Child Maltreatment Flashcards
The original ACEs study
> Showed Adverse Childhood Experiences (ACEs) study (Felitti et al., 1998)
Comprised of 10 distinct events that occur prior to 18yo that are hypothesised to influence wellbeing later in life
ACE Household dysfunction examples
> Domestic violence > Parental separation/divorce > Substance abuse > Mental illness > Imprisonment
ACE Childhood abuse and neglect examples
> Physical abuse > Sexual abuse > Emotional abuse > Physical neglect > Emotional neglect
Role of psychology in Child Maltreatment
> Assessment and Treatment (secondary and tertiary levels)
Promising cognitive-behavioural approaches, especially if intervention happens early
Can be effective on its own, but more likely when used in an integrative approach to support children and families
e.g., it can be really hard to get a mother to engage with a treatment if she’s homeless, so it might be worthwhile to get those issues resolved first…
Obstacles and challenges in Psychology in Child Maltreatment
> Those most in need are least likely to seek help
Brought to attention as a result of someone else’s concerns
Families may be mandated into treatment who may not want to cooperate
Families may not want to admit to problems - might be scared of having children removed, or because of legal ramifications that might follow
Primary prevention of child maltreatment (universal services)
> Legal reform, social and economic policies, challenging societal norms, reducing economic inequalities
Ensuring that everyone knows that it’s not good to maltreat children, but also introducing policies to support families e.g. high quality and affordable housing or childcare
Secondary prevention of child maltreatment
target those at risk
> Targeted services for at risk populations (e.g., young mums, families with domestic violence, drug or alcohol abuse, etc.)
Home visitation programs, parenting interventions, access to pre- and post-natal services
Most successful programs tend to be those that continue during and after pregnancy, flexible, and connect families to services after program ends
Tertiary prevention of child maltreatment (When child maltreatment has already occurred) (statutory child protection services)
> Statutory child protection systems, therapeutic programs and support for victims
Psychology can really play a role here…
Should be driven by the best interests of the child
Resilience/protective factors of child maltreatment include…
> Individual factors, e.g., high intelligence
Family factors, e.g., supportive relationships
Neighbourhood factors, e.g., social cohesion
“Attainment of positive adaptation within the context of significant adversity” measured by normative functioning across:
Behavioural competence > Low antisociality Emotional competence > Low psychopathology Social competence > Good peer relations Academic achievement > High school performance
Child maltreatment increases risk for…
> Mood and anxiety disorders > Dissociation and suicidal behaviour > Substance abuse disorders > Antisocial behaviour > Psychosis > Personality disorders
Is timing of child maltreatment important?
Children abused earlier..
..have higher risk of internalising problems as adults
Is timing of child maltreatment important?
Children abused later..
..have a greater tendency to externalise behaviours as adults
Is timing of child maltreatment important?
Maltreatment in adolescence…
..tends to be a bigger predictor for antisocial and offending behaviour
Definition:
Equifinality
different factors can lead to the same outcome
Definition:
Multifinality
the same factor can lead to different outcomes
Development of integrated sense of self :
Negative/grandiose self-representations (pre-school)
> Neglected children are more negative
> Physically abused children are more grandiose (possibly a coping mechanism towards threats)
Development of integrated sense of self :
Dissociation and dissociative disorders
> Could be mild - daydreaming, getting immersed in a book
..Or more severe - amnesia
Could be a coping mechanism to tolerate negative emotions and experiences - evidence that this continues into adulthood
Development of integrated sense of self :
How internalisations lead to the structure of later social interactions:
> Development of negative expectations regarding the self and others
Usually two different pathways: withdrawal from peers vs. aggression towards peers
Leads to further rejection or peer victimisation (e.g., as a bully or being bullied)
Explained by how children make errors in encoding social cues
Differences depending on maltreatment type and gender
More physical aggression among boys, emotional aggression among girls
Data linkage studies ( “Joining up” of population-level data collected by government agencies )
Benefits:
Offers opportunities to study a broader range of outcomes
Not influenced by the same limitations of survey data regardless of cross-sectional or longitudinal designs because it captures everybody (including death records)
More objective insights not limited to a certain group of people
Usually includes datasets containing information on: Births/perinatal characteristics Health (emergency department and hospitals) Education (schools data and national tests) Child protection Public housing and homelessness Mental health and substance use Criminal justice system Welfare
Cross-sectional studies usually involves a clinical sample. Usually uses self-report or retrospective measures
Extreme groups approach is..
> Individuals selected because they have the outcome of interest
> But these are criticised because they sample on the dependent variable…
Survey methods is.. > More representative
Both options aim to identify correlates with maltreatment, but may overestimate these associations (especially the extreme groups approach)
> Can’t tell us much about causation…
> But they can provide insight to accumulation of risk factors
Prospective and longitudinal studies
> Follow individuals over time - you start with a general population sample and compare it to the maltreatment group
Maltreatment group risk of offending behaviours is much higher
Concordance between self-report and official records
> 60% official records not self-reported in adulthood and 17% of self-reports not found in official records (Brown et al., 2008)
Moderate concordance but prevalence higher in self-reports (Smith et al., 2008)
Might depend on type of maltreatment - more concordance in physical and sexual abuse, whereas less concordance in emotional abuse and neglect (Widom & Morris, 1997; Widom & Shepard, 1996)
We tend to use official records more often just because they can date the maltreatment
Pros and cons of self-reports are..
> Subjective
They can be influenced by mood
Susceptible to normal memory decay problems or infantile amnesia (being unaware of events that occurred)
Social desirability bias - people can try and justify their childhoods as a way of explaining current behaviour
But can also…
Can give a richer description of experiences, and can cover children who don’t enter child protection