CATS: Center for Assault Treatment Services
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Lesson Four: (Continued)

Indicators of Physical Abuse
Hostile, aggressive behaviors
Extreme fear or anxiety
Withdrawal or apparent depression
Self-destructive behaviors (self-mutilation, banging of head, etc.)
Destruction of property
Verbally abusive of others
Impulsive acting-out
Indicators of Sexual Abuse/Neglect
Sexualized behavior (precocious knowledge of sexual behavior, excessive interest or curiosity in sexual matters, attempts to engage in sexual acting-out)
Hostile, aggressive
Fearful, withdrawn
Self-destructive
Pseudo-mature (seems mature beyond chronological age)
Eating disorders
Alcohol/drug abuse
Running away
Clingy, indiscriminate attachment
Self-isolation
Depression, passivity
Indicators of Emotional Abuse
Lacks self-esteem; self-critical to extreme
Seeks approval to an extreme
Seems unable to be autonomous, makes few choices, fears rejection.
Hostile, verbally abusive, provocative

Guidelines for Assessments of Child Abuse
The best information is not what the child tells you but what the child shows by her/his behavior.

As a helping professional, you must stay alert and responsive to child behaviors described above. Children will rarely report they are being abused but, unable to stop it, they frequently develop coping mechanisms and behaviors, which bring them to the attention of others.

These children tend to be fiercely loyal to their parents, often demonstrating a pathological dependency on them. They may try to adapt and comply in order to please the parents, serve as caretakers, or protect against a physical attack, inappropriate sexual attention, or rejection. For additional information on the assessment of child abuse, see Appendix 4.

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