Child health and maltreatment

Children who are abused have been said to have more illnesses than children who are not maltreated. The relationship between abuse and illness has been hypothesized to function in 2 ways: (1) that abuse precedes the illnesses and children from abusive homes become ill because of the damaging environment they endure, or, conversely, (2) that the illnesses precede the abuse, with the fussy behavior of ill children eliciting abuse. This study was intended to clarify the temporal relationship between illnesses and maltreatment. Health data were collected on a sample of 80 children: 11 from abusive families, 31 with nonorganic failure to thrive (NOFT), 14 from neglectful families, and 24 from control families. Hospital records (both inpatient and outpatient) for these children from the time of birth until they were 3 years old were searched by data collectors unaware of the child's classification. Children from abusive families or with NOFT appeared to be ill more often than control children, particularly during the first few months after birth, before abuse had been reported, but not necessarily before NOFT had been discovered. Health records of neglected children were not significantly different from those of controls. In addition to the abused. These 6 children also had more illnesses than control children, again particularly during the first few months after birth. Having ill children is described as a source of stress that may trigger abuse in an already stressed family.     

The narratives of abused children who have survived attempted filicide

Child abuse is a social problem that receives much attention from policy makers, practitioners, and researchers. This alarming phenomenon generates many consequences for children, their families, and society as a whole; one tragic consequence of child abuse is filicide. Because of the unfortunate circumstances surrounding such events, children are hushed by their perpetrators, whether abusers or killers, and we are thus denied the opportunity to hear their voices and to promote understanding of the phenomenon. The aim of the current study is to explore in depth the patterns and themes that can be found in the narratives of children who survived a murder attempt by one of their parents. Content analysis was performed on seven investigative interviews with children using thematic analysis. Five key categories were determined based on the children's narratives: (a) many bad things have happened to me, (b) this was not the first time I was abused by my parent, (c) I am concerned about my parent, (d) I am alive thanks to my siblings, and (e) it is hard to remember what exactly happened. This study contributes to the understanding of child physical abuse and filicide. The discussion integrated conclusions for policy makers and practitioners who seek methods of addressing child abuse as well as determining whether and how filicide can be prevented.     

Neglect contributing to tertiary hospitalization in childhood asthma

Clinical experience demonstrates that many chronically ill children have an unstable course of illness ending in tertiary care, not because of extraordinary disease, but because they come from dysfunctional and neglectful households. Families frequently cannot or will not adapt to the demands of their chronically ill child. This study substantiates the extent to which neglect and family dysfunction have contributed to the need for hospitalization of asthmatic children at National Jewish. Neglect accelerates the cycle of morbidity and stress associated with illness. Using a measure of global functioning, we demonstrate a psychologic morbidity associated with medical neglect. We discuss children at imminent risk in their home environment and the process of seeking alternative placements. We acknowledge gaps in delivery of health care to this difficult, treatment-resistant population and encourage development of day treatment and home outreach programs.     

Teachers communicating about life-limiting conditions,death and bereavement

The number of children with life-limiting or life-threatening conditions in England is double what it was at the millennium. These conditions include cystic fibrosis, cancer, organ failure and severe neurological injuries. The Teaching for Life project aimed to explore the needs of teachers working in English schools in relation to working with children with life-limiting or life-threatening conditions. Ninety teachers completed a questionnaire and 38 completed individual and group interviews. About half the teachers interviewed had experience of working with children with life-limiting or life-threatening conditions, and half did not. The teachers expressed a number of anxieties about coping with illness, death and bereavement. They described difficulties in communicating with parents, children and health professionals. They worried about maintaining their professional role whilst needing to contain their own emotions and the emotions of others, within school cultures that did not feel supportive. The paper concludes that policies and practices that seek to support children with medical conditions need to acknowledge the weight of responsibility for teachers. They need to articulate with a whole school approach that protects and promotes teachers’ emotional well-being.     

Minor Illnesses,Temperament, and Toddler Social Functioning

Research Findings: Minor illnesses, such as upper respiratory infections, stomachaches, and fevers, have been associated with children's decreased activity and increased irritability. This multi-method investigation of 110 day care–attending children examined whether experience with recurrent, minor illnesses and negative emotionality worked together to predict young children's social functioning. Minor illness experience was assessed via weekly health screenings conducted by nurses. Toddlers' negative emotionality and social behavior were assessed using mothers' and fathers' reports. The two dimensions of negative emotionality and minor illness experience operated in different ways to predict children's functioning. Toddlers rated as more temperamentally angry displayed less social competence, especially when they also experienced high proportions of minor illness. Temperamentally fearful children exhibited more externalizing problems when they experienced a higher frequency of illness, whereas fearfulness was not associated with externalizing problems for children who were not frequently ill. Practice or Policy: Children's frequent experience with minor illnesses combined with negative emotionality appears to place toddlers at a heightened risk for exhibiting behavior problems. These findings have implications for child and family well-being as well as interactions with child care providers and peers within child care settings. Interventions could be developed to target “at risk” children.     

Differential Treatment of Siblings: Interview and Diary Analyses Comparing Two Family Contexts

We assessed parental differential treatment of siblings (maternal time, affection, discipline) in normal and high-risk families. Differential treatment was measured using home interviews, nightly phone ratings, and daily diaries tracking how mothers spent their time. Subjects were 40 mothers of toddlers (average age 2 years) and preschoolers (average age 4 1/2 years): half were caring for a younger child with a chronic illness (i.e., cystic fibrosis), and half were caring for two healthy children. Little evidence of parental differential treatment was found in the home or phone interview data. However, on the diary variables, both quantitative and qualitative differences in parental treatment were found in cystic fibrosis (CF) versus comparison families. Specifically, mothers spent more individual time with younger, chronically ill children in play and mealtime activities than with their older, healthy siblings. Further, mothers in the CF group rated time spent with older children as significantly more negative than time spent with younger children. Convergence between measures of differential treatment and advantages of using a high-risk comparison approach are discussed.     

沉默与言说:中国现代文学中的女性地位

女性在很长一段时间内都处于社会文化历史的边缘，她们具有作为女性的自然性别而丧失了文化性别和精神性别。女性主义兴起后，觉醒的女性向男权社会挑战，她们以行动颠覆女性的社会边缘性。女性的社会地位决定了文学描写中女性形象的地位。鲁迅、茅盾等以全知全能的叙述方式提出了女性面临的问题，但女性是沉默的；庐隐、冰心、丁玲等以日记体、书信体的形式，让女性以“我”、以“妇女”的名义和身体去讲述、去言说，从而确立了女性自我言说的地位。     

A case series of twenty one maternal filicides in the UK

Objective

This study reports a case-series study of 21 women from the United Kingdom convicted of the murder or manslaughter of their child (maternal filicide: MF). These cases were reviewed using data provided from police forces and from publicly available resources.

Methods

Content and thematic analysis and multidimensional scaling techniques were used to analyse the relationships between the variables present in the commission of the crimes.

Results

Mothers who killed their children could be categorised as emotionally driven and in despair at their situation, or rejecting their children due to perceiving them as a threat. Mothers who killed their babies (neonaticides) appeared to form two distinct subgroups: reluctant and detached neonaticidal offenders.

Conclusion

These findings offer an insight into the factors that may be of relevance in understanding how a mother may come to commit MF, and are interpreted in terms of disturbed attachment processes.     

Child abuse by siblings

The case histories of five children who inflicted serious injuries on their younger siblings are described in detail. The children shared several experiences in common: They had been physically abused themselves; their families were undergoing crises, which accentuated their maternal deprivation and rejection; they were burdened with excessive caretaking for the target sibling, who was perceived as the favorite; they had also experienced the recent loss of their father or paternal caretaker. The psychodynamics associated with sibling abuse represented an intensification of “normal” sibling rivalry due to the abuser's own maltreatment and deprivation. Pent-up rage towards the mother was displaced onto the sibling rival. The abusers made use of identification with the aggressor as a prominent mechanism of defense. The sibling attacks were adaptive for the abusers in the following ways: (a) They afforded them a measure of revenge against the more highly regarded sibling rival; (b) they served as an outlet for rage directed towards the mother; (c) they were used as an attention getting device; (d) they provided a sense of mastery over the trauma of their own abuse; and (e) were used to “educate” the abusing parent.     

论女性的生存境遇——解读文本《玫瑰门》

通过对《玫瑰门》的解析,可以透视中国女性的生存境遇。文本描写了一群迥异于传统文化氛围中的女性,但在她们身上依然存在受男权文化影响留下的精神痼疾。面对男权秩序她们进行了消极或积极的反抗,表明了女性主体意识正在觉醒。     

The self-directed learning experience of mothers whose child has had a paediatric stroke

This study employed qualitative research methodology to explore the experiences of mothers who self-directed their learning following their child’s stroke diagnosis. Paediatric stroke, although rare, is among the top 10 causes of death in children in the USA, but information about the cause, treatment and long-term impact are difficult to find. Parents struggle to locate resources to help them understand the significance of the stroke, and little research has been conducted to help them identify what to expect as their child grows and develops. Seven women whose children had suffered a stroke participated in individual interviews about their experience for this study. The findings reveal how efforts to learn independently can be challenged by a dearth of information and resources, and how parental roles may change as a result. Mothers shared how they became a subject matter expert and a partner with their physician in terms of decision-making. They also discussed how their learning was continuous, an unremitting process based on each new health challenge that resulted from the stroke. One of the most significant findings is how important facilitators and human resources can be to the success of self-directed learning efforts, especially during a medical crisis.