Behavioral issues and implications with pediatric feeding disorders.

Behavioral and interactional aspects of feeding problems are considered within a "total" child approach. Basic principles and guidelines for optimal feeding relationships are presented within a developmental framework. Factors that can underlie behavioral components are discussed. Children with limited appetites and food refusal typically demonstrate poor weight gain, or even weight loss, and are diagnosed as failure to thrive (FTT). Management of their food avoidance is designed to make the eating process enjoyable and nutritionally adequate.