Psychological maltreatment

Roberta Hibbard*, Jane Barlow, Harriet MacMillan, Cindy W. Christian, James E. Crawford-Jakubiak, Emalee G. Flaherty, John M. Leventhal, James L. Lukefahr, Robert D. Sege, Catherine M. Nolan, Janet Saul, Tammy Piazza Hurley

*Corresponding author for this work

Research output: Contribution to journalReview article

65 Scopus citations

Abstract

Psychological or emotional maltreatment of children may be the most challenging and prevalent form of child abuse and neglect. Caregiver behaviors include acts of omission (ignoring need for social interactions) or commission (spurning, terrorizing); may be verbal or nonverbal, active or passive, and with or without intent to harm; and negatively affect the child's cognitive, social, emotional, and/or physical development. Psychological maltreatment has been linked with disorders of attachment, developmental and educational problems, socialization problems, disruptive behavior, and later psychopathology. Although no evidence-based interventions that can prevent psychological maltreatment have been identified to date, it is possible that interventions shown to be effective in reducing overall types of child maltreatment, such as the Nurse Family Partnership, may have a role to play. Furthermore, prevention before occurrence will require both the use of universal interventions aimed at promoting the type of parenting that is now recognized to be necessary for optimal child development, alongside the use of targeted interventions directed at improving parental sensitivity to a child's cues during infancy and later parent-child interactions. Intervention should, first and foremost, focus on a thorough assessment and ensuring the child's safety. Potentially effective treatments include cognitive behavioral parenting programs and other psychotherapeutic interventions. The high prevalence of psychological abuse in advanced Western societies, along with the serious consequences, point to the importance of effective management. Pediatricians should be alert to the occurrence of psychological maltreatment and identify ways to support families who have risk indicators for, or evidence of, this problem.

Original languageEnglish (US)
Pages (from-to)372-378
Number of pages7
JournalPediatrics
Volume130
Issue number2
DOIs
StatePublished - Aug 1 2012

Keywords

  • Child abuse
  • Development
  • Emotional maltreatment
  • Neglect
  • Psychological maltreatment
  • Verbal abuse

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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  • Cite this

    Hibbard, R., Barlow, J., MacMillan, H., Christian, C. W., Crawford-Jakubiak, J. E., Flaherty, E. G., Leventhal, J. M., Lukefahr, J. L., Sege, R. D., Nolan, C. M., Saul, J., & Hurley, T. P. (2012). Psychological maltreatment. Pediatrics, 130(2), 372-378. https://doi.org/10.1542/peds.2012-1552