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Re: Input wanted: DSM-V Criteria for Maltreatment
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<DIV><FONT face=Arial>This is spooky:</FONT></DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial>As it is, there are many problems dealing with the dual
set of definitions--educational and clinical--with regard to various DSM-IV
conditions. For example, DHHS defines Tourette's Disorder as a type of emotional
disturbance, while DOE defines it as an Other Health Impairment. Secondly,
maltreatment determinations are to a large degree made in child welfare by
social workers in a process that is fraught with validity and reliability
problems. Coupled with this, DSM-IV determinations would very likely be based on
reports by those very social workers. I can see a result in which apparent
clinical objectivity could become attached to what was originally subjective,
then re-imported into legal systems. </FONT></DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial>It is almost inevitable that if a child is in any way
involved with public social services or human services agencies and has any
diagnosed mental disorder, "parent-child relational problems" will be slapped
onto the diagnostic profile. The "blame and shame" issue regarding parents has
long been recognized by DHHS (and was the subject of a SAMHSA publication in the
late 1990's). </FONT></DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial>At the same time, state statutes typically limit the
ability of agencies to address maltreatment that occurs in settings other than
the home, child care facilities, or institutuional settings--in particular
schools. For example, our state has a provision for abuse/neglect to be
investigated by child protective services--but CPS has no authority to act in
those situations. It is established (sometimes illogically given the
potential for conflict of interest) that any concerns will be fully addressed by
school authorities unless there is a basis for law enforcement involvement.
</FONT></DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial>Physical abuse is often defined by state statute. Sexual
abuse is, I believe, defined by DHHS, and so is medical neglect. "Maltreatment"
includes the extremely problematic "psychological maltreatment"--which,
according to ACF statistics, is present among maltreated children in wildly
different proportions from one state to another (e.g. around 1% in Minnesota,
and over 50% in the adjacent state of North Dakota). </FONT></DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial>Sheri McMahon</FONT></DIV>
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style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
<DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
<DIV
style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B>
<A title=rickheyman@gmail.com href="mailto:rickheyman@gmail.com";>Rick
Heyman</A> </DIV>
<DIV style="FONT: 10pt arial"><B>To:</B> <A
title=child-maltreatment-research-l@cornell.edu
href="mailto:child-maltreatment-research-l@cornell.edu";>child-maltreatment-research-l@cornell.edu</A>
; <A title=amy.slep@stonybrook.edu
href="mailto:amy.slep@stonybrook.edu";>amy.slep@stonybrook.edu</A> ; <A
title=richard.heyman@stonybrook.edu
href="mailto:richard.heyman@stonybrook.edu";>richard.heyman@stonybrook.edu</A>
</DIV>
<DIV style="FONT: 10pt arial"><B>Sent:</B> Monday, June 16, 2008 4:04 PM</DIV>
<DIV style="FONT: 10pt arial"><B>Subject:</B> Input wanted: DSM-V Criteria for
Maltreatment</DIV>
<DIV><BR></DIV><SPAN style="FONT-SIZE: 12pt">Amy Slep and I have been
testing maltreatment criteria<BR>in large-scale field trials for since 2002
(e.g., Heyman and Slep, 2006; Slep and Heyman, 2006; Heyman<BR>and Slep,
2008).<BR><BR>These criteria form the backbone of a set of criteria for
relational problems that is being<BR>considered for DSM-V.<BR><BR>If you would
like to comment on the criteria (i.e., participate in a brief content validity
study)<BR>for (a) presence of the problem and (b) severity of
maltreatment,<BR>please email me with the following:<BR><BR>1., I would like
to make ratings/comment on the following critieria sets:<BR>[ ] Partner
maltreatment / problems<BR>[ ] Child maltreatment / problems<BR><BR>2. I will
make ratings for the severity critieria for one form of maltreatment.
I<BR>would prefer (choose as many as you'd like; you'll be assigned 1)<BR>[ ]
Partner physical abuse<BR></SPAN><SPAN style="FONT-SIZE: 12pt">[ ] Partner
emotional abuse<BR>[ ] Partner sexual abuse<BR></SPAN><SPAN
style="FONT-SIZE: 12pt">[ ] Child physical abuse<BR></SPAN><SPAN
style="FONT-SIZE: 12pt">[ ] </SPAN><SPAN style="FONT-SIZE: 12pt">Child
</SPAN><SPAN style="FONT-SIZE: 12pt">emotional abuse<BR>[ ] </SPAN><SPAN
style="FONT-SIZE: 12pt">Child </SPAN><SPAN style="FONT-SIZE: 12pt">sexual
abuse<BR>[ ] Child neglect<BR><BR></SPAN>
<P style="MARGIN-LEFT: 0.5in; TEXT-INDENT: -0.5in"><SPAN><SPAN><SPAN
style="FONT-WEIGHT: normal; FONT-SIZE: 7pt; LINE-HEIGHT: normal; FONT-STYLE: normal; FONT-VARIANT: normal; font-size-adjust: none; font-stretch: normal"></SPAN></SPAN></SPAN>Heyman,
R. E., & Slep, A. M. S. (2006-a). Creating and field-testing diagnostic
criteria for partner and child maltreatment. <I>Journal of Family Psychology,
20, </I>397-408.</P>
<P style="MARGIN-LEFT: 0.5in; TEXT-INDENT: -0.5in"><SPAN><SPAN><SPAN
style="FONT-WEIGHT: normal; FONT-SIZE: 7pt; LINE-HEIGHT: normal; FONT-STYLE: normal; FONT-VARIANT: normal; font-size-adjust: none; font-stretch: normal"></SPAN></SPAN></SPAN>Slep,
A. M. S. & Heyman, R. E. (2006). Creating and field-testing child
maltreatment definitions: Improving the reliability of substantiation
determinations. <I>Child Maltreatment, 11</I>, 397-408. <BR></P>
<P style="MARGIN-LEFT: 0.5in; TEXT-INDENT: -0.5in">Heyman, R. E., & Slep,
A. M. S. (2008). Reliability of Family Maltreatment Diagnostic Criteria: 41
Site Dissemination Field Trial. Manuscript submitted for publ
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