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Maltreating parents often do not identify themselves as having a problem and are usually not self-referred for evaluation or treatment. As a result, treatment adherence problems are believed to be common. Unfortunately, the literature to date about the extent of the problem and what to do about it is sparse. The present investigation focuses on two types of treatment adherence by maltreating families: session attendance and homework completion. The goals of the study were the following: (a) provide information on the extent of the problem of nonadherence; (b) examine the relationship between nonadherence and client, treatment, and professional factors; and (c) provide information on the use and effectiveness of strategies to facilitate adherence. A survey was sent to 300 mental health and social service agencies nationwide and completed by 105 professionals. The survey requested specific data on three randomly selected maltreating parents from each respondent's current caseload. Data were obtained on 303 maltreating parents. Implications of the results for intervention and future research are discussed. 相似文献
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Cynthia J. Schellenbach Linda D. Monroe Thomas V. Merluzzi 《Journal of family violence》1991,6(1):61-80
The purpose of the present research was to test the effects of situational stress on the components of the cognitive behavioral model, including expectations, interpretations, and behavioral responses to child behaviors (Twentyman et al., 1985). It was predicted that parental abuse potential would be positively related to inappropriate expectations, to negative and internally caused interpretations of child behavior, and to negative parental responses. Second, it was expected that interpretations and responses would be more negative as child abuse potential increased. Sixteen mothers from a child abuse prevention and treatment program completed the Child Abuse Potential Inventory (Milner and Wimberly, 1980) and provided interpretations, evaluations, and responses to a set of vignettes depicting normal child behaviors. The data supported the hypotheses. As abuse potential increased, parent responses were judged as more controlling, punishing, rejecting, and aroused. High stress strengthened the magnitude of these responses. These findings were interpreted within the context of a cognitive behavioral model. 相似文献
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A survey of 112 postreleased convicted felons was conducted concerning ways they were punished as children. A self-reported history of child-abusive punishment was compared with prison histories and police records. A significant relationship between self-reported abusive punishment and the sexual offender was found. Punishment data on a random sample of 376 noninstitutionalized Oregon male adults were compared to the felons. The latter group reported significantly higher rate of abusive childhood experiences than did the comparison group. 相似文献
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The experience of aversive interactions within the family of origin is believed to increase the probability of parental physical child abuse. To test this hypothesis, 375 subjects were given a Childhood History Questionnaire (CHQ) and the Child Abuse Potential (CAP) Inventory. The CHQ contained a series of questions about the presence and frequency of various abusive behaviors and associated sequelae that were received and/or observed before and/or after puberty. The CAP Inventory was used to measure adult physical child abuse potential. As expected, a childhood history of physical abuse was significantly related to adult physical child abuse potential; and, as chronicity increased, so did abuse potential. The experience of physical abuse prior to puberty produced higher abuse scores than the experience of physical abuse after puberty. The study provides preliminary data indicating the childhood experience of a caring adult and / or caring friend moderates adult child abuse potential. 相似文献
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The present study examined the psychological sequelae of child sexual abuse (CSA) and the factors that contributed to revictimization in the form of adult sexual assault (ASA) using a survey of 577 female college students. CSA characteristics, maladaptive coping in response to CSA, degree of self-blame at the time of the abuse and currently, and posttraumatic stress disorder (PTSD) symptoms were examined as predictors of revictimization. Results indicated that individuals who reported both CSA and ASA had more PTSD symptoms, were more likely to use drugs or alcohol to cope, act out sexually, withdraw from people, and seek therapy services. In addition, the revictimized group reported more self-blame at the time of the abuse and currently. The only factor that predicted revictimization in this study was the number of maladaptive coping strategies used. Implications of these findings are discussed. 相似文献
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Child sexual abuse: an Italian perspective 总被引:1,自引:0,他引:1
Cattaneo C Ruspa M Motta T Gentilomo A Scagnelli C 《The American journal of forensic medicine and pathology》2007,28(2):163-167
The problem of child sexual abuse is a growing reality in Italy. The experience of over 200 children seen by the SVS (Soccorso Violenza Sessuale) Centre in Milan (the first Italian large-scale study) may give more information on the European situation. This study is a retrospective study based on information contained in the files of children beneath the age of 14 seen at the SVS Centre between May 1996 and May 2003, who arrived with a suspicion of child sexual abuse. Over 80% of all cases fell within the normal-aspecific category according to Adams' 2001 classification. This first Italian survey, though not based on substantiated cases but only on cases of suspected sexual abuse, supplies a perspective on a large northern European city such as Milan. Data seem similar to those published in other non-European studies, particularly as regards clinical signs observed. Thus, the results of this study, with all their limitations, start to give a perspective on the frequency and type of child population reaching this Italian center, what the scenarios are, what signs the children present and how infrequent it is to find clinical anogenital signs concerning for sexual abuse. 相似文献
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Elliott GC Cunningham SM Linder M Colangelo M Gross M 《Journal of interpersonal violence》2005,20(12):1663-1684
This research examines the connection between physical abuse and social isolation. Using data from the National Youth Survey, a measure of self-perceived social isolation was constructed indicating the extent to which respondents feel detached from their friends and from school. Those who had experienced violence were predicted to be more isolated than those who had not. Results strongly supported the hypothesis, controlling for theoretically relevant variables. Explanation is provided in terms of damage to attachment skills, social competence, and self-esteem concomitant to being a victim of abuse. Males were more socially isolated than females, and Hispanics more than Whites. Children with involved parents were less socially isolated; those whose parents experienced normlessness were more isolated. Children who recently experienced a stressful event or were from riskier neighborhoods were more isolated. The number of children in the family was positively related to isolation. Social isolation decreases between seventh and eighth grades. 相似文献
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Leslie Margolin 《Journal of family violence》1990,5(2):95-105
This study explored the social contexts in which physical abuse by baby-sitters occurred. This was accomplished through a content analysis of 98 founded case records of physical abuse committed by baby-sitters. In 70% of the case records there was evidence that sitters had a conflict with the victim prior to the abusive act. Children fighting with other children was the most common type of disturbance, followed by conflicts surrounding toilet training, children's continuous crying, disobedience, and rudeness. There was evidence that parents' explicit or implicit approval of baby-sitters' violence contributed to the child abuse in approximately one-quarter of the cases.This research was supported by a grant from the Harry Frank Guggenheim Foundation. 相似文献
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《Federal register》1985,50(72):14878-14892
This rule contains a new basic State grant requirement to implement the Child Abuse Amendments of 1984 (Pub. L. 98-457). As a condition of receiving State grants under the Child Abuse Prevention and Treatment Act, States must establish programs and/or procedures within the State's child protective service system to respond to reports of medical neglect, including reports of the withholding of medically indicated treatment for disabled infants with life-threatening conditions. Other changes in regulations required by these Amendments will be published as a separate NPRM at a later date. 相似文献
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Shirley A. Dobbin Sophia I. Gatowski Margaret Springgate 《Juvenile & family court journal》1997,48(4):43-54
Effective court improvements must be based on comprehensive, baseline analysis of state child abuse and neglect statutes. This information will provide policy makers with improved tracking and evaluation opportunities as significant statutory changes are contemplated in pending federal initiatives and state court improvement activities. This article provides excerpts of a comprehensive national study undertaken to determine the level of uniformity or variance in statutes since the initiation of federal legislation attempting to improve state practice in the handling of child abuse and neglect cases. The state-by-state information is designed to provide diverse jurisdictions with an opportunity for comparative statutory analysis. The complete, 50 state Matrix of State Statutes Pertaining to Child Abuse, Neglect and Dependency is scheduled for publication later this year. 相似文献
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This study examined the relationship between a self-reported history of child physical and sexual abuse and chronic pain among women (N = 3,381) in a provincewide community sample. Chronic pain was significantly associated with physical abuse, education, and age of the respondents and was unrelated to child sexual abuse alone or in combination with physical abuse, mental disorder (anxiety, depression, or substance abuse), or low income. Number of health problems and mental health disorders did not mediate the relationship between physical abuse and chronic pain. Despite considerable evidence from the clinical literature linking exposure to child maltreatment and chronic pain in adulthood, this may well be the first population-based study to investigate this relationship for child physical and sexual abuse independently. The significant association between childhood history of physical abuse and pain in adulthood calls for a greater awareness of the potential for chronic pain problems associated with this type of maltreatment. Further research is needed to understand the mechanism for this complex relationship. 相似文献
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Dean D. Knudsen 《Journal of family violence》1988,3(4):253-267
Sexual abuse is now a major form of child maltreatment; however, the causes of such exploitation are obscure. A review of official reports and other research indicate that the circumstances surrounding sexual abuse are inadequately specified to allow specific causal interpretations. The role of pornography in contributing to such abuse is explored by reviewing laboratory studies and the circumstances of child sexual abuse. An assessment of the research literature suggests that pornography is a minor and indirect influence on child sexual maltreatment. 相似文献
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Some recent interpretations of the child abuse laws are creating serious and unprecedented erosions of therapist/patient confidentiality. In contrast to the Tarasoff decisions and laws, the child abuse statutes introduced a new element of mandatory reporting which permits no discretionary alternatives and presents prospects of criminal penalties for failure to report. A recent development suggests a possible requirement for therapists to violate confidentiality for the sole purpose of punishing perpetrators. Overinterpretations of the laws by some child protective services have led to recommendations that long past child abuse must be reported, even when no current child is in danger. The California Attorney General's Office has issued a clarification stating that the child abuse statute refers to children and not to adults molested as children. A survey of forensic psychiatrists and psychologists shows that most perceived an ethical problem in reporting adults molested as children when no child is presently in danger, and the purpose of the report is solely for maximal legal self-protection. The survey indicates that fears induced by rigid and intimidating child abuse laws can influence therapists to act in ways most consider unethical. Recommendations are made for improving the current child abuse laws so that they accomplish their goals more effectively. 相似文献
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John Pratt 《Crime, Law and Social Change》2005,43(4-5):263-287
This paper examines the emergence and development of child sexual abuse (CSA) as a social problem in the main English-speaking
societies in the post 1970s period. In contrast to prevailing explanations in moral panic and feminist literature, it illustrates
how this problem has become knowable and understandable to us as a new kind of risk. This is the result of the positioning
of child sexual abuse between the tensions, uncertainties and anxieties characteristic of ‘the age of anxiety’ on the one
hand, and the cultural understandings that have come to be associated with purity and danger in this period on the other. 相似文献
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《Federal register》1984,49(238):48160-48169
This rule proposes a new basic State grant requirement to implement the Child Abuse Amendments of 1984 (Pub. L. 98-457). As a condition of receiving State grants under the Child Abuse Prevention and Treatment Act, States must establish programs and/or procedures within the State's child protective service system to respond to reports of medical neglect, including reports of the withholding of medically indicated treatment for disabled infants with life-threatening conditions. Other changes in regulations required by these Amendments will be published as a separate NPRM at a later date. 相似文献