Object Relations in Severe Trauma: Therapy of the Sexually Abused Child

The sexually abused battered child.

A total of 130 children were identified in whom both evidence of sexual abuse and non-accidental, non-genital physical injuries (bruises, fractures, scratches, burns and scalds, including failure to thrive) were found. There were 77 girls and 53 boys with mean ages 5.7 and 6.8 years respectively and the peak age between the second and seventh birthdays; this reflects previous reports indicating...

Severe genital human papillomavirus infection in a sexually abused child.

Management of the sexually abused child

Estimates of the prevalence of child sexual abuse range from 5-30% of the population, principally because of differences in sampling, interview, and definitions (e.g. inclusion of non-contact abuse). Nevertheless, it is clear that higher rates are found in subsections of the community, including those in contact with psychiatric services. A working definition is any sexual experience involving ...

Trauma focused cognitive behavioural therapy reduces PTSD more effectively than child centred therapy in children who have been sexually abused.

The medical evaluation of the sexually abused child.

The diagnosis of suspected sexual abuse is nearly always based on a description of abuse provided by the child. The physician should invite a child to describe his or her sexual victimization in detail if such a "disclosure" interview has not already occurred, if the child seems ready to describe the abuse, and if a child protective services worker has not yet been notified of the suspected abu...