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2.3 Childhood trauma text

2.3 Childhood trauma text
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Psychology

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2 Childhood trauma

The effect of abuse, neglect or trauma on the development of a child is a very important but difficult

topic to study. Psychologists study the effects of what are called Adverse Childhood Experiences

(ACE’s) - that is, physical abuse, sexual abuse, exposure to domestic violence and a substance-

abusing parent. Research indicates that the effects of abuse depend on the child’s age and gender,

as well as the duration of the experience.

There are two types of effects as a result of deprivation (neglect) or trauma. First, there are the

physiological and neurodevelopmental effects. Secondly, there are the effects on a child's

psychosocial development.

Unfortunately, abuse and neglect are not uncommon. According to the U. Department of Health

and Human Services, every year more over 3 million reports of child abuse are made in the United

States. On average, the United States loses between four and seven children every day to child

abuse and neglect.

Child abuse occurs at every socioeconomic level, across ethnic and cultural lines, within all religions

and at all levels of education. Studies indicate that about 30% of abused and neglected children will

later abuse their own children.

To get a better understanding of the concept of ACE's and the effect that they have on a child's

development, watch the following video featuring American pediatrician, Nadine Burke Harris.

Class video

Nadine Burke Harris How childhood trauma affects health across a lifetime

According to Nadine Burke Harris, what are the effects of ACE's on a child's development?

What do you think of Nadine Burke Harris's proposal for screening children for ACE's? Justify your

position

Psychologists claim that children can recover from even very adverse conditions if they are removed

from such situations and given proper care and attention. This is supported by a classic case study

of child abuse by Koluchova (1972). She undertook a

longitudinal study of a pair of Czech twin boys who had

been discovered at the age of 7 in terrible living

conditions.

The boys’ mother had died when they were born; they

were raised by their father and then later, after the

father remarried, their step-mother. The step-mother

kept them in conditions of severe deprivation. They had

been kept locked in isolation in a cellar; they had been

mistreated and beaten. They did not have adequate

food, so they were suffering from vitamin deficiency

when they were found. They had no access to exercise

or stimulation of any kind, apart from the contact they had with each other.

Apparently, nobody knew of their existence; but by the time they reached age seven, their situation

came to the attention of the authorities. At that time, the boys could hardly walk, play, or speak. They

were initially placed in foster care and then later adopted by two sisters.

When they were found, the twins’ prognosis seemed very poor. The boys’ IQ scores were estimated

to be around 40 at the time they were found, but by the age of 14, these had risen to around 100 for

one, and 90 for the other. Their school performance was generally good and they were highly

motivated. By the age of fourteen they had caught up academically to other 14-year-olds, and as

adults, they were able to attend university and develop good relationships with others.

It seems that, given the right sort of loving and caring environment and the opportunity to develop an

attachment to a sensitive caregiver, the effects of deprivation may be reversible. However, there are

some important considerations when drawing this conclusion:

1. The twins were not totally isolated, so they may have formed an attachment to each

other. This may account for their ability to later form healthy relationships with others.

2. The twins were discovered at the age of 7 which may explain why they recovered from

the effects of their abuse; similar children who were discovered much later in life did not

always demonstrate such a high level of recovery.

3. Because we do not have any way of knowing the academic potential of the children prior

to the abuse, we cannot say for sure how well they have recovered.

4. This is a case study of two individuals, so the findings may not be easily generalized -

gender, culture and historical period must be considered.

Why do you think that some people are able to "get their life together" when so many others who

have suffered less, are not?

In December 1989 the Romanian

people overthrew their communist dictator. Romania had been cut off from the West and

most people were unaware of just how bad things were. This became very much apparent

when the media reported the finding of hundreds of orphanages in which children were

living in horrific conditions.

The communist dictator had outlawed birth control and abortion. It was the duty of women

to bear children for the state. Police controls, as well as physical check-ups every three

months, made sure that women complied. But they couldn't afford the children they bore,

so they turned them over to the state. Then, an economic decline in the 1980s meant that

the orphanages lacked electricity, heat, and food.

When the images of the children made the news, people from around the world wanted to

adopt the children. A significant number of those adoptive parents were in the UK. This

resulted in one of the largest and longest studies of the effects of deprivation and trauma on

child development ever done.

Rutter et al (2007) wanted to investigate the progress of orphans brought to the UK for

adoption in the 1990s.

The sample consisted of 144 Romanian children adopted by UK families. All children had

been adopted between birth and 42 months. For comparison, the researchers used a group

of 52 domestic adoptees who had not experienced a depriving institutional experience and

were less than 6 months old at the time of adoption.

Rutter studied three groups:

● Adopted before the age of 6 months

● Adopted between 6 months and 2 years

● Adopted after the age of two (late adoptees)

Both the British and Romanian adoptees were first assessed at the age of 4 years. Data

was then collected again at the age of 6 and then a final assessment was carried out at age

11.

Semi-structured interviews were carried out with the adoptive parents to discuss the child's

behavior. Children were also given standardized tests to assess their cognitive abilities.

Cognitive impairment was found in 15% of the adoptees from Romania but in only 2% of

the adoptees from the UK.

According to Rutter, there was a response-dose relationship between institutionalization

and both cognitive impairment and attachment disorders - that means, those that spent a

longer time in the institution were more likely to have more persistent cognitive deficiencies

and disinhibited attachment - that is, a lack of close, confiding relationships, rather

indiscriminate friendliness and clingy, attention-seeking behavior, a relative lack of

differentiation in response to adults, a tendency to go off with strangers and a lack of

checking back with a parent in anxiety-provoking situations.

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2.3 Childhood trauma text

Subject: Psychology

487 Documents
Students shared 487 documents in this course
Level:

Honors

Was this document helpful?
2.3 Childhood trauma
The effect of abuse, neglect or trauma on the development of a child is a very important but difficult
topic to study. Psychologists study the effects of what are called Adverse Childhood Experiences
(ACE’s) - that is, physical abuse, sexual abuse, exposure to domestic violence and a substance-
abusing parent. Research indicates that the effects of abuse depend on the child’s age and gender,
as well as the duration of the experience.
There are two types of effects as a result of deprivation (neglect) or trauma. First, there are the
physiological and neurodevelopmental effects. Secondly, there are the effects on a child's
psychosocial development.
Unfortunately, abuse and neglect are not uncommon. According to the U.S. Department of Health
and Human Services, every year more over 3 million reports of child abuse are made in the United
States. On average, the United States loses between four and seven children every day to child
abuse and neglect.
Child abuse occurs at every socioeconomic level, across ethnic and cultural lines, within all religions
and at all levels of education. Studies indicate that about 30% of abused and neglected children will
later abuse their own children.
To get a better understanding of the concept of ACE's and the effect that they have on a child's
development, watch the following video featuring American pediatrician, Nadine Burke Harris.
Class video
Nadine Burke Harris How childhood trauma affects health across a lifetime
According to Nadine Burke Harris, what are the effects of ACE's on a child's development?
What do you think of Nadine Burke Harris's proposal for screening children for ACE's? Justify your
position
Psychologists claim that children can recover from even very adverse conditions if they are removed
from such situations and given proper care and attention. This is supported by a classic case study