08 April 2005

Child Abuse in the Midwest

*Old and unedited research assignment from freshman year in college*

Abstract
The purpose of this paper is to discuss the problem of child abuse in the Midwest and to defend the most plausible solution. Effects of child abuse are the following psychological problems, social problems, sexual problems, physical complaints, eating disorders, denial and repression, re-experiencing, and over-irritation. The causes of child abuse are the following individual-related factors, family-related factors, and social and cultural factors. The most plausible solution to child abuse includes three levels of prevention: primary, secondary, and tertiary. Two reasons exist for the inferiority of this package solution: abusive parents are not always caught, and abusers are not parents. Four reasons exist for the superiority of this package solution: parental support groups, cost-effective education programs, effective for all ages, and fewer false accusations.


Joey’s [surname not given] story is particularly morbid. Joey was sexually abused beginning on Christmas Day at seven years old. The abuse came from both his mother and stepfather. The tragedy started when Joey’s stepfather told the excited boy he had some “special gifts hidden in the bathroom” (Child Abuse, p. 1). Joey ran electrified and blissfully into the bathroom. His stepfather slammed the door behind them and raped the innocent child.
            Joey is currently receiving treatment and therapy at Tennyson Center for Children. His parents have refused to participate. Since his arrival, numerous “dreadful secrets” have been shared (Child Abuse, p. 1). His parents’ rights to him have been cut off and they are no longer a part of his life. Recent studies (2002) have indicated Joey represents roughly 63,000 children in the Midwest who are abused or neglected on average every year (Child Welfare League of America, p. 1). The purpose of this paper is to discuss the problem of child abuse in the Midwest and to defend the most plausible solution.
            Effects of child abuse present themselves in eight variations. Those effects are the following psychological problems, social problems, sexual problems, physical complaints, eating disorders, denial and repression, re-experiencing, and over-irritation. These effects can break further into two different groups. These effects can be grouped into the minor effects and the major effects. The minor effects of child abuse are the following sexual problems, physical complaints, over-irritation, denial and repression, and re-experiencing. A recent study (2002) indicated that minor effects of child abuse are rarely reported. Sexual problems are reported but kept secret and out of the hands of the general public. Physical complaints, over-irritation, denial and repression, and re-experiencing are all effects that are minimally documented (Child Welfare League of America, p. 1). These four effects are dealt with on personal levels. Victims do not often consult doctors. Therefore, the minor effects of child abuse are sketchy on supporting evidence and dealt with personally instead of professionally.
The first major effect of child abuse is psychological problems. The child fights fears and panic attacks, struggles with sleeping problems and wrestles nightmares, the child also battles irritability. The child exhibits outbursts of anger and sudden shock reactions when being touched. The child has minute confidence and minuscule self-esteem. Unfortunately the child brawls with behavior that harms the body: addiction to alcohol and other substances, excessive work or sports, depression, self-destruction and prostitution. Therefore, the first effect of child abuse is psychological abuse.
            The second major effect of child abuse is social problems. Victims display little confidence in other people. Victims display fear of loss of control in relationships.  Victims are always in need of controlling all situations. Victims feel that if they do not have control they are being taken advantage of. Therefore, the second effect of child abuse is social problems.
            The third major effect of child abuse is eating disorders. In reaction to a harmful event patients become disordered for more than a month in such a way that they cannot go to school or work and isolate themselves or experience some posttraumatic stress syndrome.  This disorder originates in reaction to a very harmful event and has three characteristic symptoms.  Denial and repression alternating with re-experiencing, and they are always over irritated.  Therefore, the fifth effect of child abuse is eating disorders.
            The causes of child abuse can grouped into three different factors. Although six different varieties of child abuse exist, all hold these three special types as subcategories. Wiehe (1996) specified them as “individual-related factors, family-related factors, and social and cultural factors” (p. 48). The first cause is individual-related factors. Bullies in schools, bullies in the neighborhood, or even bullies in the house are classified within individual-related factors. Psychological abuse victims are, perhaps, in the most need for aid and help. If a person is able to break into an individual’s psyche, it is possible to devastate and manipulate that person’s thoughts and mind beyond any word description. Wiehe (1996) spoke of the individual factors as a scenario where the children emulate the parent’s actions. In a family, if the parental figures repress emotion, they may, in turn, encourage their children to develop a related style of conduct (p. 58). Miller (1983) added that parents may display unresponsiveness to children’s emotional needs. The child most often responds to the parent’s “denial of emotions by feeling unloved and unwanted” (p. 37). Therefore, individual-related factors constitute the first cause.
            Family-related factors, the second cause of child abuse, are more impacting than those individual-related, and social and cultural factors. Family-related factors would include divorce, insufficient finances, transportation to employment problems, lack of quality time spent with the child, and an inadequate or dysfunctional support system. Fontana (1976) made a statement that is as true now as it was the moment he penned it: “There are parental attitudes as damaging as a push down the stairs or a command to stay ‘the hell out of the house’ because mother’s got company” (p. 50). The words spoken by a parent to a child are capable of producing more psychological damage than people could ever dare to dream – they are cuts with imperceptible marks, marks that become perceivable as the youngster grows into maturity.
            Psychologically, a mother’s words can greatly influence a child’s outlook on the entire world. If a mother said, “Come to me. Daddy is a beast. But mommy loves you.” A thought such as that can plant terrible seeds in the soil of the young person’s mind. Fontana further exemplified “‘…if you don’t stop that, I’ll break your arm!’ The arm may never get broken, but the rage and hostility find their target” (1976, p. 51). Harsh words twist and frighten children’s minds. Harsh words cause paranoia, paranoia causes insecurities, insecurities produce unhealthy relationships, and unhealthy relationships turn life into a nightmare. Psychologically, more so than physically and sexually, young people are vulnerable to a permanent scar that may not be seen but suffered until the end of their age. Righthand et al. (2003) declared that verbal abuse from parent to child such as “swearing at, insulting, and being verbally aggressive” has proven to have ruthlessly negative psychosocial repercussions for that child or children involved (p. 21). Therefore, family-related factors constitute the second cause.
            The third cause of child abuse is social and cultural related factors. Garbrino and Vondra (1987) mentioned that social and cultural factors include stress and sex-role stereotypes. Parents may be so overwhelmed with problems and stresses in their own lives that they fail to be sensitive to their children. Parents may not meet the emotional needs of their children. This may result in children’s feeling rejected and unwanted. For example, a child’s father arrives home from a stressful day of work. Upon entering the door, his little boy comes running up with a paper clenched in his tiny fist. Hysterically leaping to show his father the first perfect spelling test score, his father physically shoves the child out of the path. Sitting down in his chair, the father flips the television on. The child stands up and runs to his father again. Battling the television for his father sole attention, the boy eclipses the screen. His father yells, “Boy, get out of the way. I don’t care about your meaningless spelling test! Go, grab me a drink.” The child’s head and heart drop as he walks away. “Stress factors associated with this form of emotional abuse may include too large a family, inadequate financial resources, parental drug and alcohol abuse, as well as a general climate in the family in which there is an absence of emotional support” (p. 26). Therefore, stress is a main aspect of social and cultural factors of child maltreatment.
            Sex-role stereotypes are another example of social and cultural factors. Treating children differently on the basis of gender may result in psychological maltreatment. Parental beliefs and expectations about gender-appropriate behavior may influence the way parents treat children, with the result that children are not allowed to develop to their full potential. For example, a Jewish father refuses to allow his athletic son to play varsity sports such as football or basketball because the Friday night and Saturday games break their religious observation of Sabbath. Also, a single mother refuses to permit her daughter to get involved in extracurricular activities (such as basketball, track or cheerleading) because they are not lady-like behavior. Wiehe (1996) stated, “Parents may be reinforced in these beliefs and practices by religious and cultural values, as well as by the differential way in which genders are portrayed in the public media” (p. 60). Therefore, social and cultural factors constitute the third cause of child abuse.
            The most plausible solution to child abuse is a package plan. It includes three levels of prevention: primary, secondary, and tertiary. Under these three levels, the plan includes a thorough educational intervention for children of all ages, a follow-up effort by school and city/state officials to work as safe and personal counseling role, an effort to change the already existing laws pertaining to child abuse and its consequences, and popular programs and music to teach children more about abuse. A large issue facing the child abuse problem is that it is difficult to know when the abuse occurred. Human beings are exceptionally skilled at hiding their serious issues – masking their problems. Child abuse is not simple to prevent. Intervention can always happen despite the level of abuse or length of time. Thus, there are three different levels of prevention for child abuse.
            The first element of prevention is evade child abuse and neglect from occurring. The enactment of various public policies relevant to children’s health and welfare are viewed as examples of primary prevention. A child’s years in school provide an opportunity for primary prevention efforts. A program called “Bubbylonian Encounter” is a three-puppet play displayed in schools intended to inform children of abuse. The solution includes a few adaptations that have proven effective for past victims. Therefore, the first element of prevention is to educate children of child abuse.
            Secondary efforts are taken to relieve parents of stress if child maltreatment has already become a factor in the family. Day care is considered a secondary effort. Parents that suffer from overwhelming feelings of stress – caused by waiting on their children all the day – strongly considered day care. Since stress is a significant factor associated with the occurrence of child physical and psychological maltreatment, prenatal support programs by hospitals and public health clinics are set-up to all parents. Aimed at the expectant teenage parents these clinics are opened to all parents. They set up program goals that prepare participants for parental roles and enhancing bonding between parents and children. Therefore, the second element to the prevention plan of child abuse is childcare and clinical programs.
            Tertiary prevention aims at helping the child and even parents after abuse has occurred. This prevention method focuses further on limiting the impact of the problem on victims and their families. An example of a tertiary prevention operation is childcare centers for children who have experienced prior maltreatment. Parents can receive treatment through tertiary prevention organizations. Agencies are set up all round the nation with treatment programs for parents such as abusive mothers, emphasizing nurturing skills. For abusive parents, Parents Anonymous (P.A.) and anger control groups are set up. These assemblies are proven very effective for those who have given them a chance. Therefore, the third element is preventing child abuse from impacting victims too drastically.
            Two reasons exist for the inferiority of this package solution of group counseling, education and reformation of law and its execution. The first reason is that the hand of justice does not always slap all abusive parents. According to Righthand (2003), never brought in front of a judge and convicted, the responsibility is on the shoulders of the parents to realize the problem. The responsibility is on the shoulders of the parents to seek help. The responsibility is on the shoulders of the parents to do what is most suitable for the child (p. 57). Therefore, parents not caught for abusive actions constitutes the first weakness.
            The second reason is that not all victims are abused by their parents. In March 1996, a survey was taken for prison inmates. Studies showed that one in five inmates serving in a state prison due to violent crimes committed the crime on a child under age eighteen. A vast majority of child victimizers in state prisons in the Midwest knew the victim prior to the abuse. “A third had committed a crime against their own child. A half of them had a relationship with the victim such as a friend, acquaintance, or even relative. About one in seven were complete strangers with the victim” (p. 1) Roughly two-thirds of child abuse crimes were not committed by the parents of the abuse victim (Federal Bureau of Justice, p. 1). Therefore, not knowing precisely who the abuser is constitutes the second weakness.
            However, three reasons exist for the superiority of this package solution of groups, education, and reformulation of law and its execution. The first reason is that support groups provided for parents that abused their child give the adult a sense of company. Parents Anonymous (2005) reported meetings give the parent abusers a support group. In a world of fear and cold heartedness, the parents are surrounded with nonjudgmental peers that have experienced similar problems. Parents Anonymous allows for parents to open up without fear and discuss their ongoing problems. Parents Anonymous strengthens families by preventing and treating child abuse. Parents Anonymous decreases the probability for other social problems to occur such as “juvenile delinquency, crime, emotional and developmental problems, substance abuse, poor academic performance, homelessness, and unemployment” (p. 1).  Sitting down with a counselor is overwhelming for an abusive parent. Allowing psychoanalysis of thoughts in a one-on-one setting tends to bottle up parents. Comfort helps parents open up and express testimonies of wrong action. Comfort contributes to confessions in a group setting by nearly 60% more than having parents sit with only a psychoanalyst alone (Parents Anonymous, p. 1). Therefore, support programs for parents constitute the first strength.
            The second reason is having educational programs in school or touring to schools is a cheap way to open the mind’s eye of a child living in ignorance. Taxpayers in a district already pay for the public schools to be running. The cash needed for these programs to begin and continue would come not only from the local taxpayers but also from state and federal educational boards. Since funding for the programs will not live in a single district the support of a nation is more powerful than that of an individual. Socrates was correct when he stated, “Knowledge is power.” Where people live does not matter – ignorance is never bliss. Knowledge fuels change, change institutes revival, revival saves lives, and saved lives change the world. Bridgeland (1996) and Price (2001) addressed Missouri and Michigan schools started programs that allow high school health classes to devote an entire unit of time to briefing teenagers on child abuse. Missouri and Michigan schools open the mind’s eye for many children to understand child abuse more thoroughly (59, 36) Therefore, educational programs for children constitute the second strength.
            The third reason is changes in legislation would allow fewer false accusations of child abuse. Informing people through lectures, news and media, or classes about child abuse would help the public understand the laws about abuse and help prevent false claims being filed. CNN (1999) broadcasted a Minneapolis family fled to prevent their child from being taken by authorities. To social workers, Wally and Debby Hines were abusive parents that beat their infant son until his bones broke. The Hines’s, however, are victims of misunderstanding. The Hines’s one-year-old son has a rare brittle bone disease. The child was taken from the family and put into a temporary foster care. While with the foster care he was diagnosed by doctors to have brittle bones disease. While at the hospital and foster care facility, he broke bones. His parents were not abusers. His parents were misunderstood and falsely accused. Jenkins (1997) reported, “Of all child abuse reports made in the United States…only two percent are deliberately false.” That still translate into tens of thousands of phony accusations every year due to misunderstandings. For families involved, results can be devastating. In Cass County, Nebraska, the Timm family suspected a woman they knew had made a false claim of abuse. “I think that the hardest part was putting the children in the police car, not knowing where they were going and when we would be seeing them again,” said father Jeff Timm. It took the Timm family a month to get their children back from the arms of a false claim (pp. 1-3). Therefore, knowledge of laws and filing claims constitute the third strength.
            If this solution is not put into practice, more families will have to suffer the loss of their children. False claims will take more children and cause suffering similar to the Timm family and Hines family. Ignorance has caused more difficulties than benefits to children. If this solution is not put into practice, more families will see their children carried in police cars and kept from parental nurturing love.
            To return to the story that began this paper, Joey has shown that he is a good learner and has an enormous memory. He also stepped into leadership in his school. Joey’s dream is to someday connect with a wonderful foster family. White (1958) wrote “a pure, healthy life is most favorable…for the development of the powers of mind and body” (p. 125). Pure and healthy relationships are most constructive for the advancement of the powers of mind and body.



References
Bridgeland, W. M., & Duane, E. A. (1996). Child-abuse policy in Ontario and Michigan: The school. Education, 116, 56-61.
Child Abuse (n.d.). Kids’ stories. Retrieved April 1, 2005, from http://www.childabuse.org/kidswehelp.htm.
Child Welfare League of America (n.d.). Facts 2002. Retrieved April 1, 2005, from http://www.cwla.org/programs/juvenilejustice/jjdfacts2002.htm.
CNN. (1999, August 20). Family flees to prevent authorities from taking their son. Retrieved March 4, 2005, from http://www.cnn.com/US/9908/20/battered.or.brittle/index.html.
Federal Bureau of Justice. (2000). Federal Bureau of Justice statistics. Washington, DC: U.S. Government Printing Office.
Fontana, V. J. (1978). Somewhere a child is crying. Chicago: Macmillan.
Garbarino, J., & Vondra, J. (1987). Psychological maltreatment: Issues and perspectives. In M. Brassard, R. Germain, & S. Hart (Eds.), Psychological maltreatment of children and youth (pp. 25-44). Elmsford, NY: Pergamon.
Jenkins, B. (Correspondent). (1997, March 7). Headline news [Television series]. Atlanta: CNN News.
Miller, A. (1983). For your own good: Hidden cruelty in child-rearing and the roots of violence. New York: Free Press.
Parents Anonymous. (n.d.). Research results. Retrieved February 25, 2005, from http://www.parentsanonymous.org/pahtml/progNet_n_research.html.
Price, J. H., Islam, R., Gruhler, J., Dove, L., Knowles, J., & Stults, G. (2001). Public perceptions of child abuse and neglect in a Midwestern urban community. Journal of Community Health, 26, 34-38.
Righthand, S., Kerr, B., & Drach, K. (2003). Child maltreatment risk assessment. New York: Haworth Press.
White, E. G. (1958). My life today. Washington, DC: Review and Herald.
Wiehe, V. R. (1996). Working with child abuse and neglect: A primer. London: SAGE.

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