Health Reference Series _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ Third Edition _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ Child Abuse _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ 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_________N___e__g__l_e__c__t_ _a___n__d___ _t_h__e___ _P__h__y__s__i_c__a___l_,_ _S__e__x__u___a__l_,_ _a___n__d___ _E__m___o___t_i_o__n___a__l__ _A__b__u___s_e__ ________ _____________________________________________________________________________________________________________________ of Children, Including Abusive Head Trauma, Bullying, _____________________________________________________________________________________________________________________ ________M___u___n__c__h__a___u__s__e__n__ _b___y_ _P___r__o__x__y__ _S__y__n__d___r__o__m___e__,_ _S___t_a__t__u__t_o__r__y__ _R___a__p___e__,_ _I_n___c__e__s_t__,_ ______ _____________________________________________________________________________________________________________________ __________E__d___u__c__a__t__i_o__n___a__l__ _N__e__g___l_e__c__t_,_ _E___x__p__l_o__i__t_a___t_i_o___n__,_ _a___n__d___ _t_h___e__ _L__o__n___g__-_T_e___r_m____ ________ _____________________________________________________________________________________________________________________ Consequences of Child Maltreatment, Featuring Facts _____________________________________________________________________________________________________________________ ____________a__b___o__u__t_ __R__i_s__k__ _F__a___c__t_o__r__s_,_ __P__r__e__v__e__n__t_i__o__n__ _I__n__i_t__i_a__t__i_v__e__s__,_ _R__e__p___o__r__t_i_n___g__ __________ _____________________________________________________________________________________________________________________ _____________R__e__q___u__i_r__e__m____e__n__t_s__,_ _L__e__g__a___l_ _I_n___t_e__r__v__e__n__t_i__o__n__s__,_ _C___h__i_l_d___ _P__r__o__t_e__c__t_i__v__e__ ___________ _____________________________________________________________________________________________________________________ _______________________________S__e__r__v__i_c__e__s__,_ _a___n__d___ _T__h___e__r_a___p__y__ _O___p___t_i_o__n___s_______________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ Along with Information for Parents, Foster Parents, and _____________________________________________________________________________________________________________________ __________A___d__u___l_t_ _S__u___r__v__i_v__o__r__s__ _o__f_ __C__h__i__l_d__ __A__b__u___s_e__,__ _a__ _G___l_o__s__s__a__r__y__ _o___f_ _R___e__l_a__t__e__d__ _________ _____________________________________________________________________________________________________________________ _______________T__e__r__m____s_,_ __a__n___d__ _D___i_r__e__c__t__o__r__i_e__s__ _o__f_ __A__d__d___i_t__i_o__n___a__l_ __R__e__s__o__u___r__c_e__s________________ 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_____________________________________________________________________________________________________________________ Valarie R. Juntunen, RN __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ 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__________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ ______________________________________B__a__s_i_c_ _C__o__n__s_u__m___e_r_ _H___e_a__l_t_h__ _I_n_f_o__r__m__a__t_i_o__n__ _a__b_o__u__t_ _C__h__i_l_d__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _______________ __________________________________N__e_g__l_e_c__t_ _a_n__d__ _t_h__e_ _P__h__y_s__i_c_a__l_,_ S__e_x__u__a__l_,_ a__n__d__ _E__m__o__t_i_o__n__a__l_ A__b__u__s_e_ _ ___________________________ __________________________________________________________________________________________________________________________________________ ________________________________o__f_ _C__h__i_l_d__r_e__n__, _I_n__c__l_u__d__i_n__g_ _A__b__u__s_i_v__e_ _H___e_a__d__ _T_r__a__u__m__a__,_ _B__u__l_l_y__i_n__g_,_ __________________________ __________________________________________________________________________________________________________________________________________ _________________________________M__u__n__c_h__a__u__s_e__n_ _b__y__ P__r__o_x__y__ S__y__n_d__r__o_m___e__, _S__t_a__t_u__t_o_r__y_ _R__a__p__e_,_ _I_n__c_e__s_t_,_ __________________________ __________________________________________________________________________________________________________________________________________ Educational Neglect, Exploitation, and the Long-Term __________________________________________________________________________________________________________________________________________ ___________________________________C__o__n__s_e_q__u__e_n__c__e_s_ _o__f_ _C__h_i_l_d__ _M___a_l_t_r__e_a__t_m___e_n__t_,_ _F_e__a__t_u__r_i_n__g_ _F__a__c_t_s_ 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__________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________A_l_o__n__g_ _w___i_t_h__ I_n__f_o__r_m___a__t_i_o__n__ f_o__r_ _P__a__r_e_n__t_s_,_ _F__o_s__t_e_r_ _P__a__r_e_n__t_s__, _a__n__d__ ___________________________ __________________________________________________________________________________________________________________________________________ ______________________________A__d__u__l_t_ _S_u__r__v_i_v__o_r__s_ _o__f_ C__h__i_l_d__ _A__b_u__s_e__,_ _a_ _G__l_o__s_s__a_r__y_ _o__f_ _R_e__l_a__t_e_d__ _T_e__r_m___s_,_ ________________________ __________________________________________________________________________________________________________________________________________ ____________________________________________a__n__d__ _D__i_r_e__c_t_o__r_i_e__s_ _o__f_ A__d__d__i_t_i_o__n__a__l_ R__e__s_o__u__r_c_e__s_______________________________________ __________________________________________________________________________________________________________________________________________ ____________________________________________________________________■______________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ ______________________________________________________________E_d__i_t_e__d__ _b_y_________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________V_a__l_a___r_i_e__ _R__._ _J_u__n__t_u__n___e_n__,_ _R__N______________________________________________________ __________________________________________________________________________________________________________________________________________ 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__________________________________________________________________________________________________________________________________________ ________________________________________________15_5_ _W__. C__o_n_g_r_e_s_s_, S__u_it_e_ 2__0_0_, _D__e_tr_o_i_t_, M___I_ 4_8__2_2_6__________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ Bibliographic Note Because this page cannot legibly accommodate all the copyright notices, the Bibliographic Note portion of the Preface constitutes an extension of the copyright notice. Edited by Valarie R. Juntunen, RN Health Reference Series Karen Bellenir, Managing Editor David A. Cooke, MD, FACP, Medical Consultant Elizabeth Collins, Research and Permissions Coordinator EdIndex, Services for Publishers, Indexers * * * Omnigraphics, Inc. Matthew P. Barbour, Senior Vice President Kevin M. Hayes, Operations Manager * * * Peter E. Ruffner, Publisher Copyright © 2013 Omnigraphics, Inc. ISBN 978-0-7808-1277-2 E-ISBN 978-0-7808-1278-9 Library of Congress Cataloging-in-Publication Data Child abuse sourcebook : basic consumer health information about child neglect and the physical, sexual, and emotional abuse of children, including abusive head trauma, bullying, Munchausen by proxy syndrome, statutory rape, incest, educational neglect, exploitation, and the long-term consequences of child maltreatment, featuring facts about risk factors, prevention initiatives, reporting requirements, legal interventions, child protective services, and therapy options, along with information for parents, foster parents, and adult survivors of child abuse, a glossary of related terms, and directories of additional resources / edited by Valarie R. Juntunen. pages cm. -- (Health reference series) Includes bibliographical references and index. Summary: "Provides basic consumer health information about abuse and neglect of children and adolescents, along with facts about prevention and intervention strategies and treatment for survivors of abuse. Includes index, glossary of related terms, and other resources"--Provided by publisher. ISBN 978-0-7808-1277-2 (hardcover : alk. paper) 1. Child abuse--United States. 2. Child abuse--United States--Prevention. 3. Abused children--United States. I. Juntunen, Valarie R. HV6626.52.C557 2013 362.76--dc23 2013001120 Electronic or mechanical reproduction, including photography, recording, or any other infor- mation storage and retrieval system for the purpose of resale is strictly prohibited without permission in writing from the publisher. The information in this publication was compiled from the sources cited and from other sources considered reliable. While every possible effort has been made to ensure reliability, the publisher will not assume liability for damages caused by inaccuracies in the data, and makes no warranty, express or implied, on the accuracy of the information contained herein. This book is printed on acid-free paper meeting the ANSI Z39.48 Standard. The infinity symbol that appears above indicates that the paper in this book meets that standard. Printed in the United States Table of Contents Visit www.healthreferenceseries.com to view A Contents Guide to the Health Reference Series, a listing of more than 16,000 topics and the volumes in which they are covered. Preface ..........................................................................................xiii Part I: Child Maltreatment Chapter 1—Defining Child Maltreatment .....................................3 Section 1.1—Understanding Child Abuse and Neglect ............................4 Section 1.2—Legal Definitions of Child Abuse and Neglect ................16 Chapter 2—Infant Maltreatment and Death ..............................23 Section 2.1—Infant Neglect .................................24 Section 2.2—Identifying Infant Maltreatment ..................................33 Section 2.3—Homicides in Children under Age Five ................................35 Section 2.4—Filicide: When Parents Kill Their Children .........................39 Section 2.5—Differences Between Homicide and Filicide Offenders ....................41 Chapter 3—Child Abuse Statistics ..............................................45 Section 3.1—Child Maltreatment Facts at a Glance ............................46 v Section 3.2—Characteristics of Children Aided by Child Protective Services ...........................................48 Chapter 4—When Children Are Exposed to Violence .................57 Chapter 5—Child Exploitation .....................................................69 Section 5.1—Vulnerable Children and Child Labor ..............................70 Section 5.2—Sexual Exploitation of Children ......................................73 Chapter 6—Abuse by Other Children ..........................................79 Section 6.1—Sibling Abuse ..................................80 Section 6.2—When Children Are Sexually Abused by Other Children .............87 Chapter 7—Bullying ...................................................................103 Section 7.1—What Is Bullying? .........................104 Section 7.2—Bullying Risk Factors and Warning Signs .......................106 Section 7.3—Effects of Bullying.........................108 Section 7.4—Preventing and Responding to Bullying .....................................110 Chapter 8—Long-Term Effects and Consequences of Child Abuse and Neglect ....................................113 Section 8.1—Effects of Child Maltreatment on Brain Development ..................114 Section 8.2—Long-Term Consequences of Child Maltreatment ......................121 Part II: Physical and Sexual Abuse of Children Chapter 9—Physical Abuse of Children ....................................129 Section 9.1—The Nature and Consequences of Child Physical Abuse ................130 Section 9.2—Recognizing Physical Abuse in Children ....................................132 Section 9.3—Helping First Responders Identify Child Abuse .....................135 vi Chapter 10—Abusive Head Trauma ..........................................141 Chapter 11—Munchausen by Proxy Syndrome ........................147 Chapter 12—Sexual Abuse of Children .....................................151 Section 12.1—Statistics and Indicators of Sexual Abuse in Children ....152 Section 12.2—The Nature and Consequences of Child Sexual Abuse ..............155 Chapter 13—Incest .....................................................................159 Section 13.1—How Does Incest Differ from Other Child Sexual Abuse? ......160 Section 13.2—What Should I Do If I Am a Victim of Incest? .......................162 Section 13.3—What Should I Do If Someone I Know Is a Victim of Incest? ...163 Section 13.4—Incest and the Non-Abusive Parent .......................................164 Chapter 14—Teen Dating Abuse ................................................169 Chapter 15—Statutory Rape ......................................................173 Section 15.1—State Laws on Statutory Rape ..........................................174 Section 15.2—Adolescent Sexual Behavior and the Law ..............................184 Part III: Child Neglect and Emotional Abuse Chapter 16—Child Neglect .........................................................201 Section 16.1—Definition and Scope of Neglect ......................................202 Section 16.2—Indicators of Neglect in Children ....................................218 Section 16.3—Recognizing Child Neglect .......221 Chapter 17—Medical Neglect .....................................................225 Section 17.1—Neglect of Children’s Health Care ...........................................226 Section 17.2—Medical Neglect Laws and Faith Healing ............................240 vii Chapter 18—Educational Neglect and Truancy........................247 Section 18.1—Children’s Educational Needs and the Problem of Educational Neglect .............248 Section 18.2—Truancy Prevention ..................252 Chapter19—Emotional Abuse of Children ................................261 Section 19.1—Indicators of Emotional Abuse ........................................262 Section 19.2—The Nature and Consequences of Emotional Abuse .....................264 Chapter 20—Technology And Abuse ..........................................267 Section 20.1—Electronic Devices and Aggression ................................268 Section 20.2—What Is Cyberbullying? ...........283 Section 20.3—Protecting Kids from Technology-Related Abuse .......287 Chapter 21—What Every Parent Should Know about Athlete Abuse ........................................................293 Part IV: Adult Survivors of Child Abuse Chapter 22—Adult Survivors of Child Abuse............................305 Section 22.1—Consequences of Child Abuse in Adulthood ..................306 Section 22.2—Effects of Adverse Childhood Experiences Over the Lifespan .....................320 Chapter 23—Adult Survivors of Childhood Sexual Abuse .......325 Chapter 24—Reactions to Trauma in Adult Survivors of Child Abuse .......................................................329 Section 24.1—Posttraumatic Stress Disorder ....................................330 Section 24.2—Questions and Answers about Memories of Childhood Abuse .......................334 viii