Recent research demonstrates that emotional maltreatment destroys a child as thoroughly as physical harm.Utilizing data from a previous study, David Vachon concluded that “although some people assume physical abuse is more harmful than other types of abuse, we found that they are associated with similar consequences.” A pair of doctors at the University of Minnesota and the University of Rochester validated the study, finding, through working at a summer camp for low-income families, that different types of abuse share “equivalent, broad, and universal effects.”

What is emotional abuse, and how can it be identified?

Child abuse falls primarily into three categories: Physical, sexual, and emotional. While each chief form of abuse is addled with consequences that often shadow a person for life, identifying emotional abuse in a child presents complications.Far less evident than physical abuse, emotional maltreatment involves a broader spectrum of actions and often encompasses undetected violence. Unexplained sadness, angry outbursts, withdrawn behavior, and poor performance in school are just a few of the symptoms that a child is being abused emotionally, which can be caused from shaming, indifference, emotional and physical withholding of love, as well as unjust punishment and neglect. Andrew Vachss, a lawyer and advocate who has devoted his life to protecting children, describes emotional powerfully and poignantly here: Emotional abuse can be as random as the fallout from a nuclear explosion. In matrimonial battles, for example, the children all too often become the battlefield. I remember a young boy, barely into his teens, absently rubbing the fresh scars on his wrists. “It was the only way to make them all happy,” he said. His mother and father were locked in a bitter divorce battle, and each was demanding total loyalty and commitment from the child. Emotional abuse is the systematic diminishment of another. It may be intentional or subconscious (or both), but it is always a course of conduct, not a single event. It is designed to reduce a child’s self–concept to the point where the victim considers himself unworthy—unworthy of respect, unworthy of friendship, unworthy of the natural birthright of all children: love and protection. Emotional abuse can be as deliberate as a gunshot: “You’re fat. You’re stupid. You’re ugly.” Emotional abuse can be active. Vicious belittling: It also can be passive, the emotional equivalent of child neglect—a sin of omission, true, but one no less destructive. And it may be a combination of the two, which increases the negative effects geometrically. Emotional abuse can be verbal or behavioral, active or passive, frequent or occasional. Regardless, it is often as painful as physical assault. And, with rare exceptions, the pain lasts much longer. A parent’s love is so important to a child that withholding it can cause a “failure to thrive” condition similar to that of children who have been denied adequate nutrition.” Sound terrifying? Read on.

The sweeping, long-lasting impact of emotional abuse

To think that emotional abuse has a statute is faulty: The Journal of Pediatric Care found that of 3,000 adults with a history of major depression, a staggering 93% reported emotional maltreatment, while 31% were determined to have suffered both emotional and physical abuse. Troublesome? Certainly. While the enduring impact of emotional abuse has not been studied widely, reports across the board have determined the devastating effects it can have on an individual. Reactive Attachment Disorder–or RAD–is just one manifestation of the traumatic impacts of early childhood emotional maltreatment. Defined as “markedly disturbed and developmentally inappropriate social relatedness that usually begins before the age of 5,” RAD is a rare, but potentially catastrophic, disorder. As infants and children, those with RAD cling indiscriminately to strangers and demonstrate developmental delay and disabilities; as adults, RAD can present itself as a failure to socialize appropriately. More common than RAD, however, are a list of problems that are just as damaging: Anxiety, sleep problems, post-traumatic stress, and depression–not to mention substance abuse, obesity, suicidal ideations, and interpersonal complications. As one emotionally abused woman remarked, “I keep looking for the affection I was denied as a child in men.” Her choice in partners, she confessed, was “wildly inappropriate and careless,” and led to physical abuse, psychological torment, and too many heartaches to count.

The effect of emotional abuse on intimate relationships

Indeed, interpersonal relationships seem to take the biggest toll when it comes to adults who were emotionally abused as children. In some cases, the abused adult will shy away from intimacy out of fear of the unfamiliar, while others–like the woman mentioned above–will develop indiscretion, anger, and aggression towards those with whom they become involved. Why? Because a healthy precedent has not been set. As one study put it, In other words, the anger an individual experienced but didn’t know how to express as a child builds over time and is released in the unhealthiest of manners–through outrage and violence.

The indiscriminate nature of emotional maltreatment

Certain socio-economic classes determine, in part, the rate of emotional abuse in children. Parents with limited means–or none at all–are more likely to be stressed out and financially strapped, and that anger and anxiety is often exerted on their children. However, a study at Midwestern University revealed that This corroborates the findings of Vachon about the widespread effects of emotional abuse regardless of gender, race and/or ethnicity.

Healing emotional wounds

Despite these recent discoveries–which might make many who spot a child that is alone and frozen in watchfulness think twice–the indiscriminate nature of emotional abuse and its lasting consequences need not deter individuals who have either suffered from it or witnessed it in another. Prompt identification and appropriate invention are assuredly key, but treating it after-the-fact has also shown to make a tremendous impact on one’s ability to heal. Vachss points out that, Whether you are the victim, the abuser, or the witness to an unfortunate child, one fact remains the same: Scars are not just skin-deep, and there exists a salve in our souls. Adult survivors of emotional child abuse have only two life–choices: learn to self–reference or remain a victim. When your self–concept has been shredded, when you have been deeply injured and made to feel the injury was all your fault, when you look for approval to those who can not or will not provide it—you play the role assigned to you by your abusers.”