Clinical Reference Systems: Pediatric Advisor 10.0
Child Abuse: The Hidden Bruises
The statistics on physical child abuse are alarming. Of the
estimated hundreds of thousands of children battered each
year by a parent or close relative, thousands die. For
those who survive, the emotional trauma remains long after
the external bruises have healed. Communities and the
courts recognize that these emotional "hidden bruises" can
be treated.
Often the severe emotional damage to abused children does
not surface until adolescence or later, when many abused
children become abusing parents. An adult who was abused as
a child has trouble establishing intimate personal
relationships. He or she may have a tendency to see all
other adults as potential abusers. Men and women who were
abused as children often cannot stand to be touched.
Without proper treatment, they can remain damaged for life.
Children who have been abused may display:
- a poor self-image
- an inability to depend on, trust, or love others
- aggressive, disruptive, sometimes illegal behavior
- passive and withdrawn behavior, including a fear of
entering into new relationships or activities
- school failure
- serious drug and alcohol abuse.
The whole child, including the resultant medical as well as
psychological or emotional problems, should be treated. The
family can be helped to learn new ways of support and
communicating with one another. Through treatment, the
abused child can begin to regain a sense of self-confidence
and trust.
Battering is not the only kind of child abuse. Many
children are victims of neglect, or sexual or emotional
abuse. In all kinds of child abuse, the child and the
family can benefit from the comprehensive evaluation and
care of a professional trained to deal with such problems.
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