CHILD NEGLECT AND ABUSE FINAL
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
Munchausen by proxy - Answer-An individual, typically a mother, intentionally causes or
fabricates illness in a child or other person under her care
Who first coined the term "Munchausen by proxy" - Answer-Dr. Roy Meadow (1977) first
described MSBP in the literature when he coined the term to refer to mothers
deliberately falsifying illness in their children. Meadow used the term to describe the
combination of the abuse (and neglect) and the motivation of the caregiver.
Factitious disorder imposed on another (FDIA) - Answer-Mental illness in which a
person acts as if an individual he or she is caring for has a physical or mental illness
when the person is not really sick.
Individuals with FDIA target all children in their care, but may seriously focus on... -
Answer-younger children, challenging children, children with real medical conditions,
and disrupted attach children.
What are common medical conditions that are falsified - Answer-allergies, asthma,
apnea, gastrointestinal problems, failure to thrive, fevers, infections, and seizures
Children who survive FDIA are often left with severe... - Answer-psychological damage
and significant confusion about their health and relationships
Individuals with FDIA are predominantly female and have typically been found to have
a... - Answer-a coexisting personality disorder. (98% of perpetrators are mothers)
Mothers who exhibit MSbsp are more likely to have what parental style - Answer--
Insecure Attachment Style
What are the perpatrators MSbsp motivational factors? - Answer--Crave attention from
the staff
-Praise as a hero for saving their child
-May recieve gratification for fooling people in higher power
Why is it difficult to diagnose MSBP - Answer-•Practitioners may be reluctant to
diagnose
•Goes against the belief that a parent or caregiver would ever deliberately hurt his or her
child.
•Legal consequences of inaccurate diagnosis
•Personal consequences of inaccurate diagnosis
, •Mother's Against Munchausen's Allegations (M.A.M.A) - Answer-Mission: To stop the
assault on innocent parents from MSbP allegations and to reveal the ulterior motives of
the accusers
Institutional Abuse - Answer-Situations of known or suspected child abuse or neglect
which occurs at the institution where the person allegedly perpetrating the child abuse
or neglect is an employee of a private school; public or private child care center,
residential home, institution, program, or agency or any other person at such institution
responsible for the child's care
Child Abuse and Religion - Answer-abusers tell children they will be punished by God if
they let others know about the abuse, and some abuse is framed as necessary to rid a
child of evil spirits
-Both parents and abusive religious leaders may use their religious "authority" to justify
their acts
Disproportionately - Answer-too large or too small in comparison with something else
Example: In 2010 Native American/Alaska Native children represented 1.9% of children
in foster care and 0.9% of the general population.
Disparity - Answer-disparity is the difference in outcomes that children experience
based on race.
Nationally Latinx are less likely than whites to be - Answer-investigated or
substantiated; however, they are more likely than whites to be placed in foster care).
Child sexual abuse - Answer-includes fondling a child's genitals, incest, penetration,
rape, sodomy, indecent exposure, and commercial exploitation through prostitution or
the production of pornographic materials
Brief History of sexual abuse - Answer-(a) child sexual abuse is uncommon, (b) sexual
abuse is not harmful, (c) children are responsible for their own victimization, and (d)
mothers are culpable
-rape crisis movement of the 1960s and 1970s
1 in 6 ____ experience sexual abuse and 1 in 4 ____ experience sexual abuse -
Answer-boys, girls
Prevalence in sexual abuse "describes the rate of child sexual abuse in the general
population" What is the prevalence rate of CSA according to CP? - Answer--Every 8
minutes CP finds evidence of sexual abuse
-Inconsistent definitions of Child Sexual Abuse (CSA) have contributed to a disparity of
prevalence rates and psychological disturbances reported by victims
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