Treatment for sexually abused children and adolescents |
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Authors: | Saywitz K J Mannarino A P Berliner L Cohen J A |
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Affiliation: | University of California, Los Angeles (UCLA) School of Medicine, Harbor-UCLA Medical Center, Torrance 90509, USA. ksaywitz@ucla.edu |
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Abstract: | The authors review research demonstrating the variable effects of childhood sexual abuse, the need for intervention, and the effectiveness of available treatment models. The well-controlled treatment-outcome studies reviewed do not focus on sensationalistic fringe treatments that treat sexually abused children as a special class of patients. Instead, studies demonstrate empirical evidence for extending and modifying treatment models from mainstream clinical child psychology to sexually abused children. The authors propose a continuum of interventions to meet the needs of this heterogeneous group. Interventions range from psychoeducation and screening, to short-term, abuse-focused cognitive-behavioral therapy with family involvement, to more comprehensive long-term plans for multiproblem cases. Last discussed are gaps in the research and suggestions for future research to address the pressing dilemmas faced by clinicians and policymakers. |
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