CMAJ • December 12, 2000; 163 (12)
Pathology in the Hundred Acre Wood: a neurodevelopmental perspective on A.A. Milne
Sarah E. Shea, Kevin Gordon, Ann Hawkins, Janet Kawchuk and Donna Smith
Sarah-the-Shea, Ann-the-Hawkins, Janet-the-Kawchuk and Donna-the-Smith are with the Division of Developmental Pediatrics and Kevin-the-Gordon is with the Division of Neurology, Department of Pediatrics, Dalhousie University, Halifax, NS.
Somewhere at the top of the Hundred Acre Wood a little boy and his bear play. On the surface it is an innocent world, but on closer examination by our group of experts we find a forest where neurodevelopmental and psychosocial problems go unrecognized and untreated.
On the surface it is an innocent world: Christopher Robin, living in a beautiful forest surrounded by his loyal animal friends. Generations of readers of A.A. Milne's Winnie-the-Pooh stories have enjoyed these seemingly benign tales. However, perspectives change with time, and it is clear to our group of modern neurodevelopmentalists that these are in fact stories of Seriously Troubled Individuals, many of whom meet DSM-IV3 criteria for significant disorders. We have done an exhaustive review of the works of A.A. Milne and offer our conclusions about the inhabitants of the Hundred Acre Wood in hopes that our observations will help the medical community understand that there is a Dark Underside to this world.