a cognitive approach to child abuse prevention.pdf

a cognitive approach to child abuse prevention.pdf -...

Info icon This preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
A Cognitive Approach to Child Abuse Prevention Daphne Blunt Bugental and Patricia Crane Ellerson University of California, Santa Barbara Eta K. Lin Lake Tahoe Community College Bonnie Rainey State University of New York at Stony Brook Anna Kokotovic Child Abuse Listening and Mediation Nathan O’Hara Santa Barbara County Public Health This investigation tested the incremental utility of cognitive retraining as a component within a program designed to prevent child maltreatment. High-risk families ( N 96) were randomly assigned to a control condition, home visitation modeled after the Healthy Start program (unenhanced home visitation), or home visitation that included a cognitive component (enhanced home visitation). Mothers were identified late during pregnancy or soon after birth, and their participation continued for 1 year. Lower levels of harsh parenting were found among mothers in the enhanced home visitation condition than among those in the unenhanced home visitation or control conditions. Prevalence of physical abuse (percentage of mothers who were abusive) during the first year was 26% in the control condition, 23% in the unenhanced home visitation condition, and 4% in the enhanced home visitation condition. Benefits were greatest in families that included a medically at-risk child. A linear pattern of benefits was found for child health; as program features were added, benefits for child health increased. In recent years, the issue of child maltreatment has re- ceived increasing attention in both the scientific and public domains. Much of the attention it has received follows from its continuing pervasiveness and severity. Thousands of infants and children come to the attention of medical pro- fessionals every year as a result of the injuries or other types of harm they have experienced at the hands of their parents. Within the United States, approximately 3 million suspected cases of child maltreatment are reported in a year’s time. On the basis of cases offically reported by child protective service agencies (and thus a clear underestimate), over 1,000 children die annually as a result of abuse or neglect (Na- tional Center on Child Abuse and Neglect data system, U.S. Department of Health and Human Service’s Administration for Children and Families, Children’s Bureau, 1995 1 ). Physical abuse of the young is not only a severe public health problem and a source of national shame, it is also a perplexity. Abusers often describe their children as engag- ing in aversive behaviors intentionally and perceive them- selves as victims (Bugental, Blue, & Cruzcosa, 1989; Lar- rance & Twentyman, 1983). Within this interpretive bias lies an important key to prevention efforts. In the program described here, efforts were made to test the effectiveness of a cognitively based home visitation program directed to- ward preventing child maltreatment among at-risk parents.
Image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern