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NCJRS Abstract

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NCJ Number: 51311 Find in a Library
Title: BATTERED BABY SYNDROME
Journal: PRACTITIONER  Volume:209  Issue:1251  Dated:(SEPTEMBER 1972)  Pages:302-310
Author(s): J M CAMERON
Corporate Author: Longman Group Limited
Longman House
United Kingdom
Date Published: 1972
Page Count: 9
Sponsoring Agency: Longman Group Limited
Harlow, Esses, England
Format: Article
Language: English
Country: United Kingdom
Annotation: PHYSICAL INJURIES SUFFERED BY VICTIMS OF CHILD ABUSE ARE DESCRIBED, THE EXTENT OF THE PROBLEM IS CONSIDERED, AND SOCIOECONOMIC FACTORS INFLUENCING THE PREVALENCE OF CHILD ABUSE INCIDENTS ARE DISCUSSED.
Abstract: REGARDLESS OF PERSONAL RELUCTANCE TO BECOME INVOLVED IN A CHILD ABUSE CASE, THE DOCTOR SHOULD REMEMBER THAT THERE IS A MORAL OBLIGATION TO THE CHILD. COMPLETE INVESTIGATION, INCLUDING A FULL RADIOGRAPHIC STUDY, IS SUGGESTED WHEN EXAMINING A CHILD WHO EXHIBITS POSSIBLE TRAUMA OR NEGLECT OR IF THERE IS A MARKED DISCREPANCY BETWEEN THE CLINICAL FINDINGS AND THE PAST HISTORY AS SUPPLIED BY THE PARENTS. THE BATTERED BABY SYNDROME IS USED TO DEFINE A CLINICAL CONDITION IN YOUNG CHILDREN, USUALLY UNDER THE AGE OF 3, WHO HAVE RECEIVED NONACCIDENTAL VIOLENCE, INJURY OR NEGLECT. CHARACTERISTIC INJURIES ARE SUBDURAL HEMORRHAGE, FRACTURED SKULLS, AND INJURIES TO THE ABDOMEN. PERMANENT IMPAIRMENT OF VISION IS A WELL-RECOGNIZED COMPLICATION OF BATTERED CHILDREN. DOCTORS ARE OFTEN HESITANT TO DIAGNOSE CHILD ABUSE DUE TO A RELUCTANCE TO BELIEVE THAT A PARENT COULD BE GUILTY OF SUCH AN ATTACK, TO LACK OF CONFIDENCE IN THEIR OWN JUDGMENT, OR TO A FEAR THAT THE PATIENT-DOCTOR RELATIONSHIP MAY BE JEOPARDIZED. CHILD ABUSE IS CLASSIFIED INTO FOUR MAJOR TYPES: (1) TRUE INFANTICIDE; (2) CHILD NEGLECT; (3) DELIBERATE CRUELTY OVER A PERIOD OF TIME; AND (4) THE BATTERED CHILD. THE VICTIM OF THE FOURTH TYPE SHOWS SURFACE MARKS SUCH AS ABRASIONS, BRUISES, AND BURNS, AS WELL AS VARIOUS SKELETAL AND VISCERAL INJURIES. THE VICTIM IS GENERALLY AN UNWANTED CHILD, AND ONE CHILD OF A FAMILY IS OFTEN TARGETED FOR ABUSE. THERE IS GENERALLY A HISTORY OF FAMILY DISCORD, LONG-STANDING EMOTIONAL PROBLEMS, OR FINANCIAL STRESS. MOST OF THE BATTERING OCCURS IN LOW-INCOME FAMILIES, AND IN MOST CASES THERE IS DEFECT IN THE CHARACTER STRUCTURE OF THE ABUSING PARENT. BIBLIOGRAPHICAL REFERENCES ARE PROVIDED. (DAG)
Index Term(s): Child abuse; Crime detection; Crimes against children; Juvenile dependency and neglect
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http://www.ncjrs.gov/App/publications/abstract.aspx?ID=51311

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