CHILD ABUSE FOUR ISSUES OF ABUSE 1 PHYSICAL

CHILD ABUSE

FOUR ISSUES OF ABUSE… 1. PHYSICAL ABUSE 2. SEXUAL ABUSE 3. EMOTIONAL ABUSE 4. NEGLECT Abuse is cyclical in nature. That means it often runs in cycles: the great-grandparents abused the grandparents, and grandparents abused the parents, and parents abuse their children, and the children will eventually turn out to be abusers also. Abuse is a “learned” behavior. The potential “abuser” needs to learn an alternative method to abusive behaviors. This happens with education OR therapy interventions, not just desire not to abuse.

PHYSICAL ABUSE… Bruises, lacerations and abrasions, skeletal injuries, head injuries, and internal injuries from hitting, shaking, twisting, pulling, punching, beating with the hand or an object, biting, force feeding, and kicking. Burns from cigarettes, hot liquids, confinement ropes or irons.

EMOTIONAL ABUSE… Because emotional abuse attacks the child's psyche and self-concept, the victim comes to see him or herself as unworthy of love and affection. Children who are constantly shamed, humiliated, terrorized or rejected suffer at least as much, if not more, than if they had been physically assaulted. An infant who is being severely deprived of basic emotional nurturing, even though Abusing a victim emotionally is considered a physically well cared for, can fail pattern of behavior that can seriously to thrive and can eventually die. interfere with a child's positive development. Less severe forms of early Emotional abuse is probably the least emotional deprivation may understood of all child abuse, and can be the produce babies who grow into cruelest and most destructive of all types of anxious and insecure children abuse. It includes rejecting, ignoring, who are slow to develop or who isolating, terrorizing, and corrupting. might have low self-esteem.

SEXUAL ABUSE Child sexual abuse is any sexual act with a child performed by an adult or an older child. This might be fondling the child's genitals; getting the child to fondle an adult's genitals; mouth to genital contact; rubbing an adult's genitals on the child; or actually penetrating the child's vagina or anus with a body part or object. Other forms of abuse can also occur that are not as easy to detect. These include showing an adult's genitals to a child, showing the child pornographic or "dirty" pictures or videotapes, or Child molesters often “groom” their victims by giving using them attention, affection, or gifts. The trauma can be child as a model to make so great, the victim may even “repress” the memory. pornographic materials. Child molesters are most often someone the child knows…and NOT a stranger.

This little girl longs to go to school, but is forced to stay home and care for an alcohol dependent mother. NEGLECT The difference between abuse and neglect is that abuse represents an action against a child while neglect represents a lack of action for the child. Not meeting a child's essential needs for food, clothing, and shelter is the most basic form of neglect. But there are many other forms. Parents may not obtain preventive dental or medical care for the child, such as vaccinations and routine physical examinations. Parents may delay obtaining medical care when the child is ill, putting the child at risk of more severe illness and even death. Parents may not make sure the child attends school or is privately schooled. Parents may leave a child in the care of a person who is known to be abusive, or may leave a young child unattended. A hungry child with a diaper heavy with urine and feces, long past changing time.

VICTIM PROFILE… From nearly 1, 800, 000 referrals of suspected child abuse, approximately 896, 000 cases were verified as abuse, which constituted an annual incidence of 5. 7 per 1000 children. The victims often hide the abuse to protect the offender, either because they have been threatened or because they are fearful. Approximately: 60% were victims of neglect 20% were victims of physical abuse 10% were victims of sexual abuse 7% were victims of emotional abuse Children ages birth to 3 years had the highest rates of While the rate of White victims of child abuse or victimization. Girls were slightly neglect was 10. 7 per 1, 000 children of the same more likely to be victims than race, the rate for American Indian or Alaska Natives was 21. 7 per 1, 000 children and for Africanboys, but boys suffered more Americans 20. 2 per 1, 000 children. serious injuries.

OFFENDER PROFILE… Being a single parent, being poor, having problems with drug or alcohol abuse, or having a mental health problem such as a personality disorder, depression, trouble coping with stress, a hot temper, immaturity, little knowledge of parenting skills, having feelings of isolation, or low self-esteem can make a parent more likely to neglect or abuse a child…but it comes in all looks, and crosses over all social, educational, age, and economic levels. Perpetrator has history of being abused themselves. May have difficulty with emotions and interpersonal skills. They seek power and control. If abuser is not a family member or friend, it is often a caregiver or someone in a service-oriented profession or position. May be overprotective or possessive. May be dominating or have unrealistic expectations of a child.

SYMPTOMS OF ABUSE… Unusual sexual behavior or knowledge Eating and/or sleeping pattern changes Change in school performance and relationships with peers Inappropriate touching of others Compulsive behaviors or extreme tantrums Promiscuity, prostitution or substance abuse Suicidal thoughts and/or depression Chronic somatic problems such as stomach aches, vomiting, or headaches. Affectionless or overly affectionate Aggressive behaviors at school or toward siblings, possessions, or pets Destruction of property, arson, vandalism, truancy Tries to make people angry at them Note. . . One or more of these characteristics Withdrawn or social isolated present at any given time does not Clinging – a need for reassurance necessarily indicate child sexual abuse. In Verbally abusive cases of abuse, these behaviors overlap and are frequently excessive, for a Angry, hateful, negative attitude substantial period of time. May hurt themselves; self destructive activities Age regression or infantile behavior

EFFECTS OF ABUSE… Factors research has shown to influence the effects of abuse: Age of the child when the abuse happened; younger is usually more harmful. Who committed the abuse; effects are generally worse when it was a parent, step-parent or trusted adult than a stranger. Whether the child told anyone, and if so, the person's response. Doubting, ignoring, blaming and shaming responses can be extremely harmful - in some cases even more than the abuse itself. Whether or not violence was involved, and if so, how severe. How long the abuse went on. Whether the abuse involved deliberately humiliating the child. How "normal" such abuse was in the extended family and local culture. Whether the child had loving family members, and/or knew that someone loved her or him. Whether the child had some good relationships - with siblings, friends, teachers, coaches, etc. Whether the child had any relationships in which "negative" feelings were acceptable, and could be expressed and managed safely and constructively. Victims may have experienced dissociation (feeling separate from their body) and may even have delayed recall of the abuse. They often have behavioral difficulties, increased incidence of juvenile delinquency and adult criminality, alcohol and drug abuse problems, physical health problems, poor mental and emotional health, social difficulties with peers and adults, and display abusive behavior toward others (especially their own children).

MUNCHAUSEN SYNDROME BY PROXY Münchausen Syndrome by Proxy was named after an 18 th century dignitary named Baron von Munchausen who was known for telling exaggerated stories. Individuals who exhibit the characteristics of this syndrome fabricate, exaggerate, or cause illness or sickness, usually Researchers first began to recognize this pattern of their own child. MSBP is of abuse in the 1970 s. The exact psychological a form of child abuse and basis for MSBP is not known. Some people believe can prove fatal. The abuser it is a complex way of seeking attention. The is most often the mother plays the role of a dedicated and attentive Children subjected to this caregiver, a constant bedside martyr who form of abuse may be sacrifices her own time and happiness to sit, hospitalized repeatedly and worry, and care about her child. She receives undergo numerous praise for her dedication and stamina in putting surgeries. her child’s needs above her own day after day.

REPORT CHILD ABUSE… Some people are afraid to make this phone call, for fear that police rush in and tear apart families. Wrong! Your call will prompt an investigation, and may save a child. This phone call can be made anonymously. Stop Help Child Abuse Call the Abuse/Neglect Hotline at 1 -800 -652 -1999 Calling from Outside of Nebraska 402 -595 -1324 State law requires any person who suspects that a child has been physically or sexually abused or neglected to report it promptly to the Nebraska Department of Health and Human Services. Do not use e-mail to report cases of abuse. Do not investigate yourself. If there is an emergency, call local law enforcement immediately. Individuals working with children can forfeit their license or certification for failure to report suspected abuse. CHILDHELP USA® NATIONAL CHILD ABUSE HOTLINE 1 -800 -4 -A-CHILD® 24 HOURS A DAY

CHILD AB Child abuse statistics are reported by the National Clearinghouse on Child Abuse and Neglect or NCCAN. Information is collected on studies conducted by the federally funded Third National Incidence Study (NIS-3) OF 2002, and updated in 2005.

• Preparing individuals for life and work • Strengthening families • Empowering communities Created by Barbara L. Swarthout, Family & Consumer Sciences teacher at Elkhorn High School