PEDIATRICS Vol. 46 No. 5 November 1970, pp. 661-663
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THE CONCEPT OF FAILURE TO THRIVE

Clement A. Smith M.D.1 and William Berenberg M.D.1

1 Children's Hospital Medical Center, Boston, Massachusetts 02115

One cannot overhear a pediatric hospital resident say that last night he "admitted two failures to thrive" (or was it "two failure to thrives"?) without momentary doubt whether description is clearly distinguished from diagnosis. A similar uneasiness may arise during the occasional grand rounds or postgraduate courses held under that title. If the concept of failure to thrive evokes a challenge to the student and house officer to proceed with a logical and orderly sorting out of the differential diagnoses, all is probably well. But if, as one sometimes suspects, failure to thrive is comfortably assumed to be a diagnosis in itself, or imply only one cause, or one group of causes, pediatric thinking may be blurred rather than clarified.




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