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Infants
Infants depend on adults to look after them. They sense the emotions of their caregiver and respond accordingly. If the adult is calm and responsive and is able to maintain their daily routine, the child will feel secure and symptoms will be minimized. If the adult is anxious and overwhelmed, the infant will feel unprotected and may display a variety of symptoms, including: Fussing Sleep problems Disruptions in eating Withdrawal Lethargy and unresponsiveness
Toddlers
At this age children begin to interact with the broader physical and social environment. As with infants, toddlers depend on adults to look after them and will respond to traumatic situations as well or as poorly as their adult caretakers. Common reactions in toddlers include: Sleep problems Disruptions in eating Increased tantrums Toileting problems (e.g. wetting him/herself) Increased clinging to caretaker Withdrawal
Preschool Children
Children at this age may have more social interactions outside of the family. Their language, play, social and physical skills are more advanced. With these skills, they are more capable of
expressing their thoughts and feelings, particularly following a traumatic event. Common responses include: Sleep problems Disruptions in eating Increased tantrums Bed-wetting Irritability and frustration Defiance Difficulty separating from caretakers Preoccupation with traumatic events
School-Age Children
Children at this age are more independent, are better able to talk about their thoughts and feelings, and are engaged in friendships and participation in group activities. They also possess better skills to cope with challenges or difficulties. When confronted with a traumatic event, school-age children may exhibit the following symptoms: Sleep problems Disruptions in eating Difficulty separating from caretakers Preoccupation with details of traumatic event Anxiety and aggression School difficulties Problems with attention and hyperactivity
Adolescents
Adolescence is a time during which youth may feel out of control due to the physical changes that are occurring to their bodies. They experience struggles to become independent from their families and rely more heavily on relationships with peers and teachers. They may show a
tendency to deny or exaggerate what happens around them and to feel that they are invincible. When exposed to a traumatic event, adolescents may show the following symptoms: Sleep problems Preoccupation with details of traumatic event Hopelessness Anxiety and aggression School difficulties Unrealistic sense of power Difficulties with relationships (Sterne & Poole, 2010).
considerable problems with behavior, negative peer involvement, depression, anxiety, violence to others, developmental delays, irregular school attendance and inappropriate sexual behavior. It is known that witnessing family violence is as harmful as experiencing it directly. Often parents believe that they have shielded their children from intimate partner violence, but research indicates that children see or hear many of the incidents. Children who witness family violence suffer the same consequences as those who are directly abused. In other words, a child who witnesses intimate partner violence is experiencing a form of child abuse. Some of the problems that children experiences are below:
Behavioral problems:
The behavioral responses of children who witness domestic violence may include acting out, withdrawal, or anxiousness to please. The children may exhibit signs of anxiety and have a short attention span which may result in poor school performance and attendance. They may experience developmental delays in speech, motor or cognitive skills. They may also use violence to express themselves displaying increased aggression with peers or mother. They can become self-injuring (Sterne & Poole, 2010).
Long-term problems:
These include higher levels of depression and trauma symptoms, and increased tolerance for and use of violence in adult relationships (Sterne & Poole, 2010).
Emotional problems:
The emotional responses of children who witness domestic violence may include fear, guilt, shame, sleep disturbances, sadness, depression, and anger (Sterne & Poole, 2010).
Physical problems:
Physical responses may include stomachaches and or headaches, bedwetting, and loss of ability to concentrate. Some children may also experience physical or sexual abuse or neglect. Others
may be injured while trying to intervene on behalf of their mother or a sibling (Sterne & Poole, 2010). CASE STUDY: Peter Connelly was a 17-month-old British boy who died in London after suffering more than fifty injuries over an eight-month period, during which he was repeatedly seen by NHS health professionals. Baby P's real first name was revealed as "Peter" on the conclusion of a subsequent trial of Peter's mother's boyfriend on a charge of raping a two-year-old. His full identity was revealed when his killers were named after the expiry of a court anonymity order on 10 August 2009. The case caused shock and concern among the public and in Parliament, partly because of the magnitude of Peter's injuries, and partly because Peter had lived in the London Borough of Haringey, North London, under the same child care authorities that had already failed ten years earlier in the case of Victoria Climbi. That had led to a public enquiry which resulted in measures being put in place in an effort to prevent similar cases happening. Peter's mother Tracey Connelly, her boyfriend Steven Barker, and Jason Owen were all convicted of causing or allowing the death of a child, the mother having pleaded guilty to the charge (Spray & Jowett, 2012).
has been appointed to represent the child. Finally, psychologists may be retained by the parents or counsel representing the parents. As evaluators in child protection cases, psychologists are frequently asked to address the following questions: What maltreatment of the child, if any, occurred in this case? If maltreatment has occurred, how seriously has the childs psychological well-being been affected? What therapeutic interventions would be recommended to assist the child? Can the parents be successfully treated to prevent harm to the child in the future? If so, how? If not, why not? What would be the psychological effect upon the child if returned to the parents? What would be the psychological effect upon the child if separated from the parents or if parental rights are terminated? In the course of their evaluations, and depending upon the septic needs of a given case, psychologists are frequently asked to evaluate the parents and the child individually or together. Psychologists seek to gather information on family history, assess relevant personality functioning, assess developmental needs of the child, explore the nature and quality of the parentchild relationship and assess evidence of trauma. Psychologists typically also consider specic risk factors such as substance abuse or chemical dependency, domestic violence, health status of family members, and the entire family context. In addition, they review information from other sources, including assessments of cultural, educational, religious, and community factors (Arrigo & Shipley, 2005). Particular competencies and knowledge are necessary to perform psychological evaluations in child protection matters so that adequate and appropriate psychological services can be provided to the court, state agencies, or other parties. For example, in cases involving physical disability, such as hearing impairments, orthopedic handicaps, etc., psychologists strive to seek consultation from experts in these areas. This need for consultation may also apply to other aspects of human diversity, such as, but not limited to, ethnic minority status, sexual orientation, and socioeconomic status. Conducting psychological evaluations in child protection matters can be professionally demanding and personally stressful. The demands and stresses of such evaluations
may intensify because the evaluation issues may include child abuse, neglect, and/or family violence. Psychologists remain alert to how these issues may personally affect them and, when appropriate, seek peer or other personal support, and undertake relevant study, training, supervision and or consultation (Arrigo & Shipley, 2005).