Skip to main content

The Battered-Child Syndrome: Changes in the Law and Child Advocacy

  • Chapter
  • First Online:

Part of the book series: Child Maltreatment ((MALT,volume 1))

Abstract

The Battered Child Syndrome (BCS) was followed by laws and policies intended to improve protections for maltreated children. Medical professionals were initially very reluctant to believe that parents might abuse their own child. The BCS provided irrefutable evidence that severe physical abuse of children could occur in the child’s own home, and established clear diagnostic criteria for evaluating a child suspected of being a victim of child abuse. Dr. Kempe and his colleagues acted purposefully to conduct research on the treatment and prevention of child abuse and to advocate practices and programs that would make it difficult to ignore child abuse in the future. Among the innovations resulting from the Kempe advocacy are multidisciplinary child protection teams, reporting laws, home visitation to prevent child abuse, guardians ad litem for abused children, termination of the parent–child legal relationship in severe maltreatment cases, and the international journal,Child Abuse & Neglect.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Notes

  1. 1.

    Dr Kempe’s wife, Ruth Kempe, reported that he even received a death threat, and was criticized by other pediatricians for dramatizing the issue (Chadwick 2011; Silver and Kempe 1959).

  2. 2.

    Dr. Henry Silver’s son describes the friendship and environment of colleagues in which the “Battered-Child” was described (Silver et al. 2009).

  3. 3.

    Dr. Kempe wrote that the first hospital-based child protection teams “came into being 25 years ago through the efforts of Betty Elmer, M.S.W. of the Pittsburgh Children’s Hospital; Helen Boardman, M.S.W., Children’s Hospital in Los Angeles; and C. Henry Kempe, M.D., of the Department of Pediatrics at the University of Colorado Medical Center in Denver” (Kempe 1978, p. xiii).

  4. 4.

    From the legal perspective, “the Battered-Child Syndrome” provides evidence that is res ipsa loquitur, which is to say it provides information that “speaks for itself” (Estelle v. McGuire, 112 S. Ct. 475 (1991)).

  5. 5.

    Chapter 2 of Hobbes et al. 2004covers many aspects of the history of child maltreatment to which there was no long-term response.

  6. 6.

    SeeChap. 13, Gary Melton’s chapter in this volume.

  7. 7.

    Brandt F. Steele, a psychiatrist and coauthor of the “Battered-Child Syndrome” remarked on a number of occasions that people seem more able to recognize and respond to an external enemy, than to the “enemy within us.”

  8. 8.

    In observing this possibility, rather than diminish in any way the absolutely critical psychiatric and psychological work with human emotions, thought processes, hormonal, and in general, neurobiological aspects of human-to-human violence, this framework suggests that “behavioral transmission” of an important health condition is also possible.

  9. 9.

    This paraphrases Dr. Kempe’s frequent declaration that “all children should have access to society.”

  10. 10.

    The law was also referred to as the Schroeder-Mondale Act. Senator Mondale at that time was the senior U.S. Senator from Minnesota. Pat Schroeder was the Congresswoman from Denver, Colorado, and thus C. Henry Kempe was her “constituent.”

  11. 11.

    The organization today has nearly 2,000 members, accredits child welfare law specialists under the aegis of the American Bar Association, and files amicus curiae briefs to the state courts of last resort and the U.S. Supreme Court.

  12. 12.

    In the Interest of Carlota B., 408 S. E. 2d 365 (W. Va. 1991).

  13. 13.

    The Adoption Assistance and Child Welfare Act of 1980, 42 U.S.C. §§621 U.S.C. et seq; 42 U.S.C. §§670 et seq.

    Adoption and Safe Families Act, Public Law No. 105–89, as codified in scattered sections of 42 United States Code.

  14. 14.

    See, for example, the debate between those who favor the laws (e.g., Mathews and Bross 2008; Drake and Jonson-Reid 2007; Finkelhor 2005; Mathews 2012; Besharov 1985, 2005) and those who do not (e.g., Melton 2005).

  15. 15.

    In 2003 in Canada, reports from professionals accounted for 79% of the 25,257 substantiated cases of physical abuse (Trocmé et al. 2005, p. 86).

  16. 16.

    This failure to comply with policy-based reporting duties seemed particularly prominent in cases of sexual abuse, but the Minister appeared to indicate it had broader application (Fitzgerald 2011).

References

  • Australian Institute of Health and Welfare. (2010). Child protection Australia 2008–09. Canberra: Australian Capital Territory.

    Google Scholar 

  • Besharov, D. (1985). “Doing something” about child abuse: The need to narrow the grounds for state intervention. Harvard Journal of Law and Public Policy, 8(3), 539–589.

    Google Scholar 

  • Besharov, D. (2005). Overreporting and underreporting of child abuse and neglect are twin problems. In D. Loseke, R. Gelles, & M. Cavanaugh (Eds.), Current controversies on family violence(2nd ed., pp. 285–298). Thousand Oaks: Sage.

    Google Scholar 

  • Bray, M. (2004). Henry Kempe and the birth of vaccinia immune globulin. Clinical Infectious Diseases, 39(6), 267.

    Article  Google Scholar 

  • Bross, D. (1978). Termination of the parent-child legal relationship in Colorado. The Colorado Lawyer, 7(3), 362–376.

    Google Scholar 

  • Bross, D. (1980). An organization to improve legal representation of children: The National Association of Counsel for Children. Child Abuse & Neglect, 4, 115–117.

    Article  Google Scholar 

  • Bross, D., Krugman, R., Lenherr, M., Rosenberg, D., & Schmitt, B. (Eds.). (1988). The new child protection team handbook. New York: Garland Publishing.

    Google Scholar 

  • Caffey, J. (1946). Multiple fractures in the long bones of infants suffering from chronic subdural hematomas. American Journal of Roentgenology, 56, 163–173.

    Google Scholar 

  • Chadwick, D. (2011). The child abuse doctors. St Louis: STM Learning.

    Google Scholar 

  • Chiesa, A., & Bross, D. (in press). Child protection teams. In: D. Chadwick (Ed.), Chadwick’s child maltreatment. St Louis: STM Learning.

    Google Scholar 

  • Drake, B., & Jonson-Reid, M. (2007). A response to Melton based on the best available data. Child Abuse & Neglect, 31, 343–360.

    Article  Google Scholar 

  • Duquette, D., & Haralambie, A. (2010). Child welfare law and practice: Representing children, parents, and state agencies in abuse, neglect, and dependency cases(2nd ed.). Denver: Bradford Publishing Co.

    Google Scholar 

  • Finkelhor, D. (2005). The main problem is underreporting child abuse and neglect. In D. Loseke, R. Gelles, & M. Cavanaugh (Eds.), Current controversies on family violence(2nd ed., pp. 299–310). Thousand Oaks: Sage.

    Google Scholar 

  • Finkelhor, D. (2008). Childhood victimization. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Finkelhor, D., Jones, L., & Shattuck, A. (2009). Updated trends in child maltreatment, 2009. Durham: Crimes Against Children Research Center. http://www.unh.edu/ccrc/pdf/Updated_Trends_in_Child_Maltreatment_2009.pdf. Accessed 11 Nov 2011.

  • Fitzgerald, F. (2011). Launch of children first: National guidance for the protection and welfare of children. Dublin: Department of Youth and Children Affairs. http://www.dcya.gov.ie/viewdoc.asp?DocID=1592&ad=1. Accessed 11 Nov 2011.

  • Flaherty, E., Sage, R., Price, L., Christoffel, K., Norton, D., & O’Connor, K. (2006). Pediatrician characteristics associated with child abuse identification and reporting: Results from a national survey of pediatricians. Child Maltreatment, 11(4), 361–369.

    Article  Google Scholar 

  • Fraser, B. (1976). Independent representation for the abused and neglected child: The guardian ad litem. California Western Law Review, 13, 1–30.

    Google Scholar 

  • Fryer, G., Poland, J., Bross, D., & Krugman, R. (1988). The child protective service worker: A profile of needs, attitudes, and utilization of professional resources. Child Abuse & Neglect, 12, 481–490.

    Article  Google Scholar 

  • Gordon, J. (Ed.). (1965). Control of communicable diseases in man. New York: The American Public Health Association.

    Google Scholar 

  • Gunn, V., Hickson, G., & Cooper, W. (2005). Factors affecting pediatricians’ reporting of suspected child maltreatment. Ambulatory Pediatrics, 5(2), 96–101.

    Article  Google Scholar 

  • Hobbes, C., Hanks, H., & Wynne, J. (2004). Child abuse and neglect: A clinician’s handbook(2nd ed.). Philadelphia: Elsevier.

    Google Scholar 

  • Hochstadt, N., & Harwicke, N. (1985). How effective is the multidisciplinary approach? A follow-up study. Child Abuse & Neglect, 9, 365–372.

    Article  Google Scholar 

  • Kalichman, S. (1999). Mandated reporting of suspected child abuse: Ethics, law, & policy(2nd ed.). Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Kempe, C. H. (1978). Foreword. In B. Schmitt (Ed.), The child protection team handbook. New York: Garland Press.

    Google Scholar 

  • Kempe, C., Silverman, F., Steele, B., Droegemueller, W., & Silver, H. (1962). The battered-child syndrome. Journal of the American Medical Association, 181(1), 17–24.

    Article  Google Scholar 

  • Kolbo, J., & Strong, E. (1997). Multidisciplinary team approaches to the investigation and resolution of child abuse and neglect: A national survey. Child Maltreatment, 2, 61–72.

    Article  Google Scholar 

  • Labbé, J. (2005). Ambroise Tardieu: The man and his work on child maltreatment a century before Kempe. Child Abuse & Neglect, 29, 311–324.

    Article  Google Scholar 

  • Mastracci, S., Guy, M., & Newman, M. (2011). Emotional labor and crisis response: Working on the razor’s edge. Armonk: M.E. Sharpe.

    Google Scholar 

  • Mathews, B. (2012). Exploring the contested role of mandatory reporting laws in the identification of severe child abuse and neglect. In M. Freeman (Ed.), Current legal issues volume 14: Law and childhood studies(pp. 302–338). Oxford: Oxford University Press.

    Google Scholar 

  • Mathews, B., & Bross, D. (2008). Mandated reporting is still a policy with reason: Empirical evidence and philosophical grounds. Child Abuse & Neglect, 32(5), 511–516.

    Article  Google Scholar 

  • Mathews, B., & Kenny, M. (2008). Mandatory reporting legislation in the USA, Canada and Australia: A cross-jurisdictional review of key features, differences and issues. Child Maltreatment, 13(1), 50–63.

    Article  Google Scholar 

  • Mathews, B., Payne, H., Bonnet, C., & Chadwick, D. (2009). A way to restore British pediatricians’ engagement with child protection. Archives of Disease in Childhood, 94(5), 329–332.

    Article  Google Scholar 

  • Melton, G. (2005). Mandated reporting: A policy without reason. Child Abuse & Neglect, 29(1), 9–18.

    Article  Google Scholar 

  • National Center for Prosecution of Child Abuse (NCPCA), & National District Attorneys Association (NDAA). (2010). Multidisciplinary/multi-agency child protection teams statutes. http://www.ndaa.org/pdf/Multidisciplinary%20Multi%20Agency%20Child%20Protection%20Teams.pdf. Accessed 11 Nov 2011.

  • Paulsen, M. (1967). Child abuse reporting laws: The shape of legislation. Columbia Law Review, 67(1), 1–49.

    Article  Google Scholar 

  • Public Health Agency of Canada. (2010). Canadian incidence study of reported child abuse and neglect – 2008: Major findings. Ottawa: Public Health Agency of Canada.

    Google Scholar 

  • Schmitt, B. (Ed.). (1978). The child protection team handbook. New York: Garland Publishing.

    Google Scholar 

  • Sedlak, A. (1989). Supplementary analysis of data on the national incidence of child abuse and neglect. Rockville: Westat.

    Google Scholar 

  • Silver, H. (1980). Presentation of the Howland Award: Some observations introducing C. Henry Kempe, M.D. Pediatric Research, 14, 1151–1154.

    Article  Google Scholar 

  • Silver, H., & Kempe, H. (1959). Problem of parental criminal neglect and severe physical abuse of children. American Journal of Diseases of Children, 95, 528.

    Google Scholar 

  • Silver, A., Gotlin, R., Kempe, R., et al. (2009). Foundations of pediatrics: Henry K. Silver, MD (1918–1991). Advances in Pediatrics, 56, 1–9.

    Article  Google Scholar 

  • Trocmé, N., Fallon, B., MacLaurin, B., Daciuk, J., Felstiner, C., Black, T., et al. (2005). Canadian incidence study of reported child abuse and neglect—2003: Major findings. Ottawa: Minister of Public Works and Government Services.

    Google Scholar 

  • US Department of Health and Human Services. (2009). Child maltreatment 2007. Washington, DC: US Government Printing Office.

    Google Scholar 

  • US Department of Health and Human Services. (2010). Child maltreatment 2008. Washington, DC: US Government Printing Office.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Donald C. Bross .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Bross, D.C., Mathews, B. (2013). The Battered-Child Syndrome: Changes in the Law and Child Advocacy. In: Krugman, R., Korbin, J. (eds) C. Henry Kempe: A 50 Year Legacy to the Field of Child Abuse and Neglect. Child Maltreatment, vol 1. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4084-6_6

Download citation

Publish with us

Policies and ethics