Re: Hierarchic order of pre-acute abuse sings

[Julie Rosof <julie.e.rosof@xxxxxxxxxxxxxx>]

Moshe-

Can you clarify the following before your questions are addressed-

a) What forms of child maltreatment? sexual abuse, physical abuse,
emotional abuse, neglect, all, combination, etc.?

b) What do you mean by pre-acute/acute?  Would the acute phase be when the
abuse is actively occurring? Is a child abused if they are in the pre-abuse
phase?  While definitions for types of abuse vary with respect to legal
systems and research projects, I am concerned that the definition of an
abused child includes the omission of an act or an act occurring before a
child is considered abused.  For example, a perpetrator that is planning to
sexually abuses a child could groom him/her to desensitize him/her to
sexual issues, establish trust and secrecy, etc. However, no sexual acts
have occurred  even though the offender is engaging the child for nefarious
reasons.  Many legal systems and research projects would not consider a
child experiencing grooming an abused child even though there are numerous
child safety and mental health issues.

Julie Rosof-Williams, RN, MSN
Family Nurse Practitioner 
Graduate Student in Public Policy and Program Evaluation
Vanderbilt University
Nashville, TN 



>My thesis deals with Identifying abused children in the very early - pre
>acute stages of the abuse.

> I am trying to find an ordered hierarchic scale or model of abuse
(emotional/physical) signs.

>Meaning: which sign comes before which ?  For  example: What kind of
>physical changes (NOT concerned with the abuse it self) occurs after the
>very first time of the abuse event (raise of blood pressure , somatic
>pain act) which signs comes next and so on.
>
>Same thing as for the emotional signs
>
>Thank you!
>
>Moshe Farchi, B.S.W ,  M.P.H.
> 
Julie Rosof-Williams