Intervention Strategies for Promoting Recovery and Healing from Child Sexual Abuse

Tara J. Shuman
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Abstract

The deleterious effects of child sexual abuse (CSA) on youth’s social, emotional, physical, cognitive, neurobiological, sexual and developmental functioning are pervasive. Early targeted interventions for both the child who experienced CSA and their nonoffending caregivers are essential for healing and recovery. Effective interventions which are tailored to the youth’s developmental level can help mitigate or even prevent some of the serious and enduring negative effects of CSA, including symptoms of posttraumatic stress disorder (PTSD). This chapter is not comprehensive, but examines evidence based interventions for children and adolescents who have been sexually abused including Trauma-Focused Cognitive Behavioral Therapy. Additionally, this chapter will address systemic factors in CSA, recommending coordinated and trauma informed efforts utilizing an interdisciplinary approach, which may include a forensic medical team, investigators, prosecutors and other disciplines. This professional collaboration can prevent retraumatization of the child as the child and family navigate the sequela of CSA.
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促进儿童性虐待康复的干预策略
儿童性虐待(CSA)对青少年的社会、情感、身体、认知、神经生物学、性和发育功能的有害影响是普遍的。对于经历CSA的儿童和他们的非冒犯性照顾者的早期有针对性的干预对于治疗和恢复至关重要。针对青少年发展水平的有效干预可以帮助减轻甚至预防CSA的一些严重和持久的负面影响,包括创伤后应激障碍(PTSD)的症状。这一章并不全面,但研究了基于证据的干预措施,包括以创伤为中心的认知行为疗法,用于遭受性虐待的儿童和青少年。此外,本章将讨论CSA中的系统因素,建议采用跨学科方法进行协调和创伤知情的努力,其中可能包括法医小组、调查人员、检察官和其他学科。这种专业合作可以防止儿童和家庭在应对CSA后遗症时再次受到创伤。
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