The American Academy of Pediatrics Committee on Children With Disabilities issued warnings regarding patterning, one of the IAHP's therapies for brain injured children, as early as 1968[24] and repeated in 1982.[25] Their latest cautionary policy statement was in 1999, which was reaffirmed in 2002 and 2005. It stated:[2]
This statement reviews patterning as a treatment for children with neurologic impairments. This treatment is based on an outmoded and oversimplified theory of brain development. Current information does not support the claims of proponents that this treatment is efficacious, and its use continues to be unwarranted.... [T]he demands and expectations placed on families are so great that in some cases their financial resources may be depleted substantially and parental and sibling relationships could be stressed.
Since 1960 the IAHP has published multiple studies professing to show the effectiveness of the program. These studies, upon review, have not stood up to scientific scrutiny and have not been reproduced by other sources.[26] In 1978, Sara Sparrow (professor emerita and senior research scientist at Yale Child Study Center)[27] and Edward Zigler (professor emeritus at the Department of Psychology at Yale University,[28] one of the principle architects of the US federal Head Start program and recipient of the 2008 APA Award For Outstanding Lifetime Contribution To Psychology)[29] evaluated patterning as a treatment for retarded children. They concluded that no evidence was found for an improvement over that which would be expected of children given attention or that expected of any child as they mature; the patterning method cannot be recommended for seriously retarded children.[30] Zigler wrote a 1981 editorial entitled "A plea to end the use of the patterning treatment for retarded children", which emphasized the harmful effect the treatment has by raising false hopes and increasing parental guilt.[26][31] According to Edward Zigler and Robert Hodapp, in their book Understanding Mental Retardation, the Doman-Delacato method has major flaws:[17]
The recapitulation theory it is built upon has been discarded by the natural sciences.
The suggestion that motor development has stages, which depend on earlier developments, is not supported by evidence.
There is no evidence that passive movements by a child, forced to engage in crawling movements, affects neurological organization.
Children who voluntarily perform an activity (such as sitting or walking) before mastering preceding stages, are prevented from doing so by the IAHP—possibly harming the child.
The only scientific paper published by Doman on patterning (in 1960) contains many methodological errors and overstatements of findings. The study had no control group so was unable to compare with children who would naturally show some developmental progress over time. When independent scientists compared the results with the progress made by untreated children, the "results of patterning appear singularly unimpressive".
The patterning procedure may be harmful to its participants (the parents experience guilt at being unable to achieve the intensive program required) and other family members through neglect.
It is cruel to offer hope through a program that is impossible to fully carry out.
In addition to the American Academy of Pediatrics, a number of other organizations have issued cautionary statements about claims for efficacy of this therapy.[2] These include the executive committee of the American Academy for Cerebral Palsy,[32] the United Cerebral Palsy Association of Texas,[33] the Canadian Association for Retarded Children[34] the executive board of the American Academy of Neurology,[35] and the American Academy of Physical Medicine and Rehabilitation.[36]
A 2006 retrospective study of 21 children by the IAHP and others of children with cortical visual impairment found significant improvement after use of the program; the study had no control group and has not been replicated.[37]
Kathleen Ann Quill, in her book Teaching children with autism: What parents want,[38] says "thousands of families have wasted time and money to follow Doman's methods." She goes on to say "Professionals have nothing to learn from Doman's pseudoscientific treatments, but they have plenty to learn from his marketing strategy", which is aimed at parent's "hopes and fantasies".
Martha Farrell Erickson and Karen Marie Kurz-Riemer discuss Early Intervention with "Normal Infants and Toddlers" in their book "Infants Toddlers and Families".[39] They claim Doman "capitalized on the desires of members of the "baby boom" generation to maximise their children's intellectual potential" and "encouraged parents to push their infants to develop maximum brain power". However his programs were "based on shaky or nonexistent research evidence" and "most child development experts at the time described many aspects of the program as useless and perhaps even harmful."
Martin Robards also cites widespread criticism in his book Running a Team for Disabled Children and Their Families[1] but concedes that Doman and Delacato caused paediatricians and therapists to recognize that early intervention programs are needed.
Steven Novella, assistant professor of Neurology at Yale University School of Medicine, criticized the technique as follows:[40]
The Doman-Delacato patterning technique is premised on a bankrupt and discarded theory and has failed when tested under controlled conditions. Its promotion with unsubstantiated claims can cause significant financial and emotional damage. Such claims can instill false hope in many people who are already plagued by guilt and depression, setting them up for a further disappointment, guilt, and feelings of inadequacy. The process can also waste their time, energy, emotion, and money. These resources may be taken away from their children. Parents can also be distracted from dealing with the situation in other practical ways and coping psychologically as a family with the reality of having a brain-injured or mentally retarded child. Parents are encouraged, in fact, to remain in a state of denial while they are pursuing a false cure.[40]
^ a b Robards, Martin F (June 1994). Running a Team for Disabled Children and Their Families. Cambridge University Press. p. 150. ISBN 0-901260-99-1.
^ a b c Committee on Children with Disabilities, American Academy of Pediatrics (1999). "The treatment of neurologically impaired children using patterning". Pediatrics 104 (5 Pt 1): 1149–51. doi:10.1542/peds.104.5.1149. PMID 10545565.
^ "IN-REPORT", Institutes for The Achievement of Human Potential
^ Doman RJ, Spitz EB, Zucman E, Delacato CH, Doman G (1960). "Children with severe brain injuries. Neurological organization in terms of mobility". JAMA 174: 257–62. PMID 13817361.
^ SQUAREONE PUBLISHERS http://www.squareonepublishers.com/gen_authors.html#Doman
^ The Society of Neurological Surgeons: http://www.societyns.org/society/bio.aspx?MemberID=7450
^ Scott F Gilbert (2006). "Ernst Haeckel and the Biogenetic Law". Developmental Biology, 8th edition. Sinauer Associates. Retrieved 2008-05-03. "Eventually, the Biogenetic Law had become scientifically untenable."
^ Scherzer, Alfred L (November 2000). Early Diagnosis and Interventional Therapy in Cerebral Palsy. Marcel Dekker. p. 376. ISBN 0-8247-6006-9.
^ Glenn Doman and Dr. Ralph Peligra, "Ictogenesis: the origin of seizures in humans. A new look at an old theory." Medical Hypotheses Volume 10, Issue 1. pp. Pages 129-132 (January 2003)
^ Glenn Doman (2005-04-25) [1974]. What To Do About Your Brain-injured Child (Revised ed.). Square One Publishers. ISBN 0-7570-0186-6.
^ Glenn Doman, Janet Doman (2005-10-12) [1964]. How To Teach Your Baby To Read (Revised ed.). Square One Publishers. ISBN 0-7570-0185-8.
^ Glenn Doman, Janet Doman (2005-08-30) [1979]. How To Teach Your Baby Math (Revised ed.). Square One Publishers. ISBN 0-7570-0184-X.
^ Glenn J. Doman, Janet Doman (2005-11-05) [1983]. How To Multiply Your Baby's Intelligence (Revised ed.). Square One Publishers. ISBN 0-7570-0183-1.
^ Douglas Doman (2006). How to Teach Your Baby to Swim: From Birth to Age Six. Square One Publishers. ISBN 0-7570-0198-X.
^ "IAHP website". Iahp.org. Retrieved 2010-03-09.
^ "Upcoming Courses". iahp.org. Retrieved 2010-03-09.
^ a b Zigler, Edward; Hodapp, Robert M (August 1986). Understanding Mental Retardation. Cambridge University Press. p. 306. ISBN 0-521-31878-5.
^ Janet Doman in an article "The Honorable Corps of Patterners" on the IAHP website.
^ The Institutes Developmental Profile, on the IAHP web site.
^ The IAHP website:http://www.iahp.org/How-to-Multiply-Your-Baby.328.0.html
^ a b Glenn Doman and Dr. Ralph Peligra, "Ictogenesis: the origin of seizures in humans. A new look at an old theory." Medical Hypotheses Volume 10, Issue 1. pp. Pages 129-132 (January 2003)
^ Roselise H. Wilkinson, MD. "Detoxification from anticonvulsants: 25 years of experience with brain-injured children". IAHP. Retrieved 2008-04-29. "...our rationale is also based on our strong belief that seizures serve a physiological function, as do the many other defense mechanisms of the body. Coughing, vomiting, diarrhea, fainting, and fever could also be viewed as dysfunctions, but we know that they are designed to protect the organism. So also are seizures. A seizure is an activity of great metabolic activity of the brain, and during its presence cerebral blood flow increases, providing more oxygen and glucose and increasing excitatory amino acids necessary for establishing the neuronal wiring and function."
^ Roselise H. Wilkinson, MD. "Detoxification from anticonvulsants: 25 years of experience with brain-injured children". IAHP. Retrieved 2008-04-29. "Additional measures are: I. Optimize respiratory function to increase oxygen availability. II. Masking--a procedure of rebreathing for short periods to gain CO2 enrichment resulting in a favorable acid base balance and to increase cerebral circulation. This technique is useful to shorten individual seizures as well. III. Restriction of sodium and liquids to prevent fluid retention and increased intracranial pressure. IV. Excellent nutrition to maintain good health and structures and to provide for energy and all needed vitamins, minerals, and neurotransmitter precursors. V. Magnesium and calcium supplements to promote central nervous system membrane stability. VI. Pyridoxine to support GABA and to increase the efficient use of oxygen by the brain. VII. Control the environment: Pollution, toxins, hyperthermia, reduced oxygen availability. VIII. Maintain excellent health--avoidance of infections, etc."
^ American Academy of Pediatrics. Doman-Delacato treatment of neurologically handicapped children. AAP Newsletter. June 1, 1968(suppl)
^ American Academy of Pediatrics, Committee on Children With Disabilities. The Doman-Delacato treatment of neurologically handicapped children. Pediatrics. 1982; 70:810-812. PMID 6182521
^ a b Holm VA (1983). "A western version of the Doman-Delacato treatment of patterning for developmental disabilities". West J Med 139 (4): 553–6. PMC 1021589. PMID 6196919.
^ "Sara S. Sparrow, Ph.D., Yale Child Study Center: Yale School of Medicine". Childstudycenter.yale.edu. Retrieved 2010-03-09.
^ "Edward F Zigler, Yale Psychology Faculty". Yale.edu. Retrieved 2010-03-09.
^ Edward Zigler Receives 2008 APA Award For Outstanding Lifetime Contribution To Psychology Medical News Today. 14 August 2008.
^ Sparrow S, Zigler E. Evaluation of a patterning treatment for retarded children. Pediatrics. 1978; 62:137-150. PMID 693151.
^ Zigler E A plea to end the use of the patterning treatment for retarded children. Am J Orthopsychiatry. 1981; 51:388-390. PMID 7258304
^ American Academy for Cerebral Palsy. Doman-Delacato treatment of neurologically handicapped children. Statement of Executive Committee. Rosemont, IL: American Academy for Cerebral Palsy; February 15, 1965
^ United Cerebral Palsy Association of Texas. The Doman-Delacato Treatment of Neurologically Handicapped Children [information bulletin, undated]. Austin, TX: United Cerebral Palsy Association of Texas
^ Canadian Association for Retarded Children. Institutes for the Achievement of Human Potential. Ment Retard. Fall 1965:27-28
^ American Academy of Neurology and American Academy of Pediatrics Joint Executive Board Statement. The Doman-Delacato treatment of neurologically handicapped children. Neurology. 1967; 17:637
^ American Academy of Physical Medicine and Rehabilitation. Doman-Delacato treatment of neurologically handicapped children. Arch Phys Med Rehabil. 1968; 49:183-186. PMID 4296733
^ Malkowicz DE, Myers G, Leisman G (2006). "Rehabilitation of cortical visual impairment in children". Int J Neurosci 116 (9): 1015–33. doi:10.1080/00207450600553505. PMID 16861165.
^ Quill, Kathleen Ann (June 1995). "page 57". Teaching Children With Autism. Thomson Delmar Learning. p. 336. ISBN 0-8273-6269-2.
^ Erickson, Martha Farrell; Kurz-Riemer, Karen Marie (March 2002). "page 17". Infants Toddlers and Families. Guilford Press. p. 204. ISBN 1-57230-778-1.
^ a b Novella S (2008). "Psychomotor patterning: a critical look". Quackwatch. Retrieved 2008-10-23.
^ Pauling, Linus (November 1978). Ralph Pelligra, ed.. ed. "Orthomolecular enhancement of human development" (PDF). Human Neurological Development: Past, Present, and Future. A Joint Symposium Sponsored by NASA/Ames Research Center and the Institutes for the Achievement of Human Potential. NASA CP 2063: 47–51.
^ Review by Jean Clark of "Dart: Man of Science and Grit" by Frances Wheelhouse and Kathaleen S. Smithford, published in STATNews vol. 6, issue 11, September 2003.
^ "Palm Springs Life". Officiallizaminnelli.com. Retrieved 2010-03-09.
^ http://www.imdb.com/name/nm0591485/otherworks 作者: violetshu4 时间: 2013-2-26 09:47
只有在专家的指导下，根据血液报告配置营养品、控制不该吃的食物，4天一轮换食物、听特制的音乐、有针对性的运动 奇奇爸爸这个是什么意思？ 特制营养品是什么 特制音乐又是什么？能具体解释清楚吗？作者: 吴思奇爸爸 时间: 2013-2-27 07:36
关于营养品，我了解得不多，所以在我们这里只会建议家长给孩子补充必要的维生素和矿物质，如果有明显的重金属问题或者肠道问题，我们会建议孩子去做这方面的检查，根据检查结果做排毒排重金属的治疗，这个目前国内还比较少专业的机构和专业的人员，一般都需要去香港。在现在的生存环境下，基本每个人都会有重金属中毒和食物过敏的问题，所以，不是每个孩子都需要去做这个治疗，最近我可能会在博客里写写我对这方面的看法。控制不该吃的东西，一方面是有些食物容易让孩子过敏，吃了会影响孩子的情绪甚至大脑，另一方面，有一些食物确定是对孩子来说是垃圾食品，比如可乐、牛奶（这个是有争议的，但很多专家建议不要给孩子喝牛奶，因为现在已经没有放心奶源）、糖、油炸食品。特制音乐，在杜曼的体系中，用的是美国EASE的处理过的音乐，对某些频率做了过滤的处理，有助于改善耳朵的听力问题，我们现在在使用TOAMTIS的音乐，最近我在接受这方面的培训，也会在博客里做介绍的。作者: 原大宝妈妈 时间: 2013-11-22 14:26
请问。思奇爸爸，你的训练中心在哪里？能说具体点吗？我小孩子是婴儿痉挛症，发作未完全控制住，每日发作1--3下《总计》，能去你哪里康复吗？作者: 原大宝妈妈 时间: 2013-11-22 14:26
急盼回复作者: 吴思奇爸爸 时间: 2013-11-28 08:02
我们是在深圳坂田万科四季花城六期东门对面，现在一个新的地方也要马上开始运作，都在深圳。有婴儿痉挛症的孩子，首先要通过治疗控制发作，杜曼的训练里也有一些方法可以帮助改善，但是打运动的训练一定也要同步进行，身体机能和大脑供氧改善了，才能根本性地改善发作的问题，如果你离深圳近的话，可以过来我们这里看看。作者: 随然 时间: 2013-12-20 21:36