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Psychoanalytic perspectives on child abuse
Authors:Anne L Tuohy MSW
Institution:(1) Jewish Board of Family and Children's Services, 219 E. 11 Street, 10003 New York, NY
Abstract:This paper examines the application of selected concepts from classical psychoanalysis, ego psychology, object relations theory, and self psychology to the assessment and treatment of child abuse. Child maltreatment is conceptualized as deriving, in part, from impaired symbiotic and separation-individuation experiences. The role of certain defense mechanisms employed by the formerly abused parent in perpetuating intergenerational cycles of abuse is explored. Disturbances in the development of the ldquonuclear selfrdquo (as postulated by Kohut) in abusive parents are considered. Fairbairn's model of the inner object world is used to illuminate scapegoating processes. The concept of ldquoprotectivenessrdquo is discussed in relation to the abused child's use of primitive defenses and inhibition of autonomy. Countertransference issues are viewed in relation to the problem of workers' ldquoburnout.rdquoThis paper was written for completion requirement for the degree of M.S.W. at Hunter College School of Social Work. The auther wishes to express her appreciation to Phyllis Caroff, Richard Gaines, Mary Beth Globenfelt, Arthur Green, Wendy Kamaiko, Jeffrey Seinfeld, and Anna Clare van Dalen for their assistance and generous contributions to this paper.
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