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Psychological or emotional abuse results from all of the above, but also can be associated with verbal abuse, which can harm a child’s self-worth or emotional well-being. Signs and Symptoms . It is not always easy to recognize when a child has been abused. For example, a crash in which a person was seriously injured because of a lack of safety belt use will be more effective in producing later belt use than a crash in which the person merely receives a cut or bruise. 3) A behavior does not have to be reinforced every time it occurs in order for that behavior to be conditioned (e.g., Skinner, 1961). see the concerning lesion while the child is still in the ED. The system we use for this is Cureatr . Cureatr photos should be used when a bruise is identified in a high risk group and the ED physician is considering going off pathway. eg . A 2 - year old child with a bruise to the ear and a story of falling off of a slide. Return to