Faculty Bibliography

We review the risk and protective factors for child emotional abuse. Two main directions can be derived from this review. First and foremost, definitional issues must be resolved. Second, some clues as to important future research directions emerged from the current risk factor literature. Distal historical variables (e.g., relationships with fathers perceived as less caring, and being yelled at daily as a child), current enduring personality factors (e.g., aggression and hostility, neuroticism), environmental stressors (e.g., very low income) and proximal variables (verbal and physical aggression between parents) all appear to be related to child psychological abuse. Once definitional issues are resolved, models beginning with these risk factors should be developed and tested. (C) 2001 Elsevier Science Ltd. All rights reserved.

We review the risk and protective factors for child physical abuse (CPA). An etiological model based on moderate to strongly supported risk factors would begin with distal perpetrator variables of being abused as a child/teen and receiving less family social support as a child. Next might come current family variables such as parents' youth, father's drinking, and family's living in a community that is impoverished and/or has a lower percentage of two parent families. More proximal variables that increase the probability of parents, especially mothers, employing severe or abusive physical tactics could include mothers' dysphoria (e.g., unhappiness, emotional distress, anxiety, loneliness and isolation, depression, somatic complaints, interpersonal problems, feelings of incompetence as a parent, a tendency toward becoming upset and angry), and stress (more stressful life events, including parenting and other family stresses) and coping (most likely a protective factor, including problem solving and social support). Finally, risk factors that are proximal to abuse could include mothers' high reactivity (impulsivity, high negative affect and autonomic nervous system arousal), high-risk parenting (harsh discipline strategies, verbal aggression, yelling), and negative attributions, and children's behavior problems (e.g., socialized aggression, attention deficits, and internalizing and externalizing problems). (C) 2001 Elsevier Science Ltd. All rights reserved.

The purpose of this series is to review the strength of risk and protective factors for each of seven forms of family violence: partner physical, psychological, and sexual abuse; child physical, psychological, and sexual abuse and child neglect. Definitions of risk and protective factors are presented, as is the five-stage prevention intervention research cycle. The reviews in this series are designed to provide stakeholders with a convenient summary from which to identify the strengths and weaknesses of the current risk and protective factor knowledge. Such reviews are necessary to allow for the eventual construction of etiological models that can support the development of preventive intervention programs and research into their efficacy. (C) 2001 Elsevier Science Ltd. All rights reserved.

Child neglect is the most prevalent form of child maltreatment in the US, yet it has received comparatively little research attention. This is no doubt in part due to difficulty defining and operationalizing the construct of neglect. Despite these challenges, a small body of literature investigating risk factors for child neglect has accumulated. This paper reviews this literature, providing effect sizes when possible. Parental demographic, psychological, and behavioral characteristics as well as child, family, and neighborhood factors are reviewed. Although few factors have been examined in more than one study, when taken together, the findings suggest that parental behavioral and psychological characteristics may have the largest relations to neglect, and that limited socioeconomic resources are the most consistently documented risk factor for neglect. (C) 2001 Elsevier Science Ltd. All rights reserved.

We review the risk and protective factors for male-to-female partner psychological abuse. The conclusions that can be drawn from this review were limited by the small body of research. However, it does appear that partner psychological aggression/abuse may be more difficult to predict than partner physical aggression/abuse. In general, socio-economic status (SES) variables do not appear to significantly increase risk. Certain relationship variables, including communication patterns, marital adjustment, and attachment were significantly associated with psychological aggression, with moderate to strong effect sizes. However, these associations are difficult to interpret, because these relationship variables exhibit a high degree of conceptual and operational overlap with the psychological aggression. Two main directions can be derived from this review. First and foremost, definitional issues must be resolved. Given that partner emotional abuse, unlike physical or sexual abuse, is typically conceptualized as requiring a pervasive pattern rather than a single salient action, reliable and valid assessment is exceedingly challenging. Second, once definitional issues are resolved, etiological and intervention models can be developed and tested. This review indicates that men's personality and couple factors would be the most fruitful areas from which to start. (C) 2001 Elsevier Science Ltd. All rights reserved.

We review the risk and protective factors for male-to-female sexual abuse. Although partner sexual abuse is a low base rate behavior, which can attenuate correlation coefficients, several relations had moderate effect sizes. Younger (under 30) and older lover 50) women, compared to those between 30 and 50 years old, were more likely to report being victims of partner sexual abuse, as were unemployed women and women from low-income households. Prior unwanted sexual experiences (from a wide variety of perpetrators) and the severity of male-to-female partner physical aggression were associated with male-to-female partner sexual abuse. It is difficult to form conclusions from only six empirical studies. More empirical studies are needed to ascertain the populations most at risk for partner sexual abuse. (C) 2001 Elsevier Science Ltd. All rights reserved.

We review the risk and protective factors for male-to-female partner physical abuse and present effect sizes. We distinguish among the various operationalizations of physical aggression (e.g., men in court mandated abuse programs, men identified through a single item on the CTS). Overall, however, several risk factors showed moderate to strong effect sizes. Perpetrator factors include SES, education, history of child sexual victimization, exposure to parental physical and/or verbal aggression, violent adult models in childhood, non-family aggression by parent, elevated levels of state and trait anger and hostility; various personality disorders; various Axis I psychopathology, particularly depression alcohol and drug abuse; deficits in spouse-specific assertiveness; and attitudes that condone abuse. Risk factors for women being victimized included less education, unemployment, and history of child emotional/verbal victimization. (C) 2001 Elsevier Science Ltd. All rights reserved.

This article discusses patterns across reviews of the risk and protective factors for each of seven forms of family violence: partner physical, psychological, and sexual abuse; child physical, psychological, and sexual abuse and child neglect. We note that both child and partner literatures have large research bases on risk factors for physical abuse, but relatively few articles on psychological or sexual abuse (or child neglect). In addition, co-occurrence of forms of maltreatment within families is high, but little integrative work has been conducted. We argue that the overlap of both occurrence and risk factors across forms of maltreatment suggests that both etiological and intervention models would be improved by considering all forms of maltreatment more explicitly in a family (rather than dyadic) context. (C) 2001 Elsevier Science Ltd. All rights reserved.

Physical aggression toward a child and a partner within the same family occurs more frequently than once thought, In community samples, the co-occurrence rate appears to be 5% to 6%; in clinical samples, it may be more than 50%. The possibility of causal connections between and common predictors of the two problems is real. Despite data demonstrating a consistent relation between aggression toward a child and aggression toward a partner, research and clinical services are not well coordinated. We discuss ways research could benefit from greater awareness of co-occurring aggression, comment on issues related to assessing families for presence of co-occurring aggression or abuse, and describe approaches to intervention that take advantage of what we know about common correlates of parent and partner aggression. Finally, we acknowledge fledgling collaborative efforts by service agencies to keep both children and parents safe and offer suggestions for training clinicians to address co-occurring aggression.