Influences on registered nurses' decision‐making in cases of suspected child abuse

This paper reports on the factors influencing decision‐making for a group of 10 South Australian community nurses in cases of suspected child abuse. Each nurse participated in a structured interview. The data were organized into themes, using the computer program NUD*IST. Factors having an impact on the nurses' decisions to report included: the type of suspected abuse, making moral judgements and decision‐making, the consequences of reporting, and the impact versus the outcomes of reporting. Most significantly, the community nurses based many of their decisions on their estimation of the kind of intervention likely to be undertaken by children's protection services. Copyright © 2002 John Wiley & Sons, Ltd.     

A review of the epidentiological research on child sexual abuse. Community and college student samples

This article is the first of two consecutive reviews on the major empirical studies which have been carried out in an attempt to estimate the prevalence of child sexual abuse among females. The research is structured in terms of three sample categories: (a) probability and non-probability samples of the general population; (b) college student samples; and (c) clinical inpatient and outpatient samples. This part of the review deals with (a) and (b) and highlights a number of unresolved methodological issues which may contribute to the variance in reported prevalence rates. These include a myriad of definitions of child sexual abuse and different methods of eliciting information on possible histories of abuse. Despite these problems. taken as a whole the prevalence studies indicate the significant numbers of people who have experienced abuse and who are willing to disclose aspects of these abusive experiences.     

Defining child abuse in Hong Kong

Definitions of child abuse are culturally driven. Hong Kong, with a predominantly Chinese population, has managed to eradicate much of the societal abuse that children suffer elsewhere in Asia. Professional and government attention has now shifted to child abuse and neglect within the family. The paper, based on interviews with key professionals. analysis of policy documents and practice records examines traditional Chinese parent-child relationships. the status of parental authority and corporal punishment and changes in contemporary Hong Kong family life. It goes on to outline the development of responses to child abuse in Hong Kong, some of the dilemmas that professionals face in defining abuse and areas for future research.     

Challenging sexual violence against girls: A social awareness approach

Most strategies to prevent child sexual abuse rely on therapeutic work with abusers or direct work with children training them to recognize and resist molestation. However, many authors, activists and professionals in this field assert the need to challenge broader social attitudes towards sexuality and violence. In 1992 an attempt at such an intervention was employed by Edinburgh District Council in their “Zero Tolerance Campaign”. This was a public awareness campaign which aimed to increase people's understanding of the extent and nature of violence against women and girls and to emphasize that such crimes should not be tolerated. Through challenging misconceptions, encouraging public discussion and focusing on strategies to prevent such crimes, the campaign organizers hoped to transform the social climate which is conducive to the abuse of women at any age. This article explores public response to the Zero Tolerance Campaign and, in particular, focuses on reactions to the two advertisements which addressed the sexual abuse of girls.     

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.     

Breaking the intergenerational transmission of child abuse: Beyond the mother-child relationship

Studies comparing abusive and non-abusive parents who were abused as children are reviewed to determine protective factors that may lead to a break in the transmission pattern. Non-abusers have several factors in common. For instance: they have extensive emotional and social support from significant others. they are aware of what happened to them as children and are openly angry about their abuse. and many of them received (psycho)therapy as adolescents or young adults. Discovering protective factors by which some parents overcome a family pattern of abuse is valuable in guiding both prevention and intervention efforts. A brief discussion of the influence of methodological variations of different studies on reported transmission rates precedes the review. Furthermore. attention is given to the underrepresentation of (abusive) fathers in theory as well as in research on child abuse. The effects of undervaluation of gender differences are discussed in terms of their importance in the occurrence and (breaks in the) transmission of child abuse.     

Distal and Proximal Factors in Domestic Violence: A Test of an Integrated Model

We employed 4,095 couples from both waves of the National Survey of Families and Households (NSFH) to test a model of couple violence drawn from several theoretical perspectives. The outcome distinguishes among nonviolent couples and those experiencing either physical aggression or intense male violence. According to the model, background characteristics of couples are related to relationship stressors, which affect the risk of violence via their tendency to promote verbal conflict. Considerable support for the model was found. Couples were at higher risk for one or both forms of violence if they were younger at union inception, had been together for less time, were both in their first union, had only one partner who was employed, had a nontraditional woman paired with a traditional man, had at least one partner who abused substances, had more children, had more frequent disagreements, exhibited a more hostile disagreement style, or lived in an economically disadvantaged neighborhood. Moreover, the effects of stressors such as the number of children and couples' employment status disparities appear to be mediated by disagreement frequency and disagreement style.     

A case of suspected child abuse by an adolescent mother: The use of short-term psychotherapy

The incidence of pregnancy during adolescence has escalated dramatically in recent years, with an estimated half a million infants born to teenagers each year in the United States. A disproportionately high amount of child abuse and/or neglect is encountered among adolescent parents, underscoring the need for an effective intervention strategy. Short-term psychotherapy may be beneficial in these cases for forging a therapeutic alliance expeditiously and rigorously challenging the patient's resistance. The case described involves alleged abuse by a 16-year-old mother. An intervention was designed to clarify the allegations surrounding the abusive incident, help the mother confront episodes of loss in her own life and overcome feelings of hopelessness engendered by separation from her infant.     

An evaluation of the childhood family structure measures from the sixth wave of the British Household Panel Survey

Summary.  The paper performs an evaluation of the data that were collected in the sixth wave of the British Household Panel Survey (BHPS) on childhood family structure. After comparing such data with a large number of studies by using external sources, we find that the BHPS data overestimate the proportion of people who report an experience of life in a non-intact family during childhood by about 10%. Although an explanation based on recall error that deteriorates with the age of the BHPS respondents is possible, the overestimation is likely to be accounted for by non-ignorable attrition that may affect most of the comparison studies based on longitudinal data. Conversely, comparisons with other independent measurements from the BHPS itself reveal that the wave 6 data underestimate the proportion of young people who have lived at least part of their childhood in a non-intact family by about 8%. The probability of disagreement between these two sets of measures is strongly associated with poor interview characteristics, which may affect the comparison measure more than the wave 6 measure. Despite such differences, there is therefore a substantial degree of similarity between the family structure information that was collected in the sixth wave of the BHPS and the host of highly diverse records against which it has been compared.