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During the past ten years, the problem of child abuse has been the
subject of increased attention both in the professional community
and among the general public. The reasons for this widespread
recogni tion are clear. First, professionals of many disciplines
deal with child abusive families and do so in a variety of ways:
Physicians, hospital staff, and teachers are often the first to
assess a child as the victim of abuse; social workers and
child-protective personnel investigate cases of suspected abuse;
court and legal authorities make determinations concerning the
needs of an abused child; and mental health profes sionals,
including psychologists, social workers, and family coun selors,
often have responsibility for treating abusive families. Few
clinical problems have received this kind of widespread interdisci
plinary recognition and, given the nature and seriousness of child
abusive behavior, few problems receive such intensive attention
within each profession's literature. A second factor responsible
for increased study of child abuse is the fact that violence
directed toward children is probably the most extreme form of
family dysfunction seen by counselors, therapists, and other
practitioners. While other types of child-management and
anger-control problems occur far more frequently, the consequences
of child-abusive behavior are much more serious than the conse
quences of other problems seen in child or family clinics. It has
been v vi PREFACE estimated that as many as 550,000 children are
the targets of parental abuse in the country each year (Helfer
& Kemper, 1976)."
Acquired immune deficiency syndrome (AIDS) poses a health threat
unparalleled in modem times. Identified just a few years ago, AIDS
and the human inunlmodeficiency virus (IDV) responsible for it
affect millions of persons worldwide. AIDS has already become the
leading cause of death among persons under 40 in some large
American cities. From the beginning. it has been evident that AIDS
carries unique psychological and social ramifications. In spite of
its lethality, new cases of HIV infection are preventable if
individuals can be assisted to make behavior changes to lessen or
eliminate viral transmission. To the extent that we can develop
effective primary prevention interventions, it will be possible to
keep larger numbers of people from becoming infected with the mv
virus. Psychological and social risk behavior change interventions,
whether at the level of individual clients, groups, or entire
communities, can playa key role-in fact, the only available role-in
disease prevention. Patients with any life-threatening illness have
psychological, social, and support needs. However, these needs are
more pronounced and, often, less easily addressed for persons
affected by AIDS. People in good clinical health but with HIV
infection face years of worry concerning whether they will develop
AIDS. Nearly 2 million Americans are currently in this precarious
position; by 1991, 50 to 100 million persons worldwide are expected
to share the same uncertainty."
During the past ten years, the problem of child abuse has been the
subject of increased attention both in the professional community
and among the general public. The reasons for this widespread
recogni tion are clear. First, professionals of many disciplines
deal with child abusive families and do so in a variety of ways:
Physicians, hospital staff, and teachers are often the first to
assess a child as the victim of abuse; social workers and
child-protective personnel investigate cases of suspected abuse;
court and legal authorities make determinations concerning the
needs of an abused child; and mental health profes sionals,
including psychologists, social workers, and family coun selors,
often have responsibility for treating abusive families. Few
clinical problems have received this kind of widespread interdisci
plinary recognition and, given the nature and seriousness of child
abusive behavior, few problems receive such intensive attention
within each profession's literature. A second factor responsible
for increased study of child abuse is the fact that violence
directed toward children is probably the most extreme form of
family dysfunction seen by counselors, therapists, and other
practitioners. While other types of child-management and
anger-control problems occur far more frequently, the consequences
of child-abusive behavior are much more serious than the conse
quences of other problems seen in child or family clinics. It has
been v vi PREFACE estimated that as many as 550,000 children are
the targets of parental abuse in the country each year (Helfer
& Kemper, 1976)."
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