Social services provided for physically abused children in Sweden: background factors and interventions

This study aims at describing and analysing what kinds of social services are provided for physically abused children in Sweden. The social services files were examined for 113 children under 15 years of age (67 boys and 46 girls) who had been reported to the police as having been physically abused by a parent or equivalent caretaker in a particular police district. The children's social services files indicated an increased risk of a parental abusive behaviour prior to the abuse incident. There had been former interventions in 81 per cent of the families and previous reports on neglect or abuse in 44 per cent of the 113 families. After the abuse incident, investiga-tions were opened in 80 per cent of the cases. The three most common interventions were placement in foster care, referrals to Child and Adolescent Psychiatric Service and Social Services support contacts. The study shows that there was a tendency towards more proactive work with injured children, children of immigrant parents and children of mentally ill parents.     

Physical Abuse, Cognitive and Emotional Processes, and Aggressive/Disruptive Behavior Problems

Cognitive and emotional processes were examined in maltreated children with a history of physical abuse (n = 76), children with a history of maltreatment other than physical abuse (i.e., sexual abuse, physical neglect, and emotional maltreatment; n = 91), and a group of non‐maltreated comparison children (N = 100). Physical abuse was associated with errors in cue interpretation, easy access to aggressive responses to conflict, and poor emotion regulation. In turn, maladaptive cognitive and emotional processes made unique contributions to explaining the relationship between physical abuse and peer nominations of aggression and disruptive behavior. Maltreated children who had not been physically abused evidenced a trend toward cognitive and emotional maladaptation, but only poor emotion regulation accounted for aggression and disruptive behavior in these children. The findings emphasize the importance of considering multiple domains of development in efforts to understand how varying forms of child maltreatment contribute to later maladjustment.     

Children's Coping with Marital Conflict: The Role of Conflict Expression and Gender

This study compared boys’ and girls’ coping responses to videotaped representations of marital conflict that varied in conflict content, tactic, and the gender of the parent engaging in conflict behaviour. Participants were 398 children (208 boys, 190 girls) aged 12–13 years old living in the United Kingdom. Child‐related conflict exchanges characterized by hostile behaviour (e.g., physical aggression) elicited greater mediation efforts by children. Children were more likely to mediate father‐enacted conflict. Girls, relative to boys, endorsed more mediation to fathers’ physical aggression and mothers’ pursuit of an issue and were more avoiding of mothers’ physical aggression and threats to intactness of the family. Findings underscore the importance of considering parent and child gender in determining children’s coping efforts in the context of interparental conflict.     

Child abuse in China: a yet-to-be-acknowledged 'social problem' in the Chinese Mainland

Child abuse or child maltreatment has been a worldwide concern. In China, however, it receives scant attention from both academic communities and government. Chinese society has little awareness of child abuse as it is known in the West and there are apparently different conceptions and treatments of the problem. This paper attempts to delineate how the problem is now understood and treated in Mainland China. The reasons why child abuse has not yet been recognized as a social problem worthy of public concern in China are explored. It is argued that as a signatory of the UN Convention on the Rights of the Child there is a need for the Chinese government, the academic community and professionals to reflect on their conception and treatment of child abuse so as to achieve more effective child protection for all children who are victims of child abuse.     

Patterns and correlates of co‐occurrence among multiple types of child maltreatment

This study examined the patterns and correlates of the types of maltreatment experienced by adolescents aged 9–12, participating in an ongoing longitudinal study on the impact of neglect on children's development. Using case record abstraction, the study compared the child protection classification and findings from the case record abstraction with regard to the rates of four types of maltreatment (i.e. physical, sexual, emotional abuse and neglect) as well as co‐occurrence across multiple types of maltreatment. Next, the study examined the frequently observed patterns of child maltreatment. Finally, the study investigated whether aspects of caretaker functioning and the detailed incident characteristics in the cases of neglect differed by the number of different types of maltreatment the children experienced. Results showed significant discrepancies between the Child Protective Service classification and case record abstraction. Child Protective Service classification considerably underestimated the rate of co‐occurrence across multiple types of maltreatment. Neglect accompanied by physical and emotional abuse was the most common form. Some of the caretaker functioning variables distinguished the number of types of maltreatment. Based on the findings, future‐research directions and practice implication were discussed.     

Child maltreatment types and adolescent substance use: The role of deviant peer affiliation

This is the first study to examine the mediating effects of deviant peer affiliation on the association between different types of child maltreatment and adolescent substance use that includes alcohol, tobacco, and marijuana. Peer deviance is a well‐established correlate of adolescent substance use, but most studies exploring the relationship between child maltreatment and adolescent substance use have failed to include peer deviance. Structural equation modelling was conducted to examine the direct effects of each type of child maltreatment (i.e., physical, sexual, and emotional abuse, and neglect) on adolescent substance use, as well as indirect effects via deviant peer affiliation, using Longitudinal Studies of Child Abuse and Neglect. The results indicated that deviant peer affiliation fully mediated the individuals who had been emotionally abused showed increased deviant peer affiliation, which in turn was associated with higher levels of adolescent substance use. None of the four types of child maltreatment was directly associated with adolescent substance use. The study's findings underscore the importance of early assessment and intervention for the peer relationships of youth who have been emotionally abused.     

Between the maternal and the professional: the impact of being a child welfare officer on motherhood

Child welfare officers experience stress from exposure to child neglect and abuse and the burden of responsibility for children's well‐being. This qualitative study addresses the question: How do social workers who are child welfare officers perceive and cope with the influence of their professional occupation on their relationships with their own children? The research is based on in‐depth interviews with a purposive sample of 10 child welfare workers who are mothers (of 2–4 children aged 2–23 years). The data analysis illustrates how the professional identity and the maternal identity of the child welfare officer fluctuate between two positions. The first is ‘anxious motherhood’ in which anxiety is the prism through which the welfare officer views the world as dangerous for her children, stimulating protective, control‐enhancing actions. The second position is reflective motherhood in which the welfare worker struggles with her own stresses and conflicts as a mother and searches for an experience of meaningful, positive motherhood. The findings reinforce the need to raise the consciousness of child welfare officers regarding the impact of encountering distress and trauma on their own well‐being as parents. In this way, they can prevent secondary traumatization and enhance professional and maternal growth.     

Child sexual abuse: a marker or magnifying glass for family dysfunction?

A report of child sexual abuse leads to a multi-agency investigation that often reveals other maltreatment and dysfunctional behaviors within the family. Due to recent developments in this field, the emphasis of the investigation has shifted to the child’s history rather than information from the parent or accused, or the presence of injuries. In the last 10 years Children’s Advocacy Centers have become a central component to the investigation of child sexual abuse and provide a means for long-term follow-up of referred families. The idiosyncrasies of this investigative and advocacy system have provided an in-depth view of the families of sexually abused children.Four family types emerge: safe and secure, safe and insecure, unsafe and enmeshed, and unsafe and insecure. The characteristics of child sexual abuse, the response to the child’s disclosure of abuse, and the prognosis for the child victim vary among the different family types. An innovative long-term program of wrap-around services for sexually abused children and their families provides counseling, peer activities, family mentoring, and child mentoring while tracking the symptoms and behaviors of the child victims. The identification of a child victim of sexual abuse can be a tragic crisis and an opportunity for intensive and timely intervention.     

The Psychological Consequences of Abuse for the Child

The consequences of child abuse for the emotional health and development of the child have been largely disregarded in theory, in practice, and in research. The few studies which have investigated this aspect of the child abuse problem report detrimental psychological consequences. These research findings combined with more general psychological theory and research on personality development provide a basis for predicting the psychological consequences of abuse for children. Documentation of deficits in the emotional development of abused children has important policy and practice implications for intervention and treatment.     

Parental experiences in cases of child sexual abuse: a qualitative study

This paper describes the themes which emerged from in-depth interviews with parents of a small number of Australian children who were believed to have been sexually abused. The parents' experiences in the wake of the abuse, including their involvement with three services - a hospital counselling service, the statutory child protection service, and the police - were explored in home interviews conducted 3 months following termination of the case by these services. The themes include: issues related to trust and authority in the casework relationship; expectations of counselling; contamination of normal sexuality in the family; the perception of the sexually abused child as'damaged'; and relationships within their family and social network. Some of the implications for practice are discussed.     

“She was accused of colluding with the mother”; the training and support needs of parent‐and‐child foster carers: A qualitative study

Parent‐and‐child foster placements are used to accommodate parents with their children, either when the mother is a looked‐after child or as a setting for a parenting assessment. Despite this being a specialized role with significant potential for affecting outcomes for disadvantaged families, there is currently a lack of accessible learning opportunities for foster carers on the physical and mental well‐being of women with complex needs such as a history of domestic abuse, substance abuse, perinatal mental ill‐health, or having a learning disability. Parent‐and‐child carers experience some unique stresses and value the support of others with similar experiences; this kind of peer support is currently largely absent. This qualitative study has used ten focus groups with foster carers, eight interviews with mothers, and nine interviews with supervising social workers, to inform the development of an online learning resource and a social media‐based peer support network for parent‐and‐child foster carers.     

The Role of Child Emotionality in Child Behavior and Maternal Instruction on Planning Tasks

This study explored the relation of children's emotional functioning to children's behavior during individual planning and mother's and children's behaviors during joint planning. Participants were 118 mothers and their second‐grade children. Mothers rated children on their emotional intensity and children rated themselves on their use of emotion regulation strategies. Children and mother–child dyads were videotaped during planning tasks and independent observers rated their behavior. Child emotional intensity was directly related to children being less engaged in the task and to an emphasis in maternal instruction on regulatory behaviors. Some types of emotion regulation strategies modified these relations. Findings suggest that child emotionality may play an important role in the early school years in children's opportunities to learn during social‐cognitive activity.     

(Un)‐blaming mothers whose partners sexually abuse children: in view of heteronormative myths,pressures and authorities

Mothers of children who have been sexually abused are often shamed, blamed and held guilty for their male partners' sexual perpetrations. These feelings are constrained by the dominant heteronormative discourses, institutions and systems that devalue women, that silence them and which subsequently blame women for the abuse as well as their silence. Paradoxically, the risks for mothers speaking out are reinforced by social criticism and professional response that draw on heteronormative discourses that accuse women for ‘failing to protect’ their children, for being ‘bad’ mothers or for making poor choices in their lovers. With these issues at the forefront, this paper illuminates how heteronormative discourses may operate to not only shame and blame women unable to leave their adult relationships and protect their children, but they also strengthen the perpetrator's power as strategic actors in concealing child sexual abuse. It is argued that the heteronormative discourses that reinforce women's sense of guilt obstruct professional intervention and make service engagement of these women difficult. In light of the power of discourse, the importance of combining an overlapping systems approach in which individualized client‐centred support is provided to each family member involved in child sexual abuse matters, including for the mothers in their own right, is discussed.     

Maternal Emotion Socialization in Maltreating and Non-maltreating Families: Implications for Children's Emotion Regulation

This study investigated the socialization of children's emotion regulation in physically maltreating and non‐maltreating mother–child dyads (N = 80 dyads). Mother–child dyads participated in the parent–child emotion interaction task ( Shipman & Zeman, 1999 ) in which they talked about emotionally‐arousing situations. The PCEIT was coded for maternal validation and invalidation in response to children's emotion. Mothers were also interviewed about their approach to emotion socialization using the meta‐emotion interview‐parent version ( Katz & Gottman, 1999 ). The meta‐emotion interview‐parent version was coded for maternal emotion coaching. Mothers also completed measures that assessed their child abuse potential and abuse‐related behaviors as well as children's emotion regulation. Findings indicated that maltreated children demonstrated fewer adaptive emotion regulation skills and more emotion dysregulation than non‐maltreated children. In addition, maltreating mothers engaged in less validation and emotion coaching and more invalidation in response to children's emotion than non‐maltreating mothers. Finally, maternal emotion socialization behaviors mediated the relation between maltreatment status and children's adaptive emotion regulation skills.     

Parenting Discrepancy and Child Development in Chinese Context

Although parent–child discrepant perception of the family has been increasingly noted in the west, pertinent research is limited in Chinese societies. In addition, prior pertinent studies predominantly treated parent–child discrepant effects as independent of the general and aggregate family context, which are in fact inseparable. Furthermore, these studies tended to either look at the positive side of child outcomes or those negative ones. The present study, based on a community sample of 223 Chinese parent–child dyads, attempted to examine effects of parent–child discrepancy in effective parenting practices on both children’s positive, i.e. self-control and other perspective taking behavior, and negative outcomes, i.e. internalizing and externalizing problems, directly or indirectly through the mediator of children’s self-concept at the aggregate effective parenting context. Results largely support harmful effects of parent–child discrepancy in effective parenting on the child outcomes directly or indirectly through children’s self-concept. Besides, aggregate effective parenting practices are found to robustly contribute to the child outcomes directly and indirectly through children’s self-concept, even taking parent–child discrepant effects into account. What’s more important, the former is significantly moderated by the latter for its effects on the child outcomes, explicating the conditional nature of parent–child discrepant effects on child development. Contributions and implications of the current study applied in Chinese culture as well as future study directions are also discussed.     

The effectiveness of selected interventions for previous maltreatment: enhancing the well-being of children who live at home

The authors critically assessed reviews of the literature published between 1984 and 2002 to describe the state‐of‐knowledge about the effectiveness of interventions aimed at protecting or improving the welfare of child victims of maltreatment and who remain in the family home. The interventions studied target children, parents or families. They chiefly involve cases of sexual abuse, physical abuse or neglect; very few concern psychological abuse or exposure to violence. For the most part, the intervention effectiveness indicators measure changes in parents’ and children's knowledge (e.g. better knowledge of child development), attitude (e.g. gains in enthusiasm), emotion (e.g. decreased anxiety) and behaviour (e.g. decreased rates of aversive behaviours). Few assessments follow up on participants to determine whether the changes are lasting. The small number of evaluative studies, methodological limitations and disparities in the content and the carrying out of interventions make it difficult to draw sound conclusions about the effectiveness of interventions, even for interventions most often and most favourably assessed, such as behavioural and cognitive‐behavioural interventions with maltreating parents. Implications for practice, research and policy are underlined.     

Maltreatment and Internal Representations of Relationships: Core Relationship Themes in the Narratives of Abused and Neglected Preschoolers

This study examined whether the predominance of particular themes in maltreated pre-schoolers' stories about relationships is related to type of maltreatment they experienced. The MacArthur Story Stem Battery was administered to 49 maltreated and 22 non-maltreated children. Children's representations of self and other were extracted from the resulting stories using the Core Conflictual Relationship Theme Method. Significant differences were found among the physically abused, sexually abused, neglected, and comparison subgroups with respect to the predominance of specific relationship themes in their stories. Both physically abused and neglected children represented the self as angry and opposing others more frequently than non-maltreated children. Neglected children represented others as hurt, sad, or anxious more frequently than both abused and non-maltreated children. Compared with all other children, sexually abused children represented others more frequently as liking them, and compared with physically abused children, expressed more frequent wishes to be close to others. This study supports the hypothesis that maltreated children's internal representations of relationships are related to their experiences of specific types of maltreatment.     

Evaluating SafeCare® in Israel: Benefits for the families

SafeCare® is a home‐based intervention programme targeting parents of children up to 5 years old and is designed to reduce and even prevent child abuse and neglect. Here, we present an evaluation of a pilot trial of SafeCare® in Israel, examining family's outcomes. We examined parents' behavioural changes resulting from the three main modules of SafeCare®: the Health, Safety, and Parent‐Child/Infant Interaction. We also studied the unplanned effects of SafeCare® by examining maternal depressive symptoms. Participants were 46 mothers with children identified as being at risk of neglect by the local Department of Social Services who completed the programme. The mothers filled out questionnaires at the beginning and at the end of their participation. After completing the programme, mothers' self‐reports showed changes in how they would treat a sick child, an increase in feelings of competency, and a decline in symptoms of depression. We thus conclude that SafeCare® helped the participating mothers, enhancing their feelings of competency and changing several of their behaviours.     

Children's narratives of sexual abuse

Children rarely disclose sexual abuse. Hence, studies of children's abuse experiences are relatively rare. This paper reports on a qualitative analysis of 2986 cases of self‐disclosure of sexual abuse from children, aged 5–18 years, who contacted ChildLine Scotland, a free, confidential telephone counselling service. Children discussed their feelings regarding the abuse, the impact of abuse on their health and well‐being, sources of support, disclosure, coping strategies, the context in which abuse occurs and the various ways in which they were groomed or their compliance in abuse was gained. Children's narratives contained detailed contextual information on their experiences of sexual abuse, perpetrators of sexual abuse and the circumstances in which sexual abuse occurs. The way in which children communicated about sexual abuse was found to differ quite considerably, and the terminology they employed was often markedly different from adult constructs. Nonetheless, children of all ages were able to describe their experiences and their feelings around the abuse in considerable detail. This study provides a rare insight into children's accounts of sexual abuse. The findings illustrate the profound impact that sexual abuse has on the lives of children and their understandings of the circumstances in which abuse occurs.     

Wait Until Your Mother Gets Home! Mothers' and Fathers' Discipline Strategies

From a traditional viewpoint, fathers are seen as the main disciplinarian in the family. However, recent studies suggest that these traditional family role patterns may have changed. In this study, we observed discipline strategies of mothers and fathers toward their sons and daughters. Participants included 242 families with two children (1 and 3 years of age). Findings revealed that parental discipline varied by the age of the children, but that mothers disciplined their children more often than fathers. Fathers, conversely, showed more laxness in response to child non‐compliance. Gender of the children was only related to physical interference, with mothers using more physical interference with boys than fathers, irrespective of birth order. Taken together, these findings highlight the importance of parent gender for parent–child interactions in early childhood, but also suggest that child age should be taken into account as important explanatory factors.