Behavioral treatment of child abuse. A developmental perspective.
This article reviews cognitive and behavioral treatment strategies that have been employed with parents who physically abuse their children. Using a developmental framework, a broadened view of abuse is presented that emphasizes targets for intervention that not only reduce aversive parental behavior but also increase behaviors that lead to more optimal child outcome. Interventions with maltreaters are then described, focusing on three periods of childhood--infancy, middle childhood, and adolescence. An argument is made for there being different goal parental behaviors during each of these periods, as well as unique child-based demands that act as obstacles to parents' successfully meeting these goals. Where behavioral treatments with abusive parents do not yet exist, treatments with similar parent populations are described. The article concludes with a discussion of the treatment issues facing the field in the future.
Francis L. Hiatt School of Psychology, Clark University, Worcester, MA 01610.
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Azar
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Siegel
D000293:Adolescent; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D002649:Child Abuse / Q000517:prevention & control*; D002653:Child Behavior Disorders / Q000517:prevention & control; D002675:Child, Preschool; D015928:Cognitive Behavioral Therapy / Q000379:methods; D006801:Humans; D007223:Infant; D010287:Parent-Child Relations; D012307:Risk Factors