Very respectfully, I do not agree that pediatricians, overall, in these days of HMO's and triple booked appointments, have the ability to tease out every (or even most) instances of emotional abuse. As a mandated reporter myself, I know it is a very difficult and sticky situation that is often met with derision by CPS toward the reporter. Unfortunately even those who suspect it are reluctant to report it as it is difficult to detect and almost impossible to prove if the abuser has much intelligence, and if not intelligence, at least street smarts (which most seem to have in abundance in my experience).
I think we'll have to agree to disagree. I was a foster parent for many,many years. I cared for a whole lot of children, and almost 100 % of them had been abused in some way,shape or form. I reported to CPS so many times. I was always taken seriously, possibly because I didn't allow anything else. I have testified in court often... Most peds I dealt with were sharp,compassionate, aware people, very much on top of abuse situations. I was a foster parent when we lived in Marin County CA, and also in Alexandria VA. I didn't find any difference worth noting in the level of pediatric care I used...
All JMO