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PubMed1986

[Diagnosis and sequelae of sexual child abuse].

This paper reviews briefly epidemiological and clinical data on prevalence and incidence of child-sexual-abuse. Individual symptoms and family factors of intra-familial child sexual abuse are described and some possible psychopathological factors and vulnerability factors are listed. Two different forms of parasuicide and self-mutilating behaviour are distinguished and complicating factors of secondary traumatisation are described.

Adaptation, Psychological↗
PubMed1986

Forensic evaluation of the sexually abused child.

Results of a 16-year forensic study of 162 cases are presented. A forensic examination protocol is delineated, laboratory specimens/evidence collection methods given, and an anatomical chart of the prepubescent female genitalia with a pictorial atlas of female abuse trauma provided. The number of child victims per 100,000 at-risk population was static v the population increase and increased v victim's age. More than 80% of all cases and 82.1% of positive cases involved girls. Of all victims, approximately 40% were positive based on history, physical evidence, laboratory evidence, and/or eyewitness deposition. Alleged incestual perpetrators accounted for 21.97% of female and 3.3% of male cases reported and 20% of female and 0% of positive for findings of sexual abuse.

Adolescent↗
PubMed1985

Sexual abuse of children--a review.

Child molestation, in and out of the family, is becoming a much better recognized serious and complex problem. General practitioners, paediatricians and casualty officers are often the first health professionals to be aware of these situations. Guidelines are given on how to recognize the presenting symptoms and how to deal with the situation holistically. The latter includes physical and psychological management of the victim, dealing with the family in this type of crisis, and a therapeutic rather than punitive approach towards the perpetrator.

Adolescent↗
PubMed1986

Psychosexual disturbances in multiple personality: characteristics, etiology, and treatment.

In a series of 20 patients with multiple personality, there was a 75% incidence of sexual abuse and a 55% incidence of physical abuse during childhood. Six of the 17 female patients (35%) had been raped in adolescence or adulthood. Patients were matched for age and sex with a nondissociative disorder control group. Although 55% of the multiple personality group had psychosexual disturbances, this was just barely significant when compared with the control group. Multiple personality appears to be an adaptive response to various traumata and enables the individual superficially to function sexually because sexual functioning is often dissociated and managed by an alternate personality.

Adolescent↗