It is worth — given the passage of time — recalling the basic architecture of the Crisis: 121 children from many different and largely unrelated families had been taken into the care of Cleveland County Council in the three short months of the summer of 1987. Behind these headline statistics were decades of neglect and/or misunderstanding of the issue of child sexual abuse, a long-running dispute between police and paediatricians over who should have primacy in the investigation of such cases and the presence of two dedicated paediatricians at Middlesbrough General Hospital. Dr Marietta Higgs and Dr Geoffrey Wyatt had both understanding of, and training in, recognising the physical signs that a child’s body had been abused. One of these signs was — and still is reflex anal dilatation (RAD): a simple clue which is suggestive of anal penetration from outside. It had been recognised as a valuable weapon in the armoury of doctors examining children for many decades and was endorsed by both the British Medical Association and the Association of Police Surgeons. Yet by July 1987, the paediatricians were at the centre of a national storm of outrage — denounced by politicians, press, television and public opinion. The parents of the 121 children taken into care were lionised for their courage or portrayed as the victims of a monstrous witch-hunt. Their voices — sometimes their faces — dominated newsstands and television bulletins. When the courts seemed to be returning all their children to them, the nation seemed to breathe a sigh of relief, while simultaneously demanding the scalps of the paediatricians and social workers. (p18)In every case there was some prima fade evidence to suggest the possibility of abuse. Far from the media fiction of parents taking their children to Middlesbrough General Hospital for a tummy ache or a sore thumb and suddenly being presented with a diagnosis of child sexual abuse, the true story was of families known to social services for months or years, histories of physical and sexual abuse of siblings and of prior discussions with parents about these concerns. In several of the cases the children themselves had made detailed disclosures of abuse; many of the pre-verbal children displayed severe emotional or behavioural symptoms consistent with sexual abuse. There were even some families in which a convicted sex offender had moved in with mother and children. All of this information had been presented to the Butler-Sloss Inquiry. Virtually none of it had emerged from that inquiry into the public arena and certainly not into the vitriolic media coverage of Cleveland. To my colleagues and me this seemed initially impossible to comprehend: how could this have happened? How could truth have been turned on its head so completely? And why, given the apparent strength of the evidence, did the courts come to close their minds to these children's cases? (p20)

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