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Chapter: Paediatrics: Child protection

Paediatrics: Emotional abuse

Persistent, emotional ill-treatment of a child that results in severe impair-ment in emotional development.

Emotional abuse

 

Persistent, emotional ill-treatment of a child that results in severe impair-ment in emotional development. This may involve:

Conveying to children that they are worthless or unloved.

 

Imposing age or developmentally inappropriate expectations.

 

Causing children to frequently feel frightened and threatened.

 

Seeing or hearing the ill-treatment of another as in domestic violence.

 

 

This form of abuse often co-exists with other forms of ill treatment.

 

Presentation

 

This is almost always gradual and difficult to diagnose. Symptoms are largely behavioural and may include:

Being excessively clingy.

 

Attention-seeking behaviour.

 

Overly anxious.

 

Overly serious.

 

Being anxious to please.

 

Parental behaviours are a clue to the diagnosis. Any of these must be per-sistent and severe, and have a major impact on the child in order to reach the threshold for emotional abuse:

Persistently –ve view of the child.

 

Inconsistent and unpredictable responses.

 

Expectations that are very inappropriate.

 

Induction of a child into bizarre parental beliefs.

 

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Paediatrics: Child protection : Paediatrics: Emotional abuse |


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