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April is National Child Abuse Prevention Month and Sexual Assault Awareness Month. The following diary samples free-access professional healthcare materials relating to violence, abuse, negligence and maltreatment of children and teens.  A separate diary sampling articles on sexual assault, gender-based violence, bullying, and their origins, effects and prevention, was published earlier. Some articles applying to both topics may be in both diaries.

Research reportage and discussion within the community of healthcare professionals lends the public a working perspective for increased medical and public health literacy that news media and patient education materials often can't supply. Most of the articles below are linked at Medscape, a free fairly-plain-English email-alert and website medical research and news reportage service. For an introduction to free use of Medscape, see the large blockquote at this brief item.

Blockquotes with article links are exerpts to give an idea of the viewpoint and approach of research and reportage. Articles are numbered for the convenience of readers and are listed simply by the order in which they were found, without other significance.

1. ▼  What a Bruise May Be Telling You

The red flags that should alert the provider to possible abuse include:  History that is inconsistent with the injury;  No explanation offered for the injury;  History that is inconsistent with the child's developmental level; and Injury blamed on another child or sibling.
"Blamed" on another child or sibling is a slippery slope (editorial emphasis added for clarification):  ▼  
2. ▼  Dating Violence by Teens Associated With Assault on Siblings, Peers
     Among the [violent teen subjects] with siblings, 50.8% of the boys and 60.5% of the girls reported having physically assaulted a sibling, peer, or dating partner at least once in the past month. Only 7.9% of all violence perpetrators reported participating in dating violence only.
      ...14.1% [of the violent male teenage subjects] reported participating in physical dating violence, 84.4% in peer violence, and 49.6% in sibling violence. Only 2.3% reported perpetrating only physical dating violence ... 75% reported both dating violence and peer violence ... 55.6% reported both dating violence and sibling violence.
      ...44.2% [of the violent female teen subjects reported violence] against dating partners, 65.2%...against peers, and 59.8%...against siblings. ...12% reported only [dating violence], with 59.4% reporting both dating violence and peer violence, and 50.3% reporting both dating violence and sibling violence.
      ...physical dating violence was associated with alcohol, tobacco, and marijuana use; carrying a knife; delinquency; school failure and truancy; victimization by peers or family; and exposure to community violence...
      [The authors] note that there are several possible reasons why the girls in this study reported [perpetrating] more physical dating violence... than [did] the boys. These include that the girls may have [included] playful hitting or self-defensive actions that boys often do not. Also, because the assessments did not ask about sexual violence, the boys may have underestimated their episodes of dating violence.
3. ▼  Psychopaths Programmed to Be Reward Seekers (by endogenous dopamine dysfunction).
Psychopaths doggedly pursue rewards without particular concern about potential consequences, and this tendency seems to be due to a malfunctioning brain reward system, new data suggest. Published online March 14 in Nature Neuroscience, the findings were reported by investigators from Vanderbilt University, Nashville, Tennessee.
      "The heightened dopamine release we found in the brains of individuals with psychopathic traits suggests that psychopathy may reflect dysfunction in dopamine reward circuitry," said lead author Joshua W. Buckholtz, BS, who is studying for his doctoral degree in neuroscience, told Medscape Psychiatry. "This study identifies a new brain system as being involved in psychopathy and may lead the way for future studies that target this system as a way of reducing aggression and antisocial behavior.
      "It also sheds light on the fact that, despite the availability of good evidence for underreactivity to some kinds of emotional stimuli, psychopaths don't have a general lack of emotional reactivity. In fact, the observed overreactivity of dopamine might cause them to pay more attention to obtaining rewards (like money, sex, or status) at the cost of attending to other things, like the potential consequences of their actions to their victims or even themselves,"
                ▼ Possibly related: Toward a 'Where' and 'How' Understanding of Dopamine Dysfunction in Disorders of Attention:Amphetamine-Induced Dopamine Release and Neurocognitive Function in Treatment-Naive [i.e., never treated with drugs for at least this diagnosis]Adults With ADHD [use caution to not assume judgementalness about ADD/ADHD in this research, especially in this context of this list; that's not what is significant or valuable about this research.
                             Attentional Disorders

      Disorders of attention can be conceptualized as disorders of ineffective frontal lobe processing of incoming stimuli. Parts of the frontal-subcortical circuits involved in executive function, reward, and motivation have been targeted in functional MRI studies of attentional disorders, yielding consistent patterns of abnormal frontal-striatal activation.
      The dopaminergic system in particular has been consistently linked to attentional and cognitive processing abnormalities. In many cases, impulsivity is strongly associated with impaired attention and attention-deficit/hyperactivity disorder (ADHD) traits. In psychiatry, strict use of the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), in making a diagnosis leads more often than not to the inclusion of different diagnoses under axis IV that may share common symptoms. If the DSM symptom criteria are strictly followed, the triad of inattention, impulsivity, and cognitive impairment can certainly be observed in disorders as phenomenologically separate as major depression, schizophrenia, bipolar disorder, and substance dependence [&etc.].

                              Brief Study Description

      This commentary is based on a double-blind randomized study of 2 matched groups: 15 male patients with ADHD and 18 healthy male controls. Standard DSM-IV criteria were used to diagnose ADHD. The 2 main design points of the study involved use of 2 PET scans and administration of neuropsychological tests to both groups. PET was done with [11C]raclopride, a radiolabeled synthetic compound that antagonizes the dopamine receptor, in the study groups before and after lactate infusion and amphetamine administration.  The main goal of this study was to further elucidate the neurochemical and structural abnormalities within the basal ganglia (the corpus striatum in particular) of the dopamine system indirectly, via measurement of binding to dopamine 2 and 3 (D2/D3) receptors.

4. ▼  Proactive Aggression in Callous-Unemotional Youth May Reflect Lack of Empathy, Reuters Health Information, Apr 2014.
     Proactive [indicated to mean "goal-directed" in this article: violence to achieve an objective] aggression in youth with callous-unemotional traits is accompanied by amygdala hypofunction in response to...facial expressions [of fear and emotional distress], according to a case-control study [reported in] JAMA Psychiatry online (abstract).
      Dr. Abigail A. Marsh, Georgetown University, Washington, DC. ...and colleagues used functional MRI to scan 16 healthy control participants and 30 juveniles [male and female... aged 10 to 17 years] with conduct problems who varied in callous-unemotional traits (16 with low callous-unemotional traits, 14 with high callous-unemotional traits), hypothesizing that differences in amygdala function could underlie these differences... The presence..of callous-unemotional traits ...(now referred to as 'limited prosocial emotions' in DSM 5)...  is associated with more severe, persistent, and treatment-refractory externalizing behaviors [fighting, bullying, cursing, and other forms of violence].
      "...sometimes kids with conduct problems are approached clinically as though their symptoms always reflect heightened anxiety or stress that may...result from previous trauma or maltreatment," Dr. Marsh said. "Our findings, and those of others, suggest that ...[youths] with high levels of callous-unemotional (traits) actually are not emotional enough... [they are] deficient [in] empathic responses to distress...
5. ▼  Psychopaths Know Right from Wrong but Don't care(editorial emphasis added for clarity)
     Adult psychopaths have deficits in emotional processing and inhibitory control, engage in morally inappropriate behavior, and generally fail to distinguish moral from conventional violations. These observations, together with a dominant tradition... which sees emotional processes as causally necessary for moral judgment, have led to the conclusion that psychopaths lack an understanding of moral rights and wrongs.
      We test an alternative explanation: psychopaths have normal understanding of right and wrong, but abnormal regulation of [their] behavior. We presented psychopaths with moral dilemmas, contrasting their judgments with age- and sex-matched (i) healthy subjects and (ii) non-psychopathic delinquents. Subjects in each group judged cases of personal harms (i.e. requiring physical contact) as less permissible than impersonal harms, even [where] both types of harms led to utilitarian gains. Importantly...psychopaths' pattern of judgments...was the same as those of the other subjects. These results force a rejection of the [concept] that emotional processes are causally necessary for [moral] judgments, suggesting instead that psychopaths understand the distinction between right and wrong, but do not care about such knowledge, or the consequences that ensue from their morally inappropriate behavior.
6. ▼  A Single Question to Sexually Abused Children Predicts Their Trauma Symptoms
     "We found that a single question - 'Sometimes, do you feel like any of this is your fault?' - predicts multiple trauma symptoms in this population," said principal investigator Dr. John D. Melville, site director of the Child Advocacy Center at Akron Children's Hospital, Mahoning Valley, in Boardman, Ohio, in an email to Reuters Health. "I was surprised by the strength of the association between self-blame and multiple trauma symptoms. Resiliency following trauma is a complicated, multifaceted process. It is unusual to have a single factor so strongly associated with so many outcomes."
      The authors investigated behavioral and emotional symptoms of abuse and self-blame in [charts of 501 consecutive children aged 8 through 17 years one large urban child advocacy center, who had previously been] medically evaluated after disclosing sexual abuse, as well as family responses to disclosure ...All of the children had forensic interviews either a physician or a sexual assault nurse examiner trained in assessing child sexual abuse.
Clinic staff interviewed the children's parents or guardians separately, and asked them if they believed completely, partially, or did not believe the child's first claim of abuse, and whether their belief later changed.
      The children of parents who indicated disbelief at their child's disclosure of abuse were more likely to blame themselves during their medical assessment than the children of parents who completely believed their child's initial disclosure (65% vs. 51%...). In contrast, parental disbelief at the time of the medical assessment was not associated with child self-blame, according to findings published online March 11 in Child Abuse & Neglect.
      Parents need to let children know that they believe what they disclose about the abuse and understand the impact their initial reaction will have on their child's emotional response to the abuse, the authors write.
    "Our study...included many more Hispanic children than prior studies on self-blame. We found that Hispanic children react to sexual abuse in a way similar to their non-Hispanic peers," Dr. Melville said. Overall, 83% of the children had at least one trauma symptom such as problems with sleep, school, appetite, or sadness; 20% had one symptom and 45% reported three or more symptoms. Sixty percent of the children had difficulty sleeping, and almost 35% had thoughts of self-harm. A total of 55% reported self-blame. Children older than 12 years were almost twice as likely to blame themselves for the abuse...and girls were twice as likely as boys to blame themselves...
      Co-author Dr. James L. Lukefahr, from the University of Texas Health Science Center at San Antonio, said, "The most important thing to bear in mind when a doctor is evaluating a child who has likely been sexually abused is query the child in a caring and respectful way... The vast majority of children who have been sexually abused are having [trauma]/psychosocial symptoms [but] probably won't volunteer [that information]."...
      "A sexual abuse evaluation is a specialized service that comprehends more than an evidence collection or a physical examination. Physicians must diagnose and treat these emotional consequences of sexual abuse," Dr. Melville said.
      In the US, child advocacy centers are multidisciplinary facilities that have increasingly taken on the responsibility of providing legal intervention and psychotherapy for children who are [alleged victims of crimes, and non-offending family members]... In 2012, 286,457 US children received services at C.A. centers, and of these, 197,902 (69%) were [assessed as having been] victims of child sexual abuse.            study abstract (scroll down past reprint purchase information)

7. ■  Long-term Physical Health Consequences of Childhood Sexual Abuse: A Meta-analytic Review  

8. ■  Bullying Doubles, Rape More Than Triples Risk for Teen Suicide  

9. ■  Being a Bully Linked to Casual, Risky Sex November 12, 2013  

10. ■  Sexual and Physical Abuse Early in Life Can Affect Genes  

11. ▼  Poverty, Maltreatment and Attention Deficit Hyperactivity Disorder, from Archives of Disease in Childhood, 2013. Sections: Abstract • Background • Impact of Exposure to Conflict and Violence on Brain Development and Function • Testing the Hypothesis •    Problems for Diagnosis, Management and Research Diagnosis • Conclusions •  References

Abstract: Attention deficit hyperactivity disorder (ADHD) is a common condition affecting many thousands of children. It is a condition that can have adverse health, social and educational outcomes. It also exacts significant societal costs, economically and socially. This paper hypothesises that the population of children receiving a clinical diagnosis of ADHD is aetiologically heterogeneous: that within this population, there is a group for whom the development of ADHD is largely genetically driven, and another who have a 'phenocopy' of ADHD as a result of very adverse early childhood experiences, with the prevalence of this phenocopy being heavily skewed towards populations living with poverty and violence. A third group will have a high genetic risk and have been exposed to violence. These groups will overlap, with epigenetic phenomena and other environmental factors, for example, preterm birth, poor intrauterine growth, foetal exposure to teratogens, playing an important role for all affected children in determining the severity of their functional difficulties. ...
      Impact of Exposure to Conflict and Violence on Brain Development and Function:The infant human brain at birth is relatively immature in comparison to other mammals. Consequently, the first two years of life, especially the first, see marked growth and development of the brain, including the establishment or loss of cellular interconnections and cell culling. The direction and pattern of these processes is partly genetically, partly environmentally driven although, of course, these factors are not independent. The emerging science of epigenetics is providing some explanation as to how they inter-relate.[8] However they do, it does not alter the undeniable conclusion that our children's brains are sculpted irrevocably by their early life experiences,[9] and that these impacts last into adulthood.[10]
12. ▼  Shaken Baby Syndrome  Nickolaus J. Miehl Disclosures  J Foren Nurs. 2005
     Shaking generally is attributed to the perpetrator's level of tension and frustration, often generated by an infant's crying or irritability. Risk factors for nonaccidental injuries in children and infants include... Negative childhood experiences including neglect or abuse... Additionally, parents or caretakers who have been involved with substance abuse and/or domestic violence may be at a higher risk for inflicting SBS. Societal factors, such as the general acceptance of violence on television, radio, and video games may also have a strong correlation with child maltreatment (Thomas, Leicht, Hughes, Madigan, & Dowell, 2003).
      ...Parents may not be aware of the basic needs and normal development of their infant. This can lead to a role strain due to unrealistic expectations of the infant and a poor understanding of the infant's developmental level and abilities. Fulton (2000) notes that infants can spend up to 20% of their awake time crying. To the parents and caretakers of the infant, he or she may seem inconsolable, and frustration can quickly build. This may lead to the physical shaking of the infant in an attempt to calm the baby. Episodes of shaking are directly proportional to the degree of frustration felt by the parent or caretaker, and parents are often the perpetrators of abuse resulting in a child fatality (Tenney-Soeiro & Wilson, 2004). Men outnumber women as perpetrators of shaking by a 2:1 ratio, including fathers, step-fathers, and boyfriends (Keenan & Runyan, 2001). Caretakers, including babysitters, are now being examined as possible contributors to SBS (Fulton, 2000). Risk factors of caretakers contributing to SBS include immaturity, young age, and lack of life experience.
13.  ■  Children in Lesbian Families Less Likely to be Abused by Parent, Other Caregiver  Deborah Brauser November 18, 2010

14. ■  Emotional Maltreatment

15. ■  Maternal PTSD Linked to Risk for Child Maltreatment  

16. ■  Childhood adversity heightens the impact of later-life caregiving stress on telomere length and inflammation.  

17. ■  Childhood Adversity Casts a Long Shadow  

18. ■  Rise in Child Abuse Tied to Housing Crisis  

19. ■  Positive Parenting Won't Make Up for Yelling, Insulting  

20. ■  Depressed, Abused Mothers More Likely to Spank Their Children  

21. ■  Spanking Increases Aggression, Decreases Language Skills

22. ■   Spanking, Slapping Kids Linked to Subsequent Mental Illness

23. ■   Physical Punishment Harms Children’s Long-Term Development

24. ■   Child Maltreatment: Screening and Anticipatory Guidance

25. ■  Childhood Trauma Linked to Learning Problems [and] Obesity  

26. ▼  Leptin Levels High in Adults Abused as Children

Significant neglect or abuse during childhood adversely affects levels of the hormones leptin and irisin, suggesting a link between adversity in early years and metabolic disorders later in life, according to a new study.
      This is the first known report of early-life adversity influencing levels of adipomyokines (hormones released from adipose tissue) in adult life, say the investigators. It adds to the growing body of data regarding the potential impact of early-life adversity on obesity, diabetes, and metabolism in later life.
27. ▼  Childhood Abuse Linked to Food Addiction
Analysis of more than 57,000 women who participated in the Nurses' Health Study II (NHSII) showed that those who experienced physical or sexual abuse as children and/or adolescents were twice as likely to have a current food addiction as the women who did not suffer past abuse. The risk for food addiction was even greater for the women who had experienced both physical and sexual abuse...
28. ▼  Abandoned Time and Time Again: (Part of a series, "The Child Exchange: Inside America's underground market for adopted children") The complete article is highly recommended - please consider reading in full.
EDITOR'S NOTE: This story contains language that some readers may find offensive.
      ...of the roughly quarter-million foreign children brought to this country through adoption since the late 1990s...their fate in America has never been systematically examined. ...A Reuters investigation has revealed how Americans who adopt from overseas can easily offload troubled children to virtual strangers they meet on the Internet. Through a practice called "private re-homing," parents market their unwanted kids online and pass them along to others - quickly, often illegally, and almost always without consequence for the adults.
      In a single Internet bulletin board examined for this series, a child was offered to strangers once a week, on average. Most of the children - 70 percent - were listed as foreign-born. They came from at least 23 foreign countries, including Russia, Ethiopia, China and Ukraine. (Yahoo took down the bulletin board in response to what Reuters found.)
      Adoptive parents say they turn to Internet groups because they have no alternative. In an interview with the Associated Press in 2001, Priscilla Whatcott said life was so bad that she wondered whether Inga [the pre-teen Russian girl adopted by the Whatcott's through Nightlight Christian Adoptions], would simply be better off dead. "Some days I think that the very best answer is for God to take her," she told the AP. "Release her and be done with it. There is no happy ending here."
      Whatcott's solution was tougher liability laws. "Clearly, we would have avoided much of this heartache and tragedy if consumer protection laws pertaining to international adoption had been in place," she wrote in testimony submitted to Congress in 1999. ... Today, 16 years on, Whatcott still compares adopting Inga to buying "a pig in a poke" or being "sold a bill of goods."
      Stephen Pennypacker, a child welfare official in Florida, says adoptive parents aren't consumers and their troubled children can't be treated like faulty products...
29. ■  Essential Information About Patterns of Victimization Among Children With Disabilities  

30. ■  Lost in the Shuffle: Culture of Homeless Adolescents  

31. ■  Young People: Victims of Violence

32. ■  The Relationship of Trauma to Mental Disorders Among Trafficked and Sexually Exploited Girls and Women

     Trafficking in persons is a human rights violation that occurs around the world. Human trafficking involves the recruitment and movement of individuals—generally by force, coercion, or deception—for the purposes of criminal exploitation or abuse... the International Labor Organization has estimated that approximately 12.3 million people are in situations of forced or bonded labor, half of whom are believed to be women and girls... Although men, women, and children are trafficked and exploited in such economic sectors as construction, farming, fishing, textiles, and mining, the trafficking of women and girls for forced prostitution is among the most well-recognized forms of trafficking. Because of the often extreme sexual, physical, and psychological abuses associated with this form of gender-based violence, women and girls who are trafficked and sexually exploited through forced sex work or in other circumstances such as domestic servitude, are a population of particular concern for mental health specialists. Researchers and advocates continue to call for urgently needed psychological support services for trafficked persons—and for sexually abused women and girls in particular... Some trafficked girls and women do not suffer extraordinary levels of abuse; nevertheless, assault, coercion, threats of harm to themselves and their families, and severely restricted freedom are common... many of the menacing tactics used to control trafficked girls and women are readily comparable with the characteristics of abuse described in the literature on torture

33. ■  How Does Exposure to Violence Affect Children?

34.  ■  Forced Female Genital Cutting Female Genital Cutting. J Obstet Gynaecol Canada 2013 Nov;35(11):1028-45. Abstract. Reported at length in Guideline format, with evidence quality rating descriptions, in Agency for Healthcare Quality & Research, National Guidelines Clearinghouse, NIH, U.S. Dept. of Health & Human Services

     ...Female genital cutting (FGC) is internationally recognized as a harmful practice and a violation of girls' and women's rights to life, physical integrity, and health. The immediate and long-term health risks and complications of FGC can be serious and life threatening. ...Global migration patterns have brought FGC to Europe, Australia, New Zealand, and North America, including Canada...There is concern that FGC continues to be perpetuated in receiving countries, mainly through the act of re-infibulation... Performing or assisting in FGC is a criminal offense in Canada. Reporting to appropriate child welfare protection services is mandatory when a child [is found to have] been subjected to FGC or is at risk of being subjected to the procedure... There is a perception that the care of women with FGC is not optimal in receiving countries...
35. ■  Trauma-Focused CBT Effective for Pediatric PTSD possibly versus  No Long-term Benefit of Trauma Treatments in Kids

36.   ■  About 12 Million U.S. Outpatients Misdiagnosed Annually & half of those errors could lead to serious harm.

37.    ■ Posttraumatic Stress Disorder in Children: Practice Essentials (Updated: Jan 2014)

Originally posted to KosAbility on Fri Apr 25, 2014 at 08:35 PM PDT.

Also republished by House of LIGHTS, This Week in the War on Women, Feminism, Pro-Feminism, Womanism: Feminist Issues, Ideas, & Activism, Rape and Domestic Violence, and Mental Health Awareness.

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Comment Preferences

  •  Thank you for this compilation. (2+ / 0-)
    Recommended by:
    mettle fatigue, Joy of Fishes

    I don't understand the wording here:


    Trauma-Focused CBT Effective for Pediatric PTSD possibly versus  No Long-term Benefit of Trauma Treatments in Kids
    Do you mean that treatment of TF-CBT has more benefit than no treatment? Or do you mean that TF-CBT has no long term benefit?

    "Life is not about waiting for the storm to pass... it is about learning to dance in the rain." ~ Vivanne Grenne Shop Kos Katalogue!

    by remembrance on Fri Apr 25, 2014 at 10:02:59 PM PDT

    •  the 2 articles seem to reach differing (3+ / 0-)
      Recommended by:
      JrCrone, Joy of Fishes, remembrance

      conclusions, which i felt valuable to include in order to suggest that no research is definitive and even well-designed research projects can produced differing results.  i have a thing about all science being work in progress, read critically, etc.

      In a diary of journal articles, i usually don't want to hold opinions about the material too much, except where i've specifically said otherwise, and in this case it's true i did, but within that context.  generally, i hope readers will read in full the articles they consider most likely to be valuable.

      i do often express opinion in comments, 'tho, so in this case i would say i sort of have a suspicion that the modality and the specific patient have to be a good match for the modality to be of benefit - speculating, in other words, that we don't get effectivity enough just by matching the modality to the disorder, because patients are entire human beings, of infinite diversity, and not definable solely by their diagnoses ... which after all are concepts of science and themselves subject to redefinition as time goes on.

  •  Also, (3+ / 0-)

    anxiety can look like ADD and ADHD. In the past month alone I have evaluated a handful of patients whose parents wanted to know if there child had ADD/ADHD or not because of "focus" issues. In every single case, at least in my recent past, they all had various forms of anxiety due to high pressure academics and family expectations. The pattern of kids coming in for therapy because of school pressure in Silicon Valley is very high. These kids are highly anxious and depressed and so we treat them instead of making changes to the academic environment. Makes sense, right? :(

    "Life is not about waiting for the storm to pass... it is about learning to dance in the rain." ~ Vivanne Grenne Shop Kos Katalogue!

    by remembrance on Fri Apr 25, 2014 at 10:10:16 PM PDT

    •  yes, absolutely! (4+ / 0-)

      ADD/ADHD increasingly seems to me more symtom than diagnosis.  Not that i have any credentials to say so in any serious sense.  But fairly often i recall the expression i believe preceded, "hyperactive", which a teacher suggested to my parents I was in, oh, 4th or 5th grade, newly arrived clear across the country and my system absolutely crawling with histamine from newly-triggered allergies.  i was so miserable with allergy symptoms i probably couldn't sit still.

      and did not yet have glasses - the same teacher figured out --correctly, in this case-- that i was myopic as hell and moved my desk from surname alphabetical position at the back of the room (near the bookcase of encyclopedias and window... ) at which point imagine my surprise upon discovering there was actually stuff written on the blackboard at the front of the class that the teacher was talking about.  Up to that point, i thought the blackboard was blank and nothing she said made any sense.

      my parents got me glasses immediately.  so even through the hellacious pain of weeks of intradermal allergy testing ---the kind where they shove a needle between layers of skin to create bubbles of allergens at 60 spots on your back and 20 more on each arm, week after week after week--- i stopped being "hyperactive" because i had something to see on the blackboard and think about and work on.

      unfortunately, this happened when i was only about halfway through the multi-volume encyclopedia and i never did finish it.  

      •  What you say about the vision (2+ / 0-)
        Recommended by:
        mettle fatigue, remembrance

        and its connection to attention (and, more to the point, their deficits) is pretty intriguing. However, I just know there will be those (with lots of authority and DSMs) who will say it's just my kid, and they have never seen any other ones with similar vision issues who have the same attention problems....

        Darling, you didn't use canned salmon, did you?

        by JrCrone on Fri Apr 25, 2014 at 11:31:15 PM PDT

        [ Parent ]

        •  I kind of think all perception basic to attention. (1+ / 0-)
          Recommended by:

          Hopefully my friend who has great eyes but zero visual memory and considerable attention deficits that he experiences as linked together, and has all his life, if i understand correctly, would forgive my mentioning him.

          If vision didn't matter to effective attention, no one would wear glasses because why bother, y'know?

          •  It just shows to go... (2+ / 0-)
            Recommended by:
            mettle fatigue, remembrance

            that I am still way too under-informed in some major things effecting my kid's life, and therefore mine as well.

            Blind and vision-impaired individuals come in all kinds of types and flavors. My monocular vision-impaired kid seems to mystify the local teachers of the visually-impaired as being particularly problematic in terms of deficits in the attention department.

            Now, I fundamentally agree with you. Yet, I am facing down people who say BVI does not automatically mean there is an attention deficit. They would emphasize vision as being effective for getting around and not bumping into things and not having to work harder to get independent living skills.

            Darling, you didn't use canned salmon, did you?

            by JrCrone on Sat Apr 26, 2014 at 01:13:54 AM PDT

            [ Parent ]

      •  It certainly could be. (2+ / 0-)
        Recommended by:
        mettle fatigue, ladybug53

        I find that when I take medication for my ADHD, I have a great ceasing of anxiety.

        Because I don't have the little voice going, "Think, think, what was it you needed to take to the party tonight, remember to put your phone back in your pocket, don't forget that you have to set the alarm to be up by six, remember to put the meat in the microwave when you get home, remember, remember, remember!"

        I just do so, and know, and can move through life without that constant gnawing anxiety that I have forgotten something very important.

        When you come to find how essential the comfort of a well-kept home is to the bodily strength and good conditions, to a sound mind and spirit, and useful days, you will reverence the good housekeeper as I do above artist or poet, beauty or genius.

        by Alexandra Lynch on Sat Apr 26, 2014 at 10:58:34 AM PDT

        [ Parent ]

  •  This is what I study;-focusperceptioninteraction (1+ / 0-)
    Recommended by:
    mettle fatigue

    focus, perception, interaction.

  •  What? (2+ / 0-)
    Recommended by:
    mettle fatigue, ladybug53
    The red flags that should alert the provider to possible abuse include: ... and Injury blamed on another child or sibling.
    I was often beaten by other students in school. It happens. It happens all the time. I see this out of context, but sometimes kids are getting beaten and/or abused at school and only have any safety at home.
  •  thank you (2+ / 0-)
    Recommended by:
    mettle fatigue, ladybug53

    Helps us stop blaming self for adult problems.

  •  Wonderful comprehensive (2+ / 0-)
    Recommended by:
    mettle fatigue, ladybug53

    diary on the subject. Thanks so much. I will repost elsewhere, as many groups as I can think of.

    Being attentive to the needs of others might not be the point of life, but it is the work of life. It can be ... almost impossibly difficult. But it is not something we give. It is what we get in exchange for having to die. - Jonathan Safran Foer

    by ramara on Sun Apr 27, 2014 at 01:03:37 AM PDT

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