NCJ Number
145175
Journal
JAMA Volume: 269 Issue: 2 Dated: (January 13, 1993) Pages: 262-264
Date Published
1993
Length
3 pages
Annotation
After a review of the findings of studies that have examined psychological effects in children who have witnessed violence, this article advises medical personnel on treatment for such children.
Abstract
Studies show that exposure to violence in the community and the family adversely affects children's development. Witnessing violence undermines children's functioning in school, their emotional stability, and their confidence in the future. Children who witness domestic violence are particularly vulnerable to emotional and developmental problems. Parents who must raise their children in violent neighborhoods may impose restrictions and express fear that also hurts their children's development. A physician who has any reason to believe that a child may have witnessed violence should ask the parents directly if such exposure has occurred. An affirmative response warrants taking a history of the exposure to violence and its impact on the child's behavior and attitudes. The physician should give the child the opportunity to talk about the violent incidents. Physicians should refer to mental health services those children who have witnessed severe violence or have significant debilitating reactions to violent episodes. Physicians should also support intervention beyond the clinical setting to ensure that children grow up in a safe environment. 20 references