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 Section 12 
Preadoptive Child Maltreatment
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 In the last section, we discussed Sharing About Abandonment.  This included Preschool Age, Early Elementary Age, From a Single Mother, From a  Large Family, Middle School Age, Preteen and the "Homeland Tour"  Technique. Do you have a client whose child was abused in his or her  previous home?  How do you respond?   In this section, we will discuss Sharing About Abuse.  First, we will discuss Physical Abuse, then Sexual Abuse.  This will include Preschool Age, Early Elementary Age, Middle School Age and Preteen.  As you listen, think of your client.  How does he or she explain this abuse to the child? Time Bombs Some adult victims of abuse that I have treated say they  feel like time bombs ready to go  off.  This is often the case in those who  were under the age of six when the  abuse or trauma occurred.  Since these  abuse victims have not seen their birth families since the time of the  abuse.  Because these children were so  young, often they do not have any context for relating to those persons outside the memory of the abuse.
 Sometimes the abusive event was so  overpowering that it is the only memory from which individuals can develop a sense of identity.  When children who  have been victims of abuse are adopted,  parents can aid their children in understanding about that abuse as they move through their progressive stages of development. Physical Abuse Vanessa, a single mother, came to me about her adopted son  Caleb, age 4.
 Vanessa stated,  "Caleb came to the attention of protective service workers when he entered  preschool at the age of 3.  Caleb was an  angry child who would slap, kick and bite his playmates.  One day, Caleb came in soaking wet from rain.  His teacher, who kept spare clothes in the  classroom, was helping him change, and she noticed huge bruises on his back and  his legs.  The teacher asked Caleb who  did this to him, and Caleb replied, 'Mommy and Daddy.'  Caleb was put into protective custody, though  he was later moved for adoption.  I've  had Caleb for a year now, and I know someday he'll have a lot of questions  about the how's and why's of his life.  How can I be prepared to answer those  questions?"   Similar to the last section,  let’s go through the steps of explaining to Caleb the story of his birth  parents. 
 4 Steps of Explaining the Story
 ♦  #1 Preschool AgeFirst, as a preschooler, I explained to Vanessa  that she could help Caleb to understand that his birth parents were not able to take care of him.  I explained that Vanessa might say to Caleb,  "All children need safe mommies and daddies.  Your birth parents were not able to keep you  safe."
 ♦ #2 Early Elementary  AgeSecond, as Caleb  approaches his early elementary years, I explained that Vanessa might say something like, "You were not  hurt because you are a bad child, even if someone told you that.  You are not at fault for what your parents  did.  You were treated harshly because  your parents were out of control in their lives."  I have found that adoptive parents can, at early  elementary age, begin to fill in some details about the birth parents, for example, drinking problems, family problems, or financial problems.  If Caleb still had memories of the abuse, Vanessa  could tell the story with Caleb to  help him talk about his thoughts and feelings.
 ♦ #3 Middle School AgeThird, in  addition to preschool age and early elementary age, when Caleb approached middle school, I suggested that Vanessa  ask, "Do you ever get angry at a friend at school or on the  playground?  Do you ever feel like  hitting them?  Many children feel that  way.  Your parents also got very  angry.  They never learned how to handle  anger when they were growing up.  Instead  of handling anger in a good way, they took their anger out on you, even when  they knew it was wrong.  What do you  think could make them so angry?  Life  circumstances were overwhelming to them, and they didn't know how to handle  them.  What could have been overwhelming  for them?"
 I explained that Vanessa  could fill in all the details she knew about Caleb's birth parents' background  at this point. ♦ #4 Preteen Fourth, Vanessa  and I discussed Caleb's preteen years and how to explain the story of his birth  parents.  I stated, "You can  continue to deal with all Caleb's memories, both positive and negative.  Giving information and tapping  into emotions can be keys regarding helping Caleb move through the stages of his  own anger and hurt.  Information at the preteen age might include  such areas as intergenerational patterns of abuse, socio-economic influences  and the psychological makeup of Caleb's  birth family."
 When Caleb reached  age twelve and beyond, he will develop abstract thinking and would begin to  understand his birth family dynamics in these advanced terms. Do you have a Vanessa who might benefit from hearing this  section in your next session?  Now that  we've discussed Sharing About Physical Abuse, we will discuss Sharing About Sexual Abuse.  This will include Early Elementary Age and Middle School Age and Beyond. Sexual Abuse Have you found, as I have, that children often feel responsible for sexual abuse?  As you know, offenders often make the child feel responsible for what  happened, both as a way of keeping their victims quiet and to rationalize their own destructive behavior.
 Dennis and Charlotte were the adoptive parents of Olivia,  age 8.  Charlotte stated, "Olivia was  three years old when her stepfather, Ike, entered her life.  Within a year after he came, Ike started  fondling her.  By the time Olivia was in first grade, Ike would come into her room late at night and force himself  upon her.  It was one of Olivia's teachers who became aware of the  abuse.  The teacher heard Olivia talking  to a friend at recess about what her daddy made her do.  The teacher notified the  local Child Protective Services agency. Olivia's birth mother denied all of Olivia's allegations and  essentially chose her husband over  her daughter.  Olivia entered foster care with us and Dennis  and I eventually adopted her.  Someday,  we will have to tell her why…"
 2 Parts to Explaining Sexual Abuse
 ♦ #1 Early Elementary  AgeI explained to Dennis and Charlotte that as Olivia was elementary-aged, they might want to  begin a discussion of sexuality.  As you  know, there are a lot of books for  children that discuss the topic of sexuality, and I suggested these to Dennis  and Charlotte in case they wanted some extra help.  I suggested that Dennis and Charlotte begin  discussions about how Ike made hurtful decisions and was not considering Olivia's feelings.
 I stated, "You might begin  to ask Olivia questions like, 'Do you ever wonder about the time when you were  with your birth parents?'  Olivia may  need to hear that nothing is too scary or too horrible to talk  about.  Olivia may need to know that nothing she can say will cause you to  send her back."  I have found that children  often need to learn that no feelings will kill them, nor will any memory kill them either. ♦  #2 Middle School Age  and BeyondFurther, as Olivia prepared to enter adolescence, I suggested that Dennis and Charlotte consider counseling or a support group for Olivia to help with resolution of her early  sexual abuse.  I stated, "You can continue to respond  to Olivia's questions with openness, support, and reflective listening.  By reflective listening, I mean listening and  then rephrasing Olivia’s statements to show her your understanding.  You might reassure Olivia, 'It took great courage on your part to disclose what  your stepfather did to you.'  You can let  Olivia know that you feel she did the right thing, and that you're proud of her."
 Do you have a Dennis or a Charlotte whose child was sexually  abused?  Might he or she benefit from  hearing this section?   In this section, we  have discussed Sharing About Physical and Sexual Abuse.  This has included Preschool Age, Early Elementary Age, Middle School Age and Beyond. In the next section, we will discuss Sharing About Rape and Incest.  This will include  The "Tape Recorder"  Technique, the Early Years, Middle School Years and Beyond and The Word "Rape."Reviewed 2023
 Peer-Reviewed Journal Article References:Cioffi, C. C., Griffin, A. M., Natsuaki, M. N., Shaw, D. S., Reiss, D., Ganiban, J. M., Neiderhiser, J. M., & Leve, L. D. (2021). The role of negative emotionality in the development of child executive function and language abilities from toddlerhood to first grade: An adoption study. Developmental Psychology, 57(3), 347–360.
 
 Farr, R. H., Bruun, S. T., & Simon, K. A. (2019). Family conflict observations and outcomes among adopted school-age children with lesbian, gay, and heterosexual parents. Journal of Family Psychology, 33(8), 965–974.
 Gupta, S., Bonanno, G. A., Noll, J. G., Putnam, F. W., Keltner, D., & Trickett, P. K. (2011). Anger expression and adaptation to childhood sexual abuse: The role of disclosure. Psychological Trauma: Theory, Research, Practice, and Policy, 3(2), 171–180. 
 Ryan, S. D., & Madsen, M. D. (2007). Filial family play therapy with an adoptive family: A response to preadoptive child maltreatment. International Journal of Play Therapy, 16(2), 112–132.
 
 Tener, D., Lusky, E., Tarshish, N., & Turjeman, S. (2018). Parental attitudes following disclosure of sibling sexual abuse: A child advocacy center intervention study. American Journal of Orthopsychiatry, 88(6), 661–669.
 
 QUESTION 12
 Why is it beneficial to ask a sexually abused child about his or her experience? 
  To select and enter your answer go to .
 
  
      
 
 
 
 
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