737 resultados para Neglect*


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The system of small groups John Wesley established to promote a proper life of discipleship in early Methodist converts was, in many respects, the strength of the Methodist movement. Those who responded to Wesley’s initial invitation to “flee the wrath to come” were organized into large gatherings called “societies,” which were then subdivided into smaller bands, class meetings, select societies, and penitent bands. The smaller groups gave Wesley the opportunity, through a system of appointed leaders, to keep track of the spiritual progress of every member in his movement, which grew to tens of thousands by the time of his death in 1791. As Methodism shifted from renewal movement to institutional church in the nineteenth century, however, growth slowed, and participation in such groups declined rapidly. By the early twentieth century, classes and bands were virtually extinct in every sector of Methodism save the African-American tradition. In recent years, scholars in various sectors of the Wesleyan tradition, particularly David Lowes Watson and Kevin Watson, have called for a recovery of these small groups for purposes of renewal in the church. There is no consensus, however, concerning what exactly contributed to the vitality of these groups during Wesley’s ministry.

Over the last century, sociological studies of group dynamics have revealed three common traits that are crucial to highly functioning groups: interdependence created by the existence of a common goal, interaction among group members that is “promotive” or cooperative in nature, and high levels of feedback associated with personal responsibility and individual accountability. All three of these were prevalent in the early Methodist groups. Interdependence existed around a shared goal, which for Wesley and the Methodists was holiness. That interdependence was cooperative in nature; individuals experienced the empowering grace of God as they each pursued the goal in the company of fellow pilgrims. Finally, the groups existed for purposes of feedback and accountability as individuals took responsibility both for themselves and others as they progressed together toward the goal of holy living. Wesley seemed to instinctively understand the essential nature of each of these characteristics in maintaining the vitality of the movement when he spoke of the importance of preserving the “doctrine, spirit and discipline” of early Methodism. Analysis of some of the present-day attempts to restore Wesley’s groups reveals frequent neglect to one or more of these three components. Perhaps most critical to recovering the vitality of the early Methodist groups will be reclaiming the goal of sanctification and coming to a consensus on what its pursuit means in the present day.

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© 2014 Elsevier Ltd.Parental substance use is a risk factor for child maltreatment. Family drug treatment courts (FDTCs) have emerged in the United States as a policy option to treat the underlying condition and promote family preservation. This study examines the effectiveness of FDTCs in North Carolina on child welfare outcomes. Data come from North Carolina records from child protection services, court system, and birth records. Three types of parental participation in a FDTC are considered: referral, enrolling, and completing an FDTC. The sample includes 566 children who were placed into foster care and whose parents participated in a FDTC program. Findings indicate that children of parents who were referred but did not enroll or who enrolled but did not complete had longer stays in foster care than children of completers. Reunification rates for children of completers were also higher. Outcomes for children in the referred and enrolled groups did not differ in the multivariate analyses. While effective substance use treatment services for parents may help preserve families, future research should examine factors for improving participation and completion rates as well as factors involved in scaling programs so that more families are served.

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Background: Mothers with HIV often face personal and environmental risks for poor maternal health behaviors and infant neglect, even when HIV transmission to the infant was prevented. Maternal-fetal attachment (MFA), the pre-birth relationship of a woman with her fetus, may be the precursor to maternal caregiving. Using the strengths perspective in social work, which embeds MFA within a socio-ecological conceptual framework, it is hypothesized that high levels of maternal-fetal attachment may protect mothers and infants against poor maternal health behaviors. Objective: To assess whether MFA together with history of substance use, living marital status, planned pregnancy status, and timing of HIV diagnosis predict three desirable maternal health behaviors (pregnancy care, adherence to prenatal antiretroviral therapy–ART, and infant’s screening clinic care) among pregnant women with HIV/AIDS. Method: Prospective observation and hypothesis-testing multivariate analyses. Over 17 consecutive months, all eligible English- or Spanish-speaking pregnant women with HIV ( n = 110) were approached in the principal obstetric and screening clinics in Miami-Dade County, Florida at 24 weeks’ gestation; 82 agreed to enroll. During three data collection periods from enrollment until 16 weeks after childbirth (range: 16 to 32 weeks), participants reported on socio-demographic and predictor variables, MFA, and pregnancy care. Measures of adherence to ART and infant care were extracted from medical records. Findings: Sociodemographic, pregnancy, and HIV disease characteristics in this sample suggest changes in the makeup of HIV-infected pregnant women parallel to the evolution of the HIV epidemic in the USA over the past two decades. The MFA model predicted maternal health behaviors for pregnancy care (R2 = .37), with MFA, marital living status, and planned pregnancy status independently contributing ( = .50, = .28, = .23, respectively). It did not predict adherence to ART medication or infant care. Relevance: These findings provide the first focused evidence of the protective role of MFA against poor maternal health behaviors among pregnant women with HIV, in the presence of adverse life circumstances. Social desirability biases in some self-report measures may limit the findings. Suggestions are made for orienting future inquiry on maternal health behaviors during childbirth toward relationship and protection.

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The strained relationship between pedagogy and self-cultivation is often overlooked in favour of more pressing and profitable concerns within educational institutions. However, the end of education is not a well-paying job. It is often thought that education will produce a certain type of learned individual. Students are entered into educational institutions from a very young age and spend most of their youth within them, subsequently forming a part of themselves, their self-identify and agency, through these institutions. A significant amount of trust is placed in the hands of educators not only to impart information about various subject matters but to teach students how to think. This, however, is a difficult task which cannot be completely accomplished; thinking is a skill which an educator can promote but only the individual can cultivate. If self-cultivation is not the end of pedagogical practice and education, there is something deeply contradictory between the theoretical and practical values and aims of educational institutions.This thesis will address the problems caused by the neglect of self-cultivation within the pedagogical practices of contemporary educational institutions. I argue that self-cultivation, existential learning and flourishing should be the focus of these institutions. Educational institutions can make alternative efforts not only to improve the learning environment for these students but to prepare them to cope with existential questions. By acknowledging and focusing on the significance of self-cultivation, educational institutions can and should make efforts not only to teach useful, marketable skills and information but to also nurture the agency and mental well-being of the student him- or herself. My hope is that this thesis will be the first step towards answering a larger concern: How can educational institutions alleviate the struggles of students, particularly the seemingly growing number who are suffering from depression, by appealing to notions of self-cultivation?

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In theory, the multiple platforms and transnational nature of digital media, along with a related proliferation of diverse forms of content, make it easier for children’s right to access socially and culturally beneficial information and material to be realised, as required by Article 17 of the UN Convention on the Rights of the Child (CRC). Drawing on data collected during research on children’s screen content in the Arab world, combined with scrutiny of documents collated by the Committee on the Rights of the Child, which monitors compliance with the CRC, this paper explores how three Arab countries, Egypt, Morocco and the United Arab Emirates, presented their efforts to implement Article 17 as part of their periodic reporting on their overall performance in putting the CRC into effect. It uncovers tensions over the relationship between provision, participation and protection in relation to media, reveals that Article 17 is liable to get less attention than it deserves in contexts where governments keep a tight grip on media, and that, by appearing to give it a lower priority, all parties neglect the intersection between human rights in relation to media and children’s rights.

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Los profesionales de la educación se encuentran, en su ejercicio profesional, en una posición privilegiada para realizar una detección precoz del maltrato infantil y para identificar posibles casos de riesgo. Sin embargo, en ocasiones, maestros y educadores en general aducen falta de conocimiento y formación para realizar dichas tareas. Es por ello que, en este trabajo deseamos insistir en la necesidad de analizar la formación de los futuros profesionales de la educación en torno al maltrato infantil, tanto en el seno de la familia como fuera de ella, y ya sea ejercido por un adulto o por otros menores. No olvidemos que la identificación temprana de comportamientos violentos y, por supuesto, la puesta en marcha de estrategias sólidas para su prevención requieren disponer de una buena capacitación. Por esta razón, hemos realizado un estudio piloto que nos permitiera conocer la formación que los estudiantes del Grado de Pedagogía tienen sobre el maltrato infantil, utilizando un cuestionario que hemos diseñado específicamente para alcanzar tal propósito. En la realización de un estudio piloto contamos con una muestra de 24 alumnos y alumnas del 4º curso del Grado de Pedagogía. Entre las conclusiones alcanzadas destacamos que, tras analizar los datos derivados del pase piloto, podemos concluir que los futuros pedagogos consideran necesario tener formación específica al respecto, una preparación que, mayoritariamente, consideran insuficiente y muy limitada para poder afrontar sus responsabilidades profesionales en el futuro.

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Les adolescents qui ont subi de la négligence ou des abus substantiels dans leur famille risquent de présenter des symptômes anxieux et dépressifs et des comportements antisociaux plus importants. Parmi les ressources internes qui pourraient contribuer à la résilience de ces jeunes, les stratégies qu’ils adoptent pour composer avec les situations stressantes ont été peu examinées. Dans cette thèse, nous examinons les stratégies d’adaptation utilisées par 336 adolescents placés en centre de réadaptation, avec pour objectif de vérifier leur rôle modérateur dans la relation entre les mauvais traitements qu’ils perçoivent et l’ampleur de leurs problèmes intériorisés ou extériorisés. Le premier chapitre présente une revue de la recherche sur les liens entre divers stresseurs, les stratégies d’adaptation des jeunes et leur condition psychologique. Ces études mettent en lumière combien les effets des stratégies qu’ils utilisent peuvent varier selon les stresseurs familiaux ou sociaux auxquels ils sont exposés. Les deux études empiriques aux chapitres 2 et 3 portent sur les interactions entre trois types de maltraitance (abus émotionnel ou physique, négligence émotionnelle) et quatre stratégies d’adaptation (centrées sur les problèmes, les émotions, la diversion sociale et la distraction). Dans la première étude, ces interactions sont testées pour leurs effets sur l’ampleur des problèmes intériorisés rapportés par les jeunes ou leurs éducateurs; la seconde étude explore leurs effets sur l’ampleur des problèmes extériorisés. Quand les problèmes intériorisés sont rapportés par les adolescents, les stratégies centrées sur les problèmes, la diversion sociale et la distraction avaient un effet protecteur sur l’ampleur des symptômes associés à la maltraitance émotionnelle, surtout chez les filles. Les stratégies centrées sur les problèmes ont aussi un effet protecteur sur la relation entre l’abus émotionnel et les comportements agressifs rapportés par les jeunes. Toutefois quand il s’agit des problèmes extériorisés, plusieurs interactions montrent plutôt que les effets adaptatifs de certaines stratégies diminuent quand les mauvais traitements augmentent. Il en est ainsi pour les stratégies centrées sur les problèmes ou la diversion sociale quand ces problèmes sont observés par les éducateurs, et pour les distractions, lorsqu’ils sont rapportés par les filles. Enfin la diversion sociale est associée à des comportements délinquants plus marqués rapportés par les jeunes et son effet modérateur chez les garçons montre que cette relation est plus forte quand ils sont moins maltraités. Les stratégies d’adaptation examinées contribuent donc surtout à atténuer la détresse émotionnelle des filles victimes de maltraitance psychologique, mais elles semblent avoir peu d’impact sur les comportements antisociaux des jeunes maltraités. Ces résultats sont discutés en lien avec les caractéristiques de notre échantillon. Les implications cliniques qui s’en dégagent permettent de suggérer des pistes pour mieux soutenir ces jeunes dans l’apprentissage de stratégies adaptatives pour réguler leur stress.

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Plusieurs facteurs de risque de développement de troubles intériorisés, tels que les troubles d’anxiété et de l’humeur, ont été identifiés dans la littérature. Les deux plus importants facteurs de risques regroupent l’adversité vécue durant l’enfance (par exemple la maltraitance) et le risque parental (c’est-à-dire la présence d’un trouble intériorisé chez l’un ou les deux parents). Ces facteurs de risque ont été liés à des changements neuroanatomiques similaires à ceux observés en lien avec les troubles intériorisés. Ainsi, en présence de ces facteurs de risque, des anomalies anatomiques pourraient laisser présager l’apparition prochaine d’une symptomatologie de troubles intériorisés chez des individus encore asymptomatiques. Chez les quelques populations de jeunes investiguées, les participants présentaient des comorbidités et/ou étaient sous médication, ce qui rend difficile l’interprétation des atteintes cérébrales observées. Ce travail de thèse s’est intéressé aux liens entre ces deux facteurs de risque et les substrats neuroanatomiques associés à chacun d’eux, chez des adolescents asymptomatiques et n’étant sous aucune médication. Une première étude a examiné le lien entre le niveau de pratiques parentales coercitives et le niveau de symptômes d’anxiété, mesurés de manière longitudinale depuis la naissance, et les différences neuroanatomiques observées à l’adolescence (voir Chapitre 2). Une deuxième étude a examiné le lien entre le risque parental de développer des troubles d’anxiété et les différences neuroanatomiques observées à l’adolescence (voir Chapitre 3). Une troisième étude s’est intéressée au lien entre le risque parental de développer un trouble de dépression ou un trouble bipolaire et les différences neuroanatomiques observées à l’adolescence (voir Chapitre 4). Les résultats démontrent des différences de volume et/ou d’épaisseur corticale dans plusieurs structures clés impliquées dans le traitement et la régulation des émotions. C’est le cas du cortex préfrontal, de l’amygdale, de l’hippocampe et du striatum. Ces résultats suggèrent que certaines des différences neuroanatomiques observées dans les troubles intériorisés peuvent être présentes avant que le trouble ne se manifeste, et représenter des marqueurs neuronaux du risque de développer le trouble. Les implications théoriques et les limites de ces trois études sont finalement discutées dans le Chapitre 5.

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A pobreza infantil é reconhecida, na comunidade científico, como um problema social grave que viola os direitos das crianças, sendo este um fator favorável à vulnerabilização e à possibilidade de ocorrência de casos de negligência. Em consequência, esta fundamenta-se pela necessidade de intervenções, que a par de medidas de proteção social do Estado, em particular o Rendimento Social de Inserção (RSI), potenciem o desempenho de funções parentais protetoras. Por conseguinte, definiu-se como principal objetivo analisar a relação e/ou influência da medida do RSI sobre as funções parentais (des) protetoras no contexto da pobreza infantil em 15 crianças (dos 0 aos 6 anos), assim como compreender os domínios do seu bem-estar a partir dos Reports card`s da UNICEF. A investigação decorreu no concelho de Albergaria-a-Velha entre os meses de fevereiro a julho de 2013. A metodologia utilizada foi o método qualitativo de natureza exploratória cujos dados foram recolhidos através de dois inquéritos dirigidos às 11 famílias abrangidas pelo estudo e aos respetivos técnicos. A análise dos dados permitiu retirar as principais conclusões destacando-se que o Bem-estar Material e Habitacional das crianças encontram-se comprometidos, uma vez que, os rendimentos médios das famílias estudadas são inferiores ao salário mínimo nacional, o RSI a principal fonte de rendimentos, a maioria dos agregados beneficiam, para além deste, de apoios económicos, quatro famílias estão identificadas como pobreza intergeracional projeta-se para a maioria, a continuidade da “dependência” dos serviços de ação social. Perante estes dados as crianças podem vivenciar privações ou carências múltiplas. Constatou-se falta de privacidade e de conforto habitacional apesar das melhorias significativas nesta dimensão. Na dimensão do Bem-estar Saúde e Segurança enquadra-se a negligência, deste modo, as praticas parentais de risco/negligência foram distribuídas pelos níveis “baixo, moderado e elevado”, apurou-se que em 6 agregados apenas um pratica uma parentalidade não protetora; para os restantes consideramos que o RSI contribui para atenuar a intensidade do stress parental face às privações económicas. / Child poverty is recognized in the scientific community as a serious social problem, which goes against the rights of children. It is a favorable factor to their increasing vulnerability and to the possibility of occurrence of negligence. It is based on the need of interventions that measures social protection of the Goverment through the Social Insertion Income (SII), potentiate the protective performance of parental functions. Thus, the main objective of this study was to analyze the relationship and / or influence of SII on parental protective functions in the context of child poverty in 15 children (aged 0 to 6 years), as well as understand the areas of their welfare according to the UNICEF Report Card’s. The research took place in the Municipality of Albergaria-a-Velha between the months February to July 2013. The used methodology was the qualitative method with exploratory contours and the data collected through two questionnaires surveys directed to the 11 families and Technicians. The information analysis led us to the main conclusions that the children’s Welfare Material and Housing are compromised, since the average yield of the families studied are lower than the minimum national wage, the RSI is the main source of income that most households benefit, in addition to this economic support the continuous "dependency" of social services is projected for the future and four families are identified as intergenerational poverty. Based on these facts the children can experience multiple disadvantage or deprivation. According to the housing conditions it was found lack of privacy and comfort, although exists significant improvements in this dimension. In the dimension of Wellbeing Health and Safety fits negligence, in this way the parental practice of risk / negligence were distributed by the levels of "low, moderate and high", it was found that only one of eight cases do not practice a protective parenting, for the remaining households we consider that the SII contributes to mitigate the intensity of the parental stress against the economic deprivation.

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Introdução: As experiências adversas na infância, tal como a exposição a acontecimentos traumáticos e vivências de vergonha, podem ter um contributo importante na vida dos adolescentes moldando a forma estes se percecionam a si próprios e aos outros, e como lidam com as adversidades, podendo aumentar a sua vulnerabilidade para desenvolver uma perturbação depressiva. Este estudo, de desenho longitudinal, consistiu em estudar os factores preditores (acontecimentos de vida traumáticos e sentimentos de vergonha) no desenvolvimento de psicopatologia depressiva a seis meses. Método: A amostra é constituída por 325 adolescentes, com idades compreendidas entre os 12 e os 18 anos a frequentar o 3º ciclo do ensino básico e ensino secundário. Para o estudo das variáveis referidas, foram utilizados os seguintes instrumentos de medida: o Child Depression Inventory, o Childhood Trauma Questionaire e a Escala de Vergonha Externa. Resultados: Os resultados obtidos relativamente à estabilidade absoluta das variáveis demonstram diferenças significativas entre os valores médios do 1ºmomento de avaliação e do 2º momento de avaliação (após 6 meses) para a variável vergonha. Ao longo do estudo, verificou-se uma associação positiva entre as variáveis relacionadas com o trauma e os sentimentos de vergonha avaliados no primeiro tempo (T1) e a variável sintomas depressivos (T2). O modelo de regressão linear múltipla, explicou 63% da variância dos sintomas depressivos no tempo 2, mostrando que o facto de pertencer ao sexo feminino, experienciar mais vivências de vergonha, e mais experiências traumáticas de abuso afetivo, abuso sexual e de negligência emocional permitem predizer mais sintomas depressivos na adolescência. Conclusão: Podemos concluir com a presente investigação, que o impacto de acontecimentos traumáticos, do tipo abuso/negligência, bem como de sentimentos de vergonha durante a fase da adolescência pode ser nocivo para o desenvolvimento harmonioso posterior, nomeadamente no desenvolvimento de sintomatologia depressiva. / Introduction: The adverse experiences in childhood, such as an exhibition of traumatic events and experiences of sham can have important contribution in teenager’s life shaping the way they perceive themselves and the others and how they deal with adversity, increasing their vulnerability to develop a depressive disorder. This study, longitudinal design, it was consisted in study of the predictive factors (traumatic life events and feelings of shame) in the development of depressive psychopathology in six months. Method: The sample consisted of 325 adolescents aged between 12 and 18 years attending the 3rd cycle of basic education and secondary education. To the study of the variables mentioned, the following measuring instruments were used: the Child Depression Inventory, the Childhood Trauma Questionnaire and External Shame Scale. Results: The results obtained regarding the absolute stability of the variables showed significant differences between the mean values of the evaluation 1st moment and 2nd moment of evaluation (after 6 months) for the variable shame. Throughout the study, there was a positive association between variables related to the trauma and feelings of shame evaluated at the first time (T1) and the variable depressive symptoms (T2). The multiple linear regression model explained 63% of variance in depressive symptoms at time 2 , showing that the fact of being female experience more shame experiences, and most traumatic experiences of emotional abuse, sexual abuse and emotional neglect permit predict more depressive symptoms in adolescence. Conclusion: We can conclude with this research, that the impact of traumatic events, the type abuse/neglect, as well as feelings of shame during adolescence can be harmful to the subsequent harmonious development, including the development of depressive symptoms.

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This survey has to general objective to evaluate the Food Safety Policy implemented by Restaurantes Populares do Rio Grande do Norte. The survey is qualitative of type exploratory and descriptive. The universe of survey is all Units of Food and Nutrition (UAN) of the Restaurantes Populares do Rio Grande do Norte. To collects of data were used two instruments: interview and form. The interviews were intended to analyze the four axes of the Food Safety: access, food quality, production and marketing of food and organizational arrangement. The form was used to check the quality of nutrition and sanitary-hygienic food served. We used two types of forms: a spreadsheet with the weekly menu and the portions served to verify that the meals serve the nutritional needs proposed by the program; and the check-list of ANVISA to verify the sanitary-hygienic conditions in each unit. Through the survey data and analyses made observe that the access category have some problems such as lack of registration, lack of advertising of Restaurants and wastage of public resources, making policy that should be of included in a policy of exclusion. In the nutritional aspect there is neglect on the daily nutritional goal, because it is not accomplished nutritional analysis of menu offered, the nutritionists do not know what should be the nutritional value of meals served; in the hygienic-health aspect trough the problems identified is concludes that there is no guarantee of food quality hygienic-sanitary, committing the program as a Food Safety Program. About the production and marketing of food is observed some problems as: the goal of sale of meals is not achieved in full, the purchase of genres does not stimulate the local economy, nor generates jobs and income, and inefficient performance of the MEIOS's supervision. In the analysis of organizational arrangement is concluded that the partnerships are beneficial, despite some negative points, therefore, are these partnerships the problems of non-compliance, as both the MEIOS and Nutriti of important criteria established in the partnership. Therefore, it is understood that the Programa Restaurantes Populares in its original formulation is proposed to be a food safety policy, but has some problems that impossible to meet its goal, making it unprofitable like Food Safety Policy

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This paper contributes to the debate on whether volunteering influences social cohesion, and argues that issues of race equality should be considered in this discussion. Whilst the German government, like other European states, promotes volunteering as a way of improving social cohesion, discussions on social cohesion in Germany tend not to mention race explicitly, whilst studies on volunteering tend to neglect to explore race at all. When they do, race is simply considered a factor influencing engagement, rather than a structural issue. Employing the example of the German Technical Relief Service for civil defence, the paper explores race relations and representation in Germany, where discussions on race generally remain taboo, drawing on theories of structural racism and whiteness. The paper concludes that it cannot be unproblematically assumed that volunteering leads to social cohesion in an ethnically diverse society if racial inequalities are not addressed.

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“Dependent adult” abuse allegations involve people who are aged 18 or over and are incapable of adequate self care due to physical or mental conditions and require assistance from other people. Dependent adults may be elderly or may have diminished physical or mental capacities that prevent them from meeting their own needs adequately. Researchers estimate that only 1 in 14 incidents of elder abuse actually come to the attention of law enforcement or human service agencies. Elder abuse is one of the most under-recognized and under-reported social problems in the United States. It is far less likely to be reported than child abuse because of the lack of public awareness. Nationally, it is estimated that over 55% of elder abuse is due to self-neglect. Such abuse can happen anywhere … in private homes, at health care facilities and in the community at large. Iowa has an increasing proportion of people who are aged 60 or over. The number of persons 80 or over is increasing more rapidly than any other age group. Iowa’s proportion of older adults in the population exceeds that of the United States as a whole.

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This research examines links between intimacy and violence within the transference relationship of a three year old boy during intensive psychotherapy. Psychoanalytic clinical findings are used to examine triggers to violence that initially appeared to link with moments of emotional warmth. The research uses a retrospective single case study design. The clinical data cover a period of transition in the child's life from being a 'looked after child' in foster care to being adopted. There was a history of early trauma from neglect and domestic abuse. Clinical process notes from supervised sessions were coded using an adapted grounded theory approach to reveal complex interlinking themes of intimacy, violence, Oedipal issues, control and difficulties regulating affect. Data in this study show how intimacy and violence are linked when there is evidence of a separation between the self and the object of intimacy. Explosive violence is triggered by the threat of loss of the object and the rage is, at times directed towards the object of intimacy. The findings of this study support concepts identified by earlier research in the field about the impact of a lack of maternal containment on innate violence, associated struggles with the Oedipal complex and the impact upon the capacity for symbol formation and thinking. However, the research findings challenge Glasser's (1979) theory of the 'core complex' that suggests that intimacy triggers violence. The results of this research indicate that it is the threat to the loss of intimacy as a result of separation from the object that is the trigger to violence. I believe this study may, in a modest way, further understanding about links between violence and intimacy in human relationships. This may help other child psychotherapists be alert to certain dangers when dealing with violence in the therapy room.