Old Before Their Time: A Scientific Life Investigating How Maltreatment Harms Children and the Adults They Become

Author(s) : Frank W. Putnam

Old Before Their Time: A Scientific Life Investigating How Maltreatment Harms Children and the Adults They Become

Book Details

  • Publisher : Routledge
  • Published : October 2025
  • Cover : Paperback
  • Pages : 254
  • Category :
    Forthcoming
  • Category 2 :
    Child and Adolescent Studies
  • Catalogue No : 98196
  • ISBN 13 : 9781032974828
  • ISBN 10 : 1032974826
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Old Before Their Time is the deeply personal story of a 35-year scientific investigation of the effects of childhood sexual abuse on child development and adult outcomes. The startling conclusion is that early childhood trauma accelerates biological aging of the body and the mind.

The reader will gain a comprehensive perspective on the many ways in which maltreatment embeds itself in a child’s mind, body, and behavior and is expressed across generations. It concludes that the prevention of child maltreatment is the single most powerful target for the prevention of mental illness, and for reducing premature death from common illnesses.

One in five women and one in eight men report a history of child sexual abuse. As adults, victims often have questions about how it has affected them. Old Before Their Time provides answers as well as recommendations to improve child protection and treatment services which impact millions of children and families every year. Written for a general science reader, this engaging book is well-referenced for professionals who work with children or adults with histories of child maltreatment.

Reviews and Endorsements

Dr. Frank Putnam is one of the world’s greatest scientists in the area of child abuse, which the Centers for Disease Control has called the largest public health problem in America. Starting with his work at the National Institutes of Health, he and his team have meticulously followed over 100 sexually abused girls over a time span of more than 30 years and measured their (and their children’s) mental health, physical, hormonal, emotional, and cognitive development. Their stunning research findings form the bedrock for our understanding of the pervasive long-term effects of early abuse, as well as providing a guide to effective intervention. His research work then led Dr. Putnam to implement a stunningly effective intervention program across three adjacent states, which should be a model for prevention and treatment around the country.
This is a riveting story detailing the science of child abuse, the incredible political complexities of studying this dark aspect of our society, and the (sometimes malicious) resistance of the mental health field to fully and realistically deal with its devastating consequences. It is a must read for anyone interested in understanding and alleviating human suffering.
Bessel Van Der Kolk, author of the #1 New York Times bestseller The Body Keeps the Score

Table of Contents


1. Multiple Personality Disorder
2. The Female Growth and Development Study (FGDS)
3. Hard Times
4. From the Laboratory to the Front Line
5. Investigating Alleged Child Maltreatment
6. The “Politics” of Child Maltreatment
7. Lessons Learned

About the Author(s)

Frank W. Putnam, MD, is a child and adolescent psychiatrist. Recipient of numerous awards, he is internationally recognized for his research on the psychobiological effects of child maltreatment.

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