Dysfunctional family environments constitute one of the most pervasive and enduring risk factors in developmental psychopathology, yielding measurable disruptions across cognitive, affective, social, and neurobiological domains. The present article offers a comprehensive, integrative review of the extant empirical literature on child development within dysfunctional family systems, encompassing neglect, physical and psychological maltreatment, parental psychopathology, intimate partner violence, substance abuse, and chronic relational conflict. Drawing upon attachment theory (Bowlby, 1969; Ainsworth et al., 1978), the bioecological model (Bronfenbrenner & Morris, 2006), and advances in developmental neuroscience—including allostatic load (McEwen, 1998) and biological embedding (Hertzman & Boyce, 2010)—this review synthesizes findings from longitudinal cohort studies, neuroimaging research, epigenetic investigations, and randomized controlled trials. Evidence indicates that adverse childhood experiences (ACEs) are robustly associated with HPA axis dysregulation, hippocampal volume reductions, prefrontal cortical thinning, and alterations in oxytocin and serotonergic signaling. At the psychological level, disrupted caregiving precipitates insecure and disorganized attachment, emotion dysregulation, impaired executive functioning, and heightened vulnerability to internalizing and externalizing psychopathology. Moderating variables—including temperament, social support, and genetic polymorphisms—are examined in relation to differential susceptibility and resilience. Implications for evidence-based prevention and intervention are discussed, with emphasis on TF-CBT, PCIT, and MST.
Francesco Mappa (Tue,) studied this question.
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