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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsJustina 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 Fathers Day at home without any state supervision, the teens 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 Childrens 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 teenagers 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.
LisaL
(44,980 posts)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)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)in their right mind would demand that patient stopped their treatment for cancer or diabetes and focused on somatoform instead.
pnwmom
(109,023 posts)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)Just might have been a key indicator that this was clearly not a somatoform disorder.
That poor girl and her parents.
It's maddening
octoberlib
(14,971 posts)pnwmom
(109,023 posts)hedda_foil
(16,376 posts)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)pnwmom
(109,023 posts)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)Psychiatry is having a hard enough time being taken as a scientific field without this imbecile destroying their credibility.
pnwmom
(109,023 posts)LisaL
(44,980 posts)pnwmom
(109,023 posts)Rider3
(919 posts)iandhr
(6,852 posts)DCF has been big issue.
LiberalCatholic
(91 posts)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)I can say with out a doubt he is one of the best candidates I have worked for.
pansypoo53219
(21,005 posts)probably my fault. not abuse.
pnwmom
(109,023 posts)The Harvard docs apparently think they know better than everybody else.
magical thyme
(14,881 posts)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...
LisaL
(44,980 posts)Sure took them long enough.