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Recognizing the Signs of Child Abuse

Injured child whose parents do not seek immediate medical care.

Attempts to conceal child's injuries or vagueness about how injuries occurred.

Child who always shows up at your house at meal time and asks for food or seems badly nourished.

Unsupervised child out on the street at inappropriate times.

Unusual behavior like aggressive, negative, or extremely passive and withdrawn; excessive fatigue.

by Susan English and Thomas Wohlmut

      The number of reported cases of child abuse has risen since 1976 from around 400,000 to almost 3 million.  Statistics from 1995 indicate that about 52 percent of the victims suffered neglect, 25 percentPic01.gif (45686 bytes) suffered physical abuse, 13 percent sexual abuse, 5 percent emotional maltreatment, 3 percent medical neglect, and 14 percent other forms of maltreatment.  Some children suffered more than one type of abuse.
        The U.S. Advisory Board on Child Abuse and Neglect reported in 1990, "Child maltreatment is especially likely to occur when families under stress lack support from their neighbors.  Child maltreatment occurs more frequently among socially isolated families."
        Very few studies have compared biological parent vs. stepparent child abuse.  One 1989 study compared families in which a daughter had been sexually abused by a biological father or stepfather.   The study confirmed that biological father abuser families showed much higher levels of drug and/or alcohol abuse, marital problems, and low income than did stepfather abuser families.
        Another study by Margo Wilson and Martin Daly of McMaster University analyzed murder records from the U.S. and Canada and determined that children under two years were at least 60 times more likely to be killed by a stepparent than by a biological parent.  They emphasize that no one should infer from their results that stepparents are fated to abuse their children.  In fact, most stepparents treat their children benignly, they state.
        None of the above studies or statistics can explain the cause of child abuse.  But what about prevention?  Several studies indicate that education for mothers (particularly young mothers) about expectations for their newborn is helpful. Learning parenting skills and coping strategies can help parents of any age avoid adopting abusive patterns of parenting.  Public awareness campaigns can help parents recognize alternatives to abusive behavior and words.  School curriculum can help empower childrenPic04.gif (17570 bytes) to say no to inappropriate touches and other abusive behavior.  In addition, laws demanding more stringent requirements for day-care centers will encourage greater supervision of day-care providers.
        Much more remains to be discovered about the prevention of abuse.  The idea of screening populations to define high-risk groups does not appear to have any promise in reducing abuse.  Some interventions, however, do show signs of being helpful, workable, and effective in minimizing the risk of child abuse.  These fall into three broad strategies: 
-- Establish relationships with children that enhance the child’s self-esteem, decrease isolation, and facilitate disclosure of abuse.
-- Develop parenting and coping skills.
-- Generate public efforts to develop awareness of alternatives to and safeguards against abusive behaviors.
        No single factor triggers child abuse and neglect.  Instead, many different factors pave the way for maltreatment -- from marital conflict to unemployment to drug and alcohol abuse, to name a few.  Theories of child abuse and neglect that consider interactions of factors are just now being developed.
        What's important for stepfamilies is to recognize the special stresses in their relationships that may lead to child abuse -- and then take healthy action to cope with those stresses.

Source:  U.S. Department of Health and Human Services, Child Maltreatment 1995; Child Abuse and Neglect, 13:1, 121-130, 1989; and National Academy Op-Ed Service, 11/14/93

©2000  Stepfamily Network, Inc.

UPDATE: 
The well-presented page "Child abuse in stepfamilies: is it worse?" by
Susan English and Thomas Wohlmut refers to a finding by Daly and Wilson
that children under two years were much more likely to be killed if they
lived with a stepparent than with both biological parents.  Just wanted to
point out, in case they update the page,  that a more recent and very
comprehensive study in Sweden, including every case of child homicide that
occurred in Sweden between 1975 and 1997 failed to find any such
association.  Hans Temrin, Susanne Buchmayer and Magnus Enquist at
Stockholm University found that "children in Sweden living in families with
a step-parent were not at an increased risk compared with children living
together with two parents to whom they were genetically
related."  Reference: Proceedings of the Royal Society Series B (Biological
Sciences) volume 267, pages 945-945 (2000).

Sincerely, Steve George

______________________________________________________

  Prof. Stephen George                   Phone: 413-542-2477
  Biology Dept. and Neuroscience Program      FAX: 413-542-7955
  Amherst College                        sageorge@amherst.edu
  Amherst, MA 01002-5000         http://www.amherst.edu/~sageorge
_______________________________________________________

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Hotline Phone Numbers

Child Abuse Hotline
800-4-A-CHILD

National Center for Missing and Exploited Children
800-843-5678
http://www.missingkids.com

National Runaway Switchboard
800-621-4000
http://nrscrisisline.org

Child Abuse Prevention Associates
800-636-6896

Child Find of America
800-A-Way-Out