Page 379
Index
A
Academic performance, 2, 17, 39, 41, 138, 174-175, 198n, 212
Addiction, see Substance abuse
Administration on Children, Youth, and Families (ACYF), 304, 306-308, 356-357
Administrative records, 59, 61-62, 69-70, 73n, 79-83, 87, 90-91, 345, 350
Adolescents, 58, 124-125, 217-223
as sexual abuse offenders, 18-19, 84, 139, 260
see also Juvenile delinquency; Teenage pregnancy
Adult survivors, 18, 87, 224-226, 228, 229, 258-259, 335
recall bias, 6, 8, 44, 45, 90, 224-225
Advisory organizations, 27, 313
Advocacy organizations, 24, 165, 315
African Americans, 67, 88, 98n, 130-131, 136, 175, 185, 371
parental, 7, 122-123, 133, 220
see also Adolescents; Developmental stages; Infants
Aggression, 51, 61, 119-121, 128, 212, 215-216, 371
Aid to Families with Dependent Children (AFDC), 19, 266, 303
Alcoholism, 2, 16, 39, 220-221, 223
parental, 7-8, 17, 118-119, 141, 221
of sexual abusers, 114
American Bar Association, 61
American Humane Association (AHA), 79-80, 98n
American Medical Association, 72n, 86
American Professional Society on the Abuse of Children, 294
Amphetamines, 114
Anatomical dolls, 280n
Animal models and studies, 119-122, 144n
Antipoverty programs, 12, 19-20, 182-183, 266
Antisocial behavior, 215-216, 226
parental, 7, 111-112, 117, 128
personality disorder, 7, 16, 113, 119, 223
Page 380
Asian Americans, 98n, 128, 138
Attitudinal factors, parental, 7, 115-116
Automotive safety technology, 69
Autonomy, of research subjects, 29, 36, 326, 329, 333, 361
Aversive behavior, 125, 129, 144n
B
Background checks, 183
''The Battered Child Syndrome," 43, 60, 98n, 187
Behavioral function and disorders, 2, 15-16, 32, 39, 208, 212-216
see also Antisocial behavior; Cognitive function; Juvenile delinquency; Mental health and illness; Parenting styles and behaviors; Sexuality and sexual dysfunction; Violent behavior
"Best interests of the child," 22, 274
Bias in research
case report analysis, 69-70, 73n, 80, 95
clinical samples, 45
respondent recall, 6, 8, 44, 45, 90, 224-225
Biological factors, 114, 119-122
Black population, see African Americans
Brain damage, 15, 68, 121-122, 129, 210
Budgets, see Funding of research
Burns and scalding, 59, 64, 68, 73n
C
Cases of maltreatment, see Epidemiological studies; Incidence; Reporting of cases
Castration, 273
Categories of maltreatment, 4, 43-44, 59, 98n
co-occurrence among, 5, 44, 106-107, 142
definitions, 58, 62-63, 71, 85, 345
in research, 4-5, 31, 32, 44, 49, 51, 54, 347
Cause-and-effect models, 7, 53, 107
Center-based programs, 11, 169, 173-174, 175
Center for Epidemiological Studies Depression Scale (CES-D), 65
Centers for Disease Control and Prevention (CDC), 36, 310- 311, 319, 359
Dentral nervous system damage, 15, 68, 121-122, 129, 210, 211, 212
Certificates of confidentiality, 337-338, 361
Chemical intervention, for sexual offenders, 19, 260
Child Abuse Prevention, Adoption and Family Services Act, 81
Child Abuse Prevention and Treatment Act, 43, 60, 79
Child Abuse Prevention Challenge Grants, 178-179, 306
Child Assault Prevention (CAP), 180
Child development, see Developmental delay and disability; Developmental stages
Child-oriented research framework, 4, 49-50, 54
Children's Bureau, 308
Children's Initiative, 174
Children's Justice Act, 306
Chlamydia, 69
Chronic maltreatment, 4, 6, 8, 49-50, 65, 94, 107, 127, 129, 232
Classification, 58, 61, 62-63. See Definitions; Instrumentation
Classroom-based instruction, see School-based programs
Clearinghouses, 299-300
Page 381
bias in, 45
and definitions of maltreatment, 5, 44, 58
Cognitive appraisal of events, 16, 228
Cognitive function, 15, 16, 17, 32, 67, 198n, 208, 211-212, 227, 235-236n
Coining, 67
Collaborative research, 4, 23, 27, 35-36, 42, 54, 313, 357-359
Colposcope, 267
Community-based programs
evaluations, 13, 14, 20, 34, 191, 195, 352-353
prevention, 12-13, 168-170, 174-176, 178-188, 195
see also School-based programs
Comprehensive Crime Control Act, 178
Condylomata, 69
Confidentiality and privacy, 21, 22, 136
in research studies, 29, 36, 92-93, 96, 325, 329, 332, 333, 337-338, 339, 361
Conflict resolution, 11, 12, 13-14, 35, 167
Conflict Tactics Scales, 64-65, 83, 98n 130, 133
Consequences and outcomes, 15-17, 28, 32, 38, 39, 44, 46, 208-210, 212, 232
for adolescents, 217-223
of emotional abuse, 209, 211, 232
of interparental violence, 4, 7, 13, 16, 36, 126, 144n, 216-217, 224
of interventions, 3, 21, 22, 33, 40
of neglect, 209, 210-211, 212, 213, 214, 215, 232
of physical abuse, 15, 209-216 passim
of sexual abuse, 15, 209, 210, 211, 212, 214-215, 219, 220, 222
see also Behavioral function and disorders; Cognitive function; Injuries; Intergenerational abuse; Mental health and illness
Consortia, 36, 319, 320, 358, 359, 360
Contextual factors
and maltreatment definitions, 5, 58, 64-65
and treatment, 263-264
Continuum of behavior, 107, 108, 130, 142, 347
cultural acceptability, 137
Control studies, 17, 46, 47, 90
ethical issues, 29, 36, 329, 332-333, 339, 361
of treatment programs, 276-277
Co-occurrence of maltreatment types, 5, 44, 94, 106-107, 142, 254
consequences, 15, 17, 32, 232, 234
Coordinated research approaches, 3-4, 43
Corporal punishment, see Discipline and punishment
Costs of services, 1, 21, 34, 38, 92, 277
Counseling services, 20, 23, 27, 40, 92, 277
Court Appointed Special Advocates, 273, 280n
Courts, see Legal system
Covenant to Care, 186-187
Crime and criminal justice, see Criminal sanctions; Juvenile delinquency; Legal system
Criminal sanctions, 13-14, 33, 190, 197
Culpability, 66
Culture and ethnicity, 4, 9-10, 110, 136-138, 142
and alcoholism, 8, 114, 119, 141
categories of race, 98n
Page 382
discrimination, 10, 16, 41, 137, 226, 258
and disproportionate representation, 87-88, 137-138
and parenting behaviors, 5, 8, 57, 66-67, 128-129, 130-131, 138, 142, 189-190
and prevention, 13-14, 188-190
and research, 24, 28, 31, 32, 41-41, 47, 53, 69, 72n, 97n, 316, 331, 332-333, 345, 347, 348, 349, 358
and sexual abuse, 138
Curriculum-based programs, see School-based programs
Custody issues, 22, 63, 272, 274
D
Data collection and sources, 6, 24, 28, 43
archives, 23, 25, 97, 298, 299-300
case reports and records, 59, 61-62, 69-70, 73n, 79-83, 87, 90-91, 345, 350
comparability, 17, 21, 24, 33, 44, 59, 65
dissemination, 23, 25, 26, 28, 299-301
national, 25, 26, 36, 96-97, 304
state, 27, 34, 95, 306, 354, 360
see also Instrumentation; Methodology; Samples and sampling
Day care services, 20, 256-257
workers identification of abuse, 12-13, 183
Deaths, 1, 15, 38, 52, 82, 89, 93, 98n, 210, 235n
misclassification of, 79, 88-89, 210
Debriefing and desensitization, of research subjects, 29, 36, 327, 329, 333-334, 339, 361
Deception, of research subjects, 29, 324, 327, 329, 330-332
Definitions, 6, 29, 30, 44, 47, 59, 344
development of, 4-5, 31, 44, 57-63, 345
emotional abuse, 44, 60, 61, 62, 72n
medical-diagnostic, 60, 67-69, 72n
operationalization of, 31, 61-62, 63-67, 70-71, 85, 123, 345
physical abuse, 59, 60, 61, 62, 64-65
for research, 60, 61-63, 70, 345
standardization, 5, 21, 57-59, 70, 95
Dehydration, 73n
Delinquency, see Juvenile delinquency
Delivery of services, 17-18, 21, 23, 33, 34, 45, 254, 276
Demographic factors, 122-123. See also Age; Culture and ethnicity; Gender; Household composition and density; Poverty
Demonstration projects, 25, 26, 33, 43, 255, 279n, 303, 318, 350
Department of Defense, 25, 301, 303, 312
Department of Education, 25, 301, 303, 312
Department of Health and Human Services, 25, 26, 301, 303-311, 328
Department of Justice, 25, 36, 301, 311-312, 319
Department of Transportation, 25, 301, 312
Depression, 2, 39, 61, 65, 111-112, 124, 128, 214, 222, 224, 236n
Deprivation, see Neglect
Detection, see Identification of abuse
Developmental delay and disability, 2, 39, 73n, 173, 211, 212, 353
treatment costs, 40
Page 383
parental knowledge of, 116, 178
and prevention programs, 196
and self-inflicted injury, 68
and severity of acts, 64-65
and treatment, 23, 51-52, 276-277
see also Adolescents; Infants
Diagnosis of abuse, see Health care services
Diagnostic and Statistical Manual of Mental Disorders, 58
Diagnostic and Treatment Guidelines Concerning Child Abuse and Neglect, 72n
Difficult children, 7, 115-116, 124-125, 211
Directories, 25, 294, 358, 360
Disabled children, 84, 123, 306
Discipline and punishment, 8, 29, 59, 83, 128, 129-131, 144n
cultural differences, 67, 130-131
media promotion of appropriate, 13, 35
prevention strategies, 11, 13-14, 189-190, 197
Discrimination and bias, 16, 226
and research, 41-42, 43, 69, 87-88, 91
Dissemination of research, 17-18, 23, 28, 29, 33, 36, 336, 350-351, 355, 360
federal, 25, 26, 299-312 passim
Documentation, of research, 24, 28, 36, 63, 66, 304. See also Substantiation of case reports
Domestic violence, see Spousal conflict and violence
Drug abuse, see Substance abuse
Duration of abuse, 5, 44, 70, 232, 345
Dwarfism, 210-211
Dysfunctional families, see Family functioning
E
Early childhood education, 11, 173-174, 198n
Early intervention programs, 11-12, 177-178
home visitation, 11, 34, 169, 170-173, 178, 191-193, 351
hospital-based, 11, 170, 176-177
Earnings losses, of abused children, 2, 40
Ecological development models, 4, 14, 49-52, 109-111, 161, 190-191
Education, see Academic performance; Educational services, for parents; Media roles and programs; School-based programs; Training
Educational services, for parents, 12, 20, 182-183
Education levels, parental, 123, 124, 175
Elmira Prenatal/Early Infancy Project, 171-172, 174
Emotional abuse, 4, 6, 43-44, 61, 67, 69, 114
Endangerment, 5, 57, 64, 81, 92
Environmental factors, 4, 8-9, 10, 16, 23, 25, 110, 132-136, 371
and consequences, 15, 234, 348-349
see also Culture and ethnicity; Family functioning
Epidemiological studies, 6, 31, 44, 45, 69, 346
methodological problems, 6, 78-79, 85-93
use of case reports, 79-83
see also National incidence studies
Episodic maltreatment, 4, 49-50, 65
Ethical and legal research issues, 23, 28-30, 36, 42, 324-334, 337-340, 361
Page 384
Ethnic groups, see Culture and ethnicity
Etiology and etiological studies, 4, 5, 28, 30, 32, 40-41, 44, 46, 106-107, 139-142, 143n, 344, 347, 349
biological factors, 114, 119-122
child factors, 123-125, 227-228
cultural factors, 4, 9-10, 110, 136-138, 142
demographic factors, 122-123
emotional abuse, 114
environmental factors, 4, 8-9, 10, 16, 23, 25, 110, 132-136, 371
family functioning, 8, 25, 110, 126-132
models, 6-7, 10, 31-32, 107-111, 140, 346-347
neglect, 112, 115, 125, 128, 135
parenting behaviors, 4, 13, 17, 26, 29, 35, 46-47, 57, 128-130, 333
physical abuse, 111-112, 115-116, 137
and prevention, 3, 14, 40, 166
sexual abuse, 11, 112-114, 126-127, 139, 195
Evaluations, 32-34, 48, 336, 350-353
community-based programs, 13, 14, 20, 34, 191, 195, 352-353
demonstration projects, 25, 33, 255, 279n
early intervention services, 11, 177-178
family preservation, 33, 277, 279n, 351
home visitation services, 34, 171-173, 192-193
intervention services, 17-18, 22, 23, 30, 32-34, 254-256, 344, 350-353
of media programs, 187
offender treatment, 18-19, 19, 278
parenting programs, 168-169, 262-263
protective services, 20-21, 27, 34, 53, 275-276, 353
school-based programs, 12, 180-181, 184-185, 191, 196-197, 352-353
sexual abuse prevention, 193-194, 352
treatment programs, 22-23, 34, 44, 45, 254-256, 276-277
Evolutionary theory, 122
Exhibitionism, 84
Exosystem, see Environmental factors
Experimental studies, see Control studies
F
Failure to thrive, 73n, 125, 210-211
Fair Start, 174
Falls, 68. See also Injuries
Family functioning, 8, 25, 110, 126-132
and chronic neglect, 8, 127, 129
composition and size, 7, 8, 61, 123, 127, 144n, 236n
interaction with other factors, 7, 141
see also Discipline and punishment; Parenting styles and behaviors
Family preservation, 22, 40, 52, 230, 263-265, 271
Family services, 10, 18, 19, 25, 137, 167-178, 262-266
center-based programs, 11, 169, 173-174, 175
hospital-based, 11, 170, 176-177
Family Support Act, 183
Family systems treatment, 19, 263
FAST Track, 185
Fatalities, see Deaths
Fathers, 116, 126-127, 134, 141
Federal Government, 43
cooperation with states, 27, 178-179, 306, 308
information dissemination, 25, 26, 299-312 passim
research funding, 6, 25-26, 28, 35-36, 43, 93, 96, 255, 294, 295, 301-312, 318-320, 343, 355-357, 359
research regulations, 326-328
Female sexual abuse offenders, 113
Page 385
Fondling, 59
Forms of abuse, see Categories of maltreatment
Foster care placement, 21, 40, 52, 270-272, 274
evaluation studies, 27, 33, 277-278, 308, 351
and outcomes, 15, 16-17, 226, 229-231
Frequency of abuse, 4, 49-50, 65, 70, 96, 107
Funding of research, 27-28, 30, 39, 41, 298
constraints, 1-2, 6, 23, 25, 28, 35-36, 41, 48, 320, 359-360
federal, 6, 25-26, 28, 35-36, 43, 93, 96, 255, 294, 295, 301-312, 318-320, 343, 355-357, 359
instrumentation, 6, 25, 96, 317-319
interdisciplinary, 25-27, 315, 318-320, 357-359
methodology development, 6, 24, 129
private foundations, 27, 313-314
state, 26-27, 28, 312-313, 319
training of researchers, 24, 25, 27, 293-296, 316-317
G
Gender, 15, 16, 58, 123, 124, 125, 209-210, 234-235
and sexual abuse, 84, 113, 210, 222
Genetic diseases, 71-72
Genital herpes, 69
Geopolitical area studies, 90-91
Government services and agencies, see Antipoverty programs; Federal Government; Protective services and agencies; Social services and agencies; State governments; names of specific federal agencies
Graduate training programs, 24, 27, 293-296, 321n, 358
Grassroots volunteer groups, 175-176
Group therapy, 259, 278 sexual offenders, 19, 260
Growth retardation, 210-211
Guardian ad litem services, 273, 280n
Guidelines for research, 327, 330, 331, 333, 361
H
Hawaii, 173
Head Start, 19, 34, 174, 175, 266, 303, 308
Head trauma, 71
Health care services, 20, 23, 25, 168, 267-268
deprivation of, 60, 63, 67, 73n, 306
identification and reporting of abuse, 5, 20, 44, 67-69, 71-72, 72-73n, 86, 267
see also Hospital-based interventions
Healthy Beginnings, 174
Healthy People 2000, 52, 59, 311
Hispanic population, 67, 98n, 128, 131
Home-based services, 263-264
Homebuilders program, 264
Home visitation services, 11, 34, 169, 170-173, 178, 191-193, 351
Homosexuality, 143n
Hormones, 114, 120, 121-122, 144n
Hospital-based interventions, 11, 170, 176-177
Household composition and density, 7, 8, 61, 123, 127, 144n, 236n
Human immunodeficiency virus (HIV), 211, 267-268, 333
Page 386
I
Identification of abuse, 5, 11, 26, 51, 71
by health professionals, 5, 20, 44, 67-69, 71-72, 72-73n, 86, 267
sexual abuse, 20, 68-69, 71, 72
Impulse control, 111, 112, 113, 121
Incest, 59, 113, 126-127, 143n, 222, 224
Incidence, 1, 5-6, 38, 52, 78-79, 81, 82, 93, 97-98n
and definition standards, 4, 59, 62, 70
of emotional abuse, 81, 82, 94, 98n
of endangerment, 81
of neglect, 6, 79, 81, 82, 93-94
of physical abuse, 6, 81, 82, 94
of sexual abuse, 6, 79, 81, 82, 94
see also Epidemiological studies
Income maintenance, see Antipoverty programs
Indian Health Service, 311
Individual factors, 7-8, 10, 16, 110, 111-123
Infant Health and Development Program, 170, 174, 175
Infants, 68, 124, 125, 129, 210-211
Information, see Dissemination of research
Informed consent, 29, 36, 91, 92-93, 326, 327, 329, 330-332, 339, 340n, 361
Injuries, 1, 15, 17, 32, 38, 68, 208, 210-211
as indicators of abuse, 60, 61, 64, 65, 71-72, 310
and medical treatment, 17, 20, 67-68, 71-72
Institutional review boards (IRBs), 328, 340, 361
Instrumentation, 6, 23, 24-25, 28, 29, 30, 46, 47, 91, 297-298, 321n, 344
and definitions, 5, 31, 63, 70-71, 345
and developmental stages, 66
and researcher training, 24-25, 63, 71, 297
standardization, 24, 25, 63, 70, 91, 95-96, 297
Intelligence, see Cognitive function
Intensity of abuse, 5, 15, 44, 209
Intent to harm, 66
Interactive models, 7, 47, 50, 54, 107-109, 139-140, 162, 347
Interdisciplinary research, 4, 23, 25, 26, 35, 43, 292-296, 315-316
and definition development, 31, 70, 345
government support, 25-27, 315, 318-320, 357-359
Intergenerational abuse, 7, 8, 10, 52, 68, 116-118, 132, 140-141, 143-144n, 223-224, 226, 233-234, 347
International Classification of Diseases, 98n
International comparisons, 84-85, 130, 371
International Society for the Prevention and Treatment of Child Abuse, 294, 298
Interventions, 17-18, 22-23, 46, 52, 253, 274-275. See also Community-based programs; Prevention; Protective services and agencies; Treatment programs
Isolation, social, 8, 9, 10, 68, 107, 112, 120, 127, 135-136, 224
J
Justice system, see Legal system
Juvenile delinquency, 4, 14, 15-16, 26, 38, 39, 40, 51, 127, 174, 217-218, 223, 226, 227, 236n
justice system, 16, 52, 226, 273
Juvenile Justice Standards Project, 60-61
Page 387
K
Kempe, C. Henry, 43, 60, 98n, 187, 294
L
La Leche League, 175
Latinos, see Hispanic population
Laws, see Legislation
Leadership needs, 28, 30, 35, 314-315, 343, 355, 357-359
Legal system, 17, 21-22, 25, 27, 47, 61, 272-274, 280n
and definitions of maltreatment, 5, 58
discrimination against victims, 16, 226
family members involvement, 14, 190
and offender treatment, 18, 22, 190, 259, 272-273
see also Criminal sanctions; Ethical and legal research issues
Legislation, 60, 62, 165, 183, 187
on data collection, 43, 79, 81, 307-308
see also Mandatory reporting
Literature, see Publication of research
London Secondary School Intervention Project on Violence, 184-185
Long-term studies, 27, 42, 45, 53, 90, 97
of consequences, 17, 232-233, 348
ethical issues, 28, 334-335, 339, 361
intergenerational abuse, 117-118, 141, 233-234
Louisville Child Behavior Checklist, 297
Low birthweight, 123, 124, 125, 170
Low self-esteem, 15, 16, 213, 214, 228
M
Malnutrition, 71, 125, 129, 210-211
Mandatory reporting, 67, 72n, 73n, 79, 87, 98n, 267
by researchers, 6, 42, 71, 91-93, 96, 325, 335
Marital conflict, see Spousal conflict and violence
Mass media, see Media roles and programs
Maternal and Child Health Bureau, 311, 356
Measures and measurement, see Instrumentation; Methodology
Media roles and programs, 13, 35, 48, 165, 187-188, 197, 334, 336, 354-355
and research findings, 29, 334, 336
Medical research, 23, 24, 25, 292, 293, 295
Medical services, see Health care services
Mental health and illness, 2, 6, 15, 17, 18, 25, 39, 111, 208, 209, 212-215
of adult survivors, 224-226
diagnostic classification, 58, 63
physiology of, 121-122
services, 18, 20, 52, 63, 256-258
see also Cognitive function; Depression; Emotional abuse; Personality disorders
Mental retardation, 211
intervention evaluation, 23, 254
problems in, 6, 14, 24-25, 26, 78-79, 85-93, 116
and research ethics, 339
see also Definitions; Documentation, of research; Instrumentation; Samples and sampling
Minority groups, see Culture and ethnicity
Misclassification bias, 91
Models and modeling
ecological development, 4, 14, 49-52, 109-111, 161, 190-191
Page 388
longitudinal studies, 339
Moral development, 60
Mothers, 7, 115-116, 123, 124-125, 126-127, 169, 175
Multiple abuse, see Co-occurrence of maltreatment types
Multiple personality disorder, 224
Multisystem community prevention programs, 13, 185
Munchausen by proxy, 59
N
National Center for Child Abuse and Neglect (NCCAN), 36, 43, 79, 80, 81, 95, 293, 307-308, 319, 356, 359
data systems, 299-300
funding, 25, 36, 301, 304, 306, 359
National Child Abuse and Neglect Data System (NCANDS), 81-82, 306
National Clearinghouse on Child Abuse and Neglect, 299
National Clearinghouse on Family Violence, 299
National Commission on Children, 52
National Committee for Prevention of Child Abuse (NCPCA), 82
National Criminal Justice Reference Services, 300
National Data Archive of Child Abuse and neglect, 298, 321n
National Family Violence Survey, 86
National Health Interview Survey on Child Health, 96, 346
National incidence studies (NIS), 59, 64, 78, 80-81, 86, 87, 88, 89, 98n, 306, 307
National Information Clearinghouse on Infants with Disabilities and Life Threatening Conditions, 299
National Institute of Child Health and Human Development (NICHD), 36, 303, 310, 319, 356, 359
National Institute of Justice (NIJ), 300, 312
National Institute of Mental Health (NIMH), 36, 95, 98n, 309-310, 319, 356, 359
National Longitudinal Survey of Youth, Child Supplement, 96, 346
National Research Council Committee on Child Development Research and Public Policy, 49
National Resource Center on Child Abuse and Neglect, 299
National Resource Center on Child Sexual Abuse, 299
National Survey of Children, 96, 346
Native Americans, 138
Navy, 303
chronic, 6, 8, 94, 127, 129, 232
etiology, 112, 115, 125, 128, 135
identification of, 67, 69, 73n, 210
incidence, 6, 79, 81, 82, 93-94
outcomes, 209, 210-211, 212, 213, 214, 215, 232
and poverty, 9, 12, 66, 88, 133, 182
treatment programs, 264
Neighborhoods, 8, 9, 14, 134-136, 144n
New Chance, 183
Noncontact sexual abuse, 84, 94
Norplant, 273
O
Office for Protection from Research Risks, 328
Office of Disease Prevention and Health Promotion, 311
Office of Juvenile Justice and Delinquency Prevention, 300, 311-312
Ontogenic factors, see Individual factors
Opiates, 114
Oral stimulation, excessive, 73n
Page 389
Origins of maltreatment, see Etiology and etiological studies; Risk factors
Outcomes, see Consequences and outcomes
P
Pacific Islanders, 98n
Parent-Child Development Centers (PCDC), 174
Parenting styles and behaviors, 4, 13, 17, 26, 29, 35, 46-47, 57, 128-130, 333
and emotional abuse, 72n
interaction with other factors, 7-8, 10, 108-109
interventions, 11-12, 19, 22, 165, 166, 167-178, 191-193, 262-263
and stress, 8, 9, 15, 19, 35, 109, 112, 120, 131-132, 144n, 168
see also Discipline and punishment; Intergenerational abuse
Parents Anonymous, 260-261
Parents United, 261
Parricide, 218
Pathogenic model, 53-54
Pedophilia, see Sexual abuse
Peer relations, 12, 15, 125, 128, 167, 184, 216
Peer review systems, 307
Personality disorders, 18, 224
antisocial, 7, 16, 113, 119, 223
and corporal punishment, 14, 128, 130, 132, 136
etiology, 111-112, 115-116, 137
offender treatment, 260-261, 262-263
Physical discipline, see Discipline and punishment
parental hyperreactivity, 115
Pilot screening studies, 71
Placement, see Foster care placement
Poisoning and ingestions, 64, 73n
Policy decisions and planning, 2-3, 22, 23, 27-28, 39, 40, 57
research, 29, 30, 33, 35-36, 40-43, 45, 52-53, 314-315, 320, 344, 355-357
Population-based studies, 69, 83-85, 95-97
Positive Adolescents Choices Training (PACT), 185
Postpartum services, see Home visitation services; Hospital-based interventions
Post-traumatic stress disorder, 215, 224, 236n
Poverty, 7, 9, 10, 17, 41, 88, 89, 107, 109, 123, 126, 133-135
and abuse definitions, 61
antipoverty programs, 12, 19-20, 182-183, 266
and center-based programs, 173-174
and community-based programs, 174-175
disproportional representation, 9, 69, 87-88, 133
and family functioning, 128
and low birthweight, 124
Predatory behavior, 44
Pregnancy
see also Teenage pregnancy
Prematurity, 123, 124, 125, 170
Preservation of family, see Family preservation
Page 390
of sexual abuse, 44, 83-84, 94
studies of, 31, 69, 83-85, 97, 346
Prevention, 5, 10, 52, 161-165
community-based programs, 12-13, 168-170, 174-176, 178-188, 195
corporal punishment, 11, 13-14, 189-190, 197
and cultural factors, 13-14, 188-190
evaluation studies, 34, 190-191, 336
Federal aid to states, 178-179
and maltreatment definitions, 5
parenting interventions, 11-12, 165, 166, 167-175, 178, 191-193
see also Family services; School-based programs
Preventive health care services, 10, 137
Privacy, see Confidentiality and privacy
Private foundations, 27, 313-314
Productivity losses, of severely abused children, 2, 40
Professional societies, 294, 315, 327
Project 12-Ways, 262-263
Prospective studies, see Long-term studies
Protective factors, 10, 14, 31-32, 109, 140
and intergenerational abuse, 117-118
and outcomes, 16-17, 226-231, 234-235
Protective services and agencies, 17, 20-21, 22, 52, 268-270
administrative records, 59, 61-62, 69-70, 73n, 79-83, 87, 90-91, 345, 350
federal funding, 306
investigations, 17, 20-21, 23, 34, 71, 78, 268-269, 354
rates of substantiation, 78, 81, 82, 89, 279n
and research subjects, 329-330
resource and staff, 21, 88, 268, 279n
Psychometrics, 25, 96, 297, 298
Psychopathology, see Mental health and illness; Personality disorders
Puberty, 72
Publication of research, 17-18, 25, 26, 33, 45-47, 68, 294, 298, 299-301, 307-308, 328, 350-351
Public awareness campaigns, see Media roles and programs
Public Health Service, 52, 308-311
Punishment, see Discipline and punishment; Legal system
R
Recall bias, 6, 8, 44, 45, 90, 224-225
Recruitment of research subjects
bias in, 44
ethical issues, 29, 36, 329-330, 339, 361
Referrals to services, 20, 21, 23, 34, 253, 269-270, 279-280n, 354
by home visitors, 171
by researchers, 30, 71, 345-346
Regional variations, 69-70
Regulation of research, 326-328
Relapse, see Recidivism
Reliability
of definitions, 60
of instrumentation, 31, 63, 298, 345
Replication of research, 336
Reporting of cases, 5, 20, 44, 52
and apparent increase in abuse, 6, 78-79, 88-89, 93
by children, 194
and definitions, 57, 62, 70, 71
mandatory, 6, 42, 67, 72n, 73n, 79, 87, 91-93, 96, 98n, 267, 325, 335
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by researchers, 6, 42, 71, 91-93, 96, 325, 335
Research, see Bias in research; Data collection and sources; Definitions; Dissemination of research; Ethical and legal research issues; Funding of research; Interdisciplinary research; Methodology; Models and modeling; Research centers; Researchers; Samples and sampling; Status of research
Research centers, 23, 24, 36, 294, 295, 318, 358-359
Researchers, 53, 293-294, 313, 315-316, 358
mandatory case reporting, 6, 42, 71, 91-93, 96, 325, 335
referrals to services, 30, 71, 345-346
training of, 23-28, 35, 71, 292-296, 297, 316-318, 358
Retrospective studies, 8, 116-117, 144n, 224-225, 233, 335, 348
bias in, 6, 8, 44, 45, 90, 209, 225-226
Revictimization, 220, 224, 267
Rights, of children and parents, 22, 274
assessment of, 21, 23, 86-87, 140-141
interactions among, 7, 10, 14, 16, 31-32, 38, 54, 108-109, 140-141, 166, 167, 226-231, 346-347, 348
and prevention, 10-11, 166-167
see also Culture and ethnicity; Discipline and punishment; Environmental factors; Etiology and etiological studies; Family functioning; Individual factors; Intergenerational abuse; Poverty; Protective factors; Spousal conflict and violence
Rituals, sexual, 59
S
Samples and sampling, 6, 29, 46, 47, 69, 89-90, 96
case reports, 70
epidemiological studies, 97
Scalding, see Burns and scalding
Scars, 86
School-based programs, 13, 165, 178, 191, 352-353
sexual abuse prevention, 11, 12, 127, 179-182, 194
violence prevention, 11, 12, 13, 167, 184-186, 196-197
School lunch programs, 19, 266
Seattle Project, 185
Self-destructive behavior, 16, 213, 222, 224
Self-help services, 17, 260-261, 278
Self-inflicted injury, 68
Sensational abuse cases, 183, 197
Sensitivity of topics, 21, 43, 55n
and research, 29, 325, 334, 336-338
Separation from caregiver, 61, 230-231
Severity of abuse, 64-65, 70, 83, 107, 232, 345
Sex, see Gender
Sexism, 41
Sexual abuse, 4, 11, 43-44, 72, 84, 133, 138, 143n, 194, 195, 273
adolescent offenders, 18-19, 84, 139, 260
adult survivors, 18, 224-225, 228
etiology, 11, 112-114, 126-127, 139, 195
female offenders, 113
identification of, 20, 68-69, 71, 72
medical diagnosis, 20, 68-69, 71, 72, 72-73n, 267
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prevention programs, 34, 166-167, 193-195, 352
school-based prevention programs, 11, 12, 127, 179-182, 194
Sexuality and sexual dysfunction, 2, 18, 39, 211, 214-215, 224
among adolescents, 16, 19, 84, 125, 210, 219-220, 260
developmental, 29, 72, 73n, 337
Sexually transmitted diseases, 68-69, 73n, 211, 267-268
Sibling relationships, 126, 216
Significant relationships, 16, 229
Single parents, 123, 126-127, 174
Single-theory models, 7, 10, 140
Skull fractures, 68. See also Injuries
Sleeping arrangements, 138
Social isolation, 8, 9, 10, 68, 107, 112, 120, 127, 135-136, 224
Social networks, 9, 135-136, 141
Social Security supplemental income, 19, 266
Social services and agencies, 2, 5, 44-45, 62, 135
interagency relations, 17, 21, 23, 27, 34
and poverty, 9, 69, 87-88, 133
research, 3, 27, 34, 41, 49, 354
see also Antipoverty programs; Community-based programs; Protective services and agencies; Referrals to services
Social work, research, 23, 25, 292
Socioeconomic status, 16, 66, 69, 71, 88, 109, 128, 133. See also Poverty
Somatization, 224
Spanking, 14, 131, 189. See also Discipline and punishment
Speech and language problems, 211-212
Spillover effect, 13, 174-175, 186
Spousal conflict and violence, 4, 7, 13, 16, 36, 126, 144n, 176, 216-217, 224
Standardization
among state agencies, 34, 87, 95, 306, 354
of definitions, 5, 21, 57-59, 70, 95
of instrumentation, 24, 25, 63, 70, 91, 95-96, 297
State governments
data sources, 27, 34, 95, 306, 354, 360
death investigations, 52
federal aid, 27, 178-179, 306, 308
information dissemination, 27, 36, 95, 319, 360
research funding, 26-27, 28, 312-313, 319
see also Protective services and agencies
Status of research, 1-2, 3-4, 24-25, 28, 30, 45-47, 48-49, 53-54, 292-293, 343
Stepfathers, 126-127
Stranger abduction, 182
Stress, 8, 9, 15, 19, 35, 109, 112, 120, 131-132, 144n, 168
Substance abuse, 4, 7-8, 14, 16, 20, 36, 38, 39, 41, 51, 127, 221-222
parental, 17, 118-119, 273-274
by sexual abusers, 114
see also Alcoholism
Substance Abuse and Mental Health Services Administration, 310
Substantiation of case reports, 5, 21, 23, 44, 71, 268-269
Suicide attempts, 213, 222, 223
Surveillance bias, 88
Surveys, see Epidemiological studies; Instrumentation; Samples and sampling
Survivors, see Adult survivors
Sweden, 130
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Syndromes of abuse, 32, 43, 60, 63, 349
adult psychopathology, 111
T
Teachers
abuse identification by, 12-13, 183-184
relationships with, 125
Teenage pregnancy, 15-16, 174, 210, 220
Temperament, 7, 16, 123, 124, 227-228
Testimony by children, 22, 273, 280n
Theories, see Models and modeling
Therapy, see Treatment programs
Timing of abuse, 5, 15, 44, 209, 232
Training
in abuse identification, 12-13, 183-184
of educators, 12-13, 181, 183-184
of health professionals, 71, 86
of parents, 12, 173-174, 181, 196-197
of researchers, 23-28, 35, 71, 292-296, 297, 316-318, 358
see also Home visitation services
Transactional models, 108, 123-124
Transitional models, 107-108
Treatment programs, 17, 22, 23, 60, 92, 253-256
for adult survivors, 18, 258-259
for child victims, 18, 34, 256-258, 351-352
and definition development, 4, 57
and development, 23, 51-52, 276-277
and emotional abuse, 254
evaluations, 22-23, 34, 44, 45, 254-256, 276-277
and foster care, 272
neglect, 264
for offenders, 18-19, 22, 34, 260-261, 278, 351-352
for parents, 19, 22, 169, 262-263
U
Unemployment, 7, 9, 10, 41, 123, 134
Universities
graduate training programs, 24, 27, 293-296, 321n, 358
research programs, 24, 294, 295
U.S. Advisory Board on Child Abuse and Neglect, 52-53, 189, 308
V
of definitions, 60
of instrumentation, 31, 63, 298, 345
Verbal abuse, 60, 94, 214, 261
Vietnamese cultures, 67
among adolescents, 218
interparental, 4, 7, 13, 16, 36, 126, 144n, 176, 216-217, 224
prevention programs, 11, 12, 13, 167, 184-186, 196-197, 352
and sexual abuse, 113
societal, 9, 10, 136, 137, 371
Visiting Nurse Associations, 175
Vocational assistance, 12, 182-183
W
Welfare, see Antipoverty programs
Witness, see Legal system; Testimony by children
Women with Infants and Children (WIC) food supplement program, 19, 266