TY - JOUR T1 - Highlights from this issue JF - Archives of Disease in Childhood JO - Arch Dis Child SP - i LP - i DO - 10.1136/archdischild-2021-323282 VL - 106 IS - 11 AU - Nick Brown Y1 - 2021/11/01 UR - http://adc.bmj.com/content/106/11/i.abstract N2 - There’s no doubt that trust is ‘won’ immediately in some circumstances and in young children is the default position. Usually, though, it has to be earned: and even when deserved it isn’t always granted. I wonder whether this ‘process’ (clumsy word, but possibly the best under the circumstances) has become slower, more attritional and more grudgingly acknowledged, a symbol perhaps of societal changes we might have to accept. Taking this a step further, one spoke in the paediatric (or any medical) pathway is mutual visibility surely a predictor of the point at which a family unmanacles themselves of reservations. How long does it take for a mother to disclose (even anonymously) to researchers that every time she enters her home, she risks adding to her bruise count: how many online consultations does it take before a family feel sufficiently at ease to disinter the spectres in their history lurking stage left behind the velvet curtains? I rest my case… or maybe, teasingly, am only just hinting at it.No one is oblivious to the pernicious effects of … ER -