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Patterns of Child Abuse
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Table of Contents
Contents
About the Author
Contributor
Preface
Acknowledgments
Introduction
The Social Construction of Child Abuse
Overview of Child Abuse Research
The Effects of Abuse on Children
Characteristics of Abusive Families
Social and Environmental Factors Associated with Child Abuse
The Child Welfare System
Part I: Conceptual Background
Chapter 1. The Importance of Patterns
Family Patterns Reproduced in the Child
Individual Patterns Reproduced in the Family
The Case of Sexual Abuse
Patterns Changed for Within
Generic Solutions Fail
Chapter 2. Patterns in the Mind
Constant Imagination
Purposes of Imagination
How Imagination Is Revealed
How Imagination Is Suppressed
The Effects of Punishment
Early Memories As Road Maps
Figures in a Landscape
Complexes
Autonomy of Figures
Chapter 3. A Systemic View of the Psyche
Circular Thinking
Projective Identification
Identity and the Quest to Be Oneself
When, Not Whether
Assessment Hygiene
Dialogue Between Psychic Figures
Possession by a Single Figure
Overgovernance versus Undergovernance
Misconstruing the Child As a Precursor to Maltreatment
Part II: General Patterns in Abuse and Neglect
Chapter 4. Children's Idealization of Bad Parents
Denial of Disappointment
The Need for a Parent Who Takes Responsibility
Blaming Others to Exonerate the Parent
Splitting
Parental Accountability
Self-Blame of Exonerate the Parent
Chapter 5. “At Least I'm Not As Bad As My Mother (or Father)”
Focus on the Parent at the Expense of the Child
Chapter 6. The Avoidance of Personal Closeness
Fears and Joys of Intimacy
Excessive Kindness in Service Providers
Advantages of Cross-Cultural Foster Placements
Disadvantages of Ideal Foster Placements
Chapter 7. Seriously Disturbed Patterns
The Use and Misuse of the Borderline Label
Fragmentation
Identity Diffusion
Boundary Problems
Rage and Abandonment Fears
The Maternal Hold
Impulsivity
Implications for Service Planning
Part III: Some Specific Maltreatment Patterns
Chapter 8. The Sexual Abuse Victim's Mother
The Perpetrator, the Victim, and the Mother
The Futility of Blame
Repeat Involvement with Sex Offenders
Damage Assessment
A Good Apology
Chapter 9. The Sexually Powerful Adolescent Girl
The Narcissistic Father and the Depressed Mother
Socializing Girls to Be Depressed
The Choice Between Sex Appeal and Skills
The Limitations of Residential Treatment
Chapter 10. The Disruptive Boy
The Ineffective Disciplinarian
Indoctrination into the Abusive Role
The Legacy of Punishment
Interpersonal Basis of Self-Control
Chapter 11. The Absent Parent Returned
The Child Put On Hold
Responsibility for the Absence
Making Amends
The Child's Point of View
Part IV: Intervention Patterns
Chapter 12. Dysfunctional Treatment Relationships
The Need to Enter Patterns to Change Them
The Risk of Replication
Assuming Distasteful Roles
Chapter 13. Role Ambiguity Among Service Providers
Structural Clarity
Clinicians and Attorneys
Clinicians and Social Workers
Clinicians and Custodians
Chapter 14. The Social Worker and the Family
How the Family Accommodates the Social Worker
Structural Ambiguity Between Social Worker and Parent
The Social Worker's Rationale
Cultural Relativism and the Child Welfare System
Levels of Parental Fitness and the Social Worker's Approach to the Family
Voluntary Cases
Protective Cases
Custodial Cases
Chapter 15. The State Social Worker in the Role of Parenting Conscience
The Ignoring Parent
The Resigned Parent
The Rebellious Parent
About the Author
Karson, Michael; Sparks, Elizabeth
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