SBS的历史及其与捍卫虚假滥用指控的关系-第1部分

了解动摇的888真人app综合症的发展可以使人们更好地了解针对被错误指控虐待的父母的医疗指控。在一个由两部分组成的文章中,我回顾了SBS的发展历史,以揭示该理论的一些缺点,并为捍卫虚假的滥用指控提供见解。

1970年'■两位医生(卡菲和古斯凯尔奇)提出了这个想法,即摇动/鞭打可能是导致发现硬膜下出血,无外来虐待或其他明显原因的888真人app无法解释和突然崩溃或死亡的原因。有人认为,头部较大而颈部肌肉无力的888真人app摇晃会导致888真人app'头部撞到胸部。最初,提出了为什么会发抖的良性例子,例如试图复兴或帮助正在窒息的孩子。父母没有故意蓄意的恶意意图。相反,该想法的发展旨在更多地是为了警告父母而开展的一项提高公众意识的运动,以使他们不会因摇晃而无意中伤害孩子。

随着时间的流逝,这种提高公众意识的运动演变成一种法医学假说,后来被称为"888真人app摇动综合症。"假设认为,如果有三项医学发现("triad")同时存在于888真人app中(硬膜下出血,视网膜出血和脑病),则可以可靠地推断出是原因。由于出现的大多数888真人app均无症状(没有其他明显的伤害),因此,SBS的诊断被认为是潜在创伤发现的唯一解释。

The next step in the development of the SBS was to provide an explanation of how shaking actually caused the injuries. Proponents of SBS theorized that violent shaking results in the 三合会 due to the rupture of veins and brain axons. Subdural hemorrhages (brain bleeds) were believed to be the result of a rupture in the bridging veins that convey blood from the brain to the large veins or sinuses. The back and forth motion would cause the vein to rupture and pour blood into the dural area of the brain. Likewise, the same rapid acceleration / deceleration would cause the retinal blood vessels to rupture leading to the observed hemorrhages in the eyes. The force of shaking was also assumed to be sufficient to cause the axons or nerves that connect the cells of the brain to tear or separate.

提供的解释存在的问题是,它并非源自基于科学方法的研究,而是本质上纯粹是假设的。出于明显的原因,遵守这三个发现之间的因果关系(通常称为"triad") could not be scientifically tested. Meaning, no one would ever take a health baby and intentionally and violently shake it to see if the 三合会 presented in the infant. Instead, the causal connection was developed in an entirely hypothetical manner. The problem with purely hypothetical ideas, which cannot be proved or disproved though the scientific method, is that they can sustain a position of high ground for extended periods of time causing them to be generally accepted even though they lack significant factual proof.

一旦提供了因果解释,SBS就从假设发展为医学诊断。 SBS继续受到欢迎,并且似乎在医疗领域发展了牢固的地位。直到2001年对路易斯·伍德沃德(波士顿的英国保姆)的审判和盖德斯博士的工作之后,SBS的缺陷才开始被发现。续第2部分。


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