Citation

Burgess RL. Child Abuse Negl. 1979; 3(3-4): 781-791.

Copyright

(Copyright © 1979, Elsevier Publishing)

DOI

unavailable

PMID

unavailable

Abstract

Child Abuse refers to non-accidental physical and psychological injury to a child under the age of 18 as a result of acts of omission or commission perpetrated by a parent or caretaker. Conceptual problems abound in part because we are clearly dealing with behavior which falls along a continuum of caregiver-child relationships. At one end of the continuum we have seemingly innocuous verbal punishment -- disparagement, criticism, threat and ridicule. Or, we have fairly typical forms of physical punishment such as a slap on the hand or a swat on the bottom. Then there are forms of physical punishment that exceed current community standards -- hitting the child with a closed fist or with an object such as a razor strap, belt, cord, or paddle, slamming the child against the wall, kicking him, burning the child with a cigarette, scalding the child with hot water, torturing or even killing the child. It is not always clear where a particular case should be placed on this conceptual continuum. What is more devastating to the development of a child, a single occasion where a parent loses control and slams a child across the room, in the process knocking out a tooth and breaking a child's arm, or the persistent day-by-day, month-by-month, year-by-year use of ridicule, criticism and sarcasm toward that child? Nor is it always clear whether acts of omission which are harmful to the child (i.e., neglect) are functionally equivalent to acts of commission that harm the child. This problem of definition and the establishment of a uniform response class is but one of many problems plaguing the systematic study of child abuse. Other problems such as the tendency to dramatize the bizarre and extreme use of physical violence or aggression at the expense of more subtle forms of verbal punishment, the tendency to equate child abuse either with psychopathology, on the one hand, or with poverty, on the other, and the tendency to rely upon impressionistic accounts of behavior also have retarded the accumulation of sound knowledge about the causes, consequences, treatment and prevention of abusive behavior.