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Published Online:https://doi.org/10.1176/ajp.131.8.882

The authors observed patterns of family interaction frequently encountered in 60 cases of child abuse. The maltreatment syndrome is described as the end result of three potentiating factors: the abuse-prone personality of the parent; characteristics of the child that make him vulnerable for scapegoating; and current environmental stress. Role reversal was a prominent feature in the psychodynamic makeup of these families. The parents tended to endow the child with negative characteristics derived from their own experience with rejecting parents.

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