Disability abuse

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Disability abuse is when a person with a disability is abused physically, financially, sexually and/or psychologically due to the person having a disability. This type of abuse has also been considered a hate crime. [1] The abuse is not limited to those who are visibly disabled or physically deformed, but also includes those with learning, intellectual and developmental disabilities or mental illnesses.

Contents

Risk factors for abuse

According to the World Health Organization (WHO) persons with disabilities make up around 15% of the world's population. Children with disabilities are three times more likely to face violence than non-disabled children, and there is an approximate 50% increased risk of experiencing violence for adults with mental health conditions. [2]

Persons with disabilities are easy targets for predators as they may not have the resources or abilities to escape an abusive situation or communicate about the occurrences. Hard of hearing persons are placed at twice the risk for neglect and emotional abuse in comparison to other disabilities and nearly four times in regards to physical abuse. [3]

Abuse can occur in multiple ways, most commonly seen as physical, emotional, or sexual. Those in the disability population tend to be at higher risk due to lacking skills to protect themselves. Examples include: deficits in communication, limited social environment, disempowerment, and intimate contact required for hygiene dependency. [4]   Further, as there can be tendencies for caretakers to overprotect individuals during their youth, they can more easily be exploited due to a lack of preparation. In facets such as school there is often a lack of efficient sex education for youth with disabilities and in combination of improper training for professionals working with these children, risks increase. [3] Notably there also tends to be overlap between abuse and neglect as childhood care often results in full dependency on care providers due to need for assistance throughout daily activities. [5]

A community-based participatory research study to assess abuse and current physical and mental health of 350 members within varying disabilities found a significant correlation with depressive symptoms and significant relations between childhood abuse and depression, PTSD, and negative physical health outcomes in adulthood. The main finding was that interaction of childhood and adult abuse predicted increased negative physical and psychological health rates for those with developmental disabilities. [5]

Forms of abuse

Bullying

A 2012 survey by the Interactive Autism Network found that 63% of children with autism are bullied in the United States. [6] Over a third of autistic adults said they had been bullied at work in a survey by the UK's National Autistic Society. [7]

82% of children with a learning disability in the UK are bullied, according to Mencap, and 79% are scared to go out in case they are bullied. [8]

A survey that was done shows that roughly seven out of ten people with disabilities have been abused, and that it is an ongoing problem. [9] It was found that bullying people with disabilities is a problem in various other countries, and lacks attention. [9]

Bullying is not always physical. Verbal bullying and cyberbullying occur often. Catherine Thornberry and Karin Olson claim that carers often dehumanize disabled people, taking away their abilities and qualities that make them a person and lowering them to the level of just an object or a thing. They found that the caregivers or assistants are often the ones who are unintentionally bullying the disabled individuals. The caregivers look at the individuals at lower standard than they do other people, leading to Thornberry and Olson labeling abuse of disabled individuals as a hate crime. [10]

Sexual abuse

According to Valenti-Hein & Schwartz, only 3% of sexual abuse cases involving developmentally disabled people are ever reported, more than 90% of developmentally disabled people will experience sexual abuse at some point in their lives, and 49% will experience 10 or more abusive incidents. [11]

A study published in the British Journal of Psychiatry by Sequeira, Howlin, & Hollins found that sexual abuse is associated with a higher incidence of psychiatric and behavioural disorder in people with learning disabilities in a case-control study. Sexual abuse was associated with increased rates of mental illness and behavioural problems, and with symptoms of post-traumatic stress. Psychological reactions to abuse were similar to those observed in the general population, but with the addition of stereotypical behavior. The more serious the abuse, the more severe the symptoms that were reported. [12]

Sexual abuse is less likely to be reported by individuals with disabilities. The people that surround these individuals are often found to be less likely to report these cases of abuse. Many societies still view disabled people as weak and vulnerable, making it easy for the abuser to feel no remorse or to shift the blame away from themselves. More often than not, people figure they can trust their physicians or doctors who provide care for these individuals. In a clinical study it was found that the physicians would provide poor quality of care to individuals with disabilities. They would suppress the problems instead of addressing them by giving them drugs to make them be quiet. It was also found that physicians were less likely to report sexual abuse or any abuse that they found present on these individuals. They justified these actions by believing that disabled people are less valuable. [13]

Institutional abuse

Institutional abuse overwhelmingly impacts people with disabilities, as those with intellectual disabilities and some physical disabilities often live in institutional settings. Hospitals and care homes can both be settings where abuse occurs. [14] Severe disability is a factor that increases the likelihood of elder abuse and neglect in nursing homes in Portugal. [15]

Impacts of abuse

There was one study done that shows 60 per cent of the children with disabilities come forth about being bullied regularly, versus 25 per cent of the students who are being bullied with no disabilities. [16] This can also affect their learning and school and education. Their grades are more at risk in dropping, they have a more difficult time concentrating, and there is no interest in school and the learning material. All of this can lead to the child dropping out of school. [17]

Current policies and research

There are policies such as Article 16 of the United Nations Convention on the Rights of Persons With Disabilities which calls for appropriate measures needed to protect all persons with disabilities in all locations, from all forms of abuse. WHO made a statement emphasizing poor public health surveillance of child maltreatment across the world which has been conveyed through examples such as the Adverse Childhood Experience questionnaire [3] which has been used to gain better understanding of the prevalence of abuse occurring worldwide, but comparisons can be challenging due to differing policies between regions.

Additional policies like the United States Child Abuse Prevention and Treatment Act passed in 1974 and reauthorized in 2019 created a state-based child abuse reporting and response system that requires professionals to be legally mandated to make a government report if a child alludes to the possibility of abuse or neglect to see if an investigation is needed. [3]

See also

Related Research Articles

Abuse is the improper usage or treatment of a person or thing, often to unfairly or improperly gain benefit. Abuse can come in many forms, such as: physical or verbal maltreatment, injury, assault, violation, rape, unjust practices, crimes, or other types of aggression. To these descriptions, one can also add the Kantian notion of the wrongness of using another human being as means to an end rather than as ends in themselves. Some sources describe abuse as "socially constructed", which means there may be more or less recognition of the suffering of a victim at different times and societies.

<span class="mw-page-title-main">Physical abuse</span> Medical condition

Physical abuse is any intentional act causing injury or trauma to another person or animal by way of bodily contact. In most cases, children are the victims of physical abuse, but adults can also be victims, as in cases of domestic violence or workplace aggression. Alternative terms sometimes used include physical assault or physical violence, and may also include sexual abuse. Physical abuse may involve more than one abuser, and more than one victim.

Elder abuse is "a single, or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person." This definition has been adopted by the World Health Organization (WHO) from a definition put forward by Hourglass in the UK. Laws protecting the elderly from abuse are similar to and related to laws protecting dependent adults from abuse.

A form of child abuse, child neglect is an act of caregivers that results in depriving a child of their basic needs, such as the failure to provide adequate supervision, health care, clothing, or housing, as well as other physical, emotional, social, educational, and safety needs. All societies have established that there are necessary behaviours a caregiver must provide for a child to develop physically, socially, and emotionally. Causes of neglect may result from several parenting problems including mental disorders, unplanned pregnancy, substance use disorder, unemployment, over employment, domestic violence, and, in special cases, poverty.

Developmental disability is a diverse group of chronic conditions, comprising mental or physical impairments that arise before adulthood. Developmental disabilities cause individuals living with them many difficulties in certain areas of life, especially in "language, mobility, learning, self-help, and independent living". Developmental disabilities can be detected early on and persist throughout an individual's lifespan. Developmental disability that affects all areas of a child's development is sometimes referred to as global developmental delay.

<span class="mw-page-title-main">Child abuse</span> Maltreatment or neglect of a child

Child abuse is physical, sexual, emotional and/or psychological maltreatment or neglect of a child, especially by a parent or a caregiver. Child abuse may include any act or failure to act by a parent or a caregiver that results in actual or potential wrongful harm to a child and can occur in a child's home, or in organizations, schools, or communities the child interacts with.

Verbal abuse is a type of psychological/mental abuse that involves the use of oral, gestured, and written language directed to a victim. Verbal abuse can include the act of harassing, labeling, insulting, scolding, rebuking, or excessive yelling towards an individual. It can also include the use of derogatory terms, the delivery of statements intended to frighten, humiliate, denigrate, or belittle a person. These kinds of attacks may result in mental and/or emotional distress for the victim.

Child protection is the safeguarding of children from violence, exploitation, abuse, and neglect. It involves identifying signs of potential harm. This includes responding to allegations or suspicions of abuse, providing support and services to protect children, and holding those who have harmed them accountable.

Sexual abuse or sex abuse, also referred to as molestation, is abusive sexual behavior by one person upon another. It is often perpetrated using force or by taking advantage of another. Molestation often refers to an instance of sexual assault against a small child, whereas sexual abuse is a term used for a persistent pattern of sexual assaults.

Sibling abuse includes the physical, psychological, or sexual abuse of one sibling by another. More often than not, the younger sibling is abused by the older sibling. Sibling abuse is the most common of family violence in the US, but the least reported. As opposed to sibling rivalry, sibling abuse is characterized by the one-sided treatment of one sibling to another.

Childhood trauma is often described as serious adverse childhood experiences (ACEs). Children may go through a range of experiences that classify as psychological trauma; these might include neglect, abandonment, sexual abuse, emotional abuse, and physical abuse, witnessing abuse of a sibling or parent, or having a mentally ill parent. These events have profound psychological, physiological, and sociological impacts and can have negative, lasting effects on health and well-being such as unsocial behaviors, attention deficit hyperactivity disorder (ADHD), and sleep disturbances. Similarly, children whose mothers have experienced traumatic or stressful events during pregnancy have an increased risk of mental health disorders and other neurodevelopmental disorders.

<span class="mw-page-title-main">Intellectual disability</span> Generalized neurodevelopmental disorder

Intellectual disability (ID), also known as general learning disability and mental retardation, is a generalized neurodevelopmental disorder characterized by significant impairment in intellectual and adaptive functioning that is first apparent during childhood. Children with intellectual disabilities typically have an intelligence quotient (IQ) below 70 and deficits in at least two adaptive behaviors that affect everyday, general living. According to the DSM-5, intellectual functions include reasoning, problem solving, planning, abstract thinking, judgment, academic learning, and learning from experience. Deficits in these functions must be confirmed by clinical evaluation and individualized standard IQ testing. On the other hand, adaptive behaviors include the social, developmental, and practical skills people learn to perform tasks in their everyday lives. Deficits in adaptive functioning often compromises an individual's independence and ability to meet their social responsibility.

<span class="mw-page-title-main">Sexuality and disability</span>

Sexuality and disability is a topic regarding the sexual behavior and practices of people with disabilities. Like the general population, these individuals exhibit a wide range of sexual desires and adopt diverse methods of expressing their sexuality. It is a widespread concern, however, that many people with disabilities do not receive comprehensive sex education, which could otherwise positively contribute to their sexual lives. This roots from the idea that people with disabilities are asexual in nature and are not sexually active. Although some people with disabilities identify as asexual, generalizing this label to all such individuals is a misconception. Many people with disabilities lack rights and privileges that would enable them to have intimacy and relationships. When it comes to sexuality and disability there is a sexual discourse that surrounds it. The intersection of sexuality and disability is often associated with victimization, abuse, and purity.

Research published from 2000 to 2020 illustrates increased prevalence rates of sexual violence against people with intellectual disabilities, compared to the general population.:61 The World Health Organization (WHO) funded a study which concluded that 15% of the adult population worldwide in 2012 had a disability, putting them at increased risk of physical, sexual, and intimate partner violence. Of that 15%, 6.1% had intellectual disability with 5.5% experiencing sexual violence. In another 2012 report, the WHO found that worldwide, children with intellectual disabilities experienced a 4.6 times greater risk of sexual violence than those without disability.

Institutional abuse is the maltreatment of a person from a system of power. This can range from acts similar to home-based child abuse, such as neglect, physical and sexual abuse, and hunger, to the effects of assistance programs working below acceptable service standards, or relying on harsh or unfair ways to modify behavior. Institutional abuse occurs within emergency care facilities such as foster homes, group homes, kinship care homes, and pre-adoptive homes. Children who are placed in this type of out of home care are typically in the custody of the state. The maltreatment is usually caused by an employee of the facility.

Patient abuse or patient neglect is any action or failure to act which causes unreasonable suffering, misery or harm to the patient. Elder abuse is classified as patient abuse of those older than 60 and forms a large proportion of patient abuse.

Dignity of risk is the idea that self-determination and the right to take reasonable risks are essential for dignity and self esteem and so should not be impeded by excessively-cautious caregivers, concerned about their duty of care.

Discrimination against autistic people is the discrimination, persecution, and oppression that autistic people have been subjected to. Discrimination against autistic people is a form of ableism.

<span class="mw-page-title-main">Impact of the COVID-19 pandemic on people with disabilities</span>

Individuals with disabilities are more susceptible to contracting COVID-19 and have higher mortality rates compared to those without disabilities. This is particularly true for people with intellectual and developmental disabilities, those residing in care facilities, and women with disabilities. Individuals with disabilities face heightened risks of mental health issues related to the pandemic, such as increased feelings of loneliness and isolation. They were also more likely to face domestic violence and abuse during the pandemic. People with disabilities are more likely to experience unemployment as a result of the pandemic and may require changes to the types of accommodations they require for work. Children with disabilities experience complications in their educational programming. Remote learning poses a host of challenges for children with disabilities, including disruptions to physical and occupational therapies and access to assistive technologies.

Various connections have been made between violence and autism within social narratives. According to public opinion, violent behavior is common for autistic individuals, but evidence does not support autism spectrum disorder (ASD) as a predisposition to delinquency or crime. Autistic people are likely to be victims of bullying, abuse and other violence.

References

  1. Quarmby, Katharine. "Scapegoat: Why we are failing disabled people". Portobello, 2011.
  2. Mikton, Christopher; Maguire, Holly; Shakespeare, Tom (2014-11-01). "A Systematic Review of the Effectiveness of Interventions to Prevent and Respond to Violence Against Persons With Disabilities". Journal of Interpersonal Violence. 29 (17): 3207–3226. doi:10.1177/0886260514534530. ISSN   0886-2605. PMID   24870959. S2CID   25563313.
  3. 1 2 3 4 Palusci, Vincent J. (2011), "Epidemiology of Sexual Abuse", Child Abuse and Neglect, Elsevier, pp. 16–22, doi:10.1016/b978-1-4160-6393-3.00003-8, ISBN   9781416063933 , retrieved 2021-12-18
  4. Wilczynski, Susan M.; Connolly, Sarah; Dubard, Melanie; Henderson, Amanda; Mcintosh, David (2015). "Assessment, Prevention, and Intervention for Abuse Among Individuals with Disabilities". Psychology in the Schools. 52 (1): 9–21. doi:10.1002/pits.21808. ISSN   1520-6807.
  5. 1 2 Hughes, Rosemary B.; Robinson-Whelen, Susan; Raymaker, Dora; Lund, Emily M.; Oschwald, Mary; Katz, Marsha; Starr, Albert; Ashkenazy, Elesia; Powers, Laurie E.; Nicolaidis, Christina; Hughes, Rosemary B. (2019-04-01). "The relation of abuse to physical and psychological health in adults with developmental disabilities". Disability and Health Journal. 12 (2): 227–234. doi:10.1016/j.dhjo.2018.09.007. ISSN   1936-6574. PMID   30655190. S2CID   58620983.
  6. "Survey finds 63% of children with autism bullied". CBS News.
  7. Cassidy, Sarah (2012-05-14). "Autistic adults bullied and not supported at work, poll shows". The Independent (UK). London.
  8. "Eight of out 10 disabled children bullied, report finds". Mencap. 2007-06-18. Retrieved 2016-10-23.
  9. 1 2 "Survey Finds Disability Abuse Widespread". Disability Scoop. 2013-09-04. Retrieved 2016-03-09.
  10. Thornberry, Catherine, and Karin Olson. "The Abuse of Individuals with Developmental Disabilities." Developmental Disabilities Bulletin 33.1-2 (n.d.): 1-19. EBSCO Host. Web. 22 Apr. 2014.
  11. "People with Mental Retardation & Sexual Abuse" (PDF). by Leigh Ann Davis. Archived from the original (PDF) on 2012-03-18.
  12. Sequeira, H, Howlin, P, Hollins, S (2003). "Psychological disturbance associated with sexual abuse in people with learning disabilities. Case-control study". British Journal of Psychiatry. 183 (5): 451–456. doi: 10.1192/bjp.183.5.451 . PMID   14594922.
  13. Ryan, Ruth; Salbenblatt, James; Schiappacasse, Joseph; Maly, Bernard (2001). "Physician unwitting participation in abuse and neglect of persons with developmental disabilities". Community Mental Health Journal. 37 (6): 499–509. doi:10.1023/A:1017526112637. PMID   11504143. S2CID   34002240.
  14. Kamavarapu, Y.S.; Ferriter, Michael; Morton, S.; Völlm, B. (February 2017). "Institutional Abuse – Characteristics of Victims, Perpetrators and Organsations: a Systematic Review". European Psychiatry. 40: 45–54. doi:10.1016/j.eurpsy.2016.07.002. PMID   27837673. S2CID   39356961.
  15. Frazão, Sofia Lalanda; Correia, Ana Margarida; Norton, Pedro; Magalhães, Teresa (November 2015). "Physical abuse against elderly persons in institutional settings". Journal of Forensic and Legal Medicine. 36: 54–60. doi:10.1016/j.jflm.2015.09.002. hdl: 10216/114702 . PMID   26397767.
  16. "Top 10 facts parents, educators, and Students need to Know". Bullying and Harassment of Students with Disabilities.
  17. "Top 10 facts parents. educators, and students need to know". National Bullying prevention center.

Further reading