Child Abuse and the Lack of Intellectual Integrity

William A. Cox, M.D., FCAP Forensic Pathologist/Neuropathologist

October 18, 2017

INTRODUCTION

Child Abuse and the Lack of Intellectual IntegrityAt this point in my career I have practiced Forensic Pathology for 43 years and Neuropathology for 41 years. Some of the most contentious cases I have had to deal with are those involving the death of a child in which non-accidental injury, child abuse, is believed to be the under lying causation of death. The determination of the cause of death in a child requires the forensic pathologist performing the postmortem examination to have a thorough understanding of the investigatorial information surrounding the circumstances, which led to the child’s death, as well as their past and present medical records. It is also essential the forensic pathologist approaches the clinical history, medical records and the findings of a very thorough autopsy in an unbiased and objective manner, free from all prejudice, and exercising eminent fairness in evaluating all facts of the case. It is equally important the forensic pathologist consider all literature related to the issues deemed responsible for the child’s death and not just the child abuse literature. It is important in the evaluation of alleged cases of child abuse that there be consideration of the non-CAC (child abuse community) peer- reviewed literature that challenges, if not refutes many of the unproven CAC teachings. Consensus statements from the American Academy of Pediatrics and the Society for Pediatric Radiology in-of-themselves do not create or validate science. Continue reading Child Abuse and the Lack of Intellectual Integrity

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