The role of the child in physical abuse: a reappraisal.

Friedrich and Boriskin's (1976) seminal review presented compelling evidence pointing toward the contribution of child factors in heightening risk for physical abuse. Indeed, many authors currently accept that certain child characteristics (e.g., prematurity, low birthweight) can directly lead to abuse. Much of the data in this area, however, is based on methodologically weak designs, and recent findings do not support the premise that children have a major role in the etiology of abuse. There is some suggestion that children with relatively circumscribed features may add to risk in families that already exhibit additional factors predisposing them to maltreatment. This paper re-examines the role of the child in abuse, reviews recent relevant research findings, and offers new directions that research in this area might take.