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Abstract Childhood experiences such as physical and sexual abuse and neglect are adverse events with immediate and long-term consequences. However, in considering child abuse and neglect as examples of adverse life events that have the potential to affect development and subsequent psychopathology, the assumption of “well-being” in the child’s life prior to the victimization experience may not be a reasonable one. Although certain forms of childhood victimization may indeed be viewed as acute stressors, child abuse and neglect often occur against a background of more chronic adversity in multiproblem homes. Child abuse or neglect may be only one of a family’s problems. Thus the general effects of other family characteristics, such as poverty, unemployment, parental alcoholism or drug problems, or other inadequate social and family functioning, must be recognized and disentangled from the specific effects of childhood abuse or neglect.
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