Family Law Panel of Experts on Effects of Toxic Stress Related to Child Abuse
A recent panel of experts including Charles Nelson, the Richard David Scott Chair in Pediatric Developmental Research at Harvard Medical School, and Cindy Lederman, a judge of the Miami/Dade County Juvenile Court joined Harvard Law School (HLS) Professors Charles Ogletree, Martha Minow, and Child Abuse Prevention (CAP) Director Elizabeth Bartholet in exploring the short and long-term effects of toxic stress related to child abuse and neglect, parental substance abuse, maternal depression, and exposure to violence.
To frame the issue, Dr. Nelson provided the clinical background for examining maltreatment and neglect. “Early experiences have a particularly strong influence,” said Nelson, “Timing of abuse, the nature of it, and one’s genetic predisposition can be long-lasting due to fundamental changes in mental circuitry.” To illustrate his point, Nelson explained the findings of the Bucharest Early Intervention Project, a randomized trial of foster care as intervention for social deprivation associated with the institutionalization of nearly 200 children in Romania. “Due to negative experiences as infants, many of the children had stunted growth, anxiety disorders, and reductions in brain activity.” Nelson stressed that we must improve our understanding of the neurobiology of early adversity to improve the court’s understanding of neural plasticity… we must translate science to policy.”
Judge Lederman agreed with Nelson and admitted that the family law cases she sees involve, by and large, parents unengaged with and apathetic to their babies. “Mothers that come before me are there as a last resort; they don’t understand why their children have been taken away from them,” she explained. “We’re forced to make clinical and mental health decisions all the time. Dealing with the deterioration is not something they teach you in law school.” Judge Lederman insisted that to properly attend to the needs of children jurists must become students of the science of early childhood development.
Presented with the clinical side of child maltreatment, Professors Bartholet and Minow weighed in. “I see two very important policy implications arising from these social science findings,” said Bartholet. “It involves enabling as many parents as possible to be able to nurture and support their kids… and it further involves intervening early and coercively to place abused children under foster care.”
“We know that when the phrase ‘in the best interest of the child’ is uttered with a lawyer in the room that it’s already too late for these kids,” explained Minow. “We’re looking now for the least worst thing that can happen…time matters when you’re talking about kids, and new brain research can help us facilitate their well being.”
[thanks to ollie crafoord and harvard law school via cc]
