CHILD ABUSE (intentional injury of a child which includes: physical,

emotional, sexual, neglect)

1.

1. Physical abuse (physical injury caused by punching, beating,

kicking, biting, burning or otherwise harming a child,physical abuse is the most
visible form of child maltreatment. Many times, physical abuse results from
inappropriate or excessive physicaldiscipline.)
2. Sexual abuse Involves sexual acts performed by an adult on a
child younger than 18 years old. Examples include incest, and
acts of molestation such as rubbing, fondling or exposing the
adults genitals, rape and exploitation
3. Emotional Abuse is just as harmful as physical abuse. It may
involve conveying to children that they are worthless or
unloved. It includes verbal assaults such as blaming, screaming,
name calling and using sarcasm.. Constant family discord by
fighting, yelling and chaos. Emotional abuse often accompanies
other types of abuse (physical or sexual abuse)
4. Neglect absent or lack of provision of things necessary for the
childs growth and development
a)physical neglect- failure to provide medical, dental or
psychiatric care
b)education neglect- failure to provide education
5. Munchausen Sydrome: factitious disorder by proxy
an adult caregiver (typically the mother), makes a child appear
mentally or physically ill or impaired by either fabricating
symptoms or actually causing harm to the child, in order to gain
the attention of medical providers and others. In order to
perpetuate the medical relationship, the caregiver systematically
misrepresents symptoms, fabricates signs, manipulates
laboratory tests, or even purposely harms the child (e.g. by
poisoning, suffocation, infection, physical injury).
5. Secondary abuse:
children of abused women
Characteristics of abusive parents
Came from a violent family
Have inadequate parenting skills
Socially isolated
Emotionally immature
Victim of child abuse

SPOUSE ABUSE is maltreatment in the context of an intimate

relationship

-husband and wife - live in partner

-boyfriend and girlfriend - same sex relationship
CYCLE of SPOUSE ABUSE
1. Tension building phase ( onset and beginning of minor
arguments, stony silence and repetitive complains of the
husband / minor form of battering)
2. Acute battering incident intense violence of physical
injury, verbal demoralization and threatening of the partner/
involves more serious form of battering
3. Honeymoon stage- husband expressing remorse and
promises that the battering incident will no longer happen,
becomes loving
Warning signs of relationship violence:
V iew you as unequal
I nvade your personal space
O ver jealousy
L ack of empathy
E motionally abuses you (insults, belittling, name-calling)
N egatively talks about women in general
C annot express emotional and sexual frustrations (without
becoming angry)
E xtreme use of drugs or alcohol
Characteristics of abusive husbands:
-low self-esteem (they think theyre not good enough)
-has strong feeling of inadequacy
-very controlling
-possessive (think that his wife is his possession)
-abused drugs and alcohol
-narcissistic
-irrational jealousy
-usually come from violent families

1.
2.
3.
4.

Encourage expressions of feelings (related to the abuse)

Allow client to discuss feelings and concerns
Maintain confidentiality of information
Offer self in seeking medical care (for physical problem related to
the abuse)
5. Identify supportive people to assist (in dealing with the crisis)
6. Involved client in mobilizing support systems

7. Support decision making and active support systems

8. Provide written information about community services (and
encourage to avail their services)
9. Plan for follow-up care