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Let us also be clear that we don't need to raise the spectre of parental blame, as Deborah Orr does (12 March), in order to understand madness in an increasingly unequal, individualistic, competitive and often traumatising and abusive world.
Morrow and San Roque also criticised Riley's article, stating it "disturbingly... married parental blame with the well-documented notion that the rape victim herself is presumably to blame for her attack".
The participants' concepts of parental responsibility linked with their attitudes towards parental blame for childhood obesity.
For example, family conflict and parental blame have been shown to be associated with poorer CBT outcome in young people with OCD 53 and pilot data suggest that family therapy specifically aimed at targeting these dynamics is an effective adjunct to CBT in families that present with these difficulties.
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The "FEAST" trial did not seek consent for included children who died in order to reduce parental self-blame [ 50, 68].
This parental guilt and blame may adversely affect parents' psychological well-being, potentially for decades, and has been observed in other populations [ 6].
Box 4 Examples of participants' quotes on perceptions of parental responsibility and blame for childhood obesity Theme 7: Parents have control over children's eating, physical activity and body weights 7.1 Gp01P1 (Mother)***: We're the ones that are solely responsible for their food that goes into their mouth, how much food goes onto their plate, and what their activities are.
Depending on their political coloration and background, the politicians blame parental permissiveness, radical agitation among students since the 1968 disorders, disrespect for authority, the glorification of violence in films and on television or the "scandalous neglect" of a Government that ignores safety hazards in its schools.
The analysis yielded 12 major themes, clustered under four thematic categories: Perceptions of young children's body sizes, perceptions of the timeline of obesity, perceptions of parental responsibility and blame for childhood obesity, and perceptions of appropriate contexts for speaking about preschoolers' body weights.
Ultimately, "Detachment" blames parental indifference for everything: students who hurl profanity at their teachers, teachers who collapse in histrionic despair, and total classroom dysfunction.
Sometimes they blamed parental carelessness, or negative and fatalistic family attitudes about vaccination and illness.
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