Physical punishment of children: lessons from 20 years of research

Over the past two decades, we have seen an international shift in perspectives concerning the physical punishment of children. In 1990, research showing an association between physical punishment and negative developmental outcomes was starting to accumulate, and the Convention on the Rights of the Child had just been adopted by the General Assembly of the United Nations; however, only four countries had prohibited physical punishment in all settings. By 2000, research was proliferating, and the convention had been ratified by 191 of the world's 196 countries, 11 of which had prohibited all physical punishment. Today, research showing the risks associated with physical punishment is robust, the convention has been integrated into the legal and policy frameworks of many nations, and 31 countries have enacted prohibitions against the physical punishment of children.(1) These three forces - research, the convention and law reform - have altered the landscape of physical punishment. The growing weight of evidence and the re cognition of children's rights have brought us to a historical point. Physicians familiar with the research can now confidently encourage parents to adopt constructive approaches to discipline and can comfortably use their unique influence to guide other aspects of children's healthy development. In doing so, physicians strengthen child well-being and parent-child relationships at the population level. Here, we present an analysis of the research on physical punishment spanning the past two decades to assist physicians in this important role.