Neglect

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Neglect
Specialty Pediatrics, Gerontology

In the context of caregiving, neglect is a form of abuse where the perpetrator, who is responsible for caring for someone who is unable to care for themselves, fails to do so. It can be a result of carelessness, indifference, or unwillingness and abuse. [1]

Contents

Neglect may include the failure to provide sufficient supervision, nourishment, or medical care, or the failure to fulfill other needs for which the victim cannot provide themselves. The term is also applied when necessary care is withheld by those responsible for providing it from animals, plants, and even inanimate objects. Neglect can carry on in a child's life falling into many long-term side effects, including physical injuries, developmental trauma disorder, low self-esteem, attention disorders, violent behavior, and death. [2]

In English law, neglect is a term of art, identical to the (now deprecated) expression lack of care and different from the concept of negligence . Its sole function is to qualify a verdict returned at an inquest by finding that it was a factor that contributed to a death. [3] [4]

Consequences of neglect

There are many different types of neglect but they all have consequences, whether it be physically or mentally. [1]

Child neglect

Neglect can affect the body physically by affecting a child's development and health, sometimes leading to chronic medical problems. Children experiencing neglect often suffer from malnutrition, which causes abnormal patterns for development. [5] Not being given the proper nutrients at certain growth periods can result in stunted growth, and inadequate bone and muscle growth. Brain functioning and information processing may also be affected by neglect. [6] This may lead to difficulty in understanding directions, poor understanding of social relationships, or the inability to complete academic tasks without assistance. [7] Neglected children or adults can have physical injuries like fractures or severe burns that go untreated, or infections, lice and other signs of lack of care. There are many physical effects neglect can have on a person. [8]

Not only is neglect associated with physical problems; it also has an effect on a person mentally, ranging from poor peer relationships to violent behavior. Not only is behavior affected, but the way a person looks at themselves, which can lead to low self-esteem and the feeling of being unwanted. Neglect is more severe in younger children when it comes to psychological consequences. Parental detachment can harm the child's development of bonding and attachment to the parents, [9] causing the child's expectations to be the same when they get older (furthering the cycle of abuse). Too little parental availability can result in difficulties in problem solving, coping with stressful situations and social relationships. Studies of neglected children show heightened levels of depression and hopelessness, and higher incidents of suicide attempts. [10]

The effects of neglect on child development are collectively called deprivation, the absence of environmental inputs needed for development. In this context, deprivation is often contrasted with threat, experiences involving harm or threat of harm. [11]

See also

Related Research Articles

Abuse is the improper usage or treatment of a 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.

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.

<span class="mw-page-title-main">Dysfunctional family</span> Type of family

A dysfunctional family is a family in which conflict, misbehavior, and often child neglect or abuse on the part of individual parents occur continuously and regularly. Children that grow up in such families may think such a situation is normal. Dysfunctional families are primarily a result of two adults, one typically overtly abusive and the other codependent, and may also be affected by substance abuse or other forms of addiction, or sometimes by an untreated mental illness. Parents having grown up in a dysfunctional family may over-correct or emulate their own parents. In some cases, the dominant parent will abuse or neglect their children and the other parent will not object, misleading a child to assume blame.

School violence includes violence between school students as well as attacks by students on school staff and attacks by school staff on students. It encompasses physical violence, including student-on-student fighting, corporal punishment; psychological violence such as verbal abuse, and sexual violence, including rape and sexual harassment. It includes many forms of bullying and carrying weapons to school. The one or more perpetrators typically have more physical, social, and/or psychological power than the victim. It is a widely accepted serious societal problem in recent decades in many countries, especially where weapons such as guns or knives are involved.

<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 refers to 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.

The trauma model of mental disorders, or trauma model of psychopathology, emphasises the effects of physical, sexual and psychological trauma as key causal factors in the development of psychiatric disorders, including depression and anxiety as well as psychosis, whether the trauma is experienced in childhood or adulthood. It conceptualises people as having understandable reactions to traumatic events rather than suffering from mental illness.

<span class="mw-page-title-main">Parenting styles</span> Psychological construct

A parenting style is a pattern of behaviors, attitudes, and approaches that a parent uses when interacting with and raising their child. The study of parenting styles is based on the idea that parents differ in their patterns of parenting and that these patterns can have a significant impact on their children's development and well-being. Parenting styles are distinct from specific parenting practices, since they represent broader patterns of practices and attitudes that create an emotional climate for the child. Parenting styles also encompass the ways in which parents respond to and make demands on their children.

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">Residential treatment center</span> Live-in healthcare facility

A residential treatment center (RTC), sometimes called a rehab, is a live-in health care facility providing therapy for substance use disorders, mental illness, or other behavioral problems. Residential treatment may be considered the "last-ditch" approach to treating abnormal psychology or psychopathology.

<span class="mw-page-title-main">Alcoholism in family systems</span> Social and psychological factors that cause alcoholism in families

Alcoholism in family systems refers to the conditions in families that enable alcoholism and the effects of alcoholic behavior by one or more family members on the rest of the family. Mental health professionals are increasingly considering alcoholism and addiction as diseases that flourish in and are enabled by family systems.

Child-to-parent violence (CPV), also recognized as abuse of parents by their children, constitutes a manifestation of domestic violence characterized by the infliction of maltreatment upon parents. This mistreatment commonly manifests in verbal or physical forms.

A narcissistic parent is a parent affected by narcissism or narcissistic personality disorder. Typically, narcissistic parents are exclusively and possessively close to their children and are threatened by their children's growing independence. This results in a pattern of narcissistic attachment, with the parent considering that the child exists solely to fulfill the parent's needs and wishes. A narcissistic parent will often try to control their children with threats and emotional abuse. Narcissistic parenting adversely affects the psychological development of children, affecting their reasoning and their emotional, ethical, and societal behaviors and attitudes. Personal boundaries are often disregarded with the goal of molding and manipulating the child to satisfy the parent's expectations.

The effects of domestic violence on children have a tremendous impact on the well-being and developmental growth of children witnessing it. Children who witness domestic violence in the home often believe that they are to blame, live in a constant state of fear, and are 15 times more likely to be victims of child abuse. Close observation during an interaction can alert providers to the need for further investigation and intervention, such as dysfunctions in the physical, behavioral, emotional, and social areas of life, and can aid in early intervention and assistance for child victims.

Child neglect, often overlooked, is the most common form of child maltreatment. Most perpetrators of child abuse and neglect are the parents themselves. A total of 79.4% of the perpetrators of abused and neglected children are the parents of the victims, and of those 79.4% parents, 61% exclusively neglect their children. The physical, emotional, and cognitive developmental impacts from early childhood neglect can be detrimental, as the effects from the neglect can carry on into adulthood.

Adverse childhood experiences (ACEs) include childhood emotional, physical, or sexual abuse and household dysfunction during childhood. The categories are verbal abuse, physical abuse, contact sexual abuse, a battered mother, household substance abuse, household mental illness, incarcerated household members, and parental separation or divorce. The experiences chosen were based upon prior research that has shown to them to have significant negative health or social implications, and for which substantial efforts are being made in the public and private sector to reduce their frequency of occurrence. Scientific evidence is mounting that such adverse childhood experiences (ACEs) have a profound long-term effect on health. Research shows that exposure to abuse and to serious forms of family dysfunction in the childhood family environment are likely to activate the stress response, thus potentially disrupting the developing nervous, immune, and metabolic systems of children. ACEs are associated with lifelong physical and mental health problems that emerge in adolescence and persist into adulthood, including cardiovascular disease, chronic obstructive pulmonary disease, autoimmune diseases, substance abuse, and depression.

The influence of childhood trauma on the development of psychopathy in adulthood remains an active research question. According to Hervey M. Cleckley, a psychopathic person is someone who is able to imitate a normal functioning person, while masking or concealing their lack of internal personality structure. This results in an internal disorder with recurrent deliberate and detrimental conduct. Despite presenting themselves as serious, bright, and charming, psychopathic people are unable to experience true emotions. Robert Hare's two factor model and Christopher Patrick's triarchic model have both been developed to better understand psychopathology; however, whether the root cause is primarily environmental or primarily genetic is still in question.

References

  1. 1 2 "Analysis of Elder Abuse and Neglect Definitions Under State Law". National Academy of Sciences. 2003. Retrieved December 29, 2015.
  2. "Child Abuse & Neglect - Child Welfare Information Gateway". www.childwelfare.gov. Retrieved 2023-05-19.
  3. Lord Mackay of Clashfern (ed.) (2006) Halsbury's Laws of England, 4th ed. reissue, vol.9(2), "Coroners", 1035. Lack of care, neglect and self-neglect
  4. Anderson, Ambrodino, Valentine, Lauderdale, Rosalie, Robert, Deborah, Michael (1983). "Child deaths attributed to abuse and neglect: An empirical study". Children and Youth Services Review. 5 (1): 75–89. doi:10.1016/0190-7409(83)90020-8.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  5. Bialestock, Dora (1966). "Neglected Babies: A Study of 289 Babies Admitted Consecutively to a Reception Centre". Medical Journal of Australia. 2 (24): 1129–1133. doi:10.5694/j.1326-5377.1966.tb91884.x. PMID   5958074. S2CID   6421511.
  6. RM, WA, DD, MS, P, Brayden, Altemeier, Tucker, Dietrich, Vietze (1992). "Antecedents of child neglect in the first two years of life*". The Journal of Pediatrics. 120 (3): 426–429. doi:10.1016/S0022-3476(05)80912-6. PMID   1538291.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  7. Pledge, Deanna. "Neglect".
  8. Depanfillis, Diane. "Child Neglect: A Guide for Prevention, Assessment and Intervention".
  9. L,W, H,P, Geeraert,Van den Noortgate, Grietens, Onghena (2004). "The Effects of Early Prevention Programs for Families With Young Children At Risk for Physical Child Abuse and Neglect: A Meta-Analysis". Child Maltreatment. 9 (3): 277–291. doi:10.1177/1077559504264265. PMID   15245680. S2CID   36743753.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  10. Council, Panel on Research on Child Abuse and Neglect, Commission on Behavioral and Social Sciences and Education, National Research (1993). Understanding child abuse and neglect. Washington, D.C.: National Academy Press. ISBN   0-585-02166-X.{{cite book}}: CS1 maint: multiple names: authors list (link)
  11. Miller, Adam Bryant; Sheridan, Margaret A.; Hanson, Jamie L.; McLaughlin, Katie A.; Bates, John E.; Lansford, Jennifer E.; Pettit, Gregory S.; Dodge, Kenneth A. (2018). "Dimensions of deprivation and threat, psychopathology, and potential mediators: A multi-year longitudinal analysis". Journal of Abnormal Psychology. 127 (2): 160–170. doi:10.1037/abn0000331. ISSN   1939-1846. PMC   5851283 . PMID   29528670.