Exploring the relationship between poverty,childhood adversity and child abuse from the perspective of adulthood

A recent Australian study of people experiencing poverty, involving in‐depth interviews with 20 participants, suggests that a complex process leading to poverty in adult life can stem from abusive and adverse experiences in childhood. It is considered that these experiences of abuse and adversity may begin a process of ‘negative chain effects’ (Rutter, 2000) resulting in a pathway into poverty caused by ‘accumulated adversity’ (Seth‐Purdie, 2000). The development and maintenance of human capital, defined as the sum of a person's physical, psychological and economic capabilities, are strongly influenced by the extent of adversity experienced over a person's life course, particularly experiences of adversity in early childhood (Seth‐Purdie, 2000). In this paper, the experiences of childhood abuse and adversity reported by the interviewees will be outlined and discussed in the light of theory and research related to development during childhood and adolescence. Copyright © 2007 John Wiley & Sons, Ltd.     

Constructing the sick child: the cultural politics of children's hospitals

Drawing on an ESRC funded study of children's experiences of hospital space this article explores the cultural politics of contemporary English childhood. Using the words and commentaries provided by both children and young people, the article argues that although, as patients, children and young people share the same hospital spaces, their experiences of them are quite different. Through mundane material and symbolic practices, a number of experiential continuities are created for the youngest children between life in hospital and life at home, continuities that work to downplay their identities as children who are sick. For young people, however, these practices are more problematic since the discourses of childhood that are recreated have little resonance with young people's own experiences and sense of self and identity. Thus this article provides evidence of the need for a more nuanced understanding of not only young people's needs in relation to hospital services, but also of the significance of understanding the ways in which particular constructions of ‘the child’ and ‘childhood’ are threaded through public discourses and come to be realized in institutional settings.     

The use of the dream in the promotion of ego development

Two functions of dreams, described but not stressed by Freud—the dream as a way of remembering early childhood experiences and the dream as an attempt to master painful stimuli—are considered in this paper in terms of their significance in the treatment of patients whose preoedipal developmental difficulties have resulted in distortions or deficiencies in psychic structure. By providing access to that period of life before semantic communication a time of profound developmental import, certain dreams can illuminate critical experiences of that period. They may lead to the discovery of positive experiences which can be utilized as a starting point for the fostering of more positive object representations or they may lead to the understanding of early traumatic experiences which can be dealt with retrospectively in the therapeutic situation.     

Childhood Family,Ethnicity, and Drug Use Over the Life Course

Using multiply imputed data from 5 waves of the National Longitudinal Survey of Youth (N = 8,294), we investigated whether childhood family characteristics and childhood religious affiliation explain ethnic differences in marijuana and cocaine use in the last year. None of the childhood factors explained ethnic differences in drug use, though ethnicity and several childhood factors had age‐specific effects. Over the life course from young adulthood to middle age, ethnic differences in drug use changed and the effect of childhood religious affiliation declined. Having a more intellectually rich family in childhood increased the risk of drug use at younger ages but reduced it at older ages. The study demonstrates the significance of childhood family experiences for understanding adult drug use.     

Psychological vulnerability and problem gambling: an application of Durand Jacobs' general theory of addictions to electronic gaming machine playing in Australia

The aim of this study was to conduct an empirical investigation of the validity of Jacobs' (in J Gambl Behav 2:15-31, 1986) general theory of addictions in relation to gambling problems associated with electronic gaming machines (EGM). Regular EGM gamblers (n?=?190) completed a series of standardised measures relating to psychological and physiological vulnerability, substance use, dissociative experiences, early childhood trauma and abuse and problem gambling (the Problem Gambling Severity Index). Statistical analysis using structural equation modelling revealed clear relationships between childhood trauma and life stressors and psychological vulnerability, dissociative-like experiences and problem gambling. These findings confirm and extend a previous model validated by Gupta and Derevensky (in J Gambl Stud 14: 17-49, 1998) using an adolescent population. The significance of these findings are discussed for existing pathway models of problem gambling, for Jacobs' theory, and for clinicians engaged in assessment and intervention.     

Childhood sexual experience and adult offending: an exploratory comparison of three criminal groups

The study explored the links between adult offending and exploitative sexual experiences during childhood. A questionnaire was administered to three criminal groups (child molesters, rapists and non‐sexual offenders) with the aim of investigating the statistical relationships between the men's early childhood sexual experiences. The sample comprised a total of 125 males. Fifty‐eight were in prison for non‐sexual crimes, 23 were serving sentences for rape and the remaining 44 were undergoing therapeutic treatment for their child molestation crime at a special treatment programme within the prison. Significant differences were found across the groups with respect to family context: education, subsequent occupation, religious family background and levels of abuse experienced during childhood. The two sex offending groups reported higher levels of physical and sexual abuse. The rapists reported significantly higher levels of emotional abuse and neglect. The child molester group was more likely to report both consenting and non‐consenting activity with other children and there was significance across the range of sexual behaviours. Higher abuse reporting by the child molester and rapist groups suggests that early experience may influence developmental trajectories and offending pathways. Copyright © 2008 John Wiley & Sons, Ltd.     

Sullivan's Approach to Inner Psychotic Experiences: A Case Illustration

Harry Stack Sullivan's concept of interpersonal psychiatry has been recognized as a landmark in the American psychoanalytic movement, in particular his influence on the development of object-relations theory. He is an influential figure in interpreting the inner experiences of persons with schizophrenia. Psychotic experiences represent a failure of one's self-system and the dissociation dynamism. Delusions and hallucinations are experiences in lost control of self-awareness. The person regresses to dreams or experiences from infancy and childhood in facing spontaneous conflicts and anxiety in interpersonal transaction. As a result, the tripartite self-system is fractured. In this paper, the writer applies Sullivan's concept in interpreting the inner psychotic experiences of a client with schizophrenia. Its implication for clinical social work practice is also discussed.     

The joint contribution of experiencing and witnessing violence during childhood on child abuse in the parent role

This article examines adult respondents' abuse of children as a consequence of their own childhood experiences of abuse, both direct experiences of childhood violence (hitting) and exposure to interparental violence (witnessing). In particular, the study examines the extent to which these factors function interactively: Are both experience and exposure necessary or is either sufficient to increase disproportionately the probability of child abuse? Using data from the Second National Family Violence Survey, results of a logistic regression analysis show that either or both factors produced higher than average and relatively similar rates of child abuse. Only respondents with neither form of family violence reported lower than average rates of abuse of their own children. The analysis controlled for gender, race, family income, and family structure; race was the only control variable to be significantly associated with child abuse. Finally, no control variable modified the interaction between the family violence variables.     

Adverse Childhood Experiences and Gambling: Results From a National Survey

Pathological gambling disorder and problem gambling are addictive disorders with severe consequences for individuals, families, and society. Knowledge about associations between childhood adverse experiences (i.e., physical, sexual, and emotional abuse) and gambling pathology in adulthood is limited. Using data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), associations between adverse childhood experiences and lifetime gambling status were tested. Strong bivariate associations between adverse childhood experiences and gambling status were found, which were attenuated with the inclusion of clinical covariates. Adverse childhood experiences might be related to pathological gambling in adulthood, but this relationship might not be gambling-specific.     

Women's Childhood Experience: A Perspective from Rural Haryana,India

The childhood experience of women is an important aspect of study in order to promote a change in women's fertility behavior and individual perpetration of gender discrimination. We looked into different dimensions and correlates of childhood experiences by exploring data of 329 women in an ethnographic survey conducted in five villages of Haryana, India. We found women's childhood experiences in rural Haryana were relatively worse; a significant proportion of women had faced food discrimination during their childhood and also were abused/cursed by the family because of their gender. Almost none of the women were asked for their opinion before arranging their marriage and in most cases their marriage was considered a burden. We conclude that a life cycle approach should be taken to examine the situation of girls in rural India starting from early childhood into adolescence and womanhood in order to solve the problem of high gender discrimination within the society.     

Childhood Maltreatment,Bullying Victimization,and Psychological Distress Among Gay and Bisexual Men

Sexual minority men report higher psychological distress than heterosexual men, including depression and anxiety. Research suggests that these health disparities may be due to the heightened stressors that gay, lesbian, and bisexual individuals experience. Some of these stressors occur early on in life, such as childhood abuse and bullying, and may include stressors that are topically related to sexual minority status, such as anti-gay bullying and teasing for gender nonconformity to masculine gender norms. We tested a structural equation model on the association between negative childhood experiences and adult psychological distress among 304 gay and bisexual men. The model fit the data well, and demonstrated an indirect effect of negative childhood experiences on adult psychological distress via dysfunctional thoughts toward oneself. The results integrate the childhood abuse and anti-gay bullying victimization literatures by showing that both forms of adverse childhood experiences are associated with adult psychological distress. The findings suggest the benefit of treatments to reduce negative, dysfunctional thoughts among gay and bisexual men who have experienced adverse childhood events.     

Traumatic Childhood and Marriage

Abstract

This exploratory, qualitative study of 84 adults who have survived and transcended a traumatic childhood describes the role their spouses played in the process of rising above their difficult childhood experiences. The participants talked about what they were looking for in a spouse, negative marriage experiences, and the positive role spousal support played in transcending the traumatic childhood. The study of their lives reveals important insights into the role of marriage in the process by which people grow into healthy adults. These insights will be useful to people who work with couples in which one person is seeking to leave past difficulties behind.     

Stress in Childhood and Adulthood: Effects on Marital Quality Over Time

We work from a stress and life course perspective to consider how stress affects trajectories of change in marital quality over time. Specifically, we ask whether stress is more likely to undermine the quality of marital experiences at different points in the life course. In addition, we ask whether the effects of adult stress on marital quality depend on childhood family stress experiences. Growth curve analysis of data from a national longitudinal survey (Americans' Changing Lives, N = 1,059 married individuals) reveals no evidence of age differences in the effects of adult stress on subsequent trajectories of change in marital experiences. Our results, however, suggest that the effects of adult stress on marital quality may depend on childhood stress exposure. Stress in adulthood appears to take a cumulative toll on marriage over time-but this toll is paid primarily by individuals who report a more stressful childhood. This toll does not depend on the timing of stress in the adult life course.     

‘We took a bath with the chickens’: memories of childhood visits to the homeland by second‐generation Greek and Greek Cypriot ‘returnees’

Drawing on a wider study of 90 second‐generation Greeks and Greek Cypriots who have relocated to their ancestral homeland, in this article we focus on the significance of childhood visits to the homeland. Freedom – how children were allowed to roam free and stay up late – is the key trope of such memories, in contrast with the strict spatio‐temporal parenting they received in the host country. Different, sometimes less pleasant memories, however, emerge when the visits took place during later, teenage years. We explore the connections between childhood visits and adult relocation. Adult returnees find that settlement in the homeland produces a new set of challenges and reactions that differ markedly from childhood experiences and memories. They engage a second narrative trope, nostalgia, reflecting on the loss of the ‘authentic’ nature of the homeland and its customs and values. Instead, they highlight the materialism and xenophobia of Greek and Cypriot society nowadays. However, they see the ‘homeland’ as a safer place in which to raise their own children.     

Childhood punishment experience and adult violence

Using secondary analysis of data from a national survey, this note examines the relationship between childhood punishment experiences and adult violence. The data indicate that the correlation is rather low, a finding that is consistent with previous research on samples of children. It is suggested that in spite of this finding, rather extreme childhood experiences may be fairly strongly related to adult physical aggression, and suggestions for further research are offered.     

Some correlates of women's childhood sexual experiences: A retrospective study

Relatively few empirical studies have addressed long‐range effects of childhood sexual experiences. This study examined the relationships of various childhood sexual experiences to adult functioning in five areas: (a) family relations, (b) depression, (c) marital satisfaction, (d) sexual satisfaction, and (e) self‐esteem. A retrospective survey was conducted with a sample of 501 predominantly middle‐class women. No clinical or offender populations were used. Five standardized scales were used as dependent variables. On none of the five variables were the scores of women with childhood sexual experiences significantly different from those of women with no childhood sexual experiences. However, the interactions of negative experiences, such as the use of force and abusive behavior, with the type of partner, such as a parent or other relative, were significantly associated with adult functioning. Some of the findings challenge commonly held beliefs and have far‐reaching implications for the helping professions and others who study human sexuality.     

The Effect of Age and Childhood Social Class on Preference for New Healthcare Practices

Bourdieu theorized that habitus structures and is structured by experiences in the social world, with childhood experiences having the strongest influence. Habitus can yield rewards in specific fields through dispositions to enact certain practices. Healthcare provides an opportunity to assess how age and childhood social class interact to produce preferences in a changing field. Are people who developed their habitus in higher social classes as children more likely to report preferences that reflect new practices? Is there greater inequality at older ages? We find that parents’ educational attainment and occupational prestige does not have a direct effect on respondents’ preferences to be involved in their healthcare decisions. However, there is a significant interaction with age, with larger gaps by childhood social class among older respondents. Results suggest that when valued practices change, socially advantaged groups can most quickly adapt. The findings have implications for the replication of class inequality.     

Being Confined within? Constructions of the Good Childhood and Outdoor Play in Early Childhood Education and Care Settings in Ireland

This study is based on a study of the experience of the outdoors in early childhood education and care settings in Ireland. Central to the analyses are the inter‐linkages drawn between constructions of a ‘good’ childhood, and children’s ‘need’ for outdoor play, as well as the contradictions which arise around competing discourses of safety and protection versus play and autonomy in the structuring of children’s everyday lives. The findings indicate that the outdoors is increasingly marginalised in young children’s everyday experiences. Conclusions are drawn with reference to the implications for the development of real and meaningful outdoor play experiences for children in early childhood education and care settings.     

Sexual coercion within mixed-sex couples: the roles of sexual motives, revictimization, and reperpetration

Research suggests that a history of childhood sexual abuse, and previous experiences of sexual coercion, may predict sexual coercion victimization and perpetration. More recently, sexual motivation has been found to correlate with both consensual and non-consensual sexual activity. However, sexual motivation has not been examined in association with previous experiences of abuse and sexual coercion. The aim of this study was to investigate childhood sexual abuse, previous sexual coercion experiences, and sexual motives of both partners as possible risk factors for current sexual coercion victimization and perpetration within a sample of 209 mixed-sex couples. This study examined whether power, stress relief, partner pressure, and imposition motives contributed unique variance to the prediction of sexual coercion beyond that accounted for by past childhood sexual abuse and sexual coercion events. Using hierarchical logistic regressions, four predictive models were examined for both male and female sexual coercion perpetration and victimization. Results show that childhood sexual abuse was only a significant predictor of female sexual coercion perpetration, whereas male sexual coercion victimization and perpetration were predicted by sexual coercion victimization and perpetration in previous relationships. Power motives were also significant predictors of sexual coercion perpetration, and imposition was a significant predictor of sexual coercion victimization for both genders.     

On the Road to Resilience: The Help‐Seeking Experiences of Irish Emigrant Survivors of Institutional Abuse

Understanding how survivors of complex trauma navigate towards resources can inform the design of interventions and health promotion strategies. However, there are little data on the resilience and help‐seeking experiences of this group or others who have experienced institutional abuse in childhood. This empirical study sets out to illustrate the help‐seeking experiences of Irish emigrant survivors of institutional childhood abuse (ICA). Twenty‐two survivors of ICA were purposefully recruited from community organisations in the UK and data were collected via semi‐structured interviews. As a result of negative initial help‐seeking experiences in Ireland, most participants engaged in long periods of self‐management and disclosed information about their childhood as part of a redress scheme in later life. Outside of this scheme, turning points, such as illness or family problems, and the needs of children were influential in seeking help. Peer support networks played an important role as a trusted signposting pathway towards formal interventions. Participants identified interpersonal barriers to formal help‐seeking as helping professionals' failure to share control, insensitivity to identity loss and literacy issues, and the lack of explicit boundaries. The paper concludes with a discussion about the implications for research and future practice.

‘This empirical study sets out to illustrate the help‐seeking experiences of Irish emigrant survivors of institutional childhood abuse’

Key Practitioner Messages:

• Turning points, such as illness and bereavement, and the desire to provide for children, influence the help‐seeking of survivors of ICA.
• Irish emigrant survivors of ICA cite failure to share control, insensitivity to identity loss, literacy issues and the lack of explicit boundaries as barriers to help‐seeking.
• General awareness of ICA can help practitioners in low‐threshold services prevent against culturally insensitive practice.
• Peer support networks can provide uniquely trusted signposting towards formal interventions.