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Biomedical subjects

K K Heap

Publications and source records attributed to K K Heap.

7 recordsLinked to original sources
PubMed1991

A predictive and follow-up study of abusive and neglectful families by case analysis.

The aim of this study was to develop methods, categories, and criteria for investigating and evaluating parental functioning and potential and to relate the accuracy of such categories to prognosis. A case analysis, a predictive study, and a follow-up study of 17 abused and/or neglected children was conducted 5-6 years later. Categories were developed and cases analyzed for stress factors in childhood, youth, and early adult life and for factors related to social network, finances, work, accommodation, pregnancy, and marriage. The cases were also analyzed with regard to the following dimensions: immaturity, emotional problems, psychosis, mental retardation, alcohol and drugs. Seven areas of parental functioning were scored on a 4-point scale. The child's role and the effect of parents' unresolved problems upon the parent-child interaction were also studied. The findings of this study, limited though it is in scope, suggest that the prognosis for abusive and/or neglectful parents is poorer when they are scored high on immaturity than when they are scored high on emotional problems.

Adult↗
PubMed1989

[Interprofessional case conferences in connection with child abuse. A resource or a badly used time?].

Interprofessional co-operation and case-conferences in connection with child abuse and neglect are of a special nature. They bring together agencies and partners who have previously not cooperated to any degree, such as health workers and child care workers, and in some cases also the prosecuting authorities. The author argues that such cooperation is necessary, both because of the nature of the abuse and because the different agencies have different areas of responsibility. The article indicates the aims of such case-conferences and discusses problems connected with these meetings, and who should lead them.

Child↗
PubMed1989

[Abuse and neglect--a challenge for the dentist].

The article defines five types of abuse; physical abuse, neglect, failure-to-thrive, emotional and sexual abuse. Problems related to incidence is discussed. There is no national survey of the first four types. But results from a few quantitative and qualitative studies in limited geographical areas are referred to. The need for integrating several theoretical frame of references such as the psychodynamic model, the sociological model, the interaction model as well as others to be able to understand and handle the problem is stressed. The need for interprofessional cooperation and for the dentists to engage themselves in this is argued.

Child↗
PubMed1984

Families with abused children: a follow-up study of post-crisis support.

Treatment provisions planned and executed were studied in a follow-up of 14 abused or neglected children three years after discharge from the Children's Department of Ullevaal Hospital. A majority of the families were shown to have received either no help or inappropriate help. Half of the children were evaluated as being so emotionally impaired that serious future adjustment problems could be anticipated. Inappropriate treatment related to lack of understanding, workers' own feelings and normative standards. Overidentification with parents and a general belief in their ability to develop caring skills were observed as was the tendency to overlook or minimize the child's experiences and the risk to which he was exposed. Anxiety, insecurity and lack of skill in establishing appropriate relationships prevented workers obtaining adequate bases for evaluation and for effectuation of treatment. Workers' professional situations were unfavorable in specified ways. Appropriate treatment was based on differentiated psychosocial evaluation, a high involvement level by the worker and continuity. The professional situation was also favorable. Workers combined traditional therapeutic approaches with conscious use of professional authority. They intervened actively for protective purposes but were empathetic with both child and parents.

Aftercare↗