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were victims of beatings and violence when young believe that abuse is normal behavior and will reenact these behaviors later as adults Common characteristics:
Low self concept Immaturity Fear of authority Lack of skills to meet their own emotional needs Belief in harsh physical discipline Poor impulse control Lack parenting or relationship skills Often use alcohol or other substances to cope with stress
The Abused
Individuals often demonstrate a pattern of learned
helplessness, manifest characteristics of low self esteem and shame, and often experience feelings of increased dependence, isolation, guilt and entrapment
A Crisis
Precipitating event that sets the abusive behavior into
action The individual overreacts because he or she is unable to cope with numerous or complex stressors. The person becomes frustrated and anxious and suddenly loses control
Also referred as maltreatment Any recent act or failure to act, resulting in imminent risk of serious physical harm or death, emotional harm, sexual abuse, neglector exploitation of a child under the age of 18 years by a parent, caretaker or other persons.
Bullying is the most common form of abuse children and adolescents experience. Neglect, another form of child abuse, an act of omission and refers to a parent or other's failure to meet dependent s basic needs such as proper food, clothing, shelter, medical care, schooling or attention; provide safe living conditions; provide physical or emotional care; or provide supervision, thus leaving the child unattended or abandoning him or her.
http://www.childhelp.org/pages/statistics
A report of child abuse is made every ten seconds. Almost five children die everyday as a result of child abuse. More than three out of four are under the age of 4. It is estimated that between 60-85% of child fatalities due to maltreatment are not recorded as such on death certificates. 90% of child sexual abuse victims know the perpetrator in some way; 68% are abused by family members. Child abuse occurs at every socioeconomic level, across ethnic and cultural lines, within all religions and at all levels of education. 31% percent of women in prison in the United States were abused as children. Over 60% of people in drug rehabilitation centers report being abused or neglected as a child. About 30% of abused and neglected children will later abuse their own children, continuing the horrible cycle of abuse. About 80% of 21 year old that were abused as children met criteria for at least one psychological disorder. The estimated annual cost of child abuse and neglect in the United States for 2007 is$104 billion. Abused children are 25% more likely to experience teen pregnancy. Abused teens are 3 times less likely to practice safe sex, putting them at greater risk for STDs.
Can occur:
within the family, where the abusers are parents or parent
substitutes in institutional setting, such as daycare centers, child-care agencies, schools, welfare, departments, correctional settings and residential centers in society, which allows children to live in poverty or to be denied the basic necessities of life. As a result of war
Children who experience trauma that can interrupt their development, trigger serious psychiatric disorders, or predispose them to delinquency and life long crime Anyone under circumstances, such as stress due to illness, marital problems, financial difficulties, or parent-child conflict
Warning Signs
Denial pregnancy by a mother who has made no plans for the
birth of the child and refuses to talk about pregnancy Depression during pregnancy Fear of delivery Lack of support from husband or family Undue concern about unborn child s gender and how well it will perform Fear that child will be one of too many children Birth of unwanted child Indifference or a negative attitude toward the child by a parent after delivery Resentment toward the child by a jealous parent Inability to tolerate the child s crying; viewing child as being too demanding
Younger than 6 years, are more vulnerable to abuse than others and may have physical or mental handicap Emotionally disturbed, temperamental, hyperactive or adopted children demonstrate a higher incidence of abuse Congenital anomalies or chronic medical conditions are at risk Children , in attempt to get attention
Physical Abuse
Infliction n of bodily injury that results from punching,
Physical indicators
Bruises Burns Lacerations, abrasions, welts, scars Missing or loosened teeth Skeletal injuries (fractured bones, epiphyseal separation or stiff, swollen, enlarged joints, head injuries) Internal injuries
Child Neglect
Failure to provide for a
Physical Indicators:
Weight loss resulting from inadequate nutrition Dental caries caused by lack of appropriate nutrition or dental care Symptoms of an undiagnosed medical condition such as anemia or pneumonia Child may look unkempt and lack adequate clothing
Emotional Abuse
Verbal assaults or threats that provoke fear; poor communication that may send double meanings; ad blaming, confusing or demeaning messages
Examples:
Children may be told to be unwanted, unloved, or unworthy of care. The child may become a scapegoat of the family
Emotional Neglect
Parents or other adults responsible for the child fail to provide an emotional climate that fosters feelings of love, belonging, recognition and enhanced self-esteem.
Examples
Ignoring of child, providing minimal human contact and failing to provide opportunities to foster growth and development
Behavioral and Environmental Indicators: Low self-concept as he or she hears negative comments Stuttering Enuresis or encopresis Delinquency or truancy or other disciplinary problems Hypochondriasis Autism or failure to thrive Overeating Childhood depression Suicide attempts
Physical Indicators:
Itching, pain, bruises or bleeding in the external genitalia, vagina or anal area Edema of the cervix, vulva or perineum Torn, stained or bloody undergarments Stretched hymen at a very young age Presence of semen oral sexually transmitted disease Pregnancy in an older child Bladder infections
Behavioral Indications:
Fear of being touched Difficulty of walking or sitting Reluctance to participate in recreational or physical activities Poor peer relationships Delinquency, truancy, acting-out or running away Preoccupation with sexual organs of self or others Sexual promiscuity or prostitution Change in sleeping patterns; nightmare; or sudden fear of falling asleep Bed wetting or thumb sucking (inappropriate to age) Use of drugs and alcohol
Child Abduction
A person is taken or detained
against his or her will 82 % of abductions are committed by family frequently to children under the age of 6 years. Non-family or acquaintance abductions accounts for 18 % of reported cases of female and teen-aged victims
Referred to as intimate partner violence or family violence Designed to manipulate, control, dominate the partner to achieve compliance and dependence Includes repeated battering and injury, psychological abuse, sexual assault, progressive social isolation, stalking, deprivation, and intimidation Usually occurs as a result of the inability to cope with an increase in daily stressors
Groups at Risk:
Women who are emotionally
involved with the batterer Children (silent victims) Elder partners Men Same sex couples
Men living with make intimate partners
Individuals with neurologic impairments, agitated depression, antisocial or borderline behavior or who abuse drugs and alcohol Lack of nurturing and mothering during childhood Poor socioeconomic conditions Specific behaviors learned during various developmental stages become part of a person s interactions with spouse or family. Domestic violence may increase after death of a significant family member, loss of a job, a geographic move, the onset of physical or mental illness, a developmental change or a family change such as pregnancy or birth of a child
Intimidation Threats Sexual abuse Isolation Emotional abuse Use of children Male Privilege Economic abuse
Tension-Building Phase
Disagreements occur within couple as battered
person withdraws rather than making any attempts to display anger verbally or non verbally. The batterer becomes possessive, jealous, and fearful, sensing the battered partner s anger. Emotional distancing occurs. The batterer rationalizes the batterer person s non assertiveness as acceptance and permission to vent tensions. Minor physically abusive incidents may cause the battered person to cope with abuse by somatizing, batterer attempts to reduce tension by taking drugs or drinking alcohol.
rage. Battered person also loses control and is unable to stop the physical abusiveness experienced. Both persons are in state of shock immediately. Batterer is unable to recall his or her behaviors; battered person depersonalizes during abusive incident and is unable to recall in detail what occurred.
Loving Phase
As both calm down, the batterer may exhibit
feelings of remorse, beg forgiveness, promise not to abuse in the future, and state that he or she cannot live without the battered partner. During this phase, the abused person believes the batterer s promises and forgives the batterer because the partner feels less helpless. The batterer interprets such behavior as an act of love and acceptance by battered partner
Traditional referred to as forced vaginal penetration of a woman by a male assailant Legal term for male rape is sodomy or sexual assault by an intimate partner
Rape Statues
Attempted rape
assault In which oral vaginal or anal penetration is intended but does not occur
Statutory rape
act of sexual intercourse or sexual assault on an individual younger than the age of consent (16 years)
Men who commit rape are usually from singleparent homes, younger than 25 years, and often married. High risk of Rape
Single females between ages 11 and 25 years From low socioeconomic background Lesbians and homosexual male at risk by their
intimate partners Individuals with mild developmental delays usually want to be accepted and to fit in with normal society. Exhibits some degrees of impulsivity or gregariousness
Anger rape
Means f expressing anger, hatred and contempt toward the victim Exhibits brutality by beating, kicking and choking
Power rape
Committed by persons with low self-esteem and a history of poor relationships with women and is done to prove manhood and strength Intimidation, physical force or threats may occur
Sadistic rape
Persons feels to inflict pain and torment on his victim to achieve sexual satisfaction Rapist misinterprets victim s emotional anguish as excitation rather than a refusal of his advances
Blitz rape
Unexpected surprise attack occurs in absence of prior interactions with victim
Confidence rape
Offender and victim have had a prior interaction
Accessory-to-sex-rape
Vulnerable victim s inability to give consent
Date rape
Exploitation of an individual s friendliness or behavior during a date
and displays emotional reactions of anger, guilt, embarrassment, humiliation, denial, shock, disbelief, or fear of death Reorganization changing of daily life patterns, experience recurring dreams and nightmares, seek support from friends and family, initiate or refusing counseling or develop irrational fears(phobias):
fear of being indoors if rape occurred at home fear of being outdoors fear of crowds fear of being alone fear of people around the victim while the person engages in daily activities fear of sexual activity
anyone, is unable to resolve feelings about sexual assault, experiences anxiety and may develop a sudden phobic reaction Behavior changes may include depression, suicidal behavior, somatization and acting out
Dependency on adult children or caretaker Financial dependency Personality conflicts with adult children or caretaker Societal attitudes toward aging Frustration on the part of the adult children or caretaker
Cognitive impairment Inability to communicate clearly or accurately Fear of rejection Low self-esteem Loyalty to caretakers Lack of contact with helping persons Reluctance to report due to fear of retaliation by abuser