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Psychological maltreatment
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Hibbard, R., Barlow, Jane and MacMillan, Harriet L. (2012) Psychological maltreatment. Pediatrics, 130 (2). pp. 372-378. doi:10.1542/peds.2012-1552 ISSN 0031-4005.
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Official URL: http://dx.doi.org/10.1542/peds.2012-1552
Abstract
Psychological or emotional maltreatment of children may be the most challenging and prevalent form of child abuse and neglect. Caregiver behaviors include acts of omission (ignoring need for social interactions) or commission (spurning, terrorizing); may be verbal or nonverbal, active or passive, and with or without intent to harm; and negatively affect the child's cognitive, social, emotional, and/or physical development. Psychological maltreatment has been linked with disorders of attachment, developmental and educational problems, socialization problems, disruptive behavior, and later psychopathology. Although no evidence-based interventions that can prevent psychological maltreatment have been identified to date, it is possible that interventions shown to be effective in reducing overall types of child maltreatment, such as the Nurse Family Partnership, may have a role to play. Furthermore, prevention before occurrence will require both the use of universal interventions aimed at promoting the type of parenting that is now recognized to be necessary for optimal child development, alongside the use of targeted interventions directed at improving parental sensitivity to a child's cues during infancy and later parent-child interactions. Intervention should, first and foremost, focus on a thorough assessment and ensuring the child's safety. Potentially effective treatments include cognitive behavioral parenting programs and other psychotherapeutic interventions. The high prevalence of psychological abuse in advanced Western societies, along with the serious consequences, point to the importance of effective management. Pediatricians should be alert to the occurrence of psychological maltreatment and identify ways to support families who have risk indicators for, or evidence of, this problem.
Item Type: | Journal Article | ||||||
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Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RC Internal medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Dean's Office & Professional Support Services Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Psychological child abuse -- Prevention, Child development, Abusive parents , Children -- Services for | ||||||
Journal or Publication Title: | Pediatrics | ||||||
Publisher: | American Academy of Pediatrics | ||||||
ISSN: | 0031-4005 | ||||||
Official Date: | 1 August 2012 | ||||||
Dates: |
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Volume: | 130 | ||||||
Number: | 2 | ||||||
Page Range: | pp. 372-378 | ||||||
DOI: | 10.1542/peds.2012-1552 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||
Funder: | Public Health Agency of Canada |
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