The assessment of drawings from children who have been maltreated: a systematic review

This paper presents a systematic review that aims to identify studies using drawing techniques with maltreated children. The paper first introduces the relevant developmental theory relating to children's drawings and its application to practice. Studies using drawing techniques with maltreated children were identified from both the research and practice literature. These were summarized and compared. The evidence from the studies appears relatively inconclusive as to the value of children's drawings for the identification of possible maltreatment, although they do apparently help in aiding recall of important events. Drawings are widely used to assess maltreatment and neglect of children. However, researchers advocate caution in generalizing and interpreting drawings from children with differing experiences. Copyright © 2002 John Wiley & Sons, Ltd.     

The influence of risk and protective factors on burnout experienced by those who work with maltreated children

The aim of the study was to explore the degree (and type) of burnout and trauma symptoms, personal histories and coping strategies retrospectively reported by those who work with maltreated children and their families. A self‐selected sample of workers (N = 44) completed a self‐report questionnaire assessing childhood maltreatment, family background characteristics, current adjustment, coping strategies and burnout. Workers reported high levels of emotional exhaustion and depersonalization, and a low to moderate sense of personal accomplishment. Family background characteristics predicted the occurrence of maltreatment and current adjustment, and a personal history of maltreatment predicted current trauma symptoms, but not burnout. Workers most frequently used problem‐focused coping strategies and sought social support; however, coping strategies were not associated with the level of either trauma symptoms or burnout. Despite employing positive coping strategies, their efficacy may be affected by other interpersonal, intra‐individual and job resource issues. Copyright © 2002 John Wiley & Sons, Ltd.     

School attachment and official delinquency status in the People's Republic of China

This research examines the effect of school attachment on the likelihood of being an officially sanctioned delinquent using data for a sample of youths in Tianjin, China. Our statistical analyses are organized around a conventional, integrated causal model that draws upon Western criminological theories of delinquency. The results of multivariate regression analyses reveal that school attachment and school quality are inversely related to an indicator of official delinquency status. A measure of association with delinquent peers similarly exerts a significant but positive effect on official delinquency status. Our analyses are consistent with perspectives on delinquency developed in the West, suggesting that these perspectives are reasonably generalizable. We conclude with a discussion of new directions for further comparative research on delinquency in China.     

Adult resilience among maltreated children: A prospective investigation of main effect and mediating models

Studies examining resilience to child maltreatment reveal that maltreatment victims can achieve adaptive functioning in several areas of development; however, few of these individuals persistently demonstrate resilience across multiple domains. The majority of these investigations define adjustment with a limited number of outcomes measured proximal in time to the maltreatment experience. In contrast, this study measured adjustment across a diverse set of domains during early adulthood (ages 16–24), a number of years after the occurrence of childhood maltreatment (ages 0–11).     

The Future of Termination of Parental Rights Research and Practice: A Commentary on Ben-David

Termination of parental rights (TPR) is one of the most important decisions made by the legal system. Due to the importance of the TPR legal process, it is essential to understand the risk and protective factors that influence TPR decisions and under which conditions these factors are most influential. This commentary begins with a brief review of the literature regarding TPR. Subsequently, the Ben-David article is reviewed, highlighting the strengths and challenges that emerge from the study. Future directions are then discussed, with a focus on several recent articles that should guide researchers in the TPR field. Finally, clinical implications for social service providers and agencies are explored, with particular attention to how the TPR literature can guide best practices in clinical work.     

The outcome of Solution-Focused Brief Therapy among foster care adolescents: The changes of behavior and perceived somatic and cognitive difficulties

Objective

To evaluate the outcome of Solution-Focused Brief Therapy as an individual intervention among foster care adolescents using “traditional” methods of between-group comparison as well as analysis at individual level by assessing reliable and clinically significant change.

Material and methods

The research was conducted at seven foster care homes in Lithuania. Treatment (age average 14.6) and control groups consisted of 46 adolescents each. Control group was similar to the treatment group considering gender, age and pre-treatment evaluation of behavior and perceived somatic and cognitive difficulties. Participants could attend a maximum of 5 sessions. Post-treatment evaluation was conducted 6 weeks after the pre-treatment evaluation. Behavior and perceived somatic and cognitive difficulties were assessed using Standardized Interview for the Evaluation of Adolescents' Problems. The outcome of Solution-Focused Brief Therapy was assessed using the following statistical methods: between group comparisons; effect size (Cohen d with Hedges adjustment), reliable and clinically significant change methods proposed by Jacobson and Truax (1991).

Results

Between-group comparisons revealed that Solution-Focused Brief Therapy is an effective method for reaching positive changes in the area of behavior difficulties among foster care adolescents. 31% of treatment group adolescents reached reliable and clinically significant change in the area of behavior and 29% in the area of perceived somatic and cognitive difficulties. Also, the issue of the necessity of the quantitative criteria allowing decision making about the effectiveness of the treatment at the individual level, when using reliable and clinically significant change method, was raised in the article.     

Representations of Attachment Patterns in the Family Drawings of Maltreated and Non‐maltreated Children

The study was conducted to investigate and compare the attachment styles of maltreated and non‐maltreated children through the use of the family drawing technique. The sample consisted of ten maltreated and ten non‐maltreated children between the ages of five and 11. The findings revealed that the maltreated children depicted significantly more items in their drawings linked to an insecure attachment pattern than non‐maltreated children, while the non‐maltreated children made use of significantly more drawing features linked to a secure attachment pattern. These results corresponded to scores on the Child Behaviour Checklist (Achenbach, 1991). All maltreated children scored in the clinical range. The family drawings of maltreated children significantly evidenced a greater distress ? represented by an insecure attachment pattern – than the drawings of non‐maltreated children represented by a secure attachment style. Copyright © 2011 John Wiley & Sons, Ltd.

‘The family drawings of maltreated children significantly evidenced a greater distress’

Citing Literature

Number of times cited according to CrossRef: 16

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• Peter D. Rehder, W. Roger Mills-Koonce, Nicholas J. Wagner, Bharathi J. Zvara, Michael T. Willoughby, Attachment quality assessed from children’s family drawings links to child conduct problems and callous-unemotional behaviors, Attachment & Human Development, 10.1080/14616734.2020.1714676, (1-18), (2020). Crossref
• Esther Burkitt, Dawn Watling, Hannah Message, Expressivity in children's drawings of themselves for adult audiences with varied authority and familiarity, British Journal of Developmental Psychology, 10.1111/bjdp.12278, 37 , 3, (354-368), (2019). Wiley Online Library
• Cecilia Serena Pace, Viviana Guerriero, Giulio Cesare Zavattini, Children’s attachment representations: A pilot study comparing family drawing with narrative and behavioral assessments in adopted and community children, The Arts in Psychotherapy, 10.1016/j.aip.2019.101612, (101612), (2019). Crossref
• Bharathi J. Zvara, Roger Mills-Koonce, Lynne Vernon Feagans, Martha Cox, Clancy Blair, Peg Burchinal, Linda Burton, Keith Crnic, Ann Crouter, Patricia Garrett-Peters, Mark Greenberg, Stephanie Lanza, Emily Werner, Michael Willoughby, Intimate Partner Violence, Parenting, and Children’s Representations of Caregivers, Journal of Interpersonal Violence, 10.1177/0886260519888527, (088626051988852), (2019). Crossref
• Zahra Maghami Sharif, Nasrin Yadegari, Hadi Bahrami, Tahere Khorsandi, Representation of children attachment styles in corman’s instruction of family drawing, The Arts in Psychotherapy, 10.1016/j.aip.2017.10.004, 57 , (34-42), (2018). Crossref
• Rajan S. Hayre, Natalie Goulter, Marlene M. Moretti, Maltreatment, attachment, and substance use in adolescence: Direct and indirect pathways, Addictive Behaviors, 10.1016/j.addbeh.2018.10.049, (2018). Crossref
• Rebecca Carr-Hopkins, Calem De Burca, Felicity A Aldridge, Assessing attachment in school-aged children: Do the School-Age Assessment of Attachment and Family Drawings work together as complementary tools?, Clinical Child Psychology and Psychiatry, 10.1177/1359104517714589, 22 , 3, (402-420), (2017). Crossref
• Emiko Katsurada, Mitsue Tanimukai, Junko Akazawa, A study of associations among attachment patterns, maltreatment, and behavior problem in institutionalized children in Japan, Child Abuse & Neglect, 10.1016/j.chiabu.2017.06.018, 70 , (274-282), (2017). Crossref
• Sherwood Burns-Nader, Examining children’s healthcare experiences through drawings, Early Child Development and Care, 10.1080/03004430.2016.1192616, 187 , 11, (1809-1818), (2016). Crossref
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Volume 21 , Issue 3 May/June 2012

Pages 203-218     

Parental Depression and Child Outcomes: The Mediating Effects of Abuse and Neglect

Using longitudinal data on 1,813 children and parents from a nationally representative child‐welfare sample, National Survey of Child and Adolescent Well‐Being (NSCAW), this study investigated physically abusive and neglectful parenting as mediating the effects of parent depression on child mental health by developmental stage. Findings from latent growth models indicated that parental depression had a significant impact on child outcomes for all youths, but of the 2 types of parenting behaviors, only neglectful parenting mediated the relationship for preschool and school‐aged children. Neither parenting behavior mediated the effects of parental depression for adolescents.     

Prevalence of childhood abuse in mothers taking part in a study of parenting their own children

This paper describes the incidence of maltreatment histories in a community sample of mothers of one‐year‐old infants in Northern Ireland. The occurrence of five subsets of childhood maltreatment is examined: emotional abuse, emotional neglect, physical abuse, physical neglect and sexual abuse. Of the 201 women who completed the Childhood Trauma Questionnaire, 70 mothers (35%) reported that they had experienced one or more types of maltreatment during childhood. Forty‐eight mothers (24%) gave a history of being emotionally abused, 43 (21%) of emotional neglect, 27 (13%) of physical abuse, 20 (10%) of sexual abuse and 19 (10%) of physical neglect. Physical abuse was the only type of maltreatment which showed an association with maternal socio‐economic status, with a higher incidence reported amongst Occupational Classes 4 and 5 (lower supervisory and technical occupations and semi‐routine and routine groups). More than half of those with a history of abuse experienced more than one type of maltreatment (42 mothers or 60% of those reporting maltreatment). Differences in rates of incidence to more recent studies on younger adults are discussed, as well as implications for prevention and intervention. Copyright © 2009 John Wiley & Sons, Ltd.     

School counsellors' perceptions of mandatory reporter training and mandatory reporting experiences

The purpose of this study was to examine child abuse reporting by a national sample of school counsellors in the United States. The qualitative results from a large mixed methods study incorporating both quantitative and qualitative strands are presented. Participants were asked to comment on past child abuse training, noting the areas of training they found most beneficial and areas where they desired additional training. Participants were also afforded the opportunity to make any general comments regarding their perceptions of the current mandatory reporting legislation and their experiences of reporting child abuse. Results showed that while many school counsellors felt past training on mandatory reporting legislation and identifying types of abuse was helpful, they identified a need for additional training in identifying emotional and sexual abuse, and supervisory neglect (i.e. lack of supervision by a parent or caretaker producing potential injury or harm to the child). They also desired more training regarding working with children and families affected by child abuse. Four themes emerged from the open question. The first theme illuminated concerns regarding the effectiveness of the mandatory reporting process while the second theme was equally negative, with counsellors sharing many frustrations about their working relationship with child protection services. Additional themes related to their reporting experiences and specific challenges embedded in the school context, such as dealing with parents following a report, difficulty getting adolescent reports investigated and working with school personnel to ensure that reporting responsibilities were understood and followed. Copyright. © 2009 John Wiley & Sons, Ltd.     

Bonding and attachment of Australian Aboriginal children

In New South Wales, Australia, there is an increasing emphasis in the children's court on bonding and attachment assessments to determine whether or not a child remains with their carers. Aboriginal children and young people are over nine times more likely than other children and young people to be in out‐of‐home care. There is a paucity of information on culturally appropriate assessments of Aboriginal children in relation to bonding and attachment. Most assessments on the Australian indigenous families are based on the dominant Australian community's perception of what constitutes competent parenting. The question arises as to whether we are making psychologically and ethically sound decisions about whether or not a child remains with their Aboriginal carers based on evidence that is culturally appropriate for Western families but culturally inappropriate for the indigenous families. It is argued that the core hypotheses of attachment theory such as caregiver sensitivity, competence and secure base have to be based on the Australian Aboriginal people's cultural values. The aims of this paper are to explore the current practice on the bonding and attachment assessment of Aboriginal children using a dynamic eco‐systemic approach in the assessment of bonding and attachment of the indigenous people, with an emphasis on the historical, cultural and spiritual contexts. Copyright © 2003 John Wiley & Sons, Ltd.     

Maintaining a focus on the child? First impressions of the Framework for the Assessment of Children in Need and their Families in cases of child neglect

The Framework for the Assessment of Children in Need and their Families is guidance introduced by the Department of Health in England to improve assessment practice and promote better outcomes for children and their families. This paper considers ways in which the Assessment Framework can improve assessment practice in cases of child neglect. However, as with any national guidance, its effectiveness is dependent on local approaches to implementation. The author has undertaken practice development work around implementation with senior managers and frontline staff in area child protection committees (ACPCs) and social services departments. These experiences are used to explore the local issues and tensions encountered by both practitioners and managers responsible for implementing the Assessment Framework. An argument is made that these issues and tensions if not addressed can result in distorted assessments that lose the focus on the child. Copyright © 2002 John Wiley & Sons, Ltd.     

The preoccupation with thresholds in cases of child death or serious injury through abuse and neglect

Thresholds into and between services emerged as a significant theme in the biennial analysis of cases of child death and serious injury through abuse and neglect ‘serious case reviews’ carried out in England for the (then) Department for Education and Skills between 2003–05. The preoccupation with thresholds was one of a number of interacting risk factors and many children's cases were on the boundary of services and levels of intervention. In most cases child protection did not come ‘labelled as such’ which reinforces the need for all practitioners, including those working with adults to be alert to the risks of significant harm. Policy makers should acknowledge that staff working in early intervention are working within the safeguarding continuum and not in a separate sphere of activity. The emotional impact of working with hostility from violent parents and working with resistance from older adolescents impeded engagement, judgement and safeguarding action. In the long term neglect cases that were reviewed, the threshold for formal child protection services was rarely met and some agencies and practitioners coped with feelings of helplessness by adopting the ‘start again syndrome’. Adequate resources are essential but not sufficient to redress the problems. Effective and accessible supervision is crucial to help staff to put into practice the critical thinking required to understand cases holistically, complete analytical assessments, and weigh up interacting risk and protective factors. Copyright © 2008 John Wiley & Sons, Ltd.     

The Experience of Trauma Recovery: A Qualitative Study of Participants in the Women Recovering from Abuse Program (WRAP)

ABSTRACT

The efficacy of intensive group treatment programs for child maltreatment has been established. The aim of this qualitative study was to understand how women with a history of child maltreatment experienced the Women Recovering from Abuse Program (WRAP), an existing intensive group treatment program. Seven women were interviewed following their participation in WRAP. Three themes emerged: Breaking Trauma-Based Patterns, Doing Therapy, and The Healing Journey as a Continuous Process. These findings deepen our understanding about how participants view the recovery process. Theoretical and clinical implications are discussed.     

A review of the relationship between poverty and child abuse and neglect: Insights from scoping reviews,systematic reviews and meta-analyses

An up-to-date and accurate picture of the evidence on the impact of poverty is a necessary element of the debate about the future direction of children's social care services internationally. The purpose of this paper is to update evidence about the relationship between poverty and child abuse and neglect (CAN) published since a previous report in 2016 (Bywaters et al., 2016). A systematic search was conducted, identifying seven reviews. Poverty was found to be consistently and strongly associated with maltreatment, be that in terms of familial or community-level poverty, or in terms of economic security. Findings demonstrated that both the type and the quantity of economic insecurities impacted child maltreatment. Certain economic insecurities – income losses, cumulative material hardship and housing hardship – reliably predicted future child maltreatment. Likewise, as families experienced more material hardship, the risk for maltreatment intensified. In some studies, the relationship between poverty and maltreatment differed by abuse type. Future reviews need to investigate individual papers and their findings across different CAN measures, definitions, samples, abuse types and conceptualisations of poverty to provide a comprehensive understanding of the current research base and the directions which need to be taken to further understand and prevent CAN.     

The Impact of Parental Attachment on Adolescent Perception of the School Environment and School Connectedness

The extent to which students feel accepted, valued, respected and included in the school has recently surfaced as one of the most important predictors of adolescent mental health (particularly depressive symptoms). The school environment is an established predictor of school connectedness, but we set out to examine whether parental attachment predicts both adolescents' perception of the school environment and school connectedness. A study of 171 high school students from years 8 to 12 showed that parent attachment strongly predicted both. We also confirmed that the relationship between parent attachment and school connectedness is not a direct one but that parent attachment influences individual differences in the way adolescents perceive the school environment, which in turn influences school connectedness. This finding shows how multiple systems might be interlinked in influencing wellbeing in adolescents, and confirms the importance of intervening at the double level of both the family and the school system.