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Child Maltreatment

Child maltreatment extends across class, culture, ethnicity, and nationality. In the United States alone, upward of 3 million cases of child abuse are reported annually, and more than 1,000 children die each year as a result of abuse. However, these numbers are likely underestimates of the scope of the problem because, as most experts agree, child maltreatment is underreported. The term child maltreatment itself is broad, encompassing neglect, emotional abuse, physical abuse, and sexual abuse. Scientific and clinical evidence indicates that child maltreatment detrimentally affects children's cognitive, social, and emotional development. Psychological models specifying the mechanisms by which child maltreatment imparts its adverse effects include attachment theory (e.g., child maltreatment distorts children's internal working models of self and others) and psychophysiological theories (e.g., chronic elevation of an abused child's biological stress response may influence the child's developing brain and, thus, the child's behavior and functioning). Research also points to the importance and influence of contextual factors that may promote resilience in maltreated children.

Over the years, the United States has enacted a complex patchwork of laws for protecting children against abuse. Child protection agencies exist to intervene when child abuse is suspected or substantiated and to prevent child maltreatment through means such as education for families at risk and awareness campaigns for the public at large. The criminal justice system also acts to protect maltreated children, most notably by prosecuting offenders. Fortunately, these prevention and intervention efforts may well have been effective, given the recent declines in the rates of child abuse reporting. This entry elaborates on the definitions of child maltreatment, provides more information about its incidence, discusses what is known about the causes and consequences of child maltreatment, and suggests ways to prevent this serious social problem.

Defining Child Maltreatment

Neglect is the most common form of confirmed child maltreatment (comprising more than 60% of all cases), followed by physical abuse (18%), sexual abuse (10%), and psychological or emotional abuse (7%). Defining child maltreatment is sometimes controversial, but generally, neglect is an act of omission—a caretaker's failure to provide basic necessities such as food, shelter, emotional support, medical attention, education, or a safe haven from harmful situations. Although neglect is the most common child maltreatment case that comes to the attention of authorities and enters the juvenile or family court system, its perpetrators are rarely prosecuted in criminal court. A condition known as nonorganic failure to thrive is often considered a type of child neglect. It refers to a condition in which an otherwise healthy baby, while under his or her parent's care, loses weight and stops growing. Psychological, social, and/or economic problems within the family typically prompt failure to thrive.

Sexual and physical abuse reflect acts of commission. Child sexual abuse occurs when children are involved in sexual activities with an adult. Adults often use coercion or deception to lure children into such activities, but it is worth noting that coercion and deception are unnecessary elements of this crime because children are not considered legally or developmentally capable of consenting to sexual activities with adults. Child sexual abuse sometimes involves physical contact such as penetration or fondling, but physical contact is not always necessary. For example, exhibitionism, forcing children to watch or make pornographic material, or encouraging sexual promiscuity is also considered sexually abusive to minors. Child sexual abuse cases are particularly likely to bring child victims into contact with court systems, both juvenile and criminal. In fact, most children who testify in criminal court do so in the context of child sexual abuse cases.

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