Child abuse is a mental and physical injury. Sexual abuse or exploitation, neglection treatment, or maltreatment of a child under the age of 18 by a person who is responsible for the child’s welfare under circumstances which indicate that the child’s health or welfare is harmed or threatened.
By MAIRA BAIG
KINDS: There are four kinds of abuse sexual abuse, physical abuse, neglection and emotional abuse.Physical abuse is defined as “any non-accidental physical injury to the child” and can include kicking, or biting the child, or any actions that results in physical impairment of child. Child neglect is defined as act of omission or Failure to meet the basic needs of child. Mostly children die from physical neglect or endangerment then abuse. Neglection is harder to identify than physical abuse. Child sexual abuse is the exploitation of a child or adolescent for the sexual satisfaction of another person.
Emotional abuse or psychological abuse is pattern of behavior that impairs a child’s emotion development or sense of self-worth. This may include constant criticism, threats, or rejection, as well as withholding love, support or guidance. The impact of child abuse on children can cause victims to feel isolation, fear and distrust, which can translate into life long psychological consequence that can manifest as educational difficulties, low self-esteem, depression, and trouble forming and maintaining relationships. Social impact of child abuse includes sexual victimization many interfere with and alter the development of attitudes toward self, sexuality, and trusting relationships during the critical early years of development.
Mental health conditions, such as depression, anxiety, post-traumatic stress disorder, and lack of trust in others are reported more often by people who have experienced child sexual abuse. Children who are abused and neglected may suffer immediate physical injuries such as cut, hurts, or broken bones, as well as emotional and psychological problems, such as impaired social-emotional skills or anxiety. Child abuse and neglected and others can also have a tremendous impact on life long health, opportunity, and wellbeing if left untreated.
There was 12 years old young girl, last born among siblings. The girl was brought to district headquarters hospital presented with a complains of having behavioral issues like non-compliance toward mother and teacher, argumentative at home and school teasing and bulling others, anger (hitting and abusing) towards siblings and fellows in the class and lack of interest toward studies. The father of the girl is old business man educated till matric the girl was closely attached to her father but after his second marriage, the children got disturbed. The girl was conflictual relationship with him. He has a strict nature and lose his temper easily after his marriage he has started avoiding physical contact with his daughter and become more strict he start neglected his daughter. The girl has three siblings. the elder sister is 16 years old and 2nd born is brother who is 15 years old the girl deliberately annoying him due to which their relationship is not satisfactory as keep criticizing and blaming. Because of his neglection her behavior changed she didn’t accept her mother. All children have very intense emotions, but they do not have the skill to manage them. Try to be the perfect parent responses above as regularly as possible. Stop neglecting your child For example, exposer to violence in childhood increases the risks of injury, future violence abuse and actions. Chronic abuse may result in toxic stress, which can change brain development increase the risk for problems like post-traumatic stress disorder and learning, attention, and memory difficulties.
Approximately 5 children die every day because of child abuse. Boys and girls experience similar rates of childhood abuse. Rates of them are 5 time higher for children in families with low socio -economics states compared to children in families with higher socio-economics status. Identifying abuse or neglection can be difficult. It requires careful evaluation including checking of physical and behavioral signs factors that may be considered in determining. It included physical exam, including evaluating injuries or signs and symptoms of suspected abuse or neglection, information about the child’s medical and developmental history description or observation of the child’s behavior observing interactions between parents or caretakers and the child. The child should be assessed on both formal and in formal level. In formal assessment is done through clinical interview behavioral observation and visual analogue and baseline of anger. Formal assessment includes progressive matrices and (slosson intelligence test).
Therapies and techniques such as reinforcement response cost, planned ignorance time out and behavioral contract were implanted throughout the therapy of necessary, help the child seek appropriate medical care seek immediate attention of child has sign of an injury or a change in consciousness follow up care with a doctor or other health care provider may be required. Several different types of therapy may be effective i.e. Trauma-focused cognitive behavioral therapy, Child- parent psychotherapy such therapies are very useful for discovering the roots of abuse and improving the parent-child relationships and building a strong attachment between the two. So, encourage the child to tell you what happened remind the child that he or she isn’t responsible for the abuse. Offer comfort to the child. Help the child remain safe consider additional support.
Child abuse and neglect have a long-lasting impact on the child and their family and the following. . In order to protect children from this situation, it is necessary to develop preventive programs and to developed and inforce legal ramifications.