Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Vaccine denial: A case of toddler logic syndrome

Justin Morgan, MD
Conditions
July 13, 2014
Share
Tweet
Share

A couple of weeks ago, my family was traveling out of town. I was driving and my wife and almost 2-year-old daughter were buckled up in the back seat playing with some toys. My wife pulled out a brand new container of Play-Doh. As my daughter was preparing to pull the lid off to see what was inside, I drove through a section on the interstate where there was a very strong, pungent smell of manure. Everyone in the car (including my daughter) in unison said, “Ewwww!” and for the rest of the trip, every time she opened her Play-Doh, she said, “Ewwww!” even though the manure odor had long passed.

You see, my daughter truly believed that Play-Doh smelled like manure. There was no talking her out of it. Even after the stench was gone, she knew that the whiff of dung began when she took the lid off the container. She correctly correlated the awful stink to the timing of the opening of the Play-Doh, but she incorrectly assigned causation to it. This same flawed “toddler logic” is sometimes used by adults when it comes to assigning causes to certain developmental conditions, especially autism.

Even though many studies have refuted a link between vaccinations and pervasive developmental disorders and the Lancet retracted the fraudulent study by Dr. Andrew Wakefield, millions of parents have been duped (often by misinformed celebrities) into believing that vaccines can cause detriment to the health of their children. This is a classic case of toddler logic, where it’s easy to assume that A causes B (that vaccines cause autism) simply because A correlated with B (kids who get vaccines sometimes show symptoms of autism around the same age).

It is much more convenient to just blame vaccines. They are given around the time developmental concerns start to present. The shots are not without pain, are not a pleasant experience, and there’s already a prevailing attitude among Hollywood and even some in the medical community that vaccines could still be possibly linked to autism. Sound evidence to the contrary still doesn’t seem to dispel the myth. In fact, in a survey released by the National Consumers League (NCL) in April 2014, 33% of parents of children under the age of 18 and 29% of all adults continue to believe “vaccinations can cause autism.”

While being skeptical of correlation resulting in causation is good for scientific inquiry, dismissing correlation entirely, as if it cannot suggest causation at all, can be just as risky. Epidemiologists and statisticians hone in on scientific evidence quite frequently by looking at trends in data. There is still much to be learned about autism and its root cause.

It is second nature for us to hang our hat on a simple cause-effect relationship. We see it all of the time in the real world. Yet we do not see the moving parts behind what it takes to go from A to B. Coincidentally, a patient is vaccinated (in the case of MMR, usually at 12 months of age) and then developmental regression or delay is noted. Parents out of fear, frustration, confusion or a severe case of toddler logic syndrome (TLS) are deciding to delay or outright refuse vaccines. There’s no wonder there have been multiple recent outbreaks of measles, mumps and pertussis in the United States.

Note: Toddler logic syndrome, or TLS, is not a real medical diagnosis. I totally made it up.

Justin Morgan is a pediatrician who blogs at Bundoo, where this article originally appeared.

Prev

The Match: A testament to the genius of central planning

July 12, 2014 Kevin 59
…
Next

The divergent languages of business and medicine

July 13, 2014 Kevin 12
…

Tagged as: Pediatrics

Post navigation

< Previous Post
The Match: A testament to the genius of central planning
Next Post >
The divergent languages of business and medicine

ADVERTISEMENT

More by Justin Morgan, MD

  • California’s vaccine mandate is working. More states should adopt it.

    Justin Morgan, MD
  • The unknown impact of changing a person’s genetic makeup

    Justin Morgan, MD
  • Are essential oils safe for children?

    Justin Morgan, MD

More in Conditions

  • A daughter’s reflection on life, death, and pancreatic cancer

    Debbie Moore-Black, RN
  • What to do if your lab results are borderline

    Monzur Morshed, MD and Kaysan Morshed
  • Direct primary care limitations for complex patients

    Zoe M. Crawford, LCSW
  • Public violence as a health system failure and mental health signal

    Gerald Kuo
  • Understanding factitious disorder imposed on another and child safety

    Timothy Lesaca, MD
  • Joy in medicine: a new culture

    Kelly D. Holder, PhD & Kim Downey, PT & Sarah Hollander, MD
  • Most Popular

  • Past Week

    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • The loss of community pharmacy expertise

      Muhammad Abdullah Khan | Conditions
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • Sibling advice for surviving the medical school marathon [PODCAST]

      The Podcast by KevinMD | Podcast
    • What is a loving organization?

      Apurv Gupta, MD, MPH & Kim Downey, PT & Michael Mantell, PhD | Conditions
    • What is vulnerability in leadership?

      Paul B. Hofmann, DrPH, MPH | Conditions
  • Past 6 Months

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • Patient modesty in health care matters

      Misty Roberts | Conditions
    • The U.S. gastroenterologist shortage explained

      Brian Hudes, MD | Physician
    • The Silicon Valley primary care doctor shortage

      George F. Smith, MD | Physician
    • California’s opioid policy hypocrisy

      Kayvan Haddadan, MD | Conditions
  • Recent Posts

    • Leadership buy-in is the key to preventing burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • A daughter’s reflection on life, death, and pancreatic cancer

      Debbie Moore-Black, RN | Conditions
    • What to do if your lab results are borderline

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Direct primary care limitations for complex patients

      Zoe M. Crawford, LCSW | Conditions
    • Understanding the unseen role of back-to-school diagnostics [PODCAST]

      The Podcast by KevinMD | Podcast
    • Public violence as a health system failure and mental health signal

      Gerald Kuo | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 11 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • The loss of community pharmacy expertise

      Muhammad Abdullah Khan | Conditions
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • Sibling advice for surviving the medical school marathon [PODCAST]

      The Podcast by KevinMD | Podcast
    • What is a loving organization?

      Apurv Gupta, MD, MPH & Kim Downey, PT & Michael Mantell, PhD | Conditions
    • What is vulnerability in leadership?

      Paul B. Hofmann, DrPH, MPH | Conditions
  • Past 6 Months

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • Patient modesty in health care matters

      Misty Roberts | Conditions
    • The U.S. gastroenterologist shortage explained

      Brian Hudes, MD | Physician
    • The Silicon Valley primary care doctor shortage

      George F. Smith, MD | Physician
    • California’s opioid policy hypocrisy

      Kayvan Haddadan, MD | Conditions
  • Recent Posts

    • Leadership buy-in is the key to preventing burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • A daughter’s reflection on life, death, and pancreatic cancer

      Debbie Moore-Black, RN | Conditions
    • What to do if your lab results are borderline

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Direct primary care limitations for complex patients

      Zoe M. Crawford, LCSW | Conditions
    • Understanding the unseen role of back-to-school diagnostics [PODCAST]

      The Podcast by KevinMD | Podcast
    • Public violence as a health system failure and mental health signal

      Gerald Kuo | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Vaccine denial: A case of toddler logic syndrome
11 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...