Growth-Attenuation Therapy: Principles for Practice

@article{Allen2009GrowthAttenuationTP,
  title={Growth-Attenuation Therapy: Principles for Practice},
  author={David B. Allen and Michael S. Kappy and Douglas Diekema and Norman Fost},
  journal={Pediatrics},
  year={2009},
  volume={123},
  pages={1556 - 1561}
}
Publication of an account of growth attenuation with high-dose estrogen in a child with profound physical and cognitive disability brought widespread attention to a common and complex issue faced by families caring for similarly affected children, namely, the potentially negative effect of the increasing size of a child on the ability of his or her family to provide independent care, which in turn makes it more difficult for parents to keep the child in the home and involved in family… 
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It is suggested that after proper screening and informed consent, growth-attenuation therapy should be a therapeutic option available to children with severe, combined neurologic and cognitive impairment should their parents request it.
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TLDR
This work concludes that among the many extraordinary problems confronted by parents of children with profound cognitive and physical disabilities, figuring out how to provide care as the child grows into an adult is among the most difficult to solve and distressing to contemplate.
Growth Attenuation, Parental Choice, and the Rights of Disabled Children: Lessons from the Ashley X Case
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