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Introduction
Associations of child abuse (CA) with alcohol misuse (1-3), mental disorders
(4,5), poor social skills (6), antisocial behavior (7) and drug abuse (8) have been
reported. CA sometimes persists in families from one generation to another
(9,10); and there is a tendency of under-reporting (11). Detection and reporting
of CA, essential for its prevention and eradication, depend both on victims and
perpetrators. It is easy to expose a socially unprotected abuser, for example, an
alcoholic or mentally disordered individual. Otherwise, different tools can be
applied to prevent the disclosure: distortion of facts and counter-accusations of
libel; threats and intimidation of the former victim, acts against his financial or
personal interests. Here is presented a case report from the former Soviet Union
(SU), not associated with alcohol abuse in the perpetrators.
Case report
In the summer of 1959 Sergei (S) was three years old. His parents were
divorcing and he was sent together with a nanny to a suburb village. They spent
also the summers of 1960 and 1961, having little contact with other children;
and the boy sat on a sofa or a bench days on end, which did not contribute to his
physical development and social skills. In 1963 his mother remarried, the
stepfather being 15 years older than S. The following risk factors of CA were
present in this case: weak social support, a second younger child in the family,
young age of the perpetrator and maltreatment history in his past (12). An
ethnic factor obviously played a role: the stepfather was of Jewish descent,
while S used to point out his Russian ethnicity. S was in a sense an ethnic
misconception: his father and maternal grandfather were Russians, but maternal
grandmother was at least partly of Jewish descent. Having a Jewish stepfather,
who even worked for a short period at his school, S was, without understanding
it, often treated by the social environment as a Jew, which was expressed by
bullying. The bullying was sometimes visibly inspired by older persons
including some teachers. The author does not intend to say that Jewish children
were generally bullied in Soviet schools: it was different at various places; and
especially at schools with diversified ethnic composition there were no visible
signs of it. Many Jewish children were not bullied, because they behaved
adequately: somewhat distanced, friendly, not denying their difference. On
the contrary, S stressed his Russian ethnicity and behaved ambitiously,
involuntarily provoking his social environment. S himself participated in
bullying Jewish children, which cannot be morally justified, but is
psychologically explicable in this particular case. Today Sergei regrets it and
would like to ask all persons independently of ethnicity, towards whom he
behaved inappropriately directly or indirectly as a result of his childhood
trauma, to accept his sincere apologies. Fortunately, S managed to dispose of all
ethnic prejudice in his later life. There is no other way in our age of
globalization; and corresponding new ethics needs to be developed (13); which
is however outside the scope of this paper. Probably, for the similar reason, the
social environment was quite indifferent to the violence in their family. For
example, S asked for help some of his companions, "hooligans" 2-4 years older
than he; they discussed it but did not do anything. The maternal grandmother,
who lived separately, wrote letters to the authorities about CA in the family, it
had no effect either. Moreover, the ethnic factor obviously contributed to
Sergeis alcohol consumption: consciously and subconsciously he tried to
appear as Russian as possible. This psychological mechanism, predisposing to
alcohol consumption and antisocial behavior, seems to be active in some people
of mixed descent; just to name the famous poet, actor and singer Vladimir
Vysotsky, whose father was of Jewish origin. Vysotsky was immensely
popular; he had an enduring effect on Russian mass culture
(http://en.wikipedia.org/wiki/Vladimir_Vysotsky), avoided Jewish traits in his
works and image, being at the same time prone to alcohol consumption.
The physical abuse was administered predominantly by slapping in the
face and whipping with a belt. The first episode complicated by nasal bleeding
happened when S was approximately 8 years old. Episodes of violence went
along with intimidation and verbal abuse, in connection with physical abuse and
out of it. There are statements in the literature that CA is heavily laden with
emotions (14). In this case, it could have been so in the beginning, but later the
scenes of abuse became more theatrical and less laden by true emotion on the
part of the abuser. Battery and verbal abuse sometimes occurred before
spectators: the mother, relatives and friends. Sometimes, the mother took part in
battering, which has been described in the literature as a pattern where mothers
participate in abuse of their children more often if their partners were
stepfathers of victims rather than genetic fathers (15). A motive could have been
Discussion
The case should be classified as intimate partner violence (IPV), a common
problem, affecting many children (17); it illustrates a cause-effect relationship
between CA and early-onset alcohol consumption with antisocial behavior in an
adolescent, facilitated by societal and ethnicity-related factors. Exogenous
nature of the early-onset alcohol misuse is demonstrated by the fact that, in spite
of considerable experience of alcohol consumption, S did not develop any
physical dependence and discontinued alcohol misuse because of professional
and familial reasons. He did not resume excessive alcohol consumption also
later, having come back to Russia, in spite of the challenges from old buddies
etc. It appears probable that, although family violence is associated with alcohol
misuse during adolescence, a mentally healthy adult can overcome a
psychological dependence on alcohol, developed as a consequence of CA. It is
in agreement with the data showing no significant association between CA and
alcohol abuse in male victims becoming adults (18,19) in contrast to
adolescents (2,3). To finish the case report on an optimistic note, it should be
mentioned that S made conscious efforts to achieve forgiveness of the
perpetrators, and was obviously successful in it. It was reported that forgiveness
is associated with improved alcohol-related outcomes (20). Moreover, his
mother and the stepfather cooperated with the author of this paper in elucidation
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