Abstract

This article addresses the tension in psychoanalytic thinking regarding adult-onset trauma and its potential effects on children who were not directly exposed to the same parental trauma. Psychoanalytic theory emphasizes early attachment trauma as predictive of the response to trauma later in life. This emphasis on early trauma delayed recognition of adult-onset trauma-related disorders and the development of adequate trauma-focused treatments.

This report presents the most current data on four specific forms of violence – violent discipline and exposure to domestic abuse during early childhood; violence at school; violent deaths among adolescents; and sexual violence in childhood and adolescence. The statistics reveal that children experience violence across all stages of childhood, in diverse settings, and often at the hands of the trusted individuals with whom they interact daily. The report concludes with specific national actions and strategies that UNICEF has embraced to prevent and respond to violence against children.

Untreated mental health problems are among the most disabling, persistent, and costly health conditions.

Because they often begin in childhood and continue into adulthood, there has been growing interest in preventive mental health programs for children.

In recent years, several such programs have been implemented at regional, state, or national scale, and although many experimental studies have documented positive outcomes of individual programs, this article represents the first attempt to systematically compare the largest programs in terms of scope, scale, and dose.