The Council on Scientific Affairs of the American Medical Association defines bullying as "a negative behavior involving (a) a pattern of repeated aggression, (b) deliberate intent to harm or disturb a victim despite apparent victim distress, and (c) a real or perceived imbalance of power (e.g., due to age, strength, size), with the more powerful child or group attacking a physically or psychologically vulnerable victim" (Bully B‚ware Productions, 2003).