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The characteristics of the families of physically abused children

The study sets out to test the hypothesis that the families of physically abused children will show significant differences regarding their psychological, psychiatric and psychosocial characteristics when compared to families who do not have an abused child. The Index group was formed from 49 physic...

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Main Author: Robertson, Brian Aidan
Format: Thesis
Language:English
Published: Department of Psychiatry and Mental Health 2018
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access_status_str Open Access
author Robertson, Brian Aidan
author_browse Robertson, Brian Aidan
author_facet Robertson, Brian Aidan
author_sort Robertson, Brian Aidan
collection Thesis
description The study sets out to test the hypothesis that the families of physically abused children will show significant differences regarding their psychological, psychiatric and psychosocial characteristics when compared to families who do not have an abused child. The Index group was formed from 49 physically abused Coloured children and their families who were referred to the Red Cross War Memorial Children's Hospital in 1977. The ages of the children ranged from 5 months to 13 years, and 4 died as a result of their injuries. The Control group comprised 24 Coloured children (and their families) who were attending the hospital as outpatients over the same time period, and who were ill enough to be kept for overnight observation in the Emergency Ward. The two groups were matched for social class, age of the child and the marital status of the mother. The Index child was examined by a Paediatrician, and medical investigations requested when indicated. The following schedules were completed during the course of structured interviews with both groups of parents: The Circumstances of Injury/Illness Schedule, The Childrearing Attitudes Schedule and the Psychiatric Interview Schedule (which included a mental state examination). The Psychosocial Interview Schedule and an abbreviated IQ test were administered to the mothers only. The major significant finding of the study was the presence of abnormal personality functioning and psychiatric disorders of parents in nearly all the Index families. The type of psychiatric disorder was characteristically a neurosis in the mothers and personality disorders with alcohol and drug abuse, and criminality, in the fathers. The manifestations of the abnormal personalities of the Index parents included the use of regular physical punishment by the Index mothers, the repetitive physical abuse not only of the Index child but also of his siblings, and physical violence towards adults, especially of the Index fathers towards the Index mothers; the premarital conception of the Index child, the numbers of children of both Index parents by previous liaisons, and the lack of family cohesiveness of the Index parents; the loneliness of the Index mothers and their poor self-esteem; the financial debts of the Index families; and marital dysharmony. The Index families appeared to be of substantially lower social class than the general Coloured population of Cape Town. The following characteristics appeared to be associated with their low social class: low income, poor housing, unemployment, illegitimacy, teenage pregnancies, poor educational achievement and low IQ. Because of the matching for social class these characteristics were found to occur as commonly in the Control group. It was concluded that a combination of abnormal personalities and psychiatric disorders in the parents, factors associated with low social class, and marital dysfunction was the main etiological mechanism in the physical abuse of the Index children. The present study confirmed the finding of others that what distinguishes abusive parents from non-abusive parents is not so much the presence of specific abnormal childrearing practices or disturbances in particular parent-child relationships as the presence of a general disturbance of personality functioning and mental health. In other words, child abuse is only one of many deviant kinds of behaviour manifested by the parents of multi-problem families.
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language eng
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2018
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spelling oai:open.uct.ac.za:11427/27271 The characteristics of the families of physically abused children Robertson, Brian Aidan Child abuse - South Africa. Family - Child abuse The study sets out to test the hypothesis that the families of physically abused children will show significant differences regarding their psychological, psychiatric and psychosocial characteristics when compared to families who do not have an abused child. The Index group was formed from 49 physically abused Coloured children and their families who were referred to the Red Cross War Memorial Children's Hospital in 1977. The ages of the children ranged from 5 months to 13 years, and 4 died as a result of their injuries. The Control group comprised 24 Coloured children (and their families) who were attending the hospital as outpatients over the same time period, and who were ill enough to be kept for overnight observation in the Emergency Ward. The two groups were matched for social class, age of the child and the marital status of the mother. The Index child was examined by a Paediatrician, and medical investigations requested when indicated. The following schedules were completed during the course of structured interviews with both groups of parents: The Circumstances of Injury/Illness Schedule, The Childrearing Attitudes Schedule and the Psychiatric Interview Schedule (which included a mental state examination). The Psychosocial Interview Schedule and an abbreviated IQ test were administered to the mothers only. The major significant finding of the study was the presence of abnormal personality functioning and psychiatric disorders of parents in nearly all the Index families. The type of psychiatric disorder was characteristically a neurosis in the mothers and personality disorders with alcohol and drug abuse, and criminality, in the fathers. The manifestations of the abnormal personalities of the Index parents included the use of regular physical punishment by the Index mothers, the repetitive physical abuse not only of the Index child but also of his siblings, and physical violence towards adults, especially of the Index fathers towards the Index mothers; the premarital conception of the Index child, the numbers of children of both Index parents by previous liaisons, and the lack of family cohesiveness of the Index parents; the loneliness of the Index mothers and their poor self-esteem; the financial debts of the Index families; and marital dysharmony. The Index families appeared to be of substantially lower social class than the general Coloured population of Cape Town. The following characteristics appeared to be associated with their low social class: low income, poor housing, unemployment, illegitimacy, teenage pregnancies, poor educational achievement and low IQ. Because of the matching for social class these characteristics were found to occur as commonly in the Control group. It was concluded that a combination of abnormal personalities and psychiatric disorders in the parents, factors associated with low social class, and marital dysfunction was the main etiological mechanism in the physical abuse of the Index children. The present study confirmed the finding of others that what distinguishes abusive parents from non-abusive parents is not so much the presence of specific abnormal childrearing practices or disturbances in particular parent-child relationships as the presence of a general disturbance of personality functioning and mental health. In other words, child abuse is only one of many deviant kinds of behaviour manifested by the parents of multi-problem families. 2018-02-05T12:42:56Z 2018-02-05T12:42:56Z 1981 Doctoral Thesis Doctoral MD http://hdl.handle.net/11427/27271 eng application/pdf Department of Psychiatry and Mental Health Faculty of Health Sciences University of Cape Town
spellingShingle Child abuse - South Africa.
Family - Child abuse
Robertson, Brian Aidan
The characteristics of the families of physically abused children
thesis_degree_str Doctoral
title The characteristics of the families of physically abused children
title_full The characteristics of the families of physically abused children
title_fullStr The characteristics of the families of physically abused children
title_full_unstemmed The characteristics of the families of physically abused children
title_short The characteristics of the families of physically abused children
title_sort characteristics of the families of physically abused children
topic Child abuse - South Africa.
Family - Child abuse
url http://hdl.handle.net/11427/27271
work_keys_str_mv AT robertsonbrianaidan thecharacteristicsofthefamiliesofphysicallyabusedchildren
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