Practitioner Development

Behavioral treatment of child abuse. A developmental perspective.

Azar et al. (1990) · Behavior modification 1990
★ The Verdict

Match parent-training content to the child’s age, just like you match goals for the child.

✓ Read this if BCBAs writing parent-training programs for families with a history of abuse or neglect.
✗ Skip if Clinicians who only work with adult clients.

01Research in Context

01

What this study did

Bailey et al. (1990) wrote a narrative review. They looked at how to treat parents who had abused their children. They argued that the training must fit the child’s age. Babies need soothing skills. Teens need monitoring skills.

The paper pulled together earlier work. It pointed out gaps. It asked for more research on age-matched programs.

02

What they found

The review did not give new data. It said one-size-fits-all parent training is not enough. Programs must teach different skills at each stage of growth.

03

How this fits with other research

Putnam et al. (2003) extends the idea. They showed that even toddlers can finish a full functional analysis. They used toys and short sessions. The study proves age-friendly formats work.

Neef et al. (1986) also extends the call. They trained mothers with learning delays. The moms learned to play and talk more with their babies. Skills lasted almost a year.

Burgess et al. (1986) did the same for first-time fathers. A short BST package taught diapering, feeding, and play. Skills moved to real babies at home.

Attwood et al. (1988) looks like a contradiction. That review said behavior therapy for child anxiety still lacks proof. T et al. said the same about abuse programs. Both papers beg for stronger tests. The gap is topic, not method.

04

Why it matters

You already pick goals that fit the child’s age. This paper tells you to do the same for abusive parents. Teach soothing to parents of babies. Teach homework tracking to parents of teens. Use the same BST steps you use with kids: show, practice, praise. Check that skills move to the home. Keep data. Share the chart with the family.

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Add one age-specific skill to the next parent session—soothing holds for infants or curfew tracking for teens.

02At a glance

Intervention
not applicable
Design
narrative review
Population
not specified
Finding
not reported

03Original abstract

This article reviews cognitive and behavioral treatment strategies that have been employed with parents who physically abuse their children. Using a developmental framework, a broadened view of abuse is presented that emphasizes targets for intervention that not only reduce aversive parental behavior but also increase behaviors that lead to more optimal child outcome. Interventions with maltreaters are then described, focusing on three periods of childhood--infancy, middle childhood, and adolescence. An argument is made for there being different goal parental behaviors during each of these periods, as well as unique child-based demands that act as obstacles to parents' successfully meeting these goals. Where behavioral treatments with abusive parents do not yet exist, treatments with similar parent populations are described. The article concludes with a discussion of the treatment issues facing the field in the future.

Behavior modification, 1990 · doi:10.1177/01454455900143004