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At least 1,189 records · Page 66Linked to original sources
PubMed1986

Cultural considerations in the assessment and treatment of intrafamilial abuse.

Cultural and subcultural factors can have a marked impact upon reporting, assessment, and treatment of abuse and family violence. Values and beliefs associated with three specific rural situations--small towns, Native American reservations, and cliques of health professionals--are examined and case illustrations are presented. Recommendations are offered for refining assessment and treatment strategies in these settings.

Adolescent↗
PubMed1986

The victim-to-patient process: the disconfirmation and transformation of abuse.

The victim-to-patient process is reconceptualized as an interplay among abuse events, family relationships, and other life contexts, emphasizing the fragmented identity deriving from accommodations to the judgments of others about the abuse. Original defenses are seen to form the later core of the survivor's psychopathology. This schema helps clinicians to understand obstacles to treatment and recovery and to recognize the behavior reflecting disconfirmation and transformation of abuse.

Adaptation, Psychological↗
PubMed1986

Treatment recommendation, implementation, and follow-up in child abuse.

Seventy cases of child abuse identified at an urban general medical hospital were studied to find variables which predict treatment recommendations and follow-up care. Response to only the most vivid cases often overlooks the need to assess other abuse. Continued clinical research and improved follow-up documentation are recommended.

Child↗
PubMed1986

Alcoholism and severe child maltreatment.

A controlled study of the association between parental alcoholism and severe child maltreatment--i.e., physical abuse, sexual abuse, or neglect requiring court-ordered removal of the child from the home--reveals a significant overrepresentation of alcoholism in the parent population.

Alcohol Drinking↗
PubMed1986

Allegations of child sexual abuse in child custody disputes: a therapeutic assessment model.

Guidelines are set forth for judges and others who must make decisions in custody disputes that include allegations of child sexual abuse. The focus is on the protection of the child and the model highlights the role of mental health professionals, prescribing separate therapists for child and parent where possible. Allegations of sexual abuse are seen as an indicator of emotional risk for the child, even in cases where the allegations are untrue.

Child↗
PubMed1988

Decision-making in cases of intrafamilial child sexual abuse.

In intrafamilial sexual abuse, the mother's functioning (her dependency, relationship with the victim, and protectiveness) and the father-offender's functioning (his overall functioning, guilt about victimization, and extent of sexual abuse) can be used to make decisions about removal of children, treatment prognosis, treatment strategies, and juvenile or criminal court action. Guidelines for clinicians are presented.

Adult↗
PubMed1991

Long-term effects of sexual abuse which occurred in childhood: a review.

The psychological problems and difficulties experienced by adults who report having been sexually abused in childhood are reviewed. These long-term effects include damage to the victims' emotional reactions and self-perceptions, relationship problems, problems with sexuality and difficulties in social functioning. Common presenting problems of victims of childhood sexual abuse (CSA) are described. Also discussed are the characteristics of incestuous abuse in terms of the victim, the abusive relationship and its termination; the contributions of the various aspects of CSA to the psychological impact of such abuse; and psychodynamic explanations of the development of long-term effects. The bulk of the published material regarding the long-term effects of CSA refers to female victims only, and this 'bias' is reflected in the review.

Child↗
PubMed1984

Therapeutic approach to sexual abuse.

An account is given of the development of a treatment project for sexually abused children and their families. We review incidence data which indicate that sexual abuse of children is likely to be a far more frequent problem than has been recognised and cause an appreciable degree of psychological damage. Professional responses to this are confused and treatment facilities limited. Sexual abuse is seen as an expression of severe relationship problems in the family and therapeutic provision is made, therefore, not only for the abused child but for other members of the family (including both parents). The method adopted is to offer group therapy to the child, mother, and father and regular family meetings with professionals in the community, concerned with care and protection of children. Clinical data on the first 56 children treated are discussed and our approach to treatment is evaluated.

Adolescent↗
PubMed2006

Female child sexual abuse within the family in a Hungarian County.

BACKGROUND: The aim of the study was to analyze the characteristics of intrafamiliar female child sexual abuse and to explore common features that may be utilized as targets for possible methods of prevention. We also described the medical and legal approaches to handling child neglect. METHODS: This was a descriptive, cross-sectional study on 52 sexually abused girls under the age of 18 at the Department of Obstetrics and Gynecology, Medical and Health Science Center of Debrecen. We prospectively recorded the data of all cases. Intrafamiliar events were defined if the victim and perpetrator belonged to the same family. Legal outcomes were also recorded. RESULTS: During the 16-year period, 209 cases of sexual abuse were seen in our clinic, 52 of them had been involved in child sexual abuse within the family. This accounts for 25% of adolescent cases. Eighty-six percent of the victims were pupils, 50% of them were between 11 and 14 years of age. The perpetrator was the victim's father in 44%, and the stepfather in 40%. There was a slight difference between the type of abuse among the pre- and postpubertal group of victims, but statistically it was not significant. The abuse occurred on multiple occasions in 52%. The occurrence rate of assault was the highest in the summer season (58%), mostly in the afternoon (42%) and it took place almost exclusively at home (98%). The mother accompanied the victim in 38% of the cases and the police in 40%. Vaginal penetration was the type of abuse in 75%, and sexual perversion in 25%. Six victims were physically injured, the presence of sperm could be confirmed on vulvovaginal smears in 2 cases. One pregnancy conceived. Nine cases were reported to the police and as a result of legal proceedings, 5 perpetrators have been sentenced. CONCLUSION: The majority of crimes take place within the family and are disclosed after multiple episodes. The small proportion of reported sexual assaults is the consequence of the lack of harmony between the Hungarian conditions of emergency care and the criminal law. Prevention calls for attention at all levels of child education, observation at off-school times, early involvement of health professionals, applying standardized medical guidelines and the modification of jurisdiction.

Adolescent↗