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This newly updated edition of the top-selling reference manual for the medical evaluation of suspected child sexual abuse has been expanded to reflect the increasing importance of properly performed, well-documented examinations. Not only does the book cover aspects of the physical examination and diagnosis for sexual abuse, its additional coverage of interviewing children and collecting evidence for criminal investigations makes it an inclusive guidebook for all aspects of the child sexual abuse evaluation process.
This volume serves as both a very good translation of medical terms as well as a guide pointing to which aspects of thee findings in a medical examination are significant and which are not. In addition, the book provides extensive bibliographies of a variety of topics associated with child physical and sexual abuse. —Anne Boydston Park, Cabrini College As a health professional working with sexually abused children, your goal is to obtain the most thorough and accurate assessment of a child′s condition. Medical Evaluation of Physically and Sexually Abused Children introduces the current spectrum of knowledge on physical and sexual abuse in the medical literature. In addition, this resource serves as an integral reference to find specific information among the vast amount available. Balanced coverage features citations to the literature from both sides of issues that remain controversial, and a glossary of medical terms provides accessible definitions. This vital study guide covers critical issues surrounding the accurate diagnosis and evidence taking in suspected physical child abuse, and it provides the necessary assessment guidelines specific to a forensic examination of the sexually assaulted child and sexually transmitted diseases in children.
The second edition of Medical Response to Child Sexual Abuse is revised and updatedto reflect contemporary best practices for the pediatric approach to childhood sexualabuse. This text is specifically developed to equip physicians, nurses, and othermedical professionals with the necessary tools to identify cases of child sexual abuseand to effectively treat and examine sexually abused patients. Professionals who work with sexually abused children face a great challenge innot only treating the immediate outcomes of sexual abuse but also safeguardingtheir patients' long-term recovery. To meet their needs and the needs of those intheir care, Medical Response to Child Sexual Abuse, Second Edition offers a wealthof evidence-based research and practical guidelines to the evaluation of childhoodsexual abuse.
The new 3rd edition will serve as both a key reference for primary care pediatricians as well as pediatricians who are focusing their clinical work on child maltreatment and in particular sexual victimization. The book will walk the clinician through formulation of a diagnosis, differential and diagnostic dilemmas, how to formulate conclusions, and the nuances of documentation.
"An integral part of the training of examiners who perform child sexual abuse examinations. This is an extremely high-need area." -- Lori D. Frasier, M.D., Director, Child Protection Program, Children's Hospital, University of Missouri Health Sciences Center
Medical Response to Child Sexual Abuse: A Resource for Professionals Working with Children and Families features a completely pediatric focus as a part of the new Sexual Assault line and adds an illustrative multimedia component. This text builds on the academic foundation of the original Sexual Assault by expanding the amount of pediatric-specific content and adding written and video "how-to" components. Including chapters with dedicated focuses on aspects such as basic anogenital anatomy, the medical approach to evaluating victims of abuse, sexually transmitted infections, and many more, this text examines both the technical and practical elements of working with abused, assaulted, or exploited children.
The editors of this collection are experienced practitioners and teachers of forensic psychology. They have collected chapters written by nationally and internationally respected experts in applied research and practice to provide others with their best advice and knowledge on conducting evaluations for and testifying in court.
There are numerous interpersonal and intrapersonal factors that may affect children's coping and the level of distress experienced during forensic medical evaluations for alleged child sexual abuse. Children's temperament, previous experiences with medical procedures, parental presence during the examination, and parental psychopathology are factors that have been found to influence children's coping and their distress during general medical procedures. However, although much empirical attention has been given to children's adjustment to general medical procedures, there appears to be a dearth of research addressing adjustment to forensic medical evaluations. Thus, the purpose of this study was to identify factors predictive of children's coping and distress during these evaluations. Fifty-two 6- to 10-year-old children, their maternal caregivers, and agency staff completed standardized measures. Children were administered coping measures and rated their level of distress. Maternal caregivers completed measures assessing child temperament, parental psychopathology, and state anxiety. Agency staff completed distress ratings based on their behavioral observations of the children. As expected, temperament, parental psychopathology, and state anxiety were related to children's coping and distress, but only during the medical examination. Previous medical experiences were related to children's distress, but not coping. Finally, contrary to hypotheses, coping did not mediate the relationship between temperament and distress. Overall, these findings suggest that children's adjustment to forensic medical evaluations are influenced by many different interpersonal and intrapersonal factors. Understanding these influential factors is important in promoting change and exploring different approaches during these sensitive examinations.
A comprehensive guide to the identification, assessment, and treatment of child sexual abuse The field of child sexual abuse has experienced an explosion of research, literature, and enhanced treatment methods over the last thirty years. Representing the latest refinements of thought in this field, Handbook of Child Sexual Abuse: Identification, Assessment, and Treatment combines the most current research with a wealth of clinical experience. The contributing authors, many of whom are pioneers in their respective specialties, include researchers and clinicians, forensic interviewers and law enforcement professionals, caseworkers and victim advocates, all of whom do the work of helping children who have been sexually victimized. Offering a snapshot of the state of the field as it stands today, Handbook of Child Sexual Abuse explores a variety of issues related to child sexual abuse, from identification, assessment, and treatment methods to models for implementation and prevention, including: The impact of sexual abuse on the developing brain The potential implications of early sexual victimization Navigating the complexities of multidisciplinary teams Forensic interviewing and clinical assessment Treatment options for children who have traumagenic symptoms as a response to their sexual victimization Treating children with sexual behavior problems and adolescents who engage in illegal sexual behavior Secondary trauma and vicarious traumatization Cultural considerations and prevention efforts Edited by a leader in the field of child therapy, this important reference equips helping professionals on the front lines in the battle against child sexual abuse not merely with state-of-the-art knowledge but also with a renewed vision for the importance of their role in the shaping of our culture and the healing of victimized children.
Written by a group of nationally-recognized physicians, Evaluation of the Sexually Abused Child, 2E is a comprehensive and authoritative resource that provides a step-by-step discussion of how to interview and clinically evaluate suspected child sexual abuse cases. The contributors draw on their extensive experience to provide sensitive and practical guidance on psychological aspects of abuse, conducting the medical interview and physical exam to make a diagnosis, sexually transmitted disease, and the role of the physician in court. This new edition includes updated information on lab techniques, revised protocols for intervention programs, and a host of new data from several recently released longitudinal studies that followed abused children into adolescence and adulthood. A key feature of the first edition, a photographic atlas documenting and classifying ambiguous signs of abuse, has been expanded by more than 40% to incorporate new photos on the sexual abuse of adolescents, patterns of healing trauma, and additional examples of normal variations and medical conditions.