Child maltreatment Flashcards
child abuse
Child abuse is every form of threathening or violoent behavior towards minors of a physical, psychological or sexual nature.
criterium a
exposure to actual or threathening of death, serious injury or sexual violence
resilience
niet elk incident betekent gelijk trauma voor iemand
positive child outcomes despite exposure to trauma, prevention of trauma recurrence despite high risk for further exposure, or avoidance of traumatic experiences altogether in the face of significant risk.
psychological trauma moet langer dan … geduurd hebben
1 maand
risk and protective factors
nature of traumatic event, history of trauma, family situation, gender, coping, resilience, social support
wat je ziet vs wat er onder zit
boosheid, geen goede concentratie
sadness, shame, distrust, guilt
trauma -> emotional problems -> behavior -> punishment…
-> trauma. dus punishment is niet goed.
screening =/=
diagnosis
CAPS-CA DSM5
semi structured interview
trauma treatment
trauma focussed cognitive behavior therapy
eye desensitization and reprocessing
Content validity
does the test represent the content we want to measure? -> dus meet het alle aspecten van wat je wil weten?
construct validity
does the test actually measure the concept that it aims to measure?
criterion validity
do the result correspond to a different test of the same thing?
face validity
content validity
construct validity
criterion validity
thinking out loud method
participants express their thoughts during the intervention/questionnaire
pediatric condition falsification
münchhausen-by-proxysyndroom -> a caregiver fabricates or induces illness in the child
types of abuse
physical
sexual
neglect
pediatric condition falsification
factors of child protection assessment
childs needs and strenghts
parents power
environment and family
adverse childhood experiences
abuse, neglect, household dysfunction
wat is de pathway naar early death
adverse childhood experiences -> social, emotional and cognitive impairment -> behaviour -> disease, disability and social problems -> early death
neglect
not providing the basic needs of a child, leading to a negative outcome.
effects of stress on the brain
smaller brain, bigger ventricles, smaller cortex layer. prefrontal cortex diminishes, also connections to amygdala, hypothalamus
dit zijn de stappen voor child abuse
first multidisciplinary assessment:
risk factors, environment, physical examination
then;
•General practitioner gets involved
•Voluntary services
•Safe at home (Veilig Thuis)