Childhood Abuse - Elliott Flashcards
What percent of young children are victims of child abuse?
~10%
What is the leading substantiated cause of abuse?
neglect
Who are physicians mandated to report suspected cases of child abuse to?
- Social Services or Local Sheriff
- Verbal Report
- Followed by a Written Report
T/F Child abuse is an expression of family pathology?
True
T/F Most people who were abused as children become violent adults?
False
Predictors of perpetration:
- 33% Raised in violent home
- 25% Observed mother repeatedly brutalized
- Victimized person (home, neighborhood, etc.)
- 19% Drug abusers
- 10% Alcoholics
T/F The technical diagnosis of child abuse is easy compared to the difficulty of managing your emotional response as a physician to the abuse.
FALSE
T/F More women are the perpetrators of child physical violence; more ment are the abusers in child sexual violence.
TRUE
- Physical Abuse= 54% performed by women onto child
- Sexual Abuse= >90% performed by male
T/F A child with physical abuse injuries comes to the doctor when the injury occurs.
FALSE
-usually come in when injury doesn’t heal
T/F The parent of an abused child gives clear explanations of how and when the injuries occurred.
FALSE
T/F Bruises on padded areas of the body (buttocks, cheeks) are considered inflicted injuries until proven otherwise.
True
-require significant force
T/F Bruises on the skin over bony prominences (chin, elbow, shins, forehead) are considered inflicted until proven otherwise.
False
- common areas of bruising/injury
- not as much padding to protect
T/F Most parents who batter their children grew up in violent homes.
***
T/F The behaviors of children who have been abused are extreme (aggressive or withdrawn).
True
T/F Burns, bruises, welts, fractures, and lacerations can all be evidence of inflicted injury.
True
T/F “Failure to thrive” can be an indicator of child abuse.
True
T/F Families that abuse children are well integrated into the community.
FALSE
Family = isolated unit
Child abuse is a family secret that is carefully protected → hallmark aside from isolation
T/F Children who are abused dislike the abusing parent.
False
Children who have been abused believe they caused the abuse
- Also true for intimate partner violence
T/F Child sexual abuse occurs largely among lower socioeconomic levels.
False
This occurs in every level/setting. We cannot assume it is just among poor families.
T/F Families in which the child sexual abuse is on-going have many friends.
False
ISOLATION
T/F Normal child development is well understood by abusing families.
False
Important to explain anticipatory guidance with families in these situations.
T/F Children who have been abused have strong self esteem.
False
T/F Children who are being abused learn to separate from their emotions to cope with experiences.
True
Dissociative disorders = Children who are abused learn to separate from their emotions to cope with experience
T/F One female in four and one male in seven has been sexually abused before age 18.
True :’(
T/F The child’s and the parent’s behaviors are evidence of sexual abuse and need to be documented in the medical record.
True
T/F The family structure of abusing families is rigid and enmeshed.
True
- Rigid - family that really has hard time with teenagers - no flexibility and no allowance for independence
- Enmeshed - one where there are no doors in the house, they know everything going on in everyone’s life, in each other’s business