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I wonder if the parents merely noticed that the baby was becoming a "good" baby, the sleepiness and lethargy being perceived positively?  Mothers with extremely busy lives and inexperience - ending up being negligent by default.  One of my local colleagues, Janette Tyler, has a fine presentation based on case histories on this sort of situation, and presented it at ILCA in Sydney in 2003.
Virginia
in Brisbane
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Heather Welford Neil wrote:

The question is what eactly is going on in a family where this 
happens and no one notices the half-starved looking baby that results.

Imagine: a 5 mth old thriving baby who starts being underfed to this 
extent will  change his behaviour in some way, perhaps by 
crying/whimpering/yelling more than usual. As the starvation 
progresses, he will become sleepier and of course a lot skinnier.

And no one notices?
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