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23 Cards in this Set

  • Front
  • Back
What are 8 risk factors for becoming a victim of abuse?
1. Low birth weight, premature birth
2. Mental retardation
3. Physically disabled
4. Difficult child - crying, demanding, etc
5. Children who don't bond well
6. Hyperactive
7. Parental substance abuse
8. Parental mental illness
Who are most often the perpetrators of child abuse?

How does type of abuse change with the most common perpetrator?
Parents more that 75% of the time

Mother --> more often physical abuse
Father --> more often sexual abuse
What are some characteristics of abusers? (6)
1. Inappropriate expectations of children (expect positive response to abuse)
2. Past victims of physical or sexual abuse
3. Long-term exposure to violence in the home
4. Substance abuse
5. Mental illness
6. Poor impulse control
What are 4 social/environmental conditions that may lead to abuse?
1. social isolation/lack of social support
2. overcrowding at home
3. poverty
4. substance abuse
What are 10 possible psychological problems of victims?
1. Anxiety
2. Aggressive behavior
3. Paranoid ideation
4. Posttraumatic stress disorder
5. Depressive disorder
6. Increased risk of suicidal behavior
7. Poor self-esteem
8. Dissociative disorders
9. Higher tendency to become involved with drugs, crime
10. Tendency to abuse themselves
What is the definition of physical abuse?
Anything to physically harm another person
What are the characteristic physical findings of bruises in abuse victims?
Bruises in various stages of healing, symmetrical patterns, in the shape of objects
How do objects used as weapons in abuse leave marks on the skin?
Bruises in shape of electrical cords, belt buckle

Symmetrical round scars from cigarette burns, 'sock and glove' immersion burns
What are some neurologic (2) and radiologic (1) effects of abuse?
Retinal hemorrhages from shaking
Neurologic signs from intracranial lesions

Dislocated joints
What are 6 emotional/psychological responses seen in abused children?
1. Withdrawn, depressed, frightened
2. Anxious or aggressive behavior
3. May try to physically hide injury
4. Usually reticent about discussing abuse
5. Defers to the parent when parent is present
6. Often protective of abuser
What is the definition of sexual abuse of a child?
Contact between a child and an adult wherein the child is being used for sexual stimulation of the adult
What are some characteristic physical findings of sexual abuse in children?
Genital scars
Tears
Infections
What is incest?
Sexual activity between a child and an adult who is closely related or perceived to be related to the child
What are some contributers to incest? (6)
Passive/weak/sick parent
Overcrowding
Inappropriate family boundaries
Confusion of family roles
Substance abuse
psychopathology
Why might children be afraid to disclose sexual abuse? (3)
Fear, embarrassment, shame, guilt
Threats of abandonment
Lack of awareness that behavior is not normal
What are 2 behavioral indicators in children of sexual abuse?
Uncommon sexual knowledge - words, physiology, behaviors

Sexual acting out behavior
What are 6 signs of child neglect?
1. Emotional, physical, or nutritional deprivation
2. Failure to thrive
3. Chronic infections
4. Poor hygiene
5. Lack of proper clothing
6. Failure to acquire adequate medical care
What are 4 physical/radiological findings in victims of abuse?
1. Multiple fractions in various stages of healing
2. Spiral fractures of long bones
3. Bruises
4. Burns
What is the Texas Family code governing reporting of child abuse?
If a professional has cause to believe child has been abused/neglected, they have 48 hours to report it

May not delegate reporting
What are 5 characteristics of perpetrators of physical abuse of an adult?
1. Feelings of inadequacy
2. Perpetrator may feel threatened or frustrated
3. Need for power, control, and dominance over victim
4. Selective targets --> choose vulnerable victims
5. Abuse is a learned pattern of behavior - direct abuse or abusive households
What are 4 types of abuse classified as elder abuse?
1. Physical, sexual, psychological, neglect
2. Exploitation
3. Medical abuse
4. Neglect - physical, nutritional, medical
Definition of rape?
Act of sexual intercourse with a woman against her will and consent
What are 6 attributes common of perpetrators of rape?
1. Sexual sadists
2. Exploitive predators
3. Inadequate men obsessed with fantasies of sex
4. Displaced aggression
5. Women as property
6. Rape may accompany other crimes