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Knotted Cord - Transgenerational Alcohol Related Neurodevelopmental Disorder (ARND) (Hardcover)
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Knotted Cord - Transgenerational Alcohol Related Neurodevelopmental Disorder (ARND) (Hardcover)
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The title of the book harks back to Michael Dorris's seminal work
The Broken Cord (1987) which eloquently brought this hidden'
population into the light. However, the metaphorical umbilical cord
is not truly broken, and the unique neurodevelopmental disorder
resulting from prenatal alcohol exposure will continue to be one
ghost in our delivery rooms, nurseries, and lives which haunts us.
Why a different knot'? Because management becomes knotted with the
origins of the infant's prenatal life, whether they are birthed,
fostered, adopted, either same culture or inter-country adopted.
The knot' (as in Not it'), also speaks to medical professionals and
society's continued ambivalence to acknowledging another
inconvenient truth. Maternal drinking in pregnancy causes Alcohol
Related Neurodevelopmental Disorder (ARND) whether dysmorphic,
called Fetal Alcohol Syndrome (FAS), or non dysmorphic, ARND
itself. These are both transgenerational developmental psychiatric
disorders. The prevalence of ARND continues to be under-recognised
as it is mainly presented as a faceless 'hidden disability'
(masquerading as ADHD, Mood Disorder or ASD), rather than a facial
dysmorphic disorder. The subtle denial and minimisation of
transgenerational alcohol abuse is aided only by diagnosing the far
less frequent dysmorphic ARND (FAS). This creates a false security
across social classes concerning alcohol's true transgenerational
epigenetic effect. Thus, the real financial costs and health care
burden of trans-generational ARND , with an international
prevalence of 1 in 100 live births, is avoided.
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