| Abstract: | This paper is based on five years' clinical experience of assessing parents who injure their children. During this time it has become obvious that there is a complex variety, not only of parental and paediatric pathology, but also of response to treatment. “Abuse of children is not a disease entity but a pattern of behaviour and like all such patterns it has a multiplicity of paths by which it is reached” (Scott 1977).There is therefore a great need to evolve a way of breaking down the large psychiatrically heterogenous group into smaller groups, who not only share certain characteristics, but who have some predictive value in terms of treatment and prognosis. This has become particularly important as the number of referrals are rising and the spectrum is widening. We are not only seeing larger numbers of less severely injured children, but also many more less conspicuously abnormal parents. (N.S.P.C.C. Battered Child Research Department reports 1969–1977). |
