Parental medical neglect in the treatment of adolescents with anorexia nervosa.
OBJECTIVE
Although childhood sexual abuse has been a frequent focus of research on eating disorders, other forms of maltreatment have been less commonly reported. Parental medical neglect is examined in this study as having serious consequences for the treatment and prognosis of patients with anorexia nervosa.


METHODS
Two case studies illustrate parental interference with treatment in which Child Protective Services (CPS) had to be involved in compliance with state law. Two adolescent females who were admitted for treatment for anorexia nervosa are presented.


RESULTS
In both cases, the parents refused to comply with the recommendations of the treatment team, placing their children's health in jeopardy. In compliance with reporting guidelines, CPS was notified in both cases.


CONCLUSIONS
Clinicians who treat minors with anorexia nervosa must consider parental compliance with treatment. Indications for the involvement of CPS are outlined. Optimally, this notification can ensure that the patient and family receive the requisite treatment.
Fornari
V
V
Division of Child and Adolescent Psychiatry, Department of Psychiatry, North Shore University Hospital, New York University School of Medicine, Manhasset, NY 11030, USA. vfornari@nshs.edu
Dancyger
I
I
Schneider
M
M
Fisher
M
M
Goodman
B
B
McCall
A
A
D000293:Adolescent; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D001294:Attitude to Health; D002649:Child Abuse / Q000523:psychology*; D003299:Cooperative Behavior; D005260:Female; D006801:Humans; D010290:Parents