scholarly journals The Diagnosis of Child Sexual Abuse

1987 ◽  
Vol 11 (9) ◽  
pp. 295-299
Author(s):  
Arnon Bentovim
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Sexually Abused ◽  
International Association ◽  
Battered Child Syndrome ◽  
Abused Children ◽  
Battered Child ◽  
Abuse And Neglect ◽  
Child Syndrome ◽  
Sexually Abused Children

Kempe, in an address to the International Association for Child Abuse and Neglect in 1979, drew the professional communities' attention to ‘the serious plight of sexually abused children’. He described this as the final stage in the communities' recognition of patterns of child abuse. This cycle had commenced with his recognition of ‘The Battered Child Syndrome’ in the early 60s.

Child Abuse: Parenteral Hydrocarbon Administration

PEDIATRICS ◽  
1984 ◽  
Vol 73 (5) ◽  
pp. 719-722
Author(s):  
FRANK T. SAULSBURY ◽  
MICHAEL C. CHOBANIAN ◽  
WILLIAM G. WILSON
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Emotional Abuse ◽  
Original Description ◽  
Battered Child Syndrome ◽  
Distinct Subgroup ◽  
Battered Child ◽  
Abuse And Neglect ◽  
Child Syndrome ◽  
Original Report

The recognized spectrum of child abuse and neglect has expanded enormously since the original description of the battered child syndrome by Kempe et al, in 1962.1 In addition to physical abuse, we now realize that sexual abuse and nutritional neglect, as well as emotional abuse and neglect of children are problems of considerable magnitude. Another form of child abuse reported with increasing frequency is the intentional poisoning of children. Although this form of child abuse was mentioned by Kempe et al1 in their original report, it has only recently received more recognization and attention. Because of several unique characteristics, some authors2-4 favor considering intentional poisoning as a distinct subgroup of child abuse.

Where to Now, Henry? A Commentary on The Battered Child Syndrome

PEDIATRICS ◽  
1985 ◽  
Vol 76 (6) ◽  
pp. 993-997
Author(s):  
RAY E. HELFER
Keyword(s):  
Child Abuse ◽  
American Medical Association ◽  
Medical Association ◽  
American Medical ◽  
Child Abuse And Neglect ◽  
Battered Child Syndrome ◽  
Abused Children ◽  
Battered Child ◽  
Abuse And Neglect ◽  
Child Syndrome

On March 30, 1984, I was given the privilege of delivering the introductory speech at the first American Medical Association (AMA) meeting exclusively for child abuse and neglect. Although one might wonder why 22 years lapsed between the Journal of the American Medical Association (JAMA) publication of the milestone article by Henry Kempe1 and the first meeting, the fact remains that the AMA is now paying attention to the needs of abused children and their families. My talk at this conference came just 3 weeks after the death of Henry Kempe, some 20 years almost to the date when he asked if I would like to be involved with his study of the battered child syndrome.

Pediatric Understanding of Child Abuse and Neglect

1981 ◽  
Vol 2 (7) ◽  
pp. 197-207
Author(s):  
Stephen Bittner ◽  
Eli H. Newberger
Keyword(s):  
Child Abuse ◽  
Family Violence ◽  
Current Knowledge ◽  
Medical Community ◽  
Battered Child Syndrome ◽  
Battered Child ◽  
Abuse And Neglect ◽  
Child Syndrome ◽  
History Of ◽  
Physical Neglect

When C. Henry Kempe and his colleagues coined the term "battered child syndrome" in 1961, the attention of the American medical community was focused on one of the most dramatic manifestations of family violence. Since then family violence has been perceived as a major social problem, and the eyes of pediatricians have been opened to familial causes of morbidity and mortality. In this paper the term "child abuse" is used to encompass all the symptom indicators of maltreatment of children, including physical injury, physical neglect, sexual abuse, and some ingestions of harmful substances. We address these problems not as discrete illness entities or syndromes, but as symptoms of different issues and risks for particular children in individual families. Kempe noted that notwithstanding a long history of concern with child welfare, the pediatric community ignored the implications of injury and neglect of children because of a "process of denial that was unequal to anything ... previously seen in pediatrics." This denial continues today in spite of an increasing and visible literature on child abuse. The task of this paper is to summarize current knowledge about the causes, differential diagnoses, and management of child abuse in a fashion accessible to pediatricians and members of the colleague disciplines.

Recognition of Maltreatment and Prevention of the Battered Child Syndrome

PEDIATRICS ◽  
1966 ◽  
Vol 38 (6) ◽  
pp. 1078-1078
Author(s):  
VINCENT J. FONTANA
Keyword(s):  
Child Abuse ◽  
Medical Literature ◽  
Child Abuse And Neglect ◽  
Disease Entity ◽  
Battered Child Syndrome ◽  
Battered Child ◽  
Abuse And Neglect ◽  
Child Syndrome ◽  
Important Disease

The letters in Pediatrics by Dr. Harry Bloch (Pediatrics, 37:856, 1966) and Dr. Isaacson (Pediatrics, 38:523, 1966) certainly express the feelings of many physicians, particularly pediatricians who have been interested in the problem of child abuse and neglect. The term "battered child," as coined by Kempe (J.A.M.A., 181:17, 1962), has surely served its purpose by bringing this all-important disease entity to the attention of the physician. Prior to his report the medical literature failed to give proper attention and recognition to the fact that children were being maltreated and battered by their own parents.

scholarly journals Why Cleveland Still Matters: Connections with a New Era

2021 ◽  
Author(s):  
Heather Bacon ◽  
Susan Richardson
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Child Protection ◽  
Sexually Abused ◽  
Abused Children ◽  
New Era ◽  
The Public ◽  
The Face ◽  
The Uk ◽  
Sexually Abused Children

This chapter explores the lasting impact of 1987 Cleveland child abuse crisis in the UK in which 127 children were diagnosed by two paediatricians as having been sexually abused. It highlights how this resulted in tensions, misunderstandings and stresses in the interface between the public and the child protection system, and persistent challenges of creating and sustaining a successful multidisciplinary approach to intervention and protection. It argues that the experience in Cleveland provided unique information about the effects of intervening in child sexual abuse, especially where children are trapped in silence and only come to light by way of a proactive intervention. These children remain difficult to help and the best way of intervening remains contentious. The authors challenge the ethos that leaves sexually abused children vulnerable in the face of investigative and evidential hurdles and suggest ways forward.

scholarly journals Maternal History of Child Sexual Abuse and Maladaptive Outcomes in Sexually Abused Children: The Role of Maternal Mental Health

2021 ◽  
pp. 088626052110139
Author(s):  
Rachel Langevin ◽  
Martine Hébert ◽  
Audrey Kern
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Psychological Distress ◽  
Sexually Abused ◽  
Maternal Mental Health ◽  
Ptsd Symptoms ◽  
Abused Children ◽  
Maternal History ◽  
History Of ◽  
Sexually Abused Children

The effects of child sexual abuse (CSA) have been found to surpass generations as maternal history of CSA is associated with increased difficulties in sexually abused children. However, little is known about the mechanisms underlying this association. The present study aimed to test maternal mental health symptoms including psychological distress, post-traumatic stress disorder (PTSD) symptoms, and dissociation as mediators of the relationship between maternal CSA and children’s internalizing, externalizing, and dissociation symptoms in a large sample of sexually abused children. A total of 997 sexually abused children aged 3-14 years old and their mothers were recruited at five specialized intervention centers offering services to sexually abused children and their families. The children were divided into two groups depending on their mothers’ self-reported history of CSA. Mothers completed a series of questionnaires assessing their mental health and children’s functioning. Maternal history of CSA was associated with increased maternal psychological distress, PTSD symptoms, and dissociation following children’s disclosure of CSA. In turn, maternal psychological distress and maternal dissociation were associated with increased child internalizing, externalizing, and dissociation symptoms. Maternal PTSD symptoms were associated with child internalizing symptoms. Maternal mental health difficulties mediated the association between maternal CSA and sexually abused children’s maladaptive outcomes. Clinicians should assess for possible history of CSA in mothers of sexually abused children and determine how best to support them to cope with the aftermaths of their child’s disclosure and with their own traumatic past.

scholarly journals Experiences of mothers of sexually abused children in North-West province, post disclosure

Curationis ◽  
2016 ◽  
Vol 39 (1) ◽  
Author(s):  
Gaboipolelwe M. Masilo ◽  
Mashudu Davhana-Maselesele
Keyword(s):  
Sexual Abuse ◽  
Sexually Abused ◽  
Secondary Trauma ◽  
Emotional Pain ◽  
Abused Children ◽  
North West ◽  
South African Police Service ◽  
The North ◽  
North West Province ◽  
Sexually Abused Children

Background: Sexual violence against children is increasing at an alarming rate in South Africa. In 2010 the South African Police Service (SAPS) reported 21 538 rape cases of children under 18 years. In the North-West province (NWP) 5039 incidents of rape cases were reported in 2009. Mothers often experience emotional pain following child sexual abuse disclosure. It is seldom acknowledged that these mothers experience trauma and need support, post disclosure. The researcher has no known evidence of research conducted on the experiences of these mothers in NWP. Objective: The objective of the study was to explore and describe the experiences of mothers of sexually abused children post disclosure of the abuse. Method: The research design was qualitative, exploratory, descriptive and contextual. Purposive sampling was used to select mothers of sexually abused children aged 23 to 59 years whose children ranged from 0 to 16 years. Permission to conduct the study was sought from the Provincial Department of Health and informed consent was obtained from the mothers. Interviews were conducted with a sample of n = 17 until data saturation. Data were collected through in-depth interviews using a voice recorder and field notes to enhance triangulation. Tesch’s method of open coding was used to analyse data. Results: Findings indicated that mothers experienced emotional pain post sexual abuse. They expressed shock, anger and guilt for not noticing the abuse. They showed significant depression as a result of lack of support by stakeholders. Conclusion: Mothers experienced secondary trauma that poses social and psychological challenges with far-reaching implications.

Medical Evaluation of Sexually Abused Children: A Review of 311 Cases

PEDIATRICS ◽  
1982 ◽  
Vol 69 (1) ◽  
pp. 8-14
Author(s):  
Mary Ellen Rimsza ◽  
Elaine H. Niggemann
Keyword(s):  
Sexual Abuse ◽  
Physical Examination ◽  
Children And Adolescents ◽  
Sexually Abused ◽  
Abused Children ◽  
Medical Evaluation ◽  
Time Period ◽  
Victims Of Sexual Abuse ◽  
Sexually Abused Children

The case records of 311 children and adolescents who were medically evaluated for sexual abuse are reviewed. Only 18% of these victims were assaulted by strangers; 131 of the assailants were relatives. Thirty percent of the victims reported multiple assaults over a time period of one week to nine years. Physical examination showed no abnormalities in only 23% of the patients. Twenty-one patients had gonorrhea and seven patients were pregnant. Guidelines for the medical evaluation of patients suspected to be victims of sexual abuse are discussed.

Child Abuse Control Centers: A Project for the Academy?

PEDIATRICS ◽  
1970 ◽  
Vol 45 (5) ◽  
pp. 894-895
Author(s):  
Jacob Brem
Keyword(s):  
Child Abuse ◽  
Good Deal ◽  
Battered Child Syndrome ◽  
Battered Child ◽  
Child Syndrome ◽  
Grass Root ◽  
Grass Root Level ◽  
Social Agencies

A good deal of literature on child abuse has accumulated since Kempe and his group first described the "Battered Child Syndrome."1 Enlightened laws have been passed in the various states and management transferred from the police into the hands of social agencies. Furthermore, the reporting physician was protected from libel. However, at the grass root level, conditions are far from ideal. Physicians are unfamiliar with the various laws and are reluctant to report for fear of getting involved in unpleasant situations.

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