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Sexual abuse of young children : evaluation and treatment

Author: Kee MacFarlane; Jill Waterman
Publisher: New York : Guilford Press, ©1986.
Edition/Format:   Print book : EnglishView all editions and formats
Summary:
Treating sexually abused children is never easy, but dealing with the youngest victims- children of pre-school age- presents special problems. The clinician must know how to communicate with these children, and how to overcome their fear of divulging a terrible secret. They also must confront the powerful emotions evoked by sexual abuse. Combining theory, research, and practice, the authors have compiled the first  Read more...
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Document Type: Book
All Authors / Contributors: Kee MacFarlane; Jill Waterman
ISBN: 0898626757 9780898626759 0898627036 9780898627039
OCLC Number: 12972899
Description: xxiv, 355 pages ; 24 cm
Contents: The scope of the problem: Definitional issues; Incidence of child sexual abuse; Dimensions of sexual abuse; Conclusions and cautions --
Developmental considerations: The child's developmental level; Developmental aspects of sexuality in the preschool child; Developmental issues in interviewing; Summary --
Assessment of suspected child sexual abuse: Introduction; Information gathering prior to evaluation of the child; Tools for evaluation; The interview plan; Special issues --
Medical evaluation: Introduction; The medical interview; The physical examination; Medical indicators of sexual abuse; Laboratory findings, treatment of disease, and collection of evidence; The medical record; A colposcopic examination; Concluding the medical evaluation-reassurance; Human factors for a sensitive evaluation; Conclusion --
Techniques for interviewing and evidence gathering: Laying the foundation for an interview; Understanding children's defenses; Considerations on evidence gathering; Remembering the child's view; Conclusion --
Effects of Sexual abuse on children: Affective effects; Physical effects; Cognitive and school-related problems; Behavioral symptoms and 'acting out'; Self-destructive behaviors; Degree of psychopathology; Effects related to sexuality; Effects of 'the system'; Other effects; Mediators; Summary and conclusion --
Child sexual abuse allegations in divorce proceedings: Reasons for allegations at the time of divorce; Reasons why sexual abuse may occur during divorce; Negotiating the Court System; Evaluation strategies; Intervention when abuse is alleged or suspected; Conclusion --
Sociocultural considerations in child sexual abuse: Review of the literature; Conceptual issues; Clinical issues --
Videotaping of interviews and court testimony: Purposes of taping; Uses of videotapes in Court; Use of closed-circuit television in Court; Taping preliminary hearings; Technical considerations in taping interviews; Legal-ethical issues: the other side of taping; Conclusion --
Overview of treatment issues: treatment modalities; Length of treatment; Treatment issues; Treatment outcome --
Family dynamics of incest with young children: Family dynamics with older children; Family dynamics with preschool children; Conclusion --
Guidelines for treating young children: Importance of case management and teaming; Treatment approach; General treatment issues; Specific treatment issues; Indicators for termination; Summary --
Parallel group treatment of children and their mothers; General description; Goals of treatment; The curriculum: thirteen modules dealing with commonly occurring themes; Summary and conclusions; Sexual Abuse resources; Helping Susan; Jimmy's bedtime story --
Helping families cope with extrafamilial molestation: Introduction; Coping with sexual abuse of your preschool child: a guide for parents --
Challenges in the future: Assessment; Treatment; Systems response; Training; Prevention; Conclusion.
Responsibility: Kee MacFarlane and Jill Waterman ; with Shawn Conerly, Linda Damon, Michael Durfee, Suzanne Long ; foreword by Roland Summit.

Abstract:

Treating sexually abused children is never easy, but dealing with the youngest victims- children of pre-school age- presents special problems. The clinician must know how to communicate with these children, and how to overcome their fear of divulging a terrible secret. They also must confront the powerful emotions evoked by sexual abuse. Combining theory, research, and practice, the authors have compiled the first authoritative volume to focus on very young molested children. This book gives the practitioner the understanding and technical tools to evaluate and treat young victims of abuse. It describes how to win the trust of frightened children; how to pose questions that will evoke the most information; and how to use puppets, dolls, and art materials. It assess a variety of treatment modalities, including individual play therapy, structured group treatment, and work with parents. Because sexually abused children are frequently called upon to testify against alleged molesters, the book also examines the legal and ethical issues of recording testimony. Among the topics covered are: consideration of the child's developmental stage; how to assess suspected child abuse; techniques for interviewing and gathering evidence; allegations of sexual abuse in divorce proceedings; family dynamics of incest with young children; and helping parents cope with extrafamilial molestation. The authors are among the pioneers in this field. Combining theoretical sophistication with the wisdom born of vast experience, their clear coverage of this most sensitive issue provides an invaluable tool for any professional who comes in contact with preschool molested children and their families. -- from Book Jacket.

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