Child Psychological Abuse

1. Melissa Kimber, PhD, MSW, RSW* 2. Harriet L. MacMillan, CM, MD, MSc, FRCPC* <!-- --> 1. *McMaster University, Hamilton, Ontario, Canada 1. 1. Glaser D How to Deal with Emotional Abuse and Neglect: Further Development of a Conceptual Framework (FRAMEA). Glaser D. Child Abuse Neglect. 2011;35(10):866–875 [OpenUrl][1][CrossRef][2][PubMed][3] 2. 1. Hart SN, 2. Brassard MR, 3. Binggeli NJ, 4. Davidson HA <!-- --> 1. Myers JEB, 2. Berliner JN, 3. Briere J, 4. et al. Psychological Maltreatment. Hart SN, Brassard MR, Binggeli NJ, Davidson HA. In: The APSAC Handbook on Child Maltreatment. Myers JEB, Berliner JN, Briere J, et al., eds. Thousand Oaks, CA: Sage Publications; 2002:79–104 3. 1. Hibbard R, 2. Barlow J, 3. MacMillan H, 4. et al Psychological Maltreatment. Hibbard R, Barlow J, MacMillan H, et al. Pediatrics. 2012;130(2):372–378 [OpenUrl][4][Abstract/FREE Full Text][5] 4. 1. MacMillan HL, 2. Wathen CN, 3. 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Child Abuse Neglect. 2011;35(10):802–813 [OpenUrl][13][CrossRef][14][PubMed][15] Considered synonymous, child emotional and psychological abuse (hereafter referred to as psychological abuse ) is a type of maltreatment that can be difficult for clinicians to detect and assess. Increasingly thought to be the most prevalent form of child maltreatment, psychological abuse involves nonphysical interactions by a caregiver toward a child, including acts of commission that place a child at risk for emotional harm. Pertinent issues for pediatricians include its prevalence, its determinants and risk factors, its negative short- and long-term outcomes, how to assess psychological abuse, and how to collaborate with child protection agencies. Psychological abuse is arguably the most poorly understood form of child maltreatment; compared with physical and sexual abuse, much less is known about its presentation, causes, consequences, prevention, and treatment. For the pediatrician, a key part of identifying psychological abuse is being attuned to interactions between children and their caregivers. Psychological abuse of a child or adolescent often manifests as a repeated pattern of behavior, but it can also involve a single incident. Examples of psychologically abusive behavior by caregivers include spurning (eg, ridiculing or humiliating), terrorizing (eg, threatening violence against a child or a child’s … [1]: {openurl}?query=rft.jtitle%253DChild%2Babuse%2B%2526%2Bneglect%26rft.stitle%253DChild%2BAbuse%2BNegl%26rft.aulast%253DGlaser%26rft.auinit1%253DD.%26rft.volume%253D35%26rft.issue%253D10%26rft.spage%253D866%26rft.epage%253D875%26rft.atitle%253DHow%2Bto%2Bdeal%2Bwith%2Bemotional%2Babuse%2Band%2Bneglect%253A%2Bfurther%2Bdevelopment%2Bof%2Ba%2Bconceptual%2Bframework%2B%2528FRAMEA%2529.%26rft_id%253Dinfo%253Adoi%252F10.1016%252Fj.chiabu.2011.08.002%26rft_id%253Dinfo%253Apmid%252F22014553%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1016/j.chiabu.2011.08.002&link_type=DOI [3]: /lookup/external-ref?access_num=22014553&link_type=MED&atom=%2Fpedsinreview%2F38%2F10%2F496.atom [4]: {openurl}?query=rft.jtitle%253DPediatrics%26rft_id%253Dinfo%253Adoi%252F10.1542%252Fpeds.2012-1552%26rft_id%253Dinfo%253Apmid%252F22848125%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [5]: /lookup/ijlink?linkType=ABST&journalCode=pediatrics&resid=130/2/372&atom=%2Fpedsinreview%2F38%2F10%2F496.atom [6]: {openurl}?query=rft.jtitle%253DLancet%26rft.stitle%253DLancet%26rft.aulast%253DMacmillan%26rft.auinit1%253DH.%2BL.%26rft.volume%253D373%26rft.issue%253D9659%26rft.spage%253D250%26rft.epage%253D266%26rft.atitle%253DInterventions%2Bto%2Bprevent%2Bchild%2Bmaltreatment%2Band%2Bassociated%2Bimpairment.%26rft_id%253Dinfo%253Adoi%252F10.1016%252FS0140-6736%252808%252961708-0%26rft_id%253Dinfo%253Apmid%252F19056113%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [7]: /lookup/external-ref?access_num=10.1016/S0140-6736(08)61708-0&link_type=DOI [8]: /lookup/external-ref?access_num=19056113&link_type=MED&atom=%2Fpedsinreview%2F38%2F10%2F496.atom [9]: /lookup/external-ref?access_num=000262537500028&link_type=ISI [10]: {openurl}?query=rft.jtitle%253DArchives%2Bof%2BDisease%2Bin%2BChildhood%26rft.stitle%253DArch.%2BDis.%2BChild.%26rft.aulast%253DRees%26rft.auinit1%253DC%2BA%26rft.volume%253D95%26rft.issue%253D1%26rft.spage%253D59%26rft.epage%253D67%26rft.atitle%253DUnderstanding%2Bemotional%2Babuse%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fadc.2008.143156%26rft_id%253Dinfo%253Apmid%252F20040686%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [11]: /lookup/ijlink?linkType=ABST&journalCode=archdischild&resid=95/1/59&atom=%2Fpedsinreview%2F38%2F10%2F496.atom [12]: {openurl}?query=rft.jtitle%253DChild%2BAbuse%2BRev%26rft.volume%253D24%26rft.spage%253D37%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [13]: {openurl}?query=rft.jtitle%253DChild%2Babuse%2B%2526%2Bneglect%26rft.stitle%253DChild%2BAbuse%2BNegl%26rft.aulast%253DWolfe%26rft.auinit1%253DD.%2BA.%26rft.volume%253D35%26rft.issue%253D10%26rft.spage%253D802%26rft.epage%253D813%26rft.atitle%253DDistinguishing%2Bbetween%2Bpoor%252Fdysfunctional%2Bparenting%2Band%2Bchild%2Bemotional%2Bmaltreatment.%26rft_id%253Dinfo%253Adoi%252F10.1016%252Fj.chiabu.2010.12.009%26rft_id%253Dinfo%253Apmid%252F22015202%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [14]: /lookup/external-ref?access_num=10.1016/j.chiabu.2010.12.009&link_type=DOI [15]: /lookup/external-ref?access_num=22015202&link_type=MED&atom=%2Fpedsinreview%2F38%2F10%2F496.atom

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