 16-month custody battle involving the Massachusetts child protection agency. This past weekend, Justina Pelletier was allowed to spend Father’s Day at home without any state supervision, the teen’s second such visit, according to Lou Pelletier.

In the custody of the Massachusetts Department of Children and Families since February 2013, Justina spent most of last year at Boston Children’s Hospital, and then about four months this year at a facility in Framingham.

Three months ago, in a sharply worded opinion highly critical of the parents’ conduct, the judge gave permanent custody of Justina to the Mass. DCF, and said he believed psychological issues explained much of the teenager’s ailments.

However, top officials at DCF earlier this month filed papers with the judge suggesting the parents had made significant progress and recommended that custody return to the parents.

22 replies = new reply since forum marked as read
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Justina Pelletier, the teen with the mitochondrial disorder, has been freed to return home. (Original Post) pnwmom Jun 2014 OP
It's about time. LisaL Jun 2014 #1
The definition of that disorder is so broad that many cancer patients could have it, pnwmom Jun 2014 #2
But in a case where a patient has somatoform on top of cancer or diabetes, no doctor LisaL Jun 2014 #12
I would hope not. But what if a psychiatrist thought that the parent pnwmom Jun 2014 #13
I'm thinking the fact she's now paralyzed with no feeling below the waist riderinthestorm Jun 2014 #22
Good news! octoberlib Jun 2014 #3
Yes! Finally! pnwmom Jun 2014 #4
It's about time x a bazillion. hedda_foil Jun 2014 #5
And removing a child from the parents because parents didn't agree with the psychological diagnosis. LisaL Jun 2014 #6
The psychologist (not psychiatrist) who first "diagnosed" her has written a paper claiming pnwmom Jun 2014 #8
So, will they pull the psychiatrist's license for malpractice and quackery? Xipe Totec Jun 2014 #7
We haven't heard the end of this. The father sounds determined to sue. n/t pnwmom Jun 2014 #9
My understanding it wasn't even a psychiatrist who came up with a diagnosis, but a psychologist. LisaL Jun 2014 #10
That's what I understand, too. But the psychiatrists accepted it. nt pnwmom Jun 2014 #11
It should have never gotten to this point Rider3 Jun 2014 #14
I am working on one of the campaigns for Governor up here. iandhr Jun 2014 #15
Who are you working for? LiberalCatholic Jun 2014 #17
I am working for Grossman. iandhr Jun 2014 #21
jeez. i might have been ripped from family if i was around now. i had a tendency to bruise. pansypoo53219 Jun 2014 #16
In recent years, Boston Children's has been involved in a few other similar cases. pnwmom Jun 2014 #18
and it's about freakin' time!!! magical thyme Jun 2014 #19
Yes, DCF finally did give up. LisaL Jun 2014 #20

LisaL

(44,980 posts)
1. It's about time.
Tue Jun 17, 2014, 06:57 PM
Jun 2014

Even if she actually does have a somatoform disorder, what was the reason for Children's to put her in a secure psychiatric ward for months?
This is not the type for disorder that is normally treated by locking a person up in a mental ward.
And if she does have mitochondrial disease, then her treatment was interrupted, which presumably isn't good.

pnwmom

(109,023 posts)
2. The definition of that disorder is so broad that many cancer patients could have it,
Tue Jun 17, 2014, 07:01 PM
Jun 2014

and so could many patients with diabetes.

A person could have it if they had a real physical disease but had what a psychiatrist considered an "excessive" concern with it.

LisaL

(44,980 posts)
12. But in a case where a patient has somatoform on top of cancer or diabetes, no doctor
Tue Jun 17, 2014, 07:19 PM
Jun 2014

in their right mind would demand that patient stopped their treatment for cancer or diabetes and focused on somatoform instead.

pnwmom

(109,023 posts)
13. I would hope not. But what if a psychiatrist thought that the parent
Tue Jun 17, 2014, 07:22 PM
Jun 2014

was teaching the diabetic child to be overly concerned with her disease? To be obsessing too much about her blood sugar levels and overly worried about her symptoms?

The psychiatrist wouldn't end her medical care, but might suggest the parents were abusing her by making her overly concerned.

 

riderinthestorm

(23,272 posts)
22. I'm thinking the fact she's now paralyzed with no feeling below the waist
Fri Jun 20, 2014, 12:20 PM
Jun 2014

Just might have been a key indicator that this was clearly not a somatoform disorder.

That poor girl and her parents.

It's maddening

hedda_foil

(16,376 posts)
5. It's about time x a bazillion.
Tue Jun 17, 2014, 07:10 PM
Jun 2014

I can't believe the psychiatrists have resorted to this diagnosis again. Doctors misdiagnosed every ailment they couldn't pin down as psychosomatic ... in children, usually blaming the mother. They finally reconsidered as more and more physical illnesses that had been viewed as psychological were finally identified and treated. I'm completely appalled that they're resorting to this nonsense again .

LisaL

(44,980 posts)
6. And removing a child from the parents because parents didn't agree with the psychological diagnosis.
Tue Jun 17, 2014, 07:12 PM
Jun 2014

pnwmom

(109,023 posts)
8. The psychologist (not psychiatrist) who first "diagnosed" her has written a paper claiming
Tue Jun 17, 2014, 07:17 PM
Jun 2014

that HALF of children with unexplained medical illnesses actually have a somatic disorder. So she had a bias going in.

And Justina, of course, didn't even have an unexplained disorder. She had been clinically diagnosed by the metabolic specialists at Tufts with the same metabolic disorder her older sister had.

Xipe Totec

(43,892 posts)
7. So, will they pull the psychiatrist's license for malpractice and quackery?
Tue Jun 17, 2014, 07:15 PM
Jun 2014

Psychiatry is having a hard enough time being taken as a scientific field without this imbecile destroying their credibility.

LisaL

(44,980 posts)
10. My understanding it wasn't even a psychiatrist who came up with a diagnosis, but a psychologist.
Tue Jun 17, 2014, 07:18 PM
Jun 2014

LiberalCatholic

(91 posts)
17. Who are you working for?
Tue Jun 17, 2014, 09:36 PM
Jun 2014

Are you in Mass? Not sure who I support right now. My sister loves Grossman but I haven't really focused on the campaign yet (I'm losing my job in a week).

iandhr

(6,852 posts)
21. I am working for Grossman.
Fri Jun 20, 2014, 11:15 AM
Jun 2014

I can say with out a doubt he is one of the best candidates I have worked for.

pansypoo53219

(21,005 posts)
16. jeez. i might have been ripped from family if i was around now. i had a tendency to bruise.
Tue Jun 17, 2014, 09:22 PM
Jun 2014

probably my fault. not abuse.

pnwmom

(109,023 posts)
18. In recent years, Boston Children's has been involved in a few other similar cases.
Tue Jun 17, 2014, 11:04 PM
Jun 2014

The Harvard docs apparently think they know better than everybody else.

 

magical thyme

(14,881 posts)
19. and it's about freakin' time!!!
Tue Jun 17, 2014, 11:05 PM
Jun 2014

Saw this at work. I've been watching for it since DCF gave it up a week ago.

Hopefully now some healing can begin. Hopefully withholding treatment for the least year didn't cause permanent damage...

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