A serious case of bullying
The role of doctors in primary assistance
Keywords:
BULLYING, PRIMARY HEALTH CARE, PHYSICIAN’S ROLEAbstract
We present a case of chronic exposure to psychological and physical violence among peers within the school context. The case was diagnosed after a cruel aggression by some of the patients’ schoolmates which caused sharp pencil wounds in the face and resulted in esthetic damage and post-traumatic stress disorder.
This case reflects a failure of the health care system in terms of the prevention, identification and approach of these situations and leads us to call for reflection on the issue and implement strategies for inter-institutional approach that focuses on prevention, responding to current changes in the health care model.
References
(1) Bringiotti M. La violencia cotidiana en el ámbito escolar: Algunas propuestas visibles e intervención. Buenos Aires: Lugar, 2008.
(2) Olweus D. Conductas de acoso y amenaza entre escolares. 2ª ed. Madrid: Alfaomega, Morata, 2004.
(3) Nansel TR, Overpeck M, Pilla RS, Ruan WJ, Simons-Morton B, Scheidt P. Bullying behaviors among US youth: prevalence and association with psychosocial adjustment. JAMA 2001; 285(16): 2094-100.
(4) Nansel TR, Overpeck MD, Haynie DL, Ruan WJ, Scheidt PC. Relationships between bullying and violence among US youth. Arch Pediatr Adolesc Med 2003; 157(4): 348-53.
(5) Lopes Neto AA. Bullying: comportamento agressivo entre estudantes. J Pediatr (Rio J) 2005; 81(5 Supl): S164-72.
(6) Cajigas de Segredo N, Kahan E, Luzardo M, Najson S, Ugo C, Zamalvide G. Agresión entre pares (bullying) en un centro educativo de Montevideo: estudio de las frecuencias de los estudiantes de mayor riesgo. Rev Med Urug 2006; 22(2): 143-51.
(7) Cajigas de Segredo N, Kahan E, Luzardo M, Najson S, Zamalvide G. Escala de agresión entre pares para adolescentes y principales resultados. Montevideo: UCUDAL, Facultad de Psicología, 2008. Disponible en: http://www.ucu.edu.uy/Facultades/Psicologia/TB/Documentos/accion_psico.pdf.(Consulta: 15/12/08).
(8) Trautmann A. Maltrato entre pares o "bullying". Una visión actual. Rev Chil Pediatr 2008; 79(1): 13-20.
(9) Juvonen J, Graham S, Schuster MA. Bullying among young adolescents: the strong, the weak, and the troubled. Pediatrics 2003; 112(6 Pt 1): 1231-7.
(10) Nansel TR, Craig W, Overpeck MD, Saluja G, Ruan WJ; Health Behaviour in School-aged Children Bullying Analyses Working Group. Cross-national consistency in the relationship between bullying behaviors and psychosocial adjustment. Arch Pediatr Adolesc Med 2004; 158(8): 730-6.
(11) Arseneault L, Walsh E, Trzesniewski K, Newcombe R, Caspi A, Moffitt TE. Bullying victimization uniquely contributes to adjustment problems in young children: a nationally representative cohort study. Pediatrics 2006; 118(1): 130-8.
(12) Rodríguez Piedra R, Seoane Lago A, Pedreira Massa JL. Niños contra niños: el bullying como trastorno emergente. An Pediatr (Barc) 2006; 64(2): 162-6.
(13) Fekkes M, Pijpers FI, Fredriks AM, Vogels T, Verloove-Vanhorick SP. Do bullied children get ill, or do ill children get bullied? A prospective cohort study on the relationship between bullying and health-related symptoms. Pediatrics 2006; 117(5): 1568-74.
(14) Kaltiala-Heino R, Rimpelä M, Marttunen M, Rimpelä A, Rantanen P. Bullying, depression and suicidal ideation in Finnish adolescents: school survey. BMJ 1999; 319(7206): 348-51.
(15) Asamblea General del Poder Legislativo. Código de la niñez y adolescencia. Montevideo: Iconoprint, 2005.
(16) Lyznicki JM, McCaffree MA, Robinowitz CB. Childhood bullying: implications for physicians. Am Fam Physician 2004; 70(9): 1723-8.
(17) Nickel MK, Krawczyk J, Nickel C, Forthuber P, Kettler C, Leiberich P, et al. Anger, interpersonal relationships, and health related quality of life in bullying boys who are treated with outpatient familiy therapy: a randomized, prospective, controlled trial with 1 year of follow up. Pediatrics 2005; 116(2): e247-54.
(18) Ohene SA, Ireland M, McNeely C, Borowsky IW. Parental expectations, physical punishment, and violence among adolescents who score positive on a psychosocial screening test in primary care. Pediatrics 2006; 117(2): 441-7.
(19) Borowsky IW, Mozayeny S, Stuenkel K, Ireland M. Effects of a primary care-based intervention on violent behavior and injury in children. Pediatrics 2004; 114(4): e392-9.
(20) Dake JA, Price JH, Telljohann SK. The nature and extent of bullying at school. J Sch Health 2003; 73(5): 173-80.
(21) Vreeman RC, Carroll AE. A systematic review of school-based interventions to prevent bullying. Arch Pediatr Adolesc Med 2007; 161(1): 78-88.
(2) Olweus D. Conductas de acoso y amenaza entre escolares. 2ª ed. Madrid: Alfaomega, Morata, 2004.
(3) Nansel TR, Overpeck M, Pilla RS, Ruan WJ, Simons-Morton B, Scheidt P. Bullying behaviors among US youth: prevalence and association with psychosocial adjustment. JAMA 2001; 285(16): 2094-100.
(4) Nansel TR, Overpeck MD, Haynie DL, Ruan WJ, Scheidt PC. Relationships between bullying and violence among US youth. Arch Pediatr Adolesc Med 2003; 157(4): 348-53.
(5) Lopes Neto AA. Bullying: comportamento agressivo entre estudantes. J Pediatr (Rio J) 2005; 81(5 Supl): S164-72.
(6) Cajigas de Segredo N, Kahan E, Luzardo M, Najson S, Ugo C, Zamalvide G. Agresión entre pares (bullying) en un centro educativo de Montevideo: estudio de las frecuencias de los estudiantes de mayor riesgo. Rev Med Urug 2006; 22(2): 143-51.
(7) Cajigas de Segredo N, Kahan E, Luzardo M, Najson S, Zamalvide G. Escala de agresión entre pares para adolescentes y principales resultados. Montevideo: UCUDAL, Facultad de Psicología, 2008. Disponible en: http://www.ucu.edu.uy/Facultades/Psicologia/TB/Documentos/accion_psico.pdf.(Consulta: 15/12/08).
(8) Trautmann A. Maltrato entre pares o "bullying". Una visión actual. Rev Chil Pediatr 2008; 79(1): 13-20.
(9) Juvonen J, Graham S, Schuster MA. Bullying among young adolescents: the strong, the weak, and the troubled. Pediatrics 2003; 112(6 Pt 1): 1231-7.
(10) Nansel TR, Craig W, Overpeck MD, Saluja G, Ruan WJ; Health Behaviour in School-aged Children Bullying Analyses Working Group. Cross-national consistency in the relationship between bullying behaviors and psychosocial adjustment. Arch Pediatr Adolesc Med 2004; 158(8): 730-6.
(11) Arseneault L, Walsh E, Trzesniewski K, Newcombe R, Caspi A, Moffitt TE. Bullying victimization uniquely contributes to adjustment problems in young children: a nationally representative cohort study. Pediatrics 2006; 118(1): 130-8.
(12) Rodríguez Piedra R, Seoane Lago A, Pedreira Massa JL. Niños contra niños: el bullying como trastorno emergente. An Pediatr (Barc) 2006; 64(2): 162-6.
(13) Fekkes M, Pijpers FI, Fredriks AM, Vogels T, Verloove-Vanhorick SP. Do bullied children get ill, or do ill children get bullied? A prospective cohort study on the relationship between bullying and health-related symptoms. Pediatrics 2006; 117(5): 1568-74.
(14) Kaltiala-Heino R, Rimpelä M, Marttunen M, Rimpelä A, Rantanen P. Bullying, depression and suicidal ideation in Finnish adolescents: school survey. BMJ 1999; 319(7206): 348-51.
(15) Asamblea General del Poder Legislativo. Código de la niñez y adolescencia. Montevideo: Iconoprint, 2005.
(16) Lyznicki JM, McCaffree MA, Robinowitz CB. Childhood bullying: implications for physicians. Am Fam Physician 2004; 70(9): 1723-8.
(17) Nickel MK, Krawczyk J, Nickel C, Forthuber P, Kettler C, Leiberich P, et al. Anger, interpersonal relationships, and health related quality of life in bullying boys who are treated with outpatient familiy therapy: a randomized, prospective, controlled trial with 1 year of follow up. Pediatrics 2005; 116(2): e247-54.
(18) Ohene SA, Ireland M, McNeely C, Borowsky IW. Parental expectations, physical punishment, and violence among adolescents who score positive on a psychosocial screening test in primary care. Pediatrics 2006; 117(2): 441-7.
(19) Borowsky IW, Mozayeny S, Stuenkel K, Ireland M. Effects of a primary care-based intervention on violent behavior and injury in children. Pediatrics 2004; 114(4): e392-9.
(20) Dake JA, Price JH, Telljohann SK. The nature and extent of bullying at school. J Sch Health 2003; 73(5): 173-80.
(21) Vreeman RC, Carroll AE. A systematic review of school-based interventions to prevent bullying. Arch Pediatr Adolesc Med 2007; 161(1): 78-88.
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Published
2010-09-30
How to Cite
1.
Lozano Méndez FC. A serious case of bullying: The role of doctors in primary assistance. Rev. Méd. Urug. [Internet]. 2010 Sep. 30 [cited 2024 Nov. 23];26(3):168-71. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/422
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Clinical Cases
