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Tables of Contents for Child Sexual Abuse
Chapter/Section Title
Page #
Page Count
Author's Note and Acknowledgements
viii
Introduction
ix
PART I UNDERSTANDING CHILD SEXUAL ABUSE
Myth and Reality: The Dimensions of Child Sexual Abuse
3
23
Definitions
4
4
The clinical utility of definitions
8
2
The frequency of child sexual abuse
10
3
Victims and abusers
13
5
Frequency and type of abuse
18
1
Family factors
19
1
The effects of child sexual abuse
19
7
A Multi-faceted Phenomenon: Sexuallity and Child Sexual Abuse
26
18
Theories concerning sexual abuse
26
2
The sexuality of men
28
6
The child seductress
34
2
Psychoanalysis and the sexuality of children
36
5
Children's sexual behaviour
41
3
A Family Affair?
44
17
Abusive families
44
6
Mothering
50
7
Conclusion
57
4
PART II THERAPEUTIC PRACTICE
Suspicion and Disclosure: Initial Professional Responses
61
27
The statutory framework
61
3
Aims of intervention
64
1
Underlying emotional and relational issues
65
4
Modes of presentation and recognition
69
1
Suspicion: the route to disclosure or the discomfort of uncertainty?
70
8
Partial disclosure - the child speaks
78
8
Common pathways - the strategy discussion
86
2
The Process of Validation and Decision-Making
88
31
The strategy discussion
88
1
The formal interview
89
20
The medical examination of sexually abused children
109
5
Post-disclosure decisions
114
3
The initial child-protection conference
117
2
After Validation: The Aims of Further Professional Involvement
119
21
Protection of the child's sexuality
122
4
The child's emotions
126
7
Children in their own families
133
4
Children in substitute families
137
2
Children in residential care
139
1
Therapeutic Intervention
140
26
Groups
140
10
Families
150
7
Individual therapy
157
3
Dyads
160
1
The coordination of a therapeutic approach
161
4
Evaluation
165
1
Professional and Team Issues
166
8
Emotional issues: impact and responses
166
3
The division of labour: interprofessional relationships
169
2
The special position of the social worker
171
1
The place of specialist child sexual abuse treatment teams
172
1
Training and practice development
173
1
Conclusion
173
1
Additional reading
174
1
References
175
5
Index
180