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CHILD ABUSE
Table of Contents
1. INTRODUCTION ........................................................................................................................... 1
2. DEFINING CHILD ABUSE? .......................................................................................................... 1
3. IMPORTANCE OF CHILD ABUSE EDUCATION ...................................................................... 2
4. TYPES OF CHILD ABUSE.............................................................................................................. 2
Physical Abuse ................................................................................................................................ 2
Sexual Abuse ................................................................................................................................... 3
Emotional Abuse ............................................................................................................................ 3
Neglect ............................................................................................................................................. 4
Exploitation ...................................................................................................................................... 5
5. EFFECTS OF CHILD ABUSE AND CHILD NEGLECT ................................................................ 5
Effects of Child Neglect ............................................................................................................... 5
Effects of Physical Abuse ............................................................................................................. 5
Effects of Emotional Abuse ......................................................................................................... 5
Effects of Sexual Abuse ................................................................................................................ 6
6. FACTORS INCREASING A CHILD’S VULNERABILITY ............................................................. 6
7. THE CONSEQUENCES OF CHILD ABUSE ................................................................................ 9
8. MYTHS AND TRUTHS .................................................................................................................. 12
9. ROLE OF PARENTS AND TEACHERS ...................................................................................... 13
10. WHAT CAREGIVERS SHOULD KNOW ABOUT SELF-CONTROL ............................................ 13
11. REPORTING CHILD ABUSE ................................................................................................... 14
12. CONCLUSION ........................................................................................................................ 14
REFERENCES ....................................................................................................................................... 15
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CHILD ABUSE
1. INTRODUCTION
Child abuse constitutes a violation of the most basic rights of children and
adolescents, which are enshrined in the Universal Declaration of Human
Rights. All persons under the age of 18 have the right to physical and
psychological integrity and to protection from all forms of violence. Article 19
of the Convention on the Rights of the Child (CRC) –adopted by the United
Nations in 1989– exhorts States parties to take “all appropriate legislative,
administrative, social and educational measures to protect the child from all
forms of physical or mental violence, injury or abuse, neglect or negligent
treatment, maltreatment or exploitation, including sexual abuse, while in the
care of parent(s), legal guardian(s) or any other person who has the care of
the child”. Similarly, the United Nations International Committee on the Rights
of the Child has emphasized the importance of member countries prohibiting
all forms of physical punishment and degrading treatment of children (CEPAL,
& UNICEF. 2009).
Every year tens of millions of children are abused and neglected
worldwide. According to the World Health Organization, it has been
estimated that 53,000 children are murdered each year. For every homicide
among young people there are 20–40 non-fatal cases which require hospital
care (WHO, 2004). Although the figures may seem horrendous, it can be
assumed that this is just the tip of the iceberg and a large number of cases
remain unnoticed, undetected and unreported. (WHO, 2002). It has also
been estimated that up to 1.5 billion children are affected by violence
(UNICEF, 2009a). Child protection is an umbrella term covering a range of
topics and themes related to child maltreatment. It refers to preventing, and
responding to violence, exploitation and abuse (UNICEF, 2009b). Child abuse,
neglect, exploitation and violence are the core issues that underlie child
protection. These issues are ingrained in the cultural, economic and social
practices and have detrimental consequences on the individual and the
society (WHO, 2002).
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3. IMPORTANCE OF CHILD ABUSE EDUCATION
1. The earlier child abuse is detected, the better chance of recovery and
treatment
2. By learning the warning signs of child abuse and neglect, one can stop
the problem and get both, the child and the abuser help
3. But a warning sign doesn’t mean a child is being abused
4. It’s important to look deeper, looking for a pattern of abusive behavior
and warning signs
Physical Abuse
From point of view of parents and caregivers Physical abuse of a child is
defined as those acts of commission by a caregiver that cause actual
physical harm or have the potential for harm. Sexual abuse is defined as
those acts where a caregiver uses a child for sexual gratification (Runyan et
al., 2002).
That which results in actual or potential physical harm from an
interaction or abuse lack of an interaction, which is reasonably within the
control of a parent or person in a position of responsibility, power or trust.
There may be single or repeated incidents (UNICEF. 2014).
According to Barton (1986), physical abuse or non-accidental trauma
can be defined as injuries inflicted by a caretaker. Physical abuse is probably
the most important subtype of child maltreatment, because without
intervention and services it is potentially fatal. Often the injury stems from an
angry attempt of the caretaker to punish the child for misbehavior.
Sometimes it is an uncontrolled lashing out at a child who happens to be in
the caretaker’s way when some unrelated crisis occurs. Physical trauma can
be rated as mild (a few bruises, welts, scratches, cuts, scars), moderate
(numerous bruises, minor bums, a single fracture), or severe (large burn,
central nervous system injury, abdominal injury, multiple fractures, other life-
threatening injury).s5 Physically abused children are often young children. A
dentist is most likely to detect inflicted injuries of the face and mouth (e.g.,
slap marks, pinched ears, or bite marks).
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According to me there is a difference between discipline and physical
abuse. Discipline teaches right from wrong whereas Physical abuse creates
fear. Severe discipline; using a belt or inappropriate physical punishment for
the age of the child, restraining a child against their will, exposure to extreme
heat or cold or forcing a child to overeat are some of common examples of
Physical Abuse.
Sexual Abuse
Child sexual abuse is the involvement of a child in sexual activity that he or
abuse she does not fully comprehend, is unable to give informed consent to,
or for which the child is not developmentally prepared and cannot give
consent, or that violate the laws or social taboos of society. Child sexual
abuse is evidenced by this activity between a child and an adult or another
child who by age or development is in a relationship of responsibility, trust or
power, the activity being intended to gratify or satisfy the needs of the other
person (UNICEF, 2014).
Sexual abuse can be defined as any sexual activity with a child under
age 18 by an adult. Most offenders are family-related, some are family
acquaintances and the least common are strangers. Types include
molestation (fondling or masturbation), intercourse (vaginal, anal, or oral
intercourse on a non-assaultive basis), or family-related (Barton, 1986).
Emotional Abuse
Emotional abuse includes the failure of a caregiver to provide an appropriate
and supportive environment, and includes acts that have an adverse effect
on the emotional health and development of a child. Such acts include
restricting a child’s movements, denigration, ridicule, threats and intimidation,
discrimination, rejection and other nonphysical forms of hostile treatment
(Runyan et al., 2002).
Emotional abuse involves the failure to provide a developmentally
abuse appropriate, supportive environment, including the availability of a
primary attachment figure, so that the child can develop a stable and full
range of emotional and social competencies commensurate with her or his
personal potentials and in the context of the society in which the child dwells.
There may also be acts towards the child that cause or have a high
probability of causing harm to the child’s health or physical, mental, spiritual,
moral or social development. These acts must be reasonably within the
control of the parent or person in a relationship of responsibility, trust or
power. Acts include restriction of movement, patterns of belittling,
denigrating, scapegoating, threatening, scaring, discriminating, ridiculing or
other non-physical forms of hostile or rejecting treatment (UNICEF, 2014).
Emotional abuse can be defined as the continual scapegoating and
rejection of a child by parents or caretakers. Occasionally, a teacher
emotionally abuses students.I4 Severe verbal abuse and berating is often part
of emotional abuse. Emotional abuse is often difficult to detect.
Psychological terrorism can occur in some cases and presents little difficulty in
recognition. Less vivid cases of emotional abuse require the following criteria:
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(a) severe psychopathology and disturbed behavior in the child, of a degree
making it unlikely that he will be able to function and cope as an adult,
documented by a psychiatrist or psychologist; (b) abnormal child-rearing
practices of the parent or caretaker that have caused a large part of the
child’s behavior disturbances; and (c) the continued refusal by the parent of
treatment for the child and himself. These cases easily can be presented as
depriving a child of needed mental health care. Situations can be presented
with less evidence, however, when the parent or caretaker is floridly
psychotic, and hence inadequate to care for the child, or severely
depressed, and hence a danger to the child (Barton, 1986).
Neglect
Neglect refers to the failure of a parent to provide for the development of the
child for example, healthy food, suitable clothing, proper hygienic living
environment, and supervision – where the parent is in a position to do so – in
one or more of the following areas: health, education, emotional
development, nutrition, shelter and safe living conditions. Neglect is thus
distinguished from circumstances of poverty in that neglect can occur only in
cases where reasonable resources are available to the family or caregiver
(Runyan et al., 2002).
Neglect can be defined as the failure to provide for the development
of the child in all spheres: health, education, emotional development,
nutrition, shelter, and safe living conditions, in the context of resources
reasonably available to the family or caretakers and causes or has a high
probability of causing harm to the child’s health or physical, mental, spiritual,
moral or social development. This includes the failure to properly supervise
and protect children from harm as much as is feasible (UNICEF, 2014).
Some have defined physical neglect as a failure to care for children
according to accepted or appropriate standards. It is easy to confuse
neglect with poverty, ignorance, or overwhelming problems because it
includes things like dirty hair, dirty or inadequate clothing, inadequate
lunches, incomplete immunizations, unsanitary home environments,
unstimulating environments, inadequate after-school supervision, and
excessive work. Children with physical neglect should be evaluated for
coexistent physical abuse. They also should be evaluated for the presence or
absence of serious emotional disturbances. In cases of flagrant physical
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neglect, the parents or caretakers are often very depressed and withdrawn
(Barton, 1986).
Exploitation
Commercial or other exploitation of a child refers to use of the child in work or
other activities for the benefit of others. This includes, but is not limited to,
child labour and child prostitution. These activities are to the detriment of the
child’s physical or mental health, education, or spiritual, moral or social-
emotional development. Child exploitation also includes the recruitment and
use of children in armed conflict, child trafficking and the sale of children
(UNICEF. 2014).
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3. Lack of trust and relationship difficulties
4. Difficulty expressing emotions
5. Damages a child’s mental health and social development
6. Psychological scars remain for a life time
7. Adult survivors struggle with unexplained anxiety, depression, or anger
8. Adults/Children may turn to alcohol or drugs to forget the pain
9. Excessively withdrawn, fearful, or anxious about doing something
wrong
10. Extremes in behavior (extremely compliant, extremely demanding;
extremely passive or extremely aggressive)
11. Lack of attachment to parent or caregiver
12. Acts either inappropriately adult (taking care of other children) or
inappropriately infantile (rocking, thumb-sucking, tantrum
A number of studies, mostly from the developed world, have suggested that
certain characteristics of children increase the risk for abuse.
Demographic Factors
Age
Vulnerability to child abuse – whether physical, sexual or through neglect –
depends in part on a child’s age (Ketsela, Tigist, and Kebede, 1997). Fatal
cases of physical abuse are found largely among young infants. In reviews of
infant deaths in Fiji, Finland, Germany and Senegal, for instance, the majority
of victims were less than 2 years of age (Vock et al., 1999)
Sex
Whether abusers are more likely to be male or female, depends, in part, on
the type of abuse. Research conducted in China, Chile, Finland, India and
the United States suggests that women report using more physical discipline
than men. In Kenya, reports from children also show more violence by
mothers than fathers. However, men are the most common perpetrators of
life-threatening head injuries, abusive fractures and other fatal injuries. Sexual
abusers of children, in the cases of both female and male victims, are
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predominantly men in many countries. Studies have consistently shown that in
the case of female victims of sexual abuse, over 90% of the perpetrators are
men, and in the case of male victims, between 63% and 86% of the
perpetrators are men (Straus, Hamby, Finkelhor, Moore, & Runyan, 1998).
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some investigations have suggested that the majority of abusing parents
were not, in fact, themselves abused (National Research Council. 1993).
While empirical data suggest that there is indeed a relationship, the
importance of this risk factor may have been overstated. Other factors that
have been linked to child abuse – such as young parental age, stress,
isolation, overcrowding in the home, substance abuse and poverty – may be
more predictive.
Other Characteristics
Stress and social isolation of the parent have also been linked to child abuse
and neglect. It is believed that stress resulting from job changes, loss of
income, health problems or other aspects of the family environment can
heighten the level of conflict in the home and the ability of members to cope
or find support. Those better able to find social support may be less likely to
abuse children, even when other known risk factors are present. In a case–
control study in Buenos Aires, Argentina, for instance, children living in single
parent families were at significantly greater risk for abuse than those in two-
parent families. The risk for abuse was lower, though, among those who were
better able to gain access to social support (Zunzunegui, Morales, & Martinez,
1997). Child abuse has also been linked in many studies to substance abuse,
though further research is needed to disentangle the independent effects of
substance abuse from the related issues of poverty, overcrowding, mental
disorders and health problems associated with this behaviour.
Community Factors
Poverty
Numerous studies across many countries have shown a strong association
between poverty and child maltreatment. Rates of abuse are higher in
communities with high levels of unemployment and concentrated poverty.
Such communities are also characterized by high levels of population
turnover and overcrowded housing. Research shows that chronic poverty
adversely affects children through its impact on parental behaviour and the
availability of community resources (Frias-Armenta, & McCloskey, 1998).
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Communities with high levels of poverty tend to have deteriorating physical
and social infrastructures and fewer of the resources and amenities found in
wealthier communities.
Social Capital
Social capital represents the degree of cohesion and solidarity that exists
within communities. Children living in areas with less ‘‘social capital’’ or social
investment in the community appear to be at greater risk of abuse and have
more psychological or behavioural problems. On the other hand, social
networks and neighbourhood connections have been shown to be
protective of children. This is true even for children with a number of risk
factors – such as poverty, violence, substance abuse and parents with low
levels of educational achievement – who appear to be protected by high
levels of social capital (Runyan et al., 1998).
Societal Factors
A range of society-level factors are considered to have important influences
on the well-being of children and families. These factors – not examined to
date in most countries as risk factors for child abuse – include:
Health Burden
Ill health caused by child abuse forms a significant portion of the global
burden of disease. While some of the health consequences have been
researched (Briere, & Elliott, 1994).
Physical
Abdominal/thoracic injuries
Brain injuries
Bruises and welts
Burns and scalds
Central nervous system injuries
Disability Fractures
Lacerations and abrasions
Ocular damage
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Delinquent, violent and other risk-taking behaviours
Depression and anxiety
Developmental delays
Eating and sleep disorders
Feelings of shame and guilt
Hyperactivity
Poor relationships
Poor school performance
Poor self-esteem
Post-traumatic stress disorder
Psychosomatic disorders
Suicidal behaviour and self-harm
Youth Suicide
Research suggests that abuse and neglect doubles the risk of attempted
suicide for young people. The systematic review by researchers found a
strong link between physical/sexual abuse and attempted suicide/suicidal
thoughts occurring during adolescence. Moreover, it is also found that 31% of
a physically abused group of adolescents had suicidal thoughts compared
to 10% of a non-abused group. It is also found that risks of repeated suicide
attempts were eight times greater for youths with a sexual abuse history. The
authors suggested that sexual abuse could be specifically related to suicidal
behaviour because it is closely associated with feelings of shame and internal
attributions of blame.
Eating Disorders
Eating disorders, including anorexia and binge-purge behaviour (bulimia),
may also be associated with child abuse and neglect. Sexual abuse has
been widely linked to eating disorders in children and adolescents; however,
experiencing other maltreatment types or multiple forms of abuse and
neglect have also been shown to increase the risk of developing an eating
disorder.
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and neglected children were 11 times more likely to be arrested for criminal
behaviour in adolescence.
Teenage Pregnancy
Adverse consequences of teenage pregnancy and risky sexual activity may
also be associated with experiences of abuse and neglect. Research has
consistently linked teenage pregnancy with experiences of sexual abuse. A
study by Fergusson and colleagues found that young women (18 years of
age) exposed to child sexual abuse had significantly higher rates of teenage
pregnancy, increased rates of sexually transmitted diseases, and higher rates
of multiple sexual partnerships and appeared to be more vulnerable to
further sexual assault and rape.
Fatal Abuse
The most tragic and extreme consequence of child abuse and neglect is
abuse that results in death. The World Health Organization (WHO) estimates
that 155,000 deaths around the world of children aged 15 or younger occur
every year due to abuse and neglect. A large number of deaths caused by
abuse and neglect go unreported due to insufficient investigations and a
failure to run postmortem examinations. This suggests that estimations of
worldwide deaths caused by abuse and neglect could be even higher.
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9. ROLE OF PARENTS AND TEACHERS
Don’t interrogate
Let the child explain to you in his or her own words. Don’t interrogate or ask
leading questions. This confuses and flusters the child.
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2. If a person is temperamental, reactive, or has a “short fuse,” they will
have a difficult time getting in touch with their level of emotions
3. Count to ten, take a deep slow breaths , and think before you act and
respond
4. Take care of yourself. You need to rest. Not enough rest and support, or
feeling overwhelmed, makes a person more susceptible to anger
5. Anger causes stress and over the long run will hurt you physically,
mentally and emotionally
6. People who are under constant stress, get sick more often, age
quicker, and die sooner
12. CONCLUSION
Child abuse and neglect may lead to a wide range of adverse
consequences for children and adolescents. Research suggests that specific
types of abuse are more closely related to some adverse outcomes than
others; for example, the links between physical abuse and violent or
aggressive behaviour. However, experiencing chronic and multiple forms of
abuse increases the risk of more damaging and severe consequences for
children and young people.
Child Abuse is more than bruises and broken bones. While physical
abuse is most noticeable, there are other types of child abuse. These include,
emotional, sexual and neglect. By learning about abuse and what one can
do, one can make a difference in a child’s life. The earlier an abused child
gets help, the better chance that child has to heal. Learn about child abuse,
break the cycle, and find out how one can help. Parents, Teachers and other
care givers can play vital role in preventing child abuse and treat the
affected children with love and care that they deserve. It is the utmost duty
of parents and caregivers to educate children, how to protect themselves
and how to come out of the trauma they experience.
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REFERENCES
Briere, J. N., & Elliott, D. M. (1994). Immediate and long-term impacts of child
sexual abuse. The future of children, 54-69.
Bross, D. C., Miyoshi, T. J., Miyoshi, P. K., Krugman, R. D., Kempe Children's Ctr,
Dept of Pediatrics, AHEC Program, Office of Academic Affairs, & United States of
America. (2002). World perspectives on child abuse: The fifth international
resource book. Denver (CO): The International Society for the Prevention of
Child Abuse and Neglect (ISPCAN) and the Kempe Children’s Center, University
of Colorado School of Medicine.
CEPAL, N., & UNICEF. (2009). Child abuse: a painful reality behind closed doors.
Frias-Armenta, M., & McCloskey, L. A. (1998). Determinants of harsh parenting in
Mexico. Journal of Abnormal Child Psychology, 26(2), 129-139.
Gilbert, R., Widom, C. S., Browne, K., Fergusson, D., Webb, E., & Janson, S. (2009).
Burden and consequences of child maltreatment in high-income countries. The
lancet, 373(9657), 68-81.
Runyan, D. K., Hunter, W. M., Socolar, R. R., Amaya-Jackson, L., English, D.,
Landsverk, J., ... & Mathew, R. M. (1998). Children who prosper in unfavorable
environments: the relationship to social capital. Pediatrics, 101(1), 12-18.
Runyan, D., Wattam, C., Ikeda, R., Hassan, F., & Ramiro, L. (2002). Child abuse
and neglect by parents and other caregivers.
Straus, M. A., Hamby, S. L., Finkelhor, D., Moore, D. W., & Runyan, D. (1998).
Identification of child maltreatment with the Parent-Child Conflict Tactics Scales:
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Development and psychometric data for a national sample of American
parents. Child abuse & neglect, 22(4), 249-270.
UNICEF. (2014). Violence against Children in East Asia and the Pacific: A
Regional Review and Synthesis of Findings.
UNICEF. (2009a). Progress for Children: A report card on Child Protection. New
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Vock, R., Meinel, U., Geserick, G., Gabler, W., Müller, E., Leopold, D., ... & Klein, A.
(1999). Lethal child abuse (through the use of physical force) in the German
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Results of a multicenter study. Archiv fur Kriminologie, 204(3-4), 75-87.
World Health Organization (WHO). (2002). World report on violence and health.
(A. B. Krug, E. G., Mercy, J. A., Dahlberg, L. L., & Zwi, Ed.). Geneva. Retrieved
from:
http://www.who.int/violence_injury_prevention/violence/world_report/chapters
/en/ Retrieved on 19 April 2014
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