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What Is Child Abuse?

Child abuse is any act or omission by a parent, caregiver, or other adult that causes harm, potential harm, or a threat to a child’s health or development. It can take many forms, and not all are visible.


When a child is mistreated by someone they depend on, the wound reaches far beyond the moment of harm. Abuse affects not only the body but also the mind’s developing structure, shaping how the child learns to relate, to trust, and to see themselves. From a psychodynamic perspective, it interferes with the formation of a stable sense of self and can leave deep conflicts between the need for love and the fear of being hurt again.


1. Physical Abuse


Physical abuse includes hitting, shaking, burning, or any act that causes physical injury.Even when it is justified as discipline, it destroys a child’s sense of safety and emotional connection. The child learns that love can be unpredictable and that affection can come with pain. This confusion can create long-lasting fear, aggression, and mistrust of others.


Children who experience physical abuse often grow up hyperalert, constantly scanning for danger, or they may shut down emotionally to survive. The body remembers what the mind cannot process. Many adults who were physically abused as children struggle with anxiety, chronic tension, or emotional detachment. These symptoms often reflect the body’s attempt to protect itself from threats that no longer exist but still feel real.


2. Psychological (Emotional) Abuse


Constant criticism, humiliation, rejection, or exposure to domestic violence can deeply harm a child’s inner world.This form of abuse is often invisible but extremely destructive. It teaches the child that they are unworthy or unlovable. The lack of emotional safety interferes with the development of self-esteem, trust, and the ability to regulate emotions.


From a psychodynamic view, emotional abuse can lead to the creation of a harsh inner voice that repeats the caregiver’s criticism. The child absorbs the negative image projected onto them and carries it into adulthood as self-blame, guilt, or a fear of being abandoned. Over time, the mind learns to silence emotions or to hide vulnerability in order to stay safe.


Even without physical violence, the repeated message that a child’s needs do not matter leaves a permanent mark. Studies show that emotional abuse alters the brain’s stress response and increases the risk of depression, anxiety, and difficulty forming healthy relationships later in life.


3. Sexual Abuse


Sexual abuse includes any sexual act imposed on a child, including touching, exposure to sexual content, or exploitation. It is one of the most damaging forms of trauma because it violates both physical boundaries and emotional trust. The child’s body, which should be a source of safety, becomes a source of fear and confusion.


From a psychodynamic perspective, sexual abuse often creates a deep internal split. The child learns to separate from the part of themselves that experienced the violation in order to survive. As adults, many survivors struggle with body image, intimacy, or boundaries. Dissociation and shame are common protective mechanisms that help them avoid overwhelming feelings but also distance them from genuine connection and pleasure. Healing requires time, safety, and the rebuilding of trust in both body and mind.


Our Responsibility


Many people hesitate to act when they suspect abuse. They fear being wrong, or they hope someone else will step in. But silence allows the abuse to continue. Every adult shares the responsibility to protect children and to speak up when something feels wrong.

If you suspect that a child may be suffering, reach out to a professional, a teacher, or a local helpline. A single act of care can interrupt the cycle of abuse and give a child a chance to heal. Children rarely have the power to protect themselves, but we do.


Every child deserves to feel safe, loved, and protected.


Speaking up can be uncomfortable, but remaining silent protects the abuser, not the child.



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© 2035 by Norah Horowitz, Ph.D. Powered and secured by Wix

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