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Emotional Abuse Concept

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Child maltreatment is an unfortunate reality that many social workers must confront during their career. The World Health Organization (2006) has classified child maltreatment into four categories: physical abuse, sexual abuse, emotional/psychological abuse and neglect (Butchart, Harvey, Mian, Furniss, & Kahane, 2006). Of the four, the American Academy of Pediatrics (AAP) calls emotional abuse “the most challenging and prevalent form of child abuse and neglect…[which] negatively affects the child’s cognitive, social, emotional and/or physical development” (Hibbard et al., 2012). This paper will discuss the biological, psychological and social impacts of emotional abuse on development specific to middle childhood (ages 6-12), introduce …show more content…
The terms “psychological abuse” and “emotional abuse” will be used synonymously.

Problem Area & Background Although no single, streamlined definition of emotional abuse exists, research on emotional abuse frequently utilizes the definition presented by the American Professional Society on Abuse of Children (APSAC, 2002): “[Emotional abuse is] a repeated pattern of caregiver behavior or a serious incident that transmits to the child that s/he is worthless, flawed, unloved, unwanted, endangered, or only of value in meeting another’s needs” (Myers et al., 2002; Spinazzola et al., 2014; Wolfe & McIsaac, 2010; Glaser, 2011; Baker, Brassard, Schneiderman, Donnelly, & Bahl, 2011; Hibbard et al., 2012). While researchers and professionals agree that emotional abuse is a pervasive problem, studies and child welfare …show more content…
This is commonly referred to as the “fight or flight response”. When emotional abuse is persistent over time, a child’s brain adapts to a state of chronic (toxic) stress as it continues to develop by maintaining elevated levels of dopamine and norepinephrine (Black, 2016). This decreases neuron activity in the prefrontal cortex, which is the brain’s emotion regulation center, while concurrently increasing the brain’s sensitivity to psychosocial stress and further reinforcing the reactivity of the body’s stress response over time (Black, 2016). One 2010 study found that emotional abuse in childhood (ages 0-16), independent from other variables, including psychological diagnosis and other forms of child maltreatment, may lead to lower prefrontal cortex volume in adulthood (van Harmelen et al., 2010). This study was relatively small (less than 100 subjects), but the findings do infer that significant neurobiological changes may occur as a result of emotional abuse, illustrating the detrimental effects of emotional abuse on child development (van Harmelen et al.,

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