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The clinical-forensic dichotomy in sexual abuse evaluations: moving toward an integrative model.
J Child Sex Abus. 2010 Sep; 19(5):590-608.JC

Abstract

We propose the use of an approach to evaluation that can be undertaken in a clinical setting when concerns regarding child sexual abuse are unclear or ambiguous and other systems are not involved, thus providing an option for the nondisclosing child often discussed in the "delayed disclosure" literature. This approach can also be appropriate for a child with a questionable prior disclosure not being served by other intervention systems. We have labeled this an "integrative" model, incorporating forensically sound practices into evaluations conducted in a clinical setting. The goals of this manuscript are to (a) provide a rationale for conducting child sexual abuse extended evaluations in a clinical setting, (b) delineate the purposes of such evaluations, (c) differentiate this "integrative" model from the forensic-clinical dichotomy framework discussed by Kuehnle (1996), and (d) briefly describe the format, which can be refined by future practice and research.

Authors+Show Affiliations

Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA. amy.tishelman@childrens.harvard.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20924912

Citation

Tishelman, Amy C., et al. "The Clinical-forensic Dichotomy in Sexual Abuse Evaluations: Moving Toward an Integrative Model." Journal of Child Sexual Abuse, vol. 19, no. 5, 2010, pp. 590-608.
Tishelman AC, Meyer SK, Haney P, et al. The clinical-forensic dichotomy in sexual abuse evaluations: moving toward an integrative model. J Child Sex Abus. 2010;19(5):590-608.
Tishelman, A. C., Meyer, S. K., Haney, P., & McLeod, S. K. (2010). The clinical-forensic dichotomy in sexual abuse evaluations: moving toward an integrative model. Journal of Child Sexual Abuse, 19(5), 590-608. https://doi.org/10.1080/10538712.2010.512553
Tishelman AC, et al. The Clinical-forensic Dichotomy in Sexual Abuse Evaluations: Moving Toward an Integrative Model. J Child Sex Abus. 2010;19(5):590-608. PubMed PMID: 20924912.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The clinical-forensic dichotomy in sexual abuse evaluations: moving toward an integrative model. AU - Tishelman,Amy C, AU - Meyer,Susanne K, AU - Haney,Penny, AU - McLeod,Sara K, PY - 2010/10/7/entrez PY - 2010/10/7/pubmed PY - 2011/1/21/medline SP - 590 EP - 608 JF - Journal of child sexual abuse JO - J Child Sex Abus VL - 19 IS - 5 N2 - We propose the use of an approach to evaluation that can be undertaken in a clinical setting when concerns regarding child sexual abuse are unclear or ambiguous and other systems are not involved, thus providing an option for the nondisclosing child often discussed in the "delayed disclosure" literature. This approach can also be appropriate for a child with a questionable prior disclosure not being served by other intervention systems. We have labeled this an "integrative" model, incorporating forensically sound practices into evaluations conducted in a clinical setting. The goals of this manuscript are to (a) provide a rationale for conducting child sexual abuse extended evaluations in a clinical setting, (b) delineate the purposes of such evaluations, (c) differentiate this "integrative" model from the forensic-clinical dichotomy framework discussed by Kuehnle (1996), and (d) briefly describe the format, which can be refined by future practice and research. SN - 1547-0679 UR - https://www.unboundmedicine.com/medline/citation/20924912/The_clinical_forensic_dichotomy_in_sexual_abuse_evaluations:_moving_toward_an_integrative_model_ L2 - https://www.tandfonline.com/doi/full/10.1080/10538712.2010.512553 DB - PRIME DP - Unbound Medicine ER -