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abuse by adult abuse infliction abuse occurrence abuse socialization abused elders abusing adult offspring acute stress adult protective services ageism alcohol Appalachian authoritarian personality authoritarians caregiving role characteristics child abuse closed-ended questions Committee on Aging conceptual framework Conflict Tactics Scale Cuyahoga County dependency described disturbing behaviors elder parent elderly persons emotional distress etiology of elder explaining elder abuse explanation for elder extraneous remarks factors family members family violence filial caregivers findings frequendy Gelles Gerontologist history of family household human services identified inter interviewed sample lack living maltreatment mental retardation mother nonabused open-ended questions pathology perceived percent perpetrators physical abuse present study problems qualifying adult offspring referral source caseworkers regard represented research subjects responses to open-ended result second interview schedule Sengstock and Liang slapping or spanking social isolation social support specific status Straus suggested tion unresolved family conflict usually variables victim Wolf