https://doi.org/10.31261/CHOWANNA.2002.18.07
Among the four main types of maltreatment described in the literature — physical abuse, sexual abuse, neglect, and emotional abuse — the most serious definitional issues, and thus difficulties in formulating a concept for intervention purposes, concern emotional abuse. It is perceived both as a dimension of abuse that accompanies all other types and as a form of harm that can occur independently. Emotional abuse includes behaviors that are psychologically destructive (harmful) to a child's functioning in behavioral, cognitive, emotional, and physical domains. Neglect involves the absence of certain parental actions or behaviors aimed at protecting the child from harm, danger, or illness. It includes situations where basic care and support are not provided in the areas of emotional connection, supervision, nourishment, safety, education, as well as a lack of appropriate external stimuli and adequate environmental conditions. These four categories of abuse often co-occur, creating a discouragingly complex, multidimensional, and multilayered issue for a potential therapist. It is no surprise that the range of possible interventions that may be applied in such cases is broad and varied. Whatever other factors may be involved, emotional abuse is "supported" by parental indifference, which reflects and exposes a deeply rooted emotional rejection of the child. The interactions between different types of abuse are not sufficiently understood, making it difficult to resolve many issues related to this complex psychosocial problem, and consequently to develop a coherent intervention plan. Another complicating factor is the lack of sufficient clinical trials, meaning that empirically supported therapeutic recommendations cannot be fully trusted. The primary focus of attention is the perpetrator of the abuse. In no way can treatment of the child be effective or meaningful without a change in the behavior and attitudes of the parents. S. T. Azar, M. M. Ferrare, and S. J. Brenton argue that, because they carry direct risks for the child, interventions in families where abuse is present must initially focus on deficits in parenting skills, aggressive and rejecting behaviors (e.g., instilling a sense of responsibility, using positive guidance strategies, communication), stress management, emotional regulation, and cognitively based strategies (e.g., problem-solving, reframing, cognitive restructuring of perceptions of the child's behavior).
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Vol. 1 No. 18 (2002)
Published: 2025-08-18

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