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Post-traumatic symptoms in abused children

  • Published:
Journal of Traumatic Stress

Abstract

A variety of symptoms have been described as sequelae of physical and sexual abuse in childhood. This review suggests that some of these symptoms can be understood as developmentally mediated manifestations of post-traumatic disorders. Like traumatized combat or concentration camp survivors, severely abused children develop anxiety, compulsive repetitions, sleep disturbances and depression, ego constriction, and disturbed expressions of anger. The example of incest trauma illustrates how developmental transformations of childhood post-traumatic symptoms can produce the varying patterns of presenting psychopathology seen in adult survivors.

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References

  • Anthony, E. J. (1983). Infancy in a crazy environment. In Call, J. D., Galenson, E., Tyson, R. L. (eds.),Frontiers of Infant Psychiatry Basic Book, New York, pp. 95–109.

    Google Scholar 

  • Birch, H. G. (1972). Malnutrition, learning, and intelligence.Am. J. Public Health 62: 773–784.

    Google Scholar 

  • Bowlby, J. (1973).Attachment and Loss Basic Books, New York.

    Google Scholar 

  • Caffey, J. (1972). On the theory and practice of shaking infants: Its potential residual effects of permanent brain damage and mental retardation.Am. J. Dis. Child 124: 161–169.

    Google Scholar 

  • Crick, F., and Mitchison, G. (1983). The function of dream sleep.Nature (London) 304: 111–114.

    Google Scholar 

  • Elmer, E. (1967).Children in Jeopardy: A Study of Abused Minors and Their Families University of Pittsburgh Press, Pittsburgh.

    Google Scholar 

  • Elmer, E. (1977). A follow-up study of traumatized children.Pediatrics 59: 273–279.

    Google Scholar 

  • Erikson, E. H. (1954). The problem of ego identity.J. Am. Psychoanal. Assoc. 4: 56–121.

    Google Scholar 

  • Fish-Murray, C. C., Koby, E. V., and van der Kolk, B. A. (1987). Evolving ideas: The effect of abuse on children's thought. In van der Kolk, B. A. (ed.),Psychological Trauma American Psychiatric Association Press, Washington, D. C., pp. 89–110.

    Google Scholar 

  • Fraiberg, S., Adelson, E., and Shapiro, V. (1975). Ghost in the nursery.J. Am. Acad. Child Psychiatry 14: 387–421.

    Google Scholar 

  • Furst, S. S. (1967).Psychic Trauma Basic Books, New York.

    Google Scholar 

  • Gaensbauer, T. J. (1982). The differentiation of discrete affects: A case report.Psychoanal. Study Child 37: 29–66.

    Google Scholar 

  • Gaensbauer, T. J., and Sands, K. (1979). Distorted communications in abused/neglected infants and their potential impact on caretakers.J. Am. Acad. Child Psychiatry 18: 236–250.

    Google Scholar 

  • Galdston, R. (1971). Violence begins at home.J. Am. Acad. Child Psychiatry 10: 336–350.

    Google Scholar 

  • Galdston, R. (1981). The domestic dimensions of violence: Child abuse.Psychoanal. Study Child 36: 391–409.

    Google Scholar 

  • George, C., and Main, M. (1979). Social interactions of young abused children: Approach, avoidance, and aggression.Child Dev. 50: 306–318.

    Google Scholar 

  • Goodwin, J. (1981). Suicide attempts in sexual abuse victims and their mothers.Child Abuse Negl. 5: 217–221.

    Google Scholar 

  • Goodwin, J. (1982)Sexual Abuse: Incest Victims and Their Families Wright/PSG, Boston.

    Google Scholar 

  • Goodwin, J. (1985a). Persecution and grandiosity in incest fathers. In Pichot, P., Berner, P., Wolf, R., and Thau, K., (eds.)Psychiatry, The State of the Art Plenum, New York, pp. 309–322.

    Google Scholar 

  • Goodwin, J. (1985b) Post-traumatic symptoms in incest victims. In Eth, S., and Pynoos, R. S. (eds.),Post-traumatic Stress Disorder in Children American Psychiatric Press, Washington, D.C., pp. 155–168.

    Google Scholar 

  • Goodwin, J. (1987). Developmental impacts of incest. In Call, J. D., Cohen, R. L., Harrison, S. L., Berlin, I. N., and Stone, L. A. (eds.),Basic Handbook of Child Psychiatry, Vol. V, Basic Books, New York, pp. 103–110.

    Google Scholar 

  • Goodwin, J., Bergman, R., and Simms, M. (1979). Hysterical seizures: A sequel to incest.Am. J. Orthopsychiat. 49: 698–703.

    Google Scholar 

  • Goodwin, J., Cauthrone, C., and Rada, R. (1980). Cinderella syndrome: Children who simulate neglect.Am. J. Psychiat. 137: 1223–1225.

    Google Scholar 

  • Goodwin, J., Cormier, L., and Owen, J. (1983a). Grandfather-granddaughter incest: A trigenerational view.Child Abuse Negl. 7: 163–170.

    Google Scholar 

  • Goodwin, J., and Flanagan, M. (1983b). Incest: Treating child and family.Physician Patient 2: 59–73.

    Google Scholar 

  • Goodwin, J., McCarty, T., and DiVasto, P. (1981). Prior incest in mothers of abused children.Child Abuse Negl. 5: 217–221.

    Google Scholar 

  • Green, A. H. (1978). Psychopathology of abused children.J. Am. Acad. Child Psychiat. 17: 92–103.

    Google Scholar 

  • Green, A. H. (1980).Child Maltreatment: A Handbook for Mental Health Professionals Jason Aronson, New York.

    Google Scholar 

  • Green, A. H. (1987). Children traumatized by physical abuse. In Eth, S., and Pynoos, R. S. (eds.),Post-traumatic Stress Disorders in Children American Psychiatric Press, Washington, D.C., pp. 133–154.

    Google Scholar 

  • Greenacre, P. (1969). The pre-puberty trauma in girls. InTrauma, Growth, and Personality International Universities Press, New York, pp. 204–223.

    Google Scholar 

  • Greenacre, P. (1971). The influence of infantile trauma on genetic patterns. InEmotional Growth, Vol. 1 International Universities Press, New York, pp. 260–299.

    Google Scholar 

  • Grunebaum, H., and Weiss, J. (1982).Mentally Ill Mothers and Their Children (second edition University of Chicago Press, Chicago.

    Google Scholar 

  • Helfer, R. E., McKinney, J. P., and Kempe, R. (1976). Arresting or freezing the developmental process. In Helfer, R. E., and Kempe, C. H. (eds.),Child Abuse and Neglect: The Family and Community Ballinger, Cambridge, Mass., pp. 55–74.

    Google Scholar 

  • Horowitz, M. J. (1976).Stress Response Syndromes Aronson, New York.

    Google Scholar 

  • Kardiner, A. (1959). Traumatic neuroses of war. In Arieti, S. (ed.),American Handbook of Psychiatry Basic Books, New York, pp. 245–257.

    Google Scholar 

  • Kempe, R., and Kempe, C. H. (1976). Assessing family pathology. In Helfer, R. E., and Kempe, R. (eds.),Child Abuse and Neglect: The Family and the Community Ballinger, Cambridge, Mass., pp. 115–126.

    Google Scholar 

  • Kestenberg, J. S. (1980). Psychoanalyses of children of survivors from the holocaust.J. Am. Psychoanal. Assoc. 28: 775–804.

    Google Scholar 

  • Kinard, E. M. (1982). Experiencing child abuse: Effects on emotional adjustment.Am. J. Orthopsychiat. 52: 82–91.

    Google Scholar 

  • Kolb, L. C., Burris, B. C., and Griffiths, S. (1984). Propranolol and clonidine in the treatment of posttraumatic stress disorders of war. In van der Kolk, B. A. (ed.),Post-traumatic Stress Disorder: Psychological and Biological Sequelae American Psychiatric Press, Washington, D.C., pp. 97–107.

    Google Scholar 

  • Krystal, H. (1978). Trauma and affects.Psychoanal. Study Child 33: 81–116.

    Google Scholar 

  • Krystal, H. (1982). The aging survivor of the holocaust: integration and self-healing in posttraumatic states.J. Geriat. Psychiat. 14: 165–189.

    Google Scholar 

  • Lewis, D. O., Shanok, S., and Balla, D. (1979). Perinatal difficulties, head and face trauma, and child abuse in the medical histories of serious youthful offenders.Am. J. Psychiat. 136: 419–423.

    Google Scholar 

  • Lifton, R. (1967).History and Human Survival Vantage Books, New York.

    Google Scholar 

  • Lister, E. D. (1982). Forced silence: A neglected demension of trauma.Am. J. Psychiatry 139: 872–875.

    Google Scholar 

  • London, J. (1903).The Call of the Wild, Review of Reviews, New York, p. 129.

  • Lynch, M. A., and Roberts, J. (1982).Consequences of Child Abuse Academic Press, New York.

    Google Scholar 

  • Martin, H. (1972). The child and his development. In Kempe, C. J., and Helfer, R. E. (eds.),Helping the Battered Child and His Family Lippincott, Philadelphia, pp. 93–114.

    Google Scholar 

  • Martin, H. P., and Beezley, P. (1977). Behavioral observations of abused children.Dev. Med. Child Neurol. 19: 373–387.

    Google Scholar 

  • Ounsted, C., Oppenheimer, R., and Lindsay, J. (1974). Aspects of bonding failure: The psychopathology and psychotherapeutic treatment of families of battered children.Dev. Med. Child Neurol. 16: 446–456.

    Google Scholar 

  • Ross, J. M. (1982). Oedipus revisited: Laius and the “Laius complex.”Psychoanal. Study Child 37: 1–18.

    Google Scholar 

  • Searles, H. (1959). The effort to drive the other person crazy: An element in the aetiology and psychotherapy of schizophrenia.Brit. J. Med. Psychol. 32: 1–18.

    Google Scholar 

  • Seligman, M. E. P. (1975).Helplessness Freeman, San Francisco.

    Google Scholar 

  • Shainess, N. (1982). Antigone, the neglected daughter of Oedipus: Freud's gender concepts in theory.J. Am. Acad. Psychoanal. 10: 443–455.

    Google Scholar 

  • Shengold, L. (1963). The parent as sphinx.J. Am. Psychoanal. Assoc. 11: 724–751.

    Google Scholar 

  • Smith, C. A., and Hanson, R. (1974). One hundred thirty-four battered children: A medical and psychological study.Brit. Med. J. 14: 666–670.

    Google Scholar 

  • Spitz, R. A. (1945). Hospitalism: An inquiry into the genesis of psychiatric conditions of early childhood.Psychoanal. Study Child 1: 53–74.

    Google Scholar 

  • Steele, B. F., and Alexander, H. (1981). Long-term effects of sexual abuse in childhood. In Mrazek, P., and Kempe, C. H. (eds.),Sexually Abused Children and Their Families Pergamon Press, New York, pp. 223–233.

    Google Scholar 

  • Steele, B. F. (1983). The effect of abuse and neglect on psychological development. In Call, J. D., Galenson, E., and Tyson, R. L. (eds.),Frontiers of Infant Psychiatry Basic Books, New York, pp. 235–244.

    Google Scholar 

  • Tarachow, S. (1979). Judas, the beloved executioner. In Coltrera, J. (ed.),Lives, Events, and Other Players: Directions in Psychobiography Jason Arronson, New York, pp. 77–99.

    Google Scholar 

  • Tardieu, A. (1860). Etudes medico-legal sur les sevices et mauvais traitements exercses sur des enfants.Ann. Hyg. Publ. Med. Leg. 13: 361–398.

    Google Scholar 

  • Terr, L. C. (1981a). Children of Chowchilla: A study of psychic trauma.Psychoanal. Study Child 34: 552–623.

    Google Scholar 

  • Terr, L. C. (1981b). Psychic trauma in children: Observations following the Chowchilla school bus kidnapping.Am. J. Psychiat. 138: 14–19.

    Google Scholar 

  • Terr, L. C. (1987). Childhood psychic trauma. In Call J. D., Cohen, R. L., Harrison, S. L., Berlin, I. N., and Stone, L. A. (eds.),Basic Handbook of Child Psychiatry, Vol. V Basic Books, New York, pp. 262–271.

    Google Scholar 

  • van der Kolk, B. A. (1983). Current Research in Posttraumatic Stress Disorder. Symposium presented at the Annual Meeting of the American Psychiatric Association, New York City.

  • van der Kolk, B. A., and Greenberg, M. S. (1987). The psychobiology of the trauma response: Hyperarousal, constriction, and addiction to traumatic reexposure. In van der Kolk, B. A. (ed.),Psychological Trauma American Psychiatric Press, Washington, D.C., pp. 63–88.

    Google Scholar 

  • Wilkinson, C. B. (1983). Aftermath of a disaster: The collapse of the Hyatt Regency Skywalks.Am. J. Psychiat. 140: 1134–1139.

    Google Scholar 

  • Williams, G. J. (1980). Cruelty and kindness to children: Documentary of a century, 1874–1974. In Williams, G. J., and Money, J. (eds.),Traumatic Abuse and Neglect of Children at Home Johns Hopkins, Baltimore, pp. 68–88.

    Google Scholar 

  • Wolf, E., Gedo, J., and Terman, D. (1972), On the adolescent process as a transformation of the self.J. Youth Adol. 1: 257–272.

    Google Scholar 

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Goodwin, J. Post-traumatic symptoms in abused children. J Trauma Stress 1, 475–488 (1988). https://doi.org/10.1007/BF00980367

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