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Physical Abuse of Children

Written by HealthyPlace.com Staff Writer   
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Nov 19, 2008 A +  A -  RESET  

Some people don't report physical abuse of a child because they don't know what type of behavior constitutes child physical abuse.

Physical abuse is the most visible form of abuse and may be defined as any act which results in a non-accidental trauma or physical injury. 19% of all substantiated cases of child abuse stem from physical abuse.

Inflicted physical injury most often represents unreasonable, severe corporal punishment or unjustifiable punishment. This usually happens when a frustrated or angry parent strikes, shakes or throws a child.

Physical abuse injuries result from punching, beating, kicking, biting, burning or otherwise harming a child. While any of these injuries can occur accidentally when a child is at play, physical abuse should be suspected if the explanations do not fit the injury or if a pattern of frequency is apparent. The longer the abuse continues, the more serious the injuries to the child and the more difficult it is to eliminate the abusive behavior.

What constitutes child physical abuse?

Physical abuse is a form of child maltreatment (a broad category of behavior that also includes sexual abuse, emotional abuse, and neglect). As a general rule, physical abuse refers to the infliction of physical harm on a child by a parent or caregiver. It is not necessary for the harm to be intentionally inflicted, and in the majority of situations physical abuse is the unintentional end result of harsh disciplinary methods or corporal punishment that have escalated to point of physical injury or the risk of physical injury.

Physical abuse often occurs simultaneously with other forms of child maltreatment. An unfortunate but common example of this is when a boy is hit with closed fists by his father while also being belittled and verbally insulted. In this case, the boy would be considered to have experienced both physical and emotional abuse.

Establishing a precise definition of physical abuse is difficult due to the different standards that can be applied to this term. For example, at what point do normal child-rearing behaviors cross the line into the realm of abuse?

Although exact legal definitions vary in the United States from state to state, there are two commonly accepted types of definitional standards that can be used to specify what is meant by physical abuse. The first is the harm standard, which considers behavior as abusive only if it results in demonstrable harm or injuries. Demonstrable harm could mean bruises, abrasions, cuts, burns, fractures, bites, or any of a number of other injuries. The second definitional standard for physical abuse is that of endangerment. Under this standard, physical assault by a parent or caregiver that presents a substantial risk of physical injury is considered abuse. Behaviors that would be considered abusive under this standard include hitting a child with a hard instrument or with closed fists, burning, scalding, poisoning, suffocating, drowning, kicking, shaking, choking, and stabbing. Although these actions may not result in observable injuries such as bruises or cuts, they are still considered abusive under an endangerment standard.

Comparing these two standards, it can be seen that injury to the child is central to harm definitions while perpetrator behavior is the focus of endangerment definitions. Furthermore, harm definitions are more restrictive and more objective than endangerment standards.

Sources:

  • Administration for Children and Families
  • National Clearinghouse on Child Abuse and Neglect Information
  • National Institutes of Health, National Library of Medicine
  • U.S. Department of Health and Human Services, National Center on Child Abuse and Neglect

next: Signs of Child Physical Abuse

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Last Updated( Sep 21, 2009 )
reviewed by:
Harry Croft, MD (Psychiatrist)
 

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