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Reconceptualizing feeding and feeding disorders in interpersonal context: the case for a relational disorder

W Hobart Davies1, Ellyn Satter, Kristoffer S Berlin

  • 1Department of Psychology, University of Wisconsin-Milwaukee, and Psychiatry and Behavioral Medicine Center, Children's Hospital of Wisconsin, Milwaukee, WI 53201-0413, USA. whdavies@chw.org

Journal of Family Psychology : JFP : Journal of the Division of Family Psychology of the American Psychological Association (Division 43)
|August 30, 2006
PubMed

Insights

Diagnosing pediatric feeding disorders requires a holistic approach, considering the child, parent, and environment. Proposed criteria for "Feeding Disorder Between Parent and Child" offer a more comprehensive framework for effective treatment planning.

Area of Science:

  • Pediatric feeding and nutrition
  • Child psychology and development
  • Family systems theory

Background:

  • Pediatric feeding is a complex, relational process influenced by multiple systems.
  • Current diagnostic methods for feeding disorders are often reductionistic, focusing solely on the child.
  • Existing approaches may overlook crucial relational and environmental factors impacting feeding.

Purpose of the Study:

  • To propose new diagnostic criteria for "Feeding Disorder Between Parent and Child."
  • To address limitations in current reductionistic diagnostic approaches.
  • To embrace the complexity of pediatric feeding problems by considering multiple influences.

Main Methods:

  • Development and refinement of multiaxial diagnostic criteria.
  • Informed by existing literature on pediatric feeding disorders.
  • Based on extensive clinical experience in treating feeding problems.

Main Results:

  • Proposed multiaxial diagnosis includes child characteristics, parent factors, parent-child relationship, and socio-nutritional context.
  • This comprehensive approach moves beyond child-focused, exclusionary criteria.
  • The criteria are designed to better inform integrated treatment planning.

Conclusions:

  • A multiaxial diagnostic framework is essential for accurately assessing and treating pediatric feeding disorders.
  • The proposed "Feeding Disorder Between Parent and Child" criteria facilitate targeted, integrated treatment.
  • This approach supports the development of effective interventions addressing the child, parent, interaction, and environment.

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