Sammanfattning Uppsatsen synliggör processen från misstanke till anmälan och det etiska problemet att anmäla eller inte. Det övergripande syftet i uppsatsen är att synliggöra hur en del verksamma pedagoger hanterar och bör hantera barn som far illa utifrån olika yrkeskategoriers perspektiv. Vi belyser även olika yrkesgrupper som är delaktiga i processen och hur samverkan mellan pedagogisk verksamhet och socialtjänst fungerar utifrån våra informanters svar. Litteratur kring ämnet berör vi utifrån ett brett perspektiv och den påvisar att pedagoger har ett stort ansvar i och med anmälningsplikten, men att ansvaret skall fördelas inom pedagogiska verksamheter. Vårt resultat bygger på kvalitativa intervjuer och enkäter utifrån kategorierna pedagoger, socialsekreterare, rektorer/enhetschefer, kuratorer/psykologer och vuxna som själva farit illa som barn. Vår undersökning påvisar att många barn far illa men att anmälningsbenägenheten har ökat. Trots detta finns det barn som inte blir uppmärksammade idag och pedagoger har ofta svårigheter att anmäla. Det har visat sig, att det för barns bästa, är väldigt viktigt att samverkan mellan pedagogisk verksamhet och socialtjänst fungerar bra vilket även litteratur poängterar. Vi hoppas att uppsatsen skall kunna hjälpa människor som kommer i kontakt med barn som far illa för att dessa barn skall få den hjälp de behöver. / The essay contains the process from suspicion to report and the ethical problem to report or not. The comprehensive purpose of the essay is too show how some working educationalists manage and should manage maltreated children out of different professional categories perspective. We also show different professional categories that are involved in the process and how collaboration between preschool/school and social services work on the basis of our respondent’s answers. We research literature about the subject from a broad perspective which prove that educationalists have a huge responsibility with the duty to report, but that the responsibility should be divided between preschool/school. Our result is based on qualitative interviews and questionnaires on the basis of the categories; educationalists, social workers secretaries, principals, school welfare officers/educational psychologists and adults that have been maltreated as children. Our review shows that many children are being maltreated but that the tendency to report has increased. Despite this there are children today who do not get noticed and educationalists that often have difficulties in reporting. Well-functioning collaboration between preschool/school and social services has proved to be very important in the best interest of children, which also literature has shown. We hope that this essay will help people who meet maltreated children so that these children get the help they need.

Mental health is a major child public health issue in Sweden. The overall aims of this thesis are to explore girls’ and boys’ perspectives on mental health and on mental health-promoting initiatives, and to deepen the knowledge of disclosure and support for ado-lescents at risk of abuse and neglect. Four studies are included in the thesis, and a qualitative descriptive design was chosen. In three of the studies (Studies I, II, and III), adolescents in Sweden were interviewed individually or in focus-groups. In the fourth study (IV) officials and politicians in nine municipalities in Sweden were interviewed, and documents were analysed in a multiple-case-study design. In study I the adolescents were asked about the mental health-promoting dialogue with the school nurse. The results reveal that what the adolescents found important were trustiness, attentiveness, respectfulness, authenticity, accessibility, and continuity. The adolescents also had certain views on what issues to talk about in the health dialogue; physical and psychological issues should be included. In Study II, the adolescents perceived “mental health” to be an emotional experience with positive and negative aspects of internal and relational feelings. Family, friends, and school were regarded as important determinants of mental health by the adolescents. Neither girls nor boys thought that there were any major differences in mental health between girls and boys, but did think they were subject to different expectations. In Study III the results show that adolescents with families with alcohol problems are unsure whether to disclose their home situation to an adult; the adolescents seem to make a risk assessment when looking for trustworthy adults. It is a disclosure process. Friends are confidants and supportive, and sometimes facilitators for contacting adults, when support from adults is needed. Study IV show that even small grants to municipalities for children-at-risk projects lead to more activities for these children and adolescents. But children or adolescents were not involved in the planning or decision-making of the activities. The studies in this thesis show that most important thing for adolescents’ mental health is the relation between adolescents and adults, foremost parents, and between adolescents and friends. In addition, gender and age, adolescents’ perspec¬tives and par-ticipation, and society’s support, including the implementation of the UN Convention on the Rights of the Child, have an impact on adolescents’ mental health, both for ado-lescents in general and for adolescents at risk of abuse and neglect. The results are viewed in relation to the bioecological model, to illustrate how all levels in society influence mental health among adolescents, on an individual and a population plane. The findings have implications for adults: to learn more about adolescents and puberty, and about the home situation for children and adolescents at risk of abuse and neglect; to listen to suggestions from children and adolescents; to include friends in support to adolescents at risk of abuse and neglect; and to include girls and boys in all matters concerning them.

Child maltreatment is not a new issue. It has existed in various forms in every society since the early days in history. However, it is only in the past four decades that abuse and neglect of children has attracted widespread interest among health professionals and the general public. There is now a large body of evidence that identifies four main maltreatment forms: physical, sexual, emotional maltreatment and neglect. Child maltreatment is a substantial public health problem, as it is associated with immediate and long-term health problems. Most research into child maltreatment has been conducted in English-speaking, developed countries. Although there has been a small but steady increase in the number of studies from less developed countries over the past decade, there remains a relative dearth of research in these populations, especially in Asia. Over the years, most research projects around the world tend to be focused on only one type of child maltreatment (usually either child sexual abuse or child physical maltreatment), and many studies do not examine risk factors in depth, or address the possible outcomes of various forms of maltreatment. Children have always held a very important place in the culture and traditions in Vietnam. In 1989, Vietnam was the first Asian country and the second country in the world to sign and ratify the United Nations Convention on the Rights of the Child. Since then Vietnam has adopted various measures to promote children's rights and particularly children's rights to be protected from abuse and exploitation. Despite strong political support for the rights of children, there is little formal research into child maltreatment. From the small amount of available evidence and media reports, it appears that children in Vietnam are vulnerable to maltreatment, just as they are all over the world. It is clear that information about the extent and health consequences of different forms of child maltreatment from scientifically sound studies is still far from sufficient. Thus, more research is essential to ensure effective and culturally appropriate responses to protect children from maltreatment. The primary aim of this research was to examine the nature and co-occurrence of four forms of child maltreatment including sexual, physical, emotional maltreatment and neglect among Vietnamese secondary and high school adolescents in both urban and rural settings, and determine the extent to which such adverse experiences impact on self-reported health risk behaviours and physical and mental health. A mixed methods design including qualitative interviews and focus group discussions, and a cross-sectional survey was employed in this study. Incorporation of qualitative inquiry added a cultural dimension on child maltreatment and informed to develop appropriate quantitative measures. Following 8 focus group discussions and 16 in-depth interviews as well as a pilot study of 299 adolescents in Vietnamese schools, a cross-sectional survey of 2,591 adolescents randomly selected from eight secondary and high schools in one urban district and one rural district was undertaken between 2004 and 2005. Data were collected by self-administered questionnaires in class rooms. Key information included demographics, family characteristics and environment, and four scales measuring sexual abuse, emotional and physical maltreatment and neglect as well as standard brief assessments of health related risk behaviours, mental and general physical health. The study clearly revealed that experiences of different forms and co-occurrence of child maltreatment among school adolescents were prevalent in Vietnam. The prevalence estimates of at least one type of physical and emotional maltreatment, neglect and sexual abuse were 47.5%, 39.5%, 29.3% and 19.7% respectively. A significant proportion of respondents (41.6%) was exposed to more than one form of child maltreatment, of which 14.5% and 6.3% experienced three or four maltreatment forms. Results from multivariate logistic regression analyses showed that the prevalence of child physical and emotional maltreatment and neglect among adolescents was not statistically different between urban and rural districts. However, children from rural schools were more likely to report unwanted sexual experiences than their counterparts in urban schools. There was no significant gender difference in reports of adverse sexual experiences. In contrast, girls were more likely to report emotional maltreatment and neglect whereas boys were more likely to experience physical maltreatment. Furthermore, family environment assessed by parental quarrelling, fighting, perceived quality of parental relationship and emotional support appeared to be the most consistent factors significantly predicting each form of child maltreatment. After controlling for a wide range of potential confounding factors, many significant correlates between each type of maltreatment, each level of maltreatment co-occurrence and each health risk behaviour were found. In general, the pattern of correlations between child maltreatment and health risk behaviours was similar for females and males. Emotional maltreatment significantly correlated with most behaviours examined. Physical maltreatment seems more likely to be associated with involvement in physical fights and being threatened. Sexual abuse was significantly related to smoking, drinking, being drunk, and involvement in fighting. Statistically significant associations between neglect and self-harm such as involvement in fighting, feeling sad and hopeless, suicidal thoughts and attempts were found. Clearly, co-occurrence of child maltreatment was significantly associated with almost all examined health risk behaviours and a dose-response relationship was observed in most of the dependent variables. Regarding continuous measures of mental and physical health, multivariate regression analyses revealed that presence of four types of child maltreatment explained a small but significant proportion of variance (from 5% to 9%), controlling for a wide range of background variables. Additionally, while each form of child maltreatment had independent effects on depression, anxiety problems, low self-esteem and poor physical health emotional maltreatment appeared to be the strongest influence on mental and physical health of both female and male adolescents. Analysis of variance also clearly suggested that exposure to increasing numbers of maltreatment forms significantly increased the risk of mental and physical health problems in a dose-response fashion. The present study extends a small body of previous research examining poly-victimization in developed nations to an Asian country. The data contribute new knowledge on cross-cultural child maltreatment problems. Considerable commonalities as well as some differences in the findings in Vietnam compared with earlier research were found. One important conclusion concerns the significant independent associations between various types of child maltreatment, as well as the cumulative effects of poly-victimization on a wide range of health risk behaviours, depression, anxiety, self-esteem, and general physical health. This pioneering research in Vietnam provides timely and substantial evidence that can be used to raise public awareness of the nature of child maltreatment and the harmful effects of not only sexual and physical abuse but also other forms of emotional maltreatment and neglect which have not received attention before. These results from a community-based sample have demonstrated the urgent need for prevention programs. The current study provides an impetus for more comprehensive research in this sensitive area in the near future so that culturally and politically relevant evidence-based responses to child maltreatment can be developed in Vietnam.

The co-occurrence of domestic violence (DV) and child maltreatment is high. Response to both problems has historically been via two different systems. However, child protection workers are increasingly asked to respond to this co-occurrence since research has identified that exposure to DV can negatively impact on children and that child maltreatment often co-occurs with DV. This study looks at child protection systems response to families affected by DV by using two research methods. First, a systematic review was conducted using research papers focusing on child protection workers response to families experiencing DV. Second, a critical discourse analysis of current Australian child protection policies was conducted. Findings from the systematic review show that child protection workers' response to abused mothers went from treating them as 'mad' in the 1980s, to labelling them 'failure to protect' in the 1990s and early 2000. These findings showed continued focus on abused mothers rather than on perpetrators of DV. Some contradictions were found around child removal data. However, important links were found between re-notification of children and subsequent removal. Findings from the Australian policy analysis revealed that most policies referred to DV as a child protection issue and used a feminist definition of DV. However, not all states had detailed guidelines on how to intervene safely and effectively with families affected by DV. Discussions and recommendations focus around the pressing need for more DV expertise within child protection systems. It also discusses the issue of responsibility placed on abused mothers while perpetrators of DV remain invisible. Finally, it discusses the response to children exposed to DV compared to the response to children exposed to DV who are also victim of direct child maltreatment. The key recommendations of this study are to have DV expertise within the child protection systems, to empower abused mothers rather than blaming them, which implies putting the responsibility back on the perpetrator of DV and to have resources and systems in place before responding to child exposure to DV as child maltreatment per se.

Text in Afrikaans with summaries in Afrikaans and English / Mishandeling is een van die mees traumatiese ervarings wat die adolessent kan beleef en beïnvloed sy totale ontwikkeling. Die doel met hierdie navorsing was om deur intervensie te bepaal of mishandeling enige implikasies het vir die adolessent se verhouding met God. Die pastorale en Gestaltterapie is aangewend om die adolessent wat mishandel is in sy verhouding met God te begelei. In die pastorale Gestaltterapiebenadering is daar rekening gehou met die dinamiese konteks van lewenservaring en betekenisvelde in die Godsbeeld van die adolessent. Hierdeur is die impak bepaal van die adolessent se ervaring, waarneming en verwagting van God. Die uitgangspunt van die pastorale Gestaltterapie was dat die adolessent se verhouding met God disfunksioneel geword het as gevolg van mishandeling. Met behulp van die intervensienavorsingsmodel is tot die gevolgtrekking gekom dat die pastorale Gestaltterapeutiese benadering die verwronge Godsbeeld van die adolessent verander het sodat die verhouding met God kan herstel. SUMMARY Abuse is one of the most traumatic experiences the adolescent can have and influences his total development. This research was aimed at establishing, by means of intervention, whether abuse has any implications for the adolescent's relationship with God. The pastoral and Gestalt therapy was applied to guide the abused adolescent in his relationship with God. In the pastoral Gestalt therapy approach the dynamic context of life experience and areas of meaning in the adolescent's image of God was taken into account. Thereby the impact of the adolescent's experience, observation and expectations of God was established. The starting-point of the pastoral Gestalt therapy was that the adolescent's relationship with God became dysfunctional as a result of abuse. With the aid of the intervention research model, it was concluded that the pastoral Gestalt therapeutic approach has changed the distorted God-image of the adolescent to restore the relationship with God. / Social work / M.Diac. (Play Therapy)

The effects of having witnessed their fathers’ violent behaviour impacts on daughters for a long period afterwards, even in adulthood. This study explores this phenomenon by means of literature review and interviews. The literature indicates that the effects of paternal violence is linked to forced maturity, secrecy, pretending, self-blame, and negative impact on the daughter’s relationships with both parents. A narrative approach was used to interview three adult participants. The conversations were analysed using thematic analysis and hermeneutics. Themes that emerged include avoidance, ambivalence towards the parents, aggression, assertiveness, and over-responsibility. There is a tendency to avoid intense, emotionally-laden, ambiguous and unpredictable situations through the use of interpersonal vigilance, an emotionally strong poise, distancing, being agreeable and devoutness. Also, there is a fear of becoming just like their abusive father. The psychological impact of being witness to a father’s violent behaviours has long-lasting effects on daughters. / Psychology / M.A. (Clinical Psychology)

Crime is as old as mankind. It started with an incident of theft inside Paradise and a murder outside. In order to understand the phenomenon of crime several theories were formulated over time. One fact should be recognized: All forms of trauma can be reduced to a single common factor: Control – or better said: a lack of control. A lack of personal control causes tension; tension leads to desperation; desperation leads to irresponsibility. Then the door to crime is unlocked. Fortunately all irresponsibilities doesn’t lead to crime. In order to understand the offender it is imperative to understand his background. The relationship between childhood trauma and crime cannot be denied. It is a fact that childhood traumas can lead to abnormal brain development in early childhood. For this reason special attention is paid to the processes involved in brain development, both in normal children and in maltreated ones. If not identified and intervened in time, it can lead to a situation where the cycle of frustration and desperation, and eventually crime, cannot be interrupted - not even by prisonization. Management of change (rehabilitation) must reckon with the influence of said traumas on the brain development of children. Efforts to rehabilitate the offender becomes senseless if applied for an hour once a week. Such efforts cannot repair the damage done by negative influences repeated thousands of times over many years. In the same vein it is fruitless to aim therapeutic interventions on the reason of man hoping to repair the emotional damage of his childhood. For this reason the Neurosequential Method of Therapeutics holds promise in the quest for the rehabilitation of the offender and in the fight against crime. / Penology / D. Litt. et Phil. (Penology)

This thesis deals with the psychological and physical violence against seniors. The work consists of theoretical and practical parts . The theoretical part deals with the age when a person becomes a senior , what problems arise in this phase of life . A special chapter is devoted to the issue of violence, which arises his comrades , victims , people who commit violence and why. Then I write about social services for the elderly and special homes where the survey is conducted. With social work is closely linked to ethics and ethical dilemmas. In the last chapter of the theoretical part of the thesis summarizes all the knowledge gained from the literature. The practical part contains the objective of the survey , which was a data analysis focused on the verification of the hypotheses , the protection of clients within the quality standards of social services and ethical code of the device. The survey was conducted through semi-standardized interviews, which were recorded in data sheets with clients / users of a rest home and home with a special regime in Litvinov - Genoa and to the staff of the direct care facilities , head of medico- social department, social workers . The output is the final report for a device that will then work with the survey results in improving the quality of social services. The operational objective was prepared list of contacts can help the victims of violence. Another objective was to address the identified ethical dilemmas. Information obtained from the interviews were analyzed in the presentation of results and then summarized in a final discussion.

The purpose of this thesis titled ``The competence of students from selected faculties of Charles University to prevent Child Sexual Abuse (CSA) syndrome{\crq}q is to identify the readiness of selected future specialists (final year students specialising in the relative area) to prevent Child Sexual Abuse (CSA) syndrome. In the theoretical part of this work fundamental definitions, as well as terms relevant to Child Sexual Abuse syndrome (CSA), or Child Abuse and Neglect syndrome (CAN) are mentioned. Furthermore, some aspects of epidemiological indicators are presented showing us proof of Child Sexual Abuse (CSA) syndrome in common populations and therefore a need to address this problem. In the practical part of this thesis quantitative interviews were used, which were implemented by Computer Aided Web Interviewing (CAWI). The subject group was a convenience sample of 579 students in there final year (2007/2008) of studying. Students from the following faculties participated: Charles University {--} 1., 2., 3. Medical faculty, Medical faculty in Hradec Kralove, Medical faculty in Plzen, Faculty of Law, Pedagogic faculty, faculty of Philosophy and Human resources faculty. Five hundred seventy nine respondents studying in academic year of 2007/2008 on selected faculties of Charles University were contacted. The questionnaire that was used comprised of different parts, in which both closed as well as open-ended type of questions were used. The scale was used in the analyses of the primary outcome measures. The absolute frequency, relative frequency, cumulative frequency, independent chi square, analysis of variance medium and sample standard deviation were determined. Both tables and graphs were used to show the frequencies distribution Based on results a standard of minimal knowledge/training was established based on the results. Recommendations were made as to the means for facilitating functional interdisciplinary collaborations. The recommendations presented in this thesis are fundamental and are intended to be used by University professors at of the above mentioned Universities. The standard includes fundamental terminology and logistics. The ultimate goal of this work is that it be applied, and that new and relevant information be added by specific faculties.

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