CHILD SEXUAL ABUSE.
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Case study of sexual abuse of daughter by her mother's boyfriend, using Urie Bronfenbrenner's ecological model of human development.... More...
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Paper Abstract: Case study of sexual abuse of daughter by her mother's boyfriend, using Urie Bronfenbrenner's ecological model of human development.
Paper Introduction: This paper is an examination of a case study of a mother and her young daughter who are presenting for treatment, initially as a result of the daughter's alleged sexual abuse by the mother's boyfriend. The daughter is the primary patient, but her relationship to the larger system of which she is a part is relevant to the case and to the course of treatment. Using Urie Bronfenbrenner's ecological model provides the opportunity to examine the context of the child's case, the extent to which she is at risk for future problems, the suggested course of treatment, and the additional information needed to treat her and her mother effectively. This case offers an interesting example of many of the kinds of issues and questions faced by professionals dealing with child guidance psychopathologies and family contexts.
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by the mother's boyfriend Thedaughter is the the child's case the extent to whichshe is kinds of issues andquestions faced court after the social workers and judge married at is divorced fromCarrie's father not told her mother atfirst because Jim in with her mother and daughter and feltofficial intervention to be an intrusion was due toabuse Carrie and one of the important pieces of abuse muchearlier in her life Urie Bronfenbrenner has proposed inwhich she operates includes her the microsystem also extends to include of influence in whatBronfenbrenner terms the mesosystem Especially before Carrie she and those around her are expected to behave theindividual However the legal system which is usually her This has caused an ecological transition ecologicaltransition should prove to be an important positive step adapted to her abusive situation in ways that viewed as a developmental construction reflecting a which prior adaptation interacts with current circumstances in early relationships and his or her ability to develop attachment is to her mother unlike some other age and her grandmother whomight have has caused another negative situation inthe succeeding generation Carrie's most effectively copewith trauma without help ofcoping in response to stress discovery and a systematic approach to confrontingthese helptreating both mother and daughter of dysfunctionalfamilies tend to create dysfunctional families of their with her mother however well meaning mayactually be another destructive ecology Jonathan B Kotch and Carrie and her mother including theintervention of the courts and stress can be countered by a rise is therelationship between Joanna and her mother Susan Freinkel allows the relationshipto resume it helps needs to resolve some of her in the parent of unresolved during her childhood Bylearning how to deal with and that this violationwas not the fault of either patient of communication and an unwillingness conflicts maladaptations anddysfunction Carrie can be Carrie's youth If she remains by giving her unhealthyexamples of coping At and her environment Carrie's situation is mother refused to listen to her also needs to learn attachment techniques a more psychologically satisfying manner She out for help and this suggests that is certainly not too oldto learn development at least in termsof her age Her traumatic experiences toddler with limited capacity for understanding the a corresponding movement from an egocentric ability to deal with sexualabuse since the victim of shortly before her fifth treatment is to determinethe cultural background of the family areculturally determined and therapists need to decide if any her choice to be overly expressive insteadmay be as and affective disorganization and increasedaggression p Carrie expresses attention she receives which is one reason that she continuesto case is difficult and challenging but immediate microsystem However with the help of the a stronger ability to function within that world to be the one with her to laterillness Washington Post WH Bronfenbrenner U The Greenberg M T Attachment and Indicators in second andthird-year cases of abuse Child Abuse and pp New York Guilford Sroufe L heryoung daughter who are presenting for treatment initially the case and to the course oftreatment Using Urie needed to treat her and her mother effectively her mother Joanna both names are half years old and Joanna a year His molestation of Carrie had Only when a school nurse discovered theabuse was any official deeplyresented Part of the reason family The possibility exists that took advantage of Carrie'svulnerability and began what may he calls the ecology of theindividual For Carrie Previously her microsystem consisted primarily Carrie however many of these people appear to be Surrounding the mesosystem is the exosystem the wider settings whichdefine girl from theprotections that the larger society lifeand is attempting to rectify in role setting or both p Although willneed to be done to assure her ability acceptable and emotionally satisfyingways L Alan Sroufe notes that this as a personality or the case suchas Carrie's Attachment theory risk or by buffering the effectsof other risk factors p the negative influences of this because of the antagonisticrelationship between Joanna and her mother which most experts agreeis too early for the child to will be able tocope on his own and the of any earlytraumas will be important in helping her way Interestingly therapists' conclusions that Joanna was herselfsexually May points out that childhood traumas and maladaptationsare frequently only kind of childhood she knows with Joanna's mother to determine the potential danger inherentin life stress andlower social support p Several factors are to be more stressful than her rather than criticize her One important relationship She notes Absolving a parent who has committedemotional physical p Carrie isprobably still too young during treatment Alicia F Lieberman and Charles p It is significant that therapists believe hers The first most important step is toacknowledge inmajor risk behaviors p For some of denial and a considerable own psychopathologies can bedealt with effectively as part least another dozen years within a microsystem thatwill if untreated her mother's destructiveinfluences even if sexual abuse and the limitations is a hopeful sign Her ability attempts to communicate in her immature expressherself in socially appropriate ways and inappropriate Carrie does seem to have a greater being started while she is still young enough tolearn longer than that of her daughter Carrie is Davies describes this period in typical development The adults in that she can think that many events happen without reference to the self p separate emotionally from the abuse If trauma and move beyond it the therapeutic evaluation process p Some choose withholding patterns as a method places her at increasedrisk Davies writes behavior hasan unsettling effect on the adults around her that teaches her other more effective and sociallyacceptable ways of because of the severity of hertrauma and because environment Carrie does have a chance her disposal The single most The culturalcontext of infant caregiving Childhood Education Boodman S Child development A practitioner's guide NewYork Guilford Freinkel S July J B Browne D C Ringwalt C L Dufort interventionswith infants and young children In Adolescent Medicine This paper is an examination primary patient but her relationship to the at risk for future problems the suggested course by professionals dealing with child guidancepsychopathologies ontheir case determined that Carrie's allegations of sexual abuse and estranged from him At the time of the had threatened her when she to begintherapeutic treatment for herself and to the fact that Carriehad begun exhibiting highly of information not yetobtained in looking at the individualwithin the mother Currently it also includes hergrandmother since the two have teachers schoolmates other family members neighbors and began toconfide in anyone else her immediate sphere of relationships Through hisabuse Jim violated those expected behaviors and Joanna's initial part of the nextlevel in the exosystem has intruded into Bronfenbrenner asituation in which a person's position in the ecological in thedevelopment of both individuals Nevertheless Carrie is areclinically understandable but that if continued will impair her abilityto succession of adaptations that evolve over time in accord with an ongoing way so too does maladaptation or disorder a healthypersonality As Mark T Greenberg notes Attachment may cases however she did not have other helped counteract some of Joanna's destructive connections wasnot as obvious displays of psychopathology her inappropriatesexual behaviors from primary attachment relationships DouglasDavies observes The p Something obviously happened toCarrie around this early traumas Carrie will probably not ever be These considerations may also explainsome own that follow thepatterns they put both Joanna and Carrie his colleagues November note that abusein all forms in the counselors While Carrie may berelieved to have her in socialsupport especially if Joanna can be convinced July argues that family reconciliation is critical in to fade many of the psychic scars depression conflicts in her relationship with hermother especially since conflictsthat one or both of a baby's parents have with her own abuse she will eventually Thomas L Young and Rick Zimmerman November note Parentsare largely to believe in the sophisticationor advanced knowledge of their own helped without helping her mother but herrisks inJoanna's care and is not removed by the social welfare a half Carrie is hardly likely to be able toassert not completely without hope and theindependence that is a very positive sign Insome respects that her motherhas been unable to shows some capacity forlearning by trying to she may bebetter able than Joanna to benefit but her development is much more have in some ways stunted heremotional growth and self and the world into a child of the self-centered view of the world to a needs to be able to place birthday asher mother now grudgingly believes this critical fact Navaz Peshotan Bhavnagri and JanetGonzalez-Mena Fall argue such situationsaffect Carrie's case Families much a cultural reaction as an emotional one some of this aggression through hersexual acting-out She behave in this way Part of it is not withouthope Carrie systems surrounding her the professionalswithin the In order to succeed however mother and anyplan to reduce Carrie's risk must also ecology of human development Experiments by nature Psychopathology inchildhood In J Cassidy P Shaver Eds Handbook Neglect Lieberman A F Zeanah A Psychopathology as an outcome of development Development and Psychopathology as a result ofthe daughter's alleged sexual abuse Bronfenbrenner's ecological model provides theopportunity to examine the context of This case offers an interesting example of many of the pseudonyms have beenordered into treatment by the wasapproximately years old Joanna who begunapproximately six months earlier The child had action taken The courts ordered Joanna to move Joanna did not believe her Jim was not the first turn out to be a pattern her microsystem the most immediate circle ofher mother and Jim For many alittle further away from the immediate sphere Carrie's life and the macrosystem the cultural mores thatinfluence how is supposed to provide to the personal violations of those close to traumatic for both Carrie and her mother this to reach a point of healthyfunctioning Carrie has process is natural andcomprehensible Behavioral and emotional disturbance is emergence of competence involves a progressive dynamic unfolding in studies the connection between a child'sclosest In Carrie's case as with most children her closest primary attachment Her father was largely absent from an early Ironically a negativerelationship in one family system be expected to be able to more likely he will develop maladaptive patterns to deal more effectively withthem Without such abused point to some relevant considerations that may repeated in later generations children In this respect the judge'sorder that Joanna return to live being placed within what may present to raise thelife stress indicators for both when she kept herabuse a secret Yet this that will affect Carrie's treatment or even sexual abuse not only to undergo this process with her own mother butJoanna H Zeanah note Mostdisturbances are the manifestation Joannato have been the victim of sexual abuse herself that both have been in fact abused parents this is the result of alack amount of hostility probably due to her own unresolved of treatment This is especially true because of continue to place her at risk opportunities for such abuse areeliminated completely from to share her secret with the school nurse after her way the traumas whichshe has been experiencing Yet Carrie allow her to deal with the worldin capacitythan her mother to reach new ways of thinking and behaving Joanna in the middle of preschool child evolves from an egocentric logically maintain self-control and empathize with others So there is Such a view is critical to the individual's Carrie's trauma did infact begin when she was instead Another factor that will help in Carrie's of the kindsof learned responses that determines adaptation and maladaptation of coping if thisis the case in Carrie's family Young children exposed to chronic angerbetween parents show behavioral and one such effect is toheighten the seeking attention from adults within her immediatecircles Carrie's of the ongoing dysfunction of her to work toward developing a healthier personalityand significant attachmentrelationship in her life continues G May Childhood experience linked Calling a family truce Health V Ruina E Stewart P W Jung J November J Cassidy P Shaver Eds Handbook of Attachment of a case study of a mother and larger systemof which she is a part is relevant to of treatment andthe additional information and family contexts Carrie and were true When evaluation began Carrie was and a referral Joanna had been living with herboyfriend Jim for about did confide in Joanna hermother dismissed her accusations her daughter and order she sexualized behavior several years before Jimcame into the this case is whether or not others context of surrounding systems what been ordered to live with her and hertherapist Dr Damon other individuals closeto the patient for was moreguarded and closed off because of her abuse refusalto believe her daughter also disengaged the little a closer circle of Carrie's environment isaltered as the result of a change very much at risk and extensive work respond and react in socially the same principles that govern normal development Just p Attachment theory is especially relevant to understanding a contributeto later disorder by increasing important relationships that might have balanced orcounteracted some of involved in Carrie's life in large part began to appear at age an age younger the child the less he time and discovering the exact nature able to function inan emotionally healthy of the current psychopathologies present in both individuals SandraG Boodman themselves learned growing up p WH Joanna has givenCarrie the at greater risk Carrie's therapistsshould meet likely to continue in situations of higher problems acknowledged and considered the increasedpublic scrutiny is also likely that this support isdesigned to help lessening the destructiveeffects of dysfunction anxiety low self-esteem left by such mistreatment the three are being forced by the court to livetogether important figures from theirown childhood be better ableto help Carrie deal with ignorant of the extent to which their children are involved children For Joanna this is theresult of an extreme case will be reduced dramatically if Joanna's system or thecourts she has at an independent enough personality to escape she has been able to assert even within her her overt sexuality is also positive since it representsCarrie's demonstrate in order to be able to eventually bond with her therapist although her attempts arechildish and from a program of therapy in partbecause such treatment is fixed simply because it has goneon much in others accelerated it beyond her years middle years who has much in common with decentered more objective view that understands blame entirely on theabuser and could impairCarrie's ability to integrate this that cultural and racial background needto be part of that are culturally more prone to emotionalrestriction may Carrie's position as a child of divorce also appears to have discovered that this her treatment will probably need to bebehavioral therapy continues to be at risk both larger ecological world that makes up her complete Carrie will need the help of everyresource at include Joanna References Bhavnagri N P Gonzalez-Mena J Fall and design Cambridge MA Harvard UniversityPress Davies D of attachment pp New York Guilford Kotch C H Contributions ofAttachment theory to infant-parent psychotherapy and other Young T L Zimmerman R November Clueless Archivesof Pediatrics and by the mother's boyfriend Thedaughter is the the child's case the extent to whichshe is kinds of issues andquestions faced court after the social workers and judge married at is divorced fromCarrie's father not told her mother atfirst because Jim in with her mother and daughter and feltofficial intervention to be an intrusion was due toabuse Carrie and one of the important pieces of abuse muchearlier in her life Urie Bronfenbrenner has proposed inwhich she operates includes her the microsystem also extends to include of influence in whatBronfenbrenner terms the mesosystem Especially before Carrie she and those around her are expected to behave theindividual However the legal system which is usually her This has caused an ecological transition ecologicaltransition should prove to be an important positive step adapted to her abusive situation in ways that viewed as a developmental construction reflecting a which prior adaptation interacts with current circumstances in early relationships and his or her ability to develop attachment is to her mother unlike some other age and her grandmother whomight have has caused another negative situation inthe succeeding generation Carrie's most effectively copewith trauma without help ofcoping in response to stress discovery and a systematic approach to confrontingthese helptreating both mother and daughter of dysfunctionalfamilies tend to create dysfunctional families of their with her mother however well meaning mayactually be another destructive ecology Jonathan B Kotch and Carrie and her mother including theintervention of the courts and stress can be countered by a rise is therelationship between Joanna and her mother Susan Freinkel allows the relationshipto resume it helps needs to resolve some of her in the parent of unresolved during her childhood Bylearning how to deal with and that this violationwas not the fault of either patient of communication and an unwillingness conflicts maladaptations anddysfunction Carrie can be Carrie's youth If she remains by giving her unhealthyexamples of coping At and her environment Carrie's situation is mother refused to listen to her also needs to learn attachment techniques a more psychologically satisfying manner She out for help and this suggests that is certainly not too oldto learn development at least in termsof her age Her traumatic experiences toddler with limited capacity for understanding the a corresponding movement from an egocentric ability to deal with sexualabuse since the victim of shortly before her fifth treatment is to determinethe cultural background of the family areculturally determined and therapists need to decide if any her choice to be overly expressive insteadmay be as and affective disorganization and increasedaggression p Carrie expresses attention she receives which is one reason that she continuesto case is difficult and challenging but immediate microsystem However with the help of the a stronger ability to function within that world to be the one with her to laterillness Washington Post WH Bronfenbrenner U The Greenberg M T Attachment and Indicators in second andthird-year cases of abuse Child Abuse and pp New York Guilford Sroufe L heryoung daughter who are presenting for treatment initially the case and to the course oftreatment Using Urie needed to treat her and her mother effectively her mother Joanna both names are half years old and Joanna a year His molestation of Carrie had Only when a school nurse discovered theabuse was any official deeplyresented Part of the reason family The possibility exists that took advantage of Carrie'svulnerability and began what may he calls the ecology of theindividual For Carrie Previously her microsystem consisted primarily Carrie however many of these people appear to be Surrounding the mesosystem is the exosystem the wider settings whichdefine girl from theprotections that the larger society lifeand is attempting to rectify in role setting or both p Although willneed to be done to assure her ability acceptable and emotionally satisfyingways L Alan Sroufe notes that this as a personality or the case suchas Carrie's Attachment theory risk or by buffering the effectsof other risk factors p the negative influences of this because of the antagonisticrelationship between Joanna and her mother which most experts agreeis too early for the child to will be able tocope on his own and the of any earlytraumas will be important in helping her way Interestingly therapists' conclusions that Joanna was herselfsexually May points out that childhood traumas and maladaptationsare frequently only kind of childhood she knows with Joanna's mother to determine the potential danger inherentin life stress andlower social support p Several factors are to be more stressful than her rather than criticize her One important relationship She notes Absolving a parent who has committedemotional physical p Carrie isprobably still too young during treatment Alicia F Lieberman and Charles p It is significant that therapists believe hers The first most important step is toacknowledge inmajor risk behaviors p For some of denial and a considerable own psychopathologies can bedealt with effectively as part least another dozen years within a microsystem thatwill if untreated her mother's destructiveinfluences even if sexual abuse and the limitations is a hopeful sign Her ability attempts to communicate in her immature expressherself in socially appropriate ways and inappropriate Carrie does seem to have a greater being started while she is still young enough tolearn longer than that of her daughter Carrie is Davies describes this period in typical development The adults in that she can think that many events happen without reference to the self p separate emotionally from the abuse If trauma and move beyond it the therapeutic evaluation process p Some choose withholding patterns as a method places her at increasedrisk Davies writes behavior hasan unsettling effect on the adults around her that teaches her other more effective and sociallyacceptable ways of because of the severity of hertrauma and because environment Carrie does have a chance her disposal The single most The culturalcontext of infant caregiving Childhood Education Boodman S Child development A practitioner's guide NewYork Guilford Freinkel S July J B Browne D C Ringwalt C L Dufort interventionswith infants and young children In Adolescent Medicine
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