|  |  |  Healthcare Training Institute - Quality Education since 1979CE for Psychologist, Social Worker, Counselor, & MFT!!
 Section 
1Family Violence
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 As you know, discussions 
about domestic violence often focus on what causes the violence to occur. However, 
these causes are complex and many professionals disagree regarding exactly what 
the causes are. Instead of focusing on causation, this section will focus on what 
I consider to be an overlooked and major consequence of domestic violence: the 
impact on the children who live with it.
 Well over 3.5 million 
children are at risk of exposure to parental violence each year. However, as you 
may know, many only consider the immediate consequences of this violence, such 
as physical injury, police protection, temporary emergency shelter, and medical 
treatment. The children are often overlooked in these situations. They become 
the unintended victims.  Let's look at three overlooked consequences 
of violence in a family I recently treated who was staying in a local shelter. 
Rosa, age 22, arrived at the shelter with her three children: Maria, age 8; Ricardo, 
age 5; and Miguel, 13 months. Here's how Rosa's three children became the unintended 
victims of her battering relationship with her husband.
 3 Overlooked Consequences
 ♦ Consequence #1: Role Reversal. The first dynamic I noticed when observing 
this family was the false maturity of Rosa's oldest child, Maria. Maria was only 
8-years old, yet she acted as an adult, which as you may know is often referred 
to as a parentified child. Maria stated, "I feed baby Miguel, discipline 
my younger brother Ricardo, and run the errands to buy diapers or whatever else 
we need. A lot of times I get into fights with my mom over which one of us should 
feed baby Miguel. I always think it should be me."
 
 With Maria, I felt this 
role reversal was a consequence of the violence she had witnessed between her 
parents. I asked Maria if she felt it was not acceptable or safe for her to behave 
like a child. Maria stated that she felt safer when she was in control of things. 
I assured Maria that both she and her mother and brothers were safe in the shelter. 
I asked her what she thought about spending time with another eight-year old at 
the shelter and letting the childcare center take care of Miguel for an afternoon.
 ♦ Consequence #2: Slowed Motor Development. 
  I noticed a second sometimes overlooked consequence in the children by watching 
Ricardo, who, at the age of five, should have been running and jumping and playing. 
On the contrary, however, Ricardo could not run, throw, or even catch a ball. 
When I asked Ricardo how he liked to play, he stated, "I don't know, I don't 
think I know how. Dad always makes me stay in my room when he's home, so I never 
see the other kids." I found that Ricardo had boundless energy waiting to 
be released because of his years spent as a virtual prisoner in his own home. 
The staff devised a structured outdoor program for Ricardo, and soon he was running, 
jumping, and climbing, like a five-year old boy should have been.
 ♦ Consequence #3: Somatic Complaints In 
addition to Role Reversal and Slowed Motor Development, there is the Overlooked Consequence 
 of Somatic Complaints. While discussing the violence Maria, age 8, witnessed 
in her family, she anxiously bit her fingernails and pulled at her hair. Maria 
stated, "I leave to go to the nurse's office at school a lot because of headaches 
and stomach aches." Have you also found that children such as Maria will 
somaticize their emotions about the violence they witnessed?
 
 As you know, the 
children do not realize that their emotions of fear and anxiety are being vented 
in these physical behaviors. But by listening I find I am often able to better 
understand what the child is experiencing but is unable to communicate with words. 
I asked Maria if she thought her stomach aches were worse if her mother and father 
had fought the night before. Maria stated, "I guess that could be. Usually 
when they have a big fight, I can't stop thinking about it the next day. I worry 
about baby Miguel and my mom."
 In this section, we have 
discussed the 3 possibly overlooked consequences of role reversal, slowed motor 
development, and somatic complaints that children may often suffer from as the 
unintended victims of domestic violence. Section 2 will provide you with three techniques 
for these as well as other consequences.Reviewed 2023
 Peer-Reviewed Journal Article References: Daniel, E., Rodrigues, M., & Jenkins, J. M. (2019). The development of internalizing problems in early childhood: The importance of sibling clustering. Journal of Family Psychology, 33(4), 381–390.
 Davies, P. T., Coe, J. L., Hentges, R. F., Sturge-Apple, M. L., & Ripple, M. T. (2018). Interparental hostility and children’s externalizing symptoms: Attention to anger as a mediator. Developmental Psychology, 54(7), 1290–1303.
 Harman, J. J., Kruk, E., & Hines, D. A. (2018). Parental alienating behaviors: An unacknowledged form of family violence. Psychological Bulletin, 144(12), 1275–1299.
 
 Kennedy, A. C., Bybee, D., Sullivan, C. M., & Greeson, M. (2010). The impact of family and community violence on children’s depression trajectories: Examining the interactions of violence exposure, family social support, and gender. Journal of Family Psychology, 24(2), 197–207.
 
 Levendosky, A. A., Bogat, G. A., & Huth-Bocks, A. C. (2011). The influence of domestic violence on the development of the attachment relationship between mother and young child. Psychoanalytic Psychology, 28(4), 512–527.
 
 QUESTION 
    1
 What are three sometimes overlooked consequences of battering relationships 
  from which children may suffer? To select and enter your answer go to .
 
 
 
 
 
 
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