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ABUSE_AND_NEGLECT_OF_CHILDREN_AND_THE_ELDERLY

ABUSE_AND_NEGLECT_OF_CHILDREN_AND_THE_ELDERLY

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Published by Arwa

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Published by: Arwa on Feb 06, 2011
Copyright:Attribution Non-commercial

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05/07/2012

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ABUSE AND NEGLECT OF CHILDREN AND THEELDERLY
A. Overview
1.
Types of child and elder (persons aged 65 and over) abuseinclude physical abuse, emotional or physical neglect, andsexual abuse. The elderly may also be exploited fomonetary gain.
2.
Abuse-related injuries must be differentiated from injuriesobtained during normal activity. Examples of accidental(i.e., non-abuse) injuries in children include bruises andscrapes on bony prominences (e.g., chin, forehead, knees,elbows) or, in the elderly, bruising on extensor surfaces of the limbs.
3.
Occurrence of abuse and characteristics and signs thatindicate neglect and abuse are shown in Table 20-1.
 
B
. Sequelae of child abuse
1.
Children who are being abused often seem sad, show behavioral changes (e.g., are no longer outgoing andfriendly), and do poorly in school.
2.
Adults who were abused as children are more likely to
A.
have dissociative disorders (e.g., dissociative identitydisorder) and borderline personality disorder (seeChapter 14)
B.
have posttraumatic stress disorder and other anxietydisorders (see Chapter 13)
C.
have depression and substance abuse disorders (seeChapter 12 and Chapter 9, respectively)
D.
abuse their own children

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