From Child Sexual Abuse to Adult Sexual Risk examines the relation between child sexual abuse (CSA) and adult sexual health outcomes in men and women. An emerging body of literature suggests that children who experience sexual violence are more likely to engage in sexual risk behavior and, consequently, may be vulnerable to many negative reproductive and sexual health problems as adults. These problems include unwanted pregnancy, sexually transmitted diseases, HIV infection, and adult sexual violence. In this singular volume, leading researchers and clinicians integrate research from a variety of disciplines, including epidemiology, traumatology, and prevention science, to bridge the current scientific literatures on CSA, basic trauma research, and clinical practice. Chapters identify the theory and research-based cognitive, affective, social, and behavioral consequences of trauma that influence both sexual health and sexual risk behaviors in adulthood. The volume also highlights new approaches that begin to translate these findings into interventions for people who have experienced CSA. This comprehensive resource delineates an emerging field of research that will help set a new c

A health-care provider is likely to be the first professional contact for survivors of intimate partner violence or sexual assault. Evidence suggests that women who have been subjected to violence seek health care more often than non-abused women, even if they do not disclose the associated violence. They also identify health-care providers as the professionals they would most trust with disclosure of abuse. These guidelines are an unprecedented effort to equip healthcare providers with evidence-based guidance as to how to respond to intimate partner violence and sexual violence against women. They also provide advice for policy makers, encouraging better coordination and funding of services, and greater attention to responding to sexual violence and partner violence within training programmes for health care providers. The guidelines are based on systematic reviews of the evidence, and cover: 1. identification and clinical care for intimate partner violence 2. clinical care for sexual assault 3. training relating to intimate partner violence and sexual assault against women 4. policy and programmatic approaches to delivering services 5. mandatory reporting of intimate partner violence. The guidelines aim to raise awareness of violence against women among health-care providers and policy-makers, so that they better understand the need for an appropriate health-sector response. They provide standards that can form the basis for national guidelines, and for integrating these issues into health-care provider education.

A comprehensive guide to the identification, assessment, and treatment of child sexual abuse The field of child sexual abuse has experienced an explosion of research, literature, and enhanced treatment methods over the last thirty years. Representing the latest refinements of thought in this field, Handbook of Child Sexual Abuse: Identification, Assessment, and Treatment combines the most current research with a wealth of clinical experience. The contributing authors, many of whom are pioneers in their respective specialties, include researchers and clinicians, forensic interviewers and law enforcement professionals, caseworkers and victim advocates, all of whom do the work of helping children who have been sexually victimized. Offering a snapshot of the state of the field as it stands today, Handbook of Child Sexual Abuse explores a variety of issues related to child sexual abuse, from identification, assessment, and treatment methods to models for implementation and prevention, including: The impact of sexual abuse on the developing brain The potential implications of early sexual victimization Navigating the complexities of multidisciplinary teams Forensic interviewing and clinical assessment Treatment options for children who have traumagenic symptoms as a response to their sexual victimization Treating children with sexual behavior problems and adolescents who engage in illegal sexual behavior Secondary trauma and vicarious traumatization Cultural considerations and prevention efforts Edited by a leader in the field of child therapy, this important reference equips helping professionals on the front lines in the battle against child sexual abuse not merely with state-of-the-art knowledge but also with a renewed vision for the importance of their role in the shaping of our culture and the healing of victimized children.

This article reviews studies that have tried to confirm empirically the effects of child sexual abuse cited in the clinical literature. In regard to initial effects empirical studies have indicated reactions of fear, anxiety, depression, anger and hostility, aggression and sexually inappropriate behaviour. Frequently reported long-term effects include depression and self-destructive behaviour, anxiety, feelings of isolation and stigma, poor self-esteem, difficulty in trusting others, a tendency toward revictimization, substance abuse and sexual maladjustment. The controversy over the impact of child sexual abuse is discussed and recommendations for future research efforts are suggested.

Grounded in 40 years of clinical practice and research, this book provides a systematic yet flexible evidence-informed framework for treating adult survivors of complex trauma, particularly those exposed to chronic emotional abuse or neglect. Component-based psychotherapy (CBP) addresses four primary treatment components that can be tailored to each client's unique needs--relationship, regulation, dissociative parts, and narrative. Vivid extended case examples illustrate CBP intervention strategies and bring to life both the client's and therapist's internal experiences. The appendix features a reproducible multipage clinician self-assessment tool that can be downloaded and printed in a convenient 8 1/2" x 11" size. See also Treating Traumatic Stress in Children and Adolescents, Second Edition, by Margaret E. Blaustein and Kristine M. Kinniburgh, which presents a complementary approach also developed at The Trauma Center at Justice Resource Institute.

The authors integrate research from many disciplines on factors that contribute to partner violence and sexual assault victimization, mental health, and substance use among adult women; provide conceptual and research background on why women may interpret and respond to interpersonal victimization very differently; and identify implications for future research and implications for interventions.

In this groundbreaking book, a leading clinical psychiatrist redefines how we think about and treat victims of trauma. A "stunning achievement" that remains a "classic for our generation." (Bessel van der Kolk, M.D., author of The Body Keeps the Score). Trauma and Recovery is revered as the seminal text on understanding trauma survivors. By placing individual experience in a broader political frame, Harvard psychiatrist Judith Herman argues that psychological trauma is inseparable from its social and political context. Drawing on her own research on incest, as well as a vast literature on combat veterans and victims of political terror, she shows surprising parallels between private horrors like child abuse and public horrors like war. Hailed by the New York Times as "one of the most important psychiatry works to be published since Freud," Trauma and Recovery is essential reading for anyone who seeks to understand how we heal and are healed.