Screening for cystic fibrosis is highly controversial. Concerns have been expressed that newborn screening may cause mothers, who had considered their child to be healthy before diagnosis, to overprotect their child. Some critics of screening also suggest that a period of delay from onset of symptoms to diagnosis may help a mother adjust to the reality of the child's lethal condition. This study compared the strength of overprotective child rearing attitudes of 29 mothers whose children were screened (13 had symptomatic children and 16 asymptomatic children) with the attitudes of 29 mothers whose children were diagnosed after the onset of symptoms. Results indicate that newborn screening had not increased a mother's tendency to overprotect her child with cystic fibrosis and in some cases the tendency had decreased. Further, delay in diagnosis when screening was not conducted usually caused mothers considerable personal distress.

This article highlights the negative effects on professionals who regularly work with very abusive families and seeks to identify what protective factors in the work team and its management mitigate these effects. I compare the behavioural consequences of living in a dysfunctional family with the consequences of working in a dysfunctional team. My hope is to identify practical, realistic things that can be done, especially by team managers, to protect staff from the all too familiar emotional costs of such work.

What does it mean to be a professional therapist? This paper explores some of the personal and cultural pressures that influence how we see ourselves as professional therapists. It then explores how these pressures impact upon our capacity to protect children and ourselves.