It is a elusive and often misdiagnosed form of abuse. Shaken Baby Syndrome is the leading cause of death in abused children. A paper published in 1962 examined symptoms in infants unrelated to an accident but caused by abuse. The author, C. Henry Kempe looked at “outward physical indications of injury, such as poor skin hygiene, multiple soft-tissue injuries, malnutrition, fractures, and a history of previous episodes suggestive of parental neglect or trauma” (Isser & Schwartz, 2004, p. 291). In 1972 and 1974 a pediatric radiologist named John Caffey looked further at
I would start crying and start moving around. The nurses would hold me down and the doctor would give me a shot and after that I would be so mad with my mom for letting them give me a shot. The way I would act I can relate to “Mary Ainsworth”, to her Ambivalent Attachment Pattern, is a style of attachment in which children display a combination of positive and negative reaction to their mothers: they show great distress when the mother leaves, but upon her return they may simultaneously seek close contact but also hit her or kick her (Development Across the Life Span, R.S.P, 2011). As soon as my mom would try to get close to me I would hit her n be so angry with her. I didn’t stop being afraid of them until I was about 7 years old.
Individual Case Study/ Munchausen by Proxy Robin Danley PSY/ 410 March 3, 2012 Eric P. Niler, Ph. D. Individual Case Study Munchausen by Proxy “Munchausen by Proxy syndrome (MBPS) is a form of factitious disorder in which a caregiver, usually the mother, fabricates or actually induces physical or psychological symptoms in her child, for which she then seeks extensive medical testing and/ or hospitalizations” (Hansell and Damour, 2008). Dr. Roy Meadow, in 1977, was the first individual to recognize this abnormal disorder and described it as a form of often time’s fatal child abuse. “This disorder, like overall form termed Munchausen syndrome, is coded in the DSM-IV-TR as a factitious disorder but is referred to specifically as Factitious Disorder by Proxy” (Hansell and Damour, 2008). “Not much is known about the etiology of this disorder, but it appears that this abusive disorder somehow meets a variety of psychological needs for the caregiver” (Hansell and Damour, 2008).
Unplanned pregnancies constitute to the mother feeling more depressed as she now is expecting something she never intended to happen. Often, unplanned pregnancies may cause aspects like premature delivery and other complications, which bring more worry from a mother’s point of view. Unwanted pregnancies can often have a long term affect on mothers simply because the mother now has to look after a baby when she did intend to or expect to do so. Therefore, such a factor is regarded as high-risk when associated with Post-Natal Depression. In terms of the hormonal changes when giving birth, many hormones change in the body, thus triggering a greater chance of the mother suffering from Post-natal depression.
Leaving a distressed baby to cry on a regular basis could be damaging to the developing brain, according to parenting guru Penelope Leach, whose new book will be seen as a head-on confrontation with the tough-love approach of baby experts such as Gina Ford, who say parents should "train" their infants by allowing them to cry themselves to sleep. In the latest salvo in the baby wars, Leach brings science to her aid, which she says has progressed remarkably in recent years. Using saliva swab tests, scientists have been able to measure high levels of the stress hormone cortisol in distraught babies whose cries elicit no response from parent or carer. Neurobiologists say, according to Leach, that high cortisol levels are "toxic" to the developing brain. "It is not an opinion but a fact that it's potentially damaging to leave babies to cry.
Bad news must be told because of the following reasons: Patients Want the Truth Ethical and Legal Imperatives Clinical Outcomes However, breaking bad news is also a complex communication task. In addition to the verbal component of actually giving the bad news, it also requires other skills. These include responding to patients' emotional reactions, involving the patient in decision-making, dealing with the stress created by patients' expectations for cure, the involvement of multiple family members, and the dilemma of how to give hope when the situation is bleak. (Taylor C. 1988).
Children exposed to IPV are also likely to be victims of child maltreatment, as there is a high co-occurrence of both types of violence. According to this study, the children are the main factor on the reason why the mother stays in the relationship with her abusive husband. Even though they are having a hard time, just to keep the family intact however, the mothers have guilt feelings due to putting their children in that kind of stress. Other respondents thought of leaving their partners and calling
They have to know how when to report the cases, is there legitimate reason to believe that the client will do or has done harm to someone, or if they are talking out of frustration and anger. These dilemmas were evident in the video, as there were different cases that dealt with child abuse, confidentiality of a client’s file that had to be disclosed, and even cultural differences that caused some issues with the law. Ensuring the safety of the clients, and everyone else is a major responsibility that counselors and therapist deal with, while ensuring that they are following every rule and regulation set by their state to ensure that they are protected as well. Keywords: confidentiality, duty to warn, ethical, duty to protect, abuse, laws Ethical Vignette in Counseling and Therapy There are many cases that deal with confidentiality, child abuse, duty to warn, duty to protect, and duty to safeguard. The video detailed a few different cases that dealt with a nurse who did not report bruises that were on a little boy who was in the emergency room, and four days later, the boy was back in the emergency room and died.
Even though advocates against child abuse work diligently every day to put an end to child abuse, it is tragic because child abuse can cause physical and emotional distress along with many other factors and child abuse can lead to developmental issues and detachment from others. In the book “A Child Called It”, Pelzer says he lived a normal and healthy life until his mother became an alcoholic, transformed into a monster, and began expressing her anger on her child at the age of four (Pelzer, 1995, Loc 1344). The physical injury or ill-treatment of a child under the age of eighteen by a person who is responsible for the child’s wellbeing under circumstances, which indicate that the child’s health or wellbeing is harmed or threatened thereby, is the definition of child physical abuse, defined by The National Center on Child Abuse and Neglect (Newton, 2001). Ethical theory is an idea that helps a person form personal standards to help them differentiate what is morally good or bad. Child abuse within any standard is morally wrong in the eyes of most people.
The case I chose for this essay is based on my own ethical point of view on doctors telling the truth to his or her patients about his or her medical condition. I will also be including my ethical view on how children should be able to be involved with decision-making relating to their medical conditions. Many times doctors tend to fail telling the complete truth depending on the situation. When it comes to children, doctors have to deal with another perspective and must think about the child’s well-being. It is much harder for children to understand that their medical condition could be deadly then telling an adult he or she could be close to death.