Following Up Children Who Have Been Abused: Ethical Considerations for Research Design

1999 ◽  
Vol 4 (2) ◽  
pp. 68-75 ◽  
Author(s):  
Margaret A. Lynch ◽  
Danya Glaser ◽  
Vivien Prior ◽  
Vivien Inwood

Recruiting subjects for follow-up studies in child abuse raises ethical dilemmas. This paper examines the effects of the ethical stance taken in a study of a community sample of sexually abused children. The ethical code adopted required strict confidentiality and active consent to be interviewed from both child and carer, based on full information about the research objectives and method. The response rate was very low. A less rigid stance, which might have resulted in a larger sample, was considered inappropriate. Nevertheless, the quantitative and qualitative data yielded findings of interest to practitioners. Suggestions for future research practice are presented.

Author(s):  
Elizabeth McNulty

Research on sexual violence is often conducted within the qualitative paradigm. However, many writers have described the lack of specific detail provided with regard to decisions and processes involved in transcribing and analyzing this type of data. In this article, I will provide a description and discussion of the organization, categorization, and analysis of in-depth interviews in a recent study of women who sexually abused children. The study revealed common experiences of sexual and other abuse in the women’s childhood and adult relationships. These experiences created vulnerabilities that appeared to play a significant role in the women’s offenses. Although abused women rarely abuse others, the findings suggest that supporting and providing therapy to victims of abuse might minimize the potential for such outcomes.


2016 ◽  
Vol 22 (2) ◽  
pp. 112-120 ◽  
Author(s):  
Brian Allen ◽  
Natalie Armstrong Hoskowitz

Structured, trauma-focused cognitive-behavioral therapy (CBT) techniques are widely considered an effective intervention for children who experienced sexual abuse. However, unstructured (i.e., nondirective) play/experiential techniques have a longer history of widespread promotion and are preferred by many practicing clinicians. No evidence is available, however, to determine how the integration of these techniques impacts treatment outcome. In this study, community-based clinicians who received training in a structured, trauma-focused cognitive-behavioral intervention administered pretreatment and posttreatment evaluations to 260 sexually abused children presenting with elevated posttraumatic stress. In addition, they completed a questionnaire describing the treatment techniques implemented with each child. Overall, significant improvement was observed for each of the six clinical outcomes. Regression analyses indicated that technique selection was a significant factor in posttreatment outcome for posttraumatic stress, dissociation, anxiety, and anger/aggression. In general, a greater utilization of the structured CBT techniques was related to lower posttreatment scores, whereas a higher frequency of play/experiential techniques was associated with higher posttreatment scores. However, no interaction effects were observed. The implication of these findings for clinical practice and future research are examined.


2013 ◽  
Vol 112 (2) ◽  
pp. 340-352 ◽  
Author(s):  
Francine Conway ◽  
Priyam Talreja ◽  
James McCarthy ◽  
Fiona Conway

The empirical literature offers evidence that childhood sexual abuse is a predictor of psychopathology in adults. However, the literature examining the relations between thought disorder and psychotic symptoms in children is sparse. Children with a history of childhood sexual abuse are expected to demonstrate more disturbances in thought relative to their peers with no childhood sexual abuse. Using the Thought and Language Index, Thematic Apperception Test (TAT) narratives for four commonly used TAT cards obtained from 39 closed charts of hospitalized children were analyzed. Narratives were assessed on seven dimensions including weakening of goals, perseveration, looseness, peculiar word usage, peculiar sentence construction, non-logical reasoning, and distractibility. Good inter-rater reliability was obtained. Sexually abused children had higher aberrant scores on card number four compared to non-abused children. Sexual abuse history was a predictive factor for non-logical reasoning, with small effect size. Implications and suggestions for future research are discussed.


1982 ◽  
Vol 4 (3) ◽  
pp. 93-98
Author(s):  
Richard M. Sarles

Sexual abuse and rape of children and adolescents are alarmingly common. The primary physician is often the first health care professional with whom the girl and the family come in contact. As such, the clinician must be aware of the common and subtle presentations of sexually abused children. It is imperative that the primary care physician follow a standardized protocol for the treatment, collection of evidence, and follow-up care of these victims and their families.


1999 ◽  
Vol 27 (4) ◽  
pp. 295-309 ◽  
Author(s):  
Neville J. King ◽  
Bruce J. Tonge ◽  
Paul Mullen ◽  
Nicole Myerson ◽  
David Heyne ◽  
...  

Child sexual abuse is a prevalent form of child maltreatment that frequently occasions severe disturbance including posttraumatic stress disorder. This review focuses on recent cognitive-behavioural treatment initiatives designed specifically for sexually abused children, and the extent to which they are empirically supported. Our review draws on case studies, open clinical trials, multiple baseline investigations and randomized clinical trials. At first glance, the research findings are encouraging for the efficacy and acceptability of cognitive-behaviour therapy. However, more conservative conclusions are reached when stringent criteria are applied regarding evidentiary support for psychosocial interventions. Directions for future research are also explored.


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