Child abuse

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Child abuse is the physical or psychological maltreatment of a child by an adult, often synonymous with the term child maltreatment or the term child abuse and neglect.

There are many forms of abuse and neglect and many governments have developed their own legal definition of what constitutes child maltreatment for the purposes of removing a child and/or prosecuting a criminal charge. In the United States, the Federal Government puts out a full definition of child abuse and neglect and creates a summary of each State definition. To view, go to Definitions of Child Abuse and Neglect: Summary of State Laws [1] that is part of the 2005 State Statute series by the National Clearinghouse on Child Abuse and Neglect Information.

[edit] Effects of child abuse on the child and development

The U.S. National Adoption Center found that 52% of adoptable children (meaning those children in U.S. foster care freed for adoption) had symptoms of attachment disorder. A study by Dante Cicchetti found that 80% of abused and maltread infants exhibited attachment disorder symtoms (disorganized subtype). <ref name=Carlson, V., Cicchetti, D., Barnett, D., & Bruanwald, K., (1995)>Carlson, V., Cicchetti, D., Barnett, D., & Braunwald, K. (1995). Finding order in disorganization: Lessons from research on maltreated infants’ attachments to their caregivers. In D. Cicchetti & V. Carlson (Eds), Child Maltreatment: Theory and research wow i love how you can edit this on the causes and consequences of child abuse and neglect (pp. 135-157). NY: Cambridge University Press.</ref> <ref name=Cicchetti, D., Cummings, EM, Greengerg, MT, & Marvin, RS. (1990)>Cicchetti, D., Cummings, E.M., Greenberg, M.T., & Marvin, R.S. (1990). An organizational perspective on attachment beyond infancy. In M. Greenberg, D. Cicchetti, & M. Cummings (Eds), Attachment in the Preschool Years (pp. 3-50). Chicago: University of Chicago Press.</ref>

Children with histories of maltreatment, such as physical and psychological neglect, physical abuse, and sexual abuse, are at risk of developing severe psychiatric problems <ref name=Gauthier, Stollak, Messe, & Arnoff, (1996)>Gauthier, L., Stollak, G., Messe, L., & Arnoff, J. (1996). Recall of childhood neglect and physical abuse as differential predictors of current psychological functioning. Child Abuse and Neglect 20, 549-559</ref> <ref name=Malinosky-Rummell & Hansen, (1993)>Malinosky-Rummell, R. & Hansen, D.J. (1993) Long term consequences of childhood physical abuse. Psychological Bulletin 114, 68-69</ref>. These children are likely to develop Reactive attachment disorder <ref name=Lyons-Ruth & Jacobvitz, (1999)>Lyons-Ruth K. & Jacobvitz, D. (1999) Attachment disorganization: unresolved loss, relational violence and lapses in behavioral and attentional strategies. In J. Cassidy & P. Shaver (Eds.) Handbook of Attachment. (pp. 520-554). NY: Guilford Press</ref> <ref name=Greenberg, (1999)>Greenberg, M. (1999). Attachment and Psychopathology in Childhood. In J. Cassidy & P. Shaver (Eds.). Handbook of Attachment (pp.469-496). NY: Guilford Press</ref>. These children may be described as experiencing trauma-attachment problems. The trauma experienced is the result of abuse or neglect, inflicted by a primary caregiver, which disrupts the normal development of secure attachment. Such children are at risk of developing a disorganized attachment <ref name=Lyons-Ruth & Jacobvitz, (1999)>Lyons-Ruth K. & Jacobvitz, D. (1999) Attachment disorganization: unresolved loss, relational violence and lapses in behavioral and attentional strategies. In J. Cassidy & P. Shaver (Eds.) Handbook of Attachment. (pp. 520-554). NY: Guilford Press</ref> <ref name=Solomon & George, (1999)>Solomon, J. & George, C. (Eds.) (1999). Attachment Disorganization. NY: Guilford Press</ref> <ref name=Main & Hesse, (1990)>Main, M. & Hesse, E. (1990) Parents’ Unresolved Traumatic Experiences are related to infant disorganized attachment status. In M.T. Greenberg, D. Ciccehetti, & E.M. Cummings (Eds), Attachment in the Preschool Years: Theory, Research, and Intervention (pp161-184). Chicago: University of Chicago Press</ref>. Disorganized attachment is associated with a number of developmental problems, including dissociative symptoms <ref name=Carlson,E.A. (1988)>Carlson, E.A. (1988). A prospective longitudinal study of disorganized/disoriented attachment. Child Development 69, 1107-1128</ref>, as well as depressive, anxiety, and acting-out symptoms <ref name=Lyons-Ruth,K (1996)>Lyons-Ruth, K. (1996). Attachment relationships among children with aggressive behavior problems: The role of disorganized early attachment patterns. Journal of Consulting and Clinical Psychology 64, 64-73</ref> <ref name=Lyons-Ruth, Alpern, & Pepacholi, (1993)>Lyons-Ruth, K., Alpern, L., & Repacholi, B. (1993). Disorganized infant attachment classification and maternal psychosocial problems as predictors of hostile-aggressive behavior in the preschool classroom. Child Development 64, 572-585</ref>.

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[edit] Causes

Circumstances that place families under extraordinary stress - for instance, poverty, divorce, sickness, disability, lack of parental skills - sometimes take their toll in child maltreatment. Many of these factors may contribute to family stress that can result in child abuse or neglect. Understanding the root causes of abuse can help better determine the best methods of prevention and treatment. Most parents don't hurt or neglect their children intentionally. Many were themselves abused or neglected. Parents who abuse alcohol or other drugs are more likely to abuse or neglect their children.

[edit] Prevention

Given these possible causes, most professionals agree that there are three levels of prevention services; primary prevention, secondary prevention, and tertiary prevention.

[edit] Primary Prevention

Primary prevention consists of activities that are targeted toward the community at large. These activities are meant to impact families prior to any allegations of abuse and neglect. Primary prevention services include public education activities, parent education classes that are open to anyone in the community, and family support programs. Primary prevention can be difficult to measure because you are attempting to impact something before it happens, an unknown variable.

[edit] Secondary Prevention

Secondary prevention consists of activities targeted to families that have one or more risk factors including families with substance abuse, teen parents, parents of special need children, single parents, and low income families. Secondary prevention services include parent education classes targeted for high risk parents, respite care for parents of a child with a disability, or home visiting programs for new parents.

[edit] Tertiary Prevention

Tertiary prevention consists of activities targeted to families that have confirmed or unconfirmed child abuse and neglect reports. These families have already demonstrated the need for intervention, either with or without court supervision.

[edit] Treatment

Main article: Complex post-traumatic stress disorder

Main article: Dyadic Developmental Psychotherapy

Main article: Cognitive Behavioral Therapy

Treatment for those experiencing Complex post-traumatic stress disorder, which is caused by early chronic maltreatment, should address each dimension. Often treatment must be multi-modal. Children who have experienced complex trauma caused by chronic maltreatment can be treated effectively with Dyadic Developmental Psychotherapy<ref name="Arthur Becker-Weidman, Ph.D., & Deborah Shell, MA">Becker-Weidman, A., & Shell, D., (Eds.) (2005) Creating Capacity For Attachment, Wood 'N' Barnes, OK. ISBN 1885473729</ref> <ref name="Becker-Weidman, 2006">Becker-Weidman, A., (2006). Treatment for Children with Trauma-Attachment Disorders: Dyadic Developmental Psychotherapy, Child and Adolescent Social Work Journal. Vol. 13 #1, April 2006.</ref>. In addition Cognitive Behavioral Therapy interventions, education, EMDR and other approaches can be effectively used.

[edit] Child Abuse Prevention Organizations

[edit] Childhelp USA

Founded in 1959 by Sara O'Meara and Yvonne Fedderson, Childhelp USA is one of the largest and oldest national nonprofit organizations dedicated to the prevention of child abuse, neglect as well as to the treatment of its victims in the United States. Childhelp's programs, which directly serve abused children and their families, focus on meeting the children's physical, emotional, educational and spiritual needs. In 2005, Sara and Yvonne were both nominated for the Nobel Peace Prize.

[edit] Prevent Child Abuse America(PCA America)

Established in 1972, Prevent Child Abuse America works to bring awareness to and educate the public about child abuse and neglect. PCA America works on the National, State and Local levels with chapters in 40 States which work alongside the local councils in each State. The mission statement of PCA America is: "To prevent the abuse and neglect of our nation's children."

[edit] Reporting of Child Abuse

[edit] Authorities

Main article: Child Protective Services

Depending on the country, the agencies responsible for investigating child abuse may be run nationally, regionally, or locally. These agencies may be called Child Protective Services (CPS), Department of Children and Family Services (DCFS), or by other similar names. In the U.S., these agencies are usually listed in the state government section of the telephone book under "Children" or "Health" or "Human Services". In a few instances in the U.S., some of the functions of these agencies are outsourced to private individuals or companies.

People who investigate claims of child abuse may be called a "children's social worker" (CSW) or a case worker.

[edit] Reporting abuse and neglect in Australia

Child abuse and neglect is the subject of mandatory reporting in most Australian jurisdictions. Usually professional people such as doctors, nurses and teachers are bound to report strong evidence of abuse or neglect. State authorities, such as the Child Protection Unit of the Department of Human Services (Victoria), have statutory authority to investigate and deal with child abuse.

[edit] Notable incidents of child abuse

• The death of Marcela Hope Yellowbear
• The death of Elisa Izquierdo
• The death of Nixzmary Brown
• The death of Joseph Wallace
• The death of Nadine Lockwood
• The Joel Steinberg Case
• The death of Dennis Jurgens
• The Tulasa Thapa Case
• The death of Justina Morales
• The death of Candace Newmaker
• The David Pelzer Case
• The death of Jeffrey Baldwin
• The murder of Matthew Eappen by Louise Woodward
• The death of Victoria Climbie [2]
• The deaths of Suesan and Sheila Knorr by their mother Theresa Knorr ISBN 0312955421
• The case of Raymond and Vanessa Jackson

[edit] See also

• Attachment disorder
• Adoption
• Attachment theory
• Child Welfare
• Complex post-traumatic stress disorder
• Dyadic Developmental Psychotherapy
• Emotional dysregulation
• Foster care
• Emotional abuse

[edit] References

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On the history of child abuse and attempts to protect children, see Linda Gordon, "Heroes of Their Own Lives: The Politics and History of Family Violence," NY, Penguin, 1988, and Champaign, IL., Univ. of Illinois Press, 2003.

[edit] External links

• The Adverse Childhood Experiences Study is an ongoing study of the long-term damage abuse during childhood causes to adult health. The study is conducted by Robert F. Anda, MD, MS, of the Centers for Disease Control and Prevention, and Vincent J. Felitti, MD, of Kaiser Permanente.
• Preventing Child Abuse from The Directory of Children's Issues. Summer 2006.
• Building BLOCK - Building Better Lives for Our Communities and Kids
• Executive Summary of the Third National Incidence Study of Child Abuse and Neglect (US Department of Health and Human Services)
• The History of Child Abuse from The Journal of Psychohistory 25 (3) Winter 1998
• Child Abuse Types, Signs, Symptoms, Causes and Help
• Child Abuse: Statistics, Research, and Resources
• Fight 4 Kids Reporting Child Abuse
• NSPCC report on child maltreatment in the UK (November 2000)
• Preventing Child Abuse Internet Safety FAQ
• The Safeguarding Children Partnership, a UK charity dedicated to child protection training.
• http://www.afterfostercare.ca - Canadians affected by foster care helping each other.
• Maltreatment and the Developing Child.
• Anti-sex hysteria in Wisconsin
• Child Abuse and the Handicapped Child
• Counseling Abused Children
• Teaching the Abused Migrant Child: What's a Teacher To Do?
• Classroom Strategies for Teaching Migrant Children about Child Abuse
• Therapeutic Child Protection Work
• National Association to Protect Children
• The Support Committee for Iran's Street Children
• DCFWatch - a non profit organization monitoring civil rights abuses by U.S. Child Protection Agencies
• National Coalition for Child Protection Reform
• 'What to do if You're Worried a Child is Being Abused', leaflet published by the UK Department of Health
• Childhelp USA's National Child Abuse Website
• cpsabuse - providing support and advocacy to families falsely accused of child abuse
• GW Medical Publishing - Resources for social, medical, legal, and law enforcement professionals who deal with child abuse
• Family Tree Healing
• Stepchildren of the state - A Swedish association for fosterchildren and statehomechildren
• Institute on Violence, Abuse and Trauma at Alliant International University
• Resources on Children Exposed to Domestic Violence a form of child abuse in many jurisdictions
• Liberated From Abuse Sexual Abuse Education
• Maltreatment and the Developing Child by Dr. Bruce Perry

• Information on the evaluation and treatment of maltreated/abused children.
• Singer, Songwriter, Actor Paul Williams has set up a page with information and links for those who are in abuse relationships or know of someone who may be
• Prevent Child Abuse Americade:Kindesmisshandlung