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eLetters is an online forum for ongoing
peer review. To submit an eLetter please go to the article you wish
to respond to and click on the link that reads
"eLetters: Submit a Response." Submission of
eLetters are open to all health care professionals
and experts in related fields.
eLetters to:
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- ARTICLE:
Geoffrey A. Jackman, Mirna M. Farah, Arthur L. Kellermann, and Harold K. Simon
- Seeing Is Believing: What Do Boys Do When They Find a Real Gun?
Pediatrics 2001; 107: 1247-1250
[Abstract]
[Full text]
[PDF]
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eLetters published:
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Boys will be boys - thank God
- Thomas M Ryan
(5 June 2001)
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Keep studying, keep publishing
- Sue MacDoanld
(5 June 2001)
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The conclusion of the study is too broad.
- Nick Castille
(5 June 2001)
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Okay, but...
- Thivakorn Kasemsri
(6 June 2001)
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The results say lock up the ammunition, not the gun
- Stephen K Fox
(12 June 2001)
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Untitled
- Charles D Sewell
(29 June 2001)
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Boys will be boys - thank God |
5 June 2001 |
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Thomas M Ryan, Physician Solo private practice
Send letter to journal:
Re: Boys will be boys - thank God
tmrmd{at}aol.com Thomas M Ryan
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The fact that boys will be curious about firearms of any sort should
come as no surprise to even a casual observer of young people. It is
called normal behavior. This so called study fails to adhere to any basic
principle of sound scientific dicipline. I suspect it is published more to
further a political agenda than to offer discovery to the scientific
community or the people in general. It does however illuminate the need
for good firearm safety education as offered by the NRA and which is
available to all schools for the asking. It has been shown that such
safety education is a powerful deterrent to firearm accidents involving
children. The safe storage of firearms involves common sense and should be
left up to the individual to decide based on the particular situation. It
should not be dictated by any government bureaucracy
All medical societies and their journals should stick to medical
matters and leave out the pursuit of social or political agendas
concerning issues of which they have no expertise.This type of biased
commentary has no place in a reputable scientific journal and only
undermines credibility. Yours truly, Thomas M. Ryan MD
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Keep studying, keep publishing |
5 June 2001 |
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Sue MacDoanld, writer PlanetFeedback.com
Send letter to journal:
Re: Keep studying, keep publishing
smacdonald{at}cinci.rr.com Sue MacDoanld
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Thank you for continuing to study the behavioral factors that
surround this country's sickening -- no pun intended --obsession with
guns.
As a mother of a teen-age boy, I fully expect the medical community
and its researchers to continue to study guns, gun safety, gun behavior,
gun injury, gun fatalities, gun psychology and all of the associated
factors related to guns. And if the end result is a national movement to
restrict gun purchases, gun use and gun ownership, then I'm all for it.
And if we can't restrict guns, then let's start restricting bullets.
That's how serious this issue is to us as a nation. It was only when
mothers of children killed by drunken drivers began speaking out about the
social/health effects of such behaviors did we, as a nation, get serious
about cracking down on drinking and driving.
Now let's turn our attention to the issue of guns and gun violence.
When your kid -- or my kid -- picks up a gun and points it at another kid,
it's not a political issue then. When my kid ends up in the emergency room
or funeral home, it's not a political issue. It's a health issue, a life-
and-death issueand I, for one, thank you and your Emory colleagues for
your diligence to this health issue.
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The conclusion of the study is too broad. |
5 June 2001 |
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Nick Castille, Engineer
Send letter to journal:
Re: The conclusion of the study is too broad.
gunsaregood{at}yahoo.com Nick Castille
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The authors conclude that "Guns that are kept in homes should be
stored in a manner that renders them inaccessible to children". This
conclusion is not supported by the study. A correct conclusion would have
been "Guns that are kept in hospitals should not be stored in a context
that suggests they are playthings, such as in a cabinet with toys that
test subjects have been encouraged to investigate".
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Thivakorn Kasemsri, Pediatric Intensivist Covenant Medical Group
Send letter to journal:
Re: Okay, but...
tkasemsri{at}home.com Thivakorn Kasemsri
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The question I have is whether this or any other articles in the
future will contribute further to the fact that firearms are dangerous in
the hands of children. This is not a political rhetoric but a "fact".
What is political is the need for such studies to dissuade gun advocates
and the support of such studies by gun-control advocates. I think that
there are other venues for such studies other than a rigorous scientific
journal even within the AAP, for example, AAP News and the AAP website.
Even within "Pediatrics", the article could have been a Letter to the
Editor (I wonder whether a study on the danger of a hunting machete in the
hands of toddlers will be published as a letter or as an article, if at
all). I see that the article has already misled a reader into thinking
that just because the article was published meant that the conclusion was
scientifically supported and that it would enhance the cause of gun-
control advocates. At best, it reiterated an irrefutable fact, at worst,
it shines light on the fact that pediatricians are willing to wrap the
cloak of science around a political agenda at the risk of weakening other
scientifically sound theories and therapies that we employ everyday in
clinic. Yes, I believe that the physician should be a contributing voice
in community politics but he/she should be careful to delineate whether
his/her agenda comes from sound mind, logical thought, and care for
children or from true and rigorous scientific endeavor. To put it simply,
let us do science and police how science is used but let us not politicize
science. Thank you.
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The results say lock up the ammunition, not the gun |
12 June 2001 |
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Stephen K Fox, consultant former academic, now self employed
Send letter to journal:
Re: The results say lock up the ammunition, not the gun
foxskf{at}cs.com Stephen K Fox
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Leaving aside the question of whether it is even worth a study to
determine whether boys will play with a gun in a safe environment or
whether parents can infallibly gauge their sons' interests in firearms,
there is a critical question of whether the design of this experiment
allows the researchers to reach the conclusion that guns must always be
stored by locking them up. The study itself suggests a different
conclusion and indicates a safer way to keep a gun in a home with young
children.
Two questions in any social science study are internal validity (are
the results interpretable even in terms of the study itself) and external
validity (do the results generalize to the population at large in the real
world.) The design of this study fails on both counts. Internally, by not
crossing the environments and explicit parental instruction in a two by
two design (safe environment vs nonsafe environment and prohibitive
instructions vs permissive instructions) there is no way to determine
whether verbal prohibitions by the parents will impact the likelyhood of
playing with a gun or not. Since the study uses only a single group
design, with no other groups to contrast differing experimental
conditions, the only valid conclusion that can be reached is that the boys
did indeed assume that the clinic setting itself was a safe place and that
it was safe to play with anything they found there. This is precisely what
they did.
Since the sample was one of "convenience" rather than a random
sample, it is impossible to draw any conclusion about the generalizability
of the results to the population of boys at large. Even if the results
were limited to a clearly specified segment of the the population, the
only conclusion that can be drawn that translates to the world outside the
experimental setting itself is that it is safe to allow boys to play with
unloaded guns, even if they should pull the trigger. This is not,
however, the conclusion that the researchers put forth. Instead, the offer
a conclusion (e.g., that guns should be locked up around boys of this age
range) that goes beyond the results of the study and that makes more sense
in terms of its political implications than the observed behavior of the
study's subjects.
This study is irresponsible on both scientific and political grounds.
Scientifically, the results warrant a different conclusion than that put
forward by the researchers. Politically, the study seems designed for
misrepresentation by the media, who have touted this study to imply that
restictive storage laws are "scientifically" justified. Ironically, the
study itself supports exactly the opposite conclusion, that the safest way
to keep a handgun in a house with children is to lock up the ammunition
and not the gun.
No mention is made by the researchers of the hazards of keeping gun
purchased for personal protection locked up so that it cannot be used by a
responsible adult when it is needed most. Since the study itself
demonstrates that this is not necessary in terms of the safety of the boys
involved, the only conclusion is that, for the collective safety of all
members of the family, adults as well as children, the safest course is to
keep all handguns unloaded and make sure that the ammunition is
accessible only to an adult.
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Charles D Sewell, Machine Technician and father of 2
Send letter to journal:
Re: this article
cdsea10{at}aol.com Charles D Sewell
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Talk about a controlled test- ONE OBJECT.
Repeat the same test with the same number of boys - changing the
object - duplicating the exact same environment.
Put a 8 inch hunting knife in the same drawer and watch what happens.
Next, put a 5 inch folding pocketknife in the drawer and watch what
happens.
Lastly, put a pocket butane lighter in the drawer.
The same percentage of boys or greater will take the knives out of
the drawer and open them, take the lighter out and click it.
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