Medical Case Study: Adriana

Abuse and neglect comes in all different forms and each one of them are as equally as damaging as the next. Others will agree that abuse and neglect are hard to define in some cases, but there are clues and signs that professionals and nonprofessionals can detect in a child if they just pay attention. Being observant isn’t the only key to saving these children, but also being willing to speak up and tell someone what you know and or saw. In “A Child Called It”, David Pelzer is a young boy who goes through horrendous abuse and neglect who might have been able to endure much less pain if one adult would have spoken up, despite the fear of any consequences. There is a disgusting number of examples of abuse and neglect in this book, but there will be three different experiences that will showcase neglect, psychological abuse, and physical abuse discussed in the rest of this text.

Ashley is a young woman like many in today’s society born in 1985 to a single, teenage mother. However, her story is a success story. Therefore, she survived, although all odds were stacked against her. Due to her mother’s inability to provide for her, the Florida Foster Care System was her home from the tender age of 3 until her adoption at the age of twelve. During that decade, she resided in 14 different foster homes along with her brother. During this period, her brother and other children endured an abusive life which included beatings with a wooden paddle, starvation, made to drink homemade hot sauce, molestation and verbal abuse which led Ashley and her brother to attend a different school each time their foster home changed. She witnessed the tragedy of her uncle being shot and she experienced her own tragedy when thrown from a moving vehicle.

Dr. Bruce Perry, an incredible psychiatrist, describes some of his many experiences with extremely traumatized children in his novel, “The Boy who was Raised as a Dog and Other Stories from a Child Psychiatrist’s Notebook”. Throughout this book, Dr. Perry presents just a slight insight into what children all over the world experience: violence, neglect, abuse, starvation. Due to the effects of these harsh realities, many children are viewed as strange or different, but in reality, they are some of the bravest children I’ve ever heard of. Though all of these stories are incredibly remarkable, one of the children that stood out to me the

These statistics are overwhelming. After being removed from their family and placed in an unfamiliar environment, these children became a behavioral health concern. The inadequate government policies set forth to protect children scarcely graze the requirements for children’s overall health.

Reactive Attachment Disorder (RAD) was first introduced just over 20 years ago, with the publication of DSM-III (American Psychiatric Association, 1980). In the DSM-IV. The disorder is defined by aberrant social behavior that appears in early childhood and is evident cross contextually(1994). The disorder describes aberrant social behaviors in young children that are believed to derive from being reared in caregiving environments lacking species-typical nurturance and stimulation, such as in instances such as maltreatment or institutional rearing. (First, M., & Tasman, A. 2010) . In cases of RAD two major types of abnormalities have been cited; these include an emotionally withdrawn/inhibited type and an indiscriminately social/disinhibited pattern (First, M., & Tasman, A. 2010).Conditions in in foreign orphanages and institutions such as, multiple caregivers, maltreatment, abuse, neglect, and others contribute to the inability for internationally adopted children to form secure attachments. All of these factors contribute to internationally adopted children being at a higher risk to develop attachment disorders such as RAD and other behavioral problems.

Question #2: The reading also cites a study by Chisholm et al. (1995) that indicated that children who had lived in an orphanage at least 8 months had lower scores on attachment security measures than did children who were adopted before 4 months of age. [Full reference: Chisholm, K., Carter, M., Ames, E. W., & Morison, S. J. (1995). Attachment security and indiscriminately friendly behavior in children adopted from Romanian orphanages. Development and Psychopathology, 7, 283−294.] How might this finding be related to the development of separation anxiety and fear of strangers?

A 10 year old girl threatens to kill herself at school. She locks herself into a bathroom stall and wants to kill herself. This girl has lived in more that twenty foster homes and has been admitted into psychiatric hospitals several times for depression. She was physically and sexually abused by her stepfather from the time she was a infant until entering school. Some foster homes were good for her, while others only added to the abuse. Foster homes tried and failed to help this poor little girl because they could not handle her mental and health problems from the abuse. Adoption could have helped in her time of need. Instead of foster homes, she could have been adopted by couples who tried but couldn 't have children of their own; couples who wanted a child when their own parents didn 't want them. Adoption cannot only help the child but also complete the family of a couple who badly ache for a child to call theirs.

While in foster care she adapts to new dysfunctional homes and with new rules. She had an unhealthy relationship with her first foster’s mom boyfriend and that foster mom shot her in the shoulder. She was starved in another foster home and began using

Child maltreatment has serious implications for social work, because of the difficulties in intervening or preventing the occurrence of child maltreatment. Social work’s primary missions involve improving human well-being and human potential and assisting the vulnerable populations. In cases of child maltreatment, social worker’s need to be able to effectively recognize and respond to incidents of child maltreatment; as well as, effectively identify the causes of child maltreatment in order to treat and prevent it.

Physical health is about 25% poorer than the general population. Behavioral and emotional difficulties will include depression, conduct problems, and abuse-specific problems such as sexual abuse. Child maltreatment increases the risk of PTSD, anxiety, mood disorders, and substance use disorders. Overall, these issues interfere with children’s ability to be adopted. (Diehl, Howse, & Trivette, 2011).

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

“The child withdraws to a dark hole disconnected from the rest of the world, or watches people with fear and hatred at a far distance, with an internal chaos taking charge of the child’s life.” (Shi, 2014) If a child has been a victim of neglect or abuse, they will have a hard time trusting others. It severely affects them and their way of viewing the world. They get disconnected and stay away from others. They start to resent others, for that’s all they’ve

The following project, will address the case of Rita and Christiana C . after concern was provided by a neighbor, who reported that 2 years-old, Christina, seemed underweight, neglected and presented facial bruises. She is cared by her currently unemployed single 19 year old mother, Rita C., in a one bedroom apartment in a lower-income neighborhood of Pleasantville, CA. Under these circumstances, a caseworker was assigned by Child Protective Services to visit the home in order to identify the potential impacts and implications for the developmental growth of Christina C. In order to advise Judge Thompson, this project will focus on providing careful explanations that describe the familial and parental characteristics of the socio-cultural environment that favor the removal of Christina from Rita 's custody, followed by the explanation of why the attachment between the parent and child provide reasons that are against the removal of Rita 's custody of Christina, to end on a recommendation on which course of action will best benefit the child.

The case of Miguel presents various challenges that should be addressed immediately and assessed accurately in ways that are culturally valid, effective, and in accordance with diagnosis criteria listed in the fifth edition of the Diagnostic and Statistical Manual of Mental Health Disorders (DSM-5, 2013). Delamater & Hasday (2007) stated that various disciplines contribute to an understanding of human sexuality including biology, evolutionary psychology, psychology, anthropology, women’s studies, communications, family studies, and sociology. However, while the field of humanities addresses the range of behaviors like thoughts and feelings associated with human sexuality, it is the sciences that seek to create and assess principal explanatory

There was a marked catch-up in psychological functioning for these children in the first few years after adoption, however, significant problems continued in a substantial minority of the children placed after the age of 6 months (Rutter, Colvert, Kreppner, Beckett, Groothues, Hawkins, O’Connor, Stevens, Sonuga-Burke, 2007a). At age 11 quasi-autistic patterns were seen in over 1 in 10 of the children who experienced profound institutional deprivation (Rutter, Kreppner, Croft, Murin, Colvert, Beckett, Castle, Sonuga-Burke, 2007b).