Pediatricians are first and foremost asserting that your children grow up to be the kind of individuals that the society want them to be, which are loyal servants if the rulers.i
Things You Should Know about Your Child's Pediatrician
The common assumption about pediatric professionals are that their foremost objective is the wellfare of you child and to help the parents caring for the wellbeing of the child best possible. This assumptions has however substantial modifications.
First of all the pediatrician will work according to a definition of children's welfare opposed upon them by the authorities of the community or by the medical profession. This definition will always be more or less biased by the greed for commercial proffit and by the greed for power and control upon the child and the parents, and thus the professional wellfare definition will tend to deviate substantially from what is understood as children's wellfare by the parents.
This basis will influence the way the pediatrician examines your child and what decision or suggestion she will make regarding actions upon the child in several ways:
The pediatrician does not only examine your child, but in a way also you, the parent, and your interactions with the child. She will then compare what she sees and hears with a very strict normality scheme, and if she finds even the slightest deviation, she will think about neglect or abuse from the parents upon the child, or about a parent not competent to rise a child, at least not without extra cervices from the community. Her suspicion will be awakened by too little or too much verbal communication between the child and parent, by too little or too much intimacy between the child and parent, by your child being too little or too bashful upon bodily examinations, by a too great degree of chkeptiism towards the doctor or her assistants from the child or parents, and by things the child may say to the parent or the pediatrician.
The pediatrician will during the examination constantly assess the status of the child's mental development and compare what she finds with her strict normality scheme. She will expect the child to know, understand, have an interest for and feel certain things deemed appropriate for the age and social class of the child, but not to know, understand, have interests or feelings beyond this. The examination typically has sesions where she talks with the parent and the child where these things are assessed, but this assessment will continue throughout the whole examination.
Likewise she will look for deviations from a strict normality scheme regarding physical development such as length, weight, posture, muscular status and genital development. For some time the pediatric society has regarded fat children as the normal standard, and children that have a healthy weight to be anorectic or showing a symptom of abuse or neglect. But if your child is only slightly fatter than expected, also that will also provoke suspicion.
By these assessments not only deviations that give functional problems will be regarded with suspicion. Also positive deviations that make your child more knowledge-rich, more thoughtful, more able, stronger or more handsome than the average will be looked upon with suspicion. A child or teen that expresses political opinions or politically tending opinions that goes beyond the political indoctrination received from the school will especially evoke suspicion, and likewise expressions of deviating religious opinions.
During the whole of the examination she will do handlings with your child that not only has the purpose of finding specific signs of disease or functional problems, but also to provoke verbal reactions, signs of emotions or physical responces she can use to assess metal and physical deviations form her normality scheme.
During the orthopedic examinations and neurological examinations, the child will be nearly or completely naked. The handlings of the whole body during these parts are rather intimate and especially suited to evoke reactions. Also the pediatricion tend to do these examinations in a way that will provoke reactions of all kind with the clear purpose of watching the reactions to find deviation in the child or in the relationship within hisher family.
The genital and rectal examination will also typically not only have the purpose of finding signs of disease in that region, but also to find signs of development deviations of mental art, signs of abuse , signs of impropriate bahavior or signs of deviating family relationship.
The pediatric profession in many societies is on constant allert to find symptoms of sexual abuse, psychological abuse, neglect of needs or deviations in family dynamics, partly opposed by the political authorities of the society. They also tend to use a rediculously extended definition of sexual abuse or other type of abuse or neglect. Your pediatrician will likely interprete nearly all reactions from your child that deviate from the strict normality scheme as symptoms of abuse.
Every pediatrician have an extensive cooperation with subspecialists within special organ systems of children or within psychology, psychiatry, social work or pedagogy. To a certain extent this is how it should be. But your pediatrician is also likely to work as a kind of sales person for these subspecialists and get provision for every child she refer to them. In this way she can generate a considerably higher profit from your child than from the work she alone does. This commercial relationships are likely to bias her diagnosis and her decisions or advices regarding your child.
The exaggeratedly strict normality schemes that your pediatrician is likely to base her work upon, also has such a commercial objective. The stricter you define normality, and the wider you define the abnormal, the more reason will there be to refere a child to services that the medical community can proffit from. Whether such a commercial relationships will bias her decisions, will of course vary according to the moral standard of your pediatrician and according to which extent such relationships are legal in your society, but it is absolutely a factor you should be aware of.
By Knut Holt
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