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Child sexual abuse in clinical and forensic psychiatry: a review of recent literature.
Curr Opin Psychiatry. 2008 Sep; 21(5):499-504.CO

Abstract

PURPOSE OF REVIEW

To review papers from the recent literature on child sexual abuse and to highlight the clinical and forensic issues raised and how these have been addressed. Also, to identify new demands and recommend future research.

RECENT FINDINGS

The validity of forensic evaluations depends on the quality of the protocols used and the training of the forensic mental health practitioners involved. Diagnosis of child sexual abuse still depends mainly on the child's allegation of abuse, while anogenital examination yields minimal medical evidence of sexual abuse. The relationship between child sexual abuse and victims' mental health is increasingly being proven, underlining the importance of correct clinical and forensic diagnosis of abuse to permit preventive, therapeutic and legal measures. Sexual offences via the internet have raised new demands.

SUMMARY

Forensic child and adolescent practitioners need to be very highly trained. Evaluation of sexually abused children and adolescents must be accurate to ensure legal validity and be performed with diligence so that alleged victims do not experience recurrence. Practitioners' actions must be referenced against appropriate instruments and they must be prepared for the ethical and forensic dilemmas and new demands that arise in this field.

Authors+Show Affiliations

Medical School, Fluminense Federal University (UFF), Forensic Psychiatry, Rio de Janeiro State Public Prosecutor's Office (MPRJ), Rio de Janeiro School of Judges (EMERJ), Rio de Janeiro, Brazil. jairowerner@globo.comNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

18650695

Citation

Werner, Jairo, and Maria Cristina Milanez Werner. "Child Sexual Abuse in Clinical and Forensic Psychiatry: a Review of Recent Literature." Current Opinion in Psychiatry, vol. 21, no. 5, 2008, pp. 499-504.
Werner J, Werner MC. Child sexual abuse in clinical and forensic psychiatry: a review of recent literature. Curr Opin Psychiatry. 2008;21(5):499-504.
Werner, J., & Werner, M. C. (2008). Child sexual abuse in clinical and forensic psychiatry: a review of recent literature. Current Opinion in Psychiatry, 21(5), 499-504. https://doi.org/10.1097/YCO.0b013e328305e4b0
Werner J, Werner MC. Child Sexual Abuse in Clinical and Forensic Psychiatry: a Review of Recent Literature. Curr Opin Psychiatry. 2008;21(5):499-504. PubMed PMID: 18650695.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Child sexual abuse in clinical and forensic psychiatry: a review of recent literature. AU - Werner,Jairo, AU - Werner,Maria Cristina Milanez, PY - 2008/7/25/pubmed PY - 2008/9/26/medline PY - 2008/7/25/entrez SP - 499 EP - 504 JF - Current opinion in psychiatry JO - Curr Opin Psychiatry VL - 21 IS - 5 N2 - PURPOSE OF REVIEW: To review papers from the recent literature on child sexual abuse and to highlight the clinical and forensic issues raised and how these have been addressed. Also, to identify new demands and recommend future research. RECENT FINDINGS: The validity of forensic evaluations depends on the quality of the protocols used and the training of the forensic mental health practitioners involved. Diagnosis of child sexual abuse still depends mainly on the child's allegation of abuse, while anogenital examination yields minimal medical evidence of sexual abuse. The relationship between child sexual abuse and victims' mental health is increasingly being proven, underlining the importance of correct clinical and forensic diagnosis of abuse to permit preventive, therapeutic and legal measures. Sexual offences via the internet have raised new demands. SUMMARY: Forensic child and adolescent practitioners need to be very highly trained. Evaluation of sexually abused children and adolescents must be accurate to ensure legal validity and be performed with diligence so that alleged victims do not experience recurrence. Practitioners' actions must be referenced against appropriate instruments and they must be prepared for the ethical and forensic dilemmas and new demands that arise in this field. SN - 1473-6578 UR - https://www.unboundmedicine.com/medline/citation/18650695/Child_sexual_abuse_in_clinical_and_forensic_psychiatry:_a_review_of_recent_literature_ L2 - https://doi.org/10.1097/YCO.0b013e328305e4b0 DB - PRIME DP - Unbound Medicine ER -