You are here

A Practical Guide to the Evaluation of Sexual Abuse in the Prepubertal Child
Share

A Practical Guide to the Evaluation of Sexual Abuse in the Prepubertal Child


© 1999 | 168 pages | SAGE Publications, Inc

"The major strengths of this book are the manual format, the comprehensiveness of the text, the direct focus on medical practitioners, the diagrams, and the photo-illustrations. The sections on normal anatomy, normal sexual growth, and development are excellent as is the section on conducting the physical examination. The concise listing of treatments and drug doses for various conditions is invaluable."

Suzanne M Sgroi
Foreword
 
The Problem
 
The Evaluation
 
Interview and History
 
Physical Examination and Laboratory Specimens
 
Differential Diagnosis of Anogenital Findings
 
Sexually Transmitted Diseases (STDs)
Julie Lippmann and Ester Deblinger-Sosland
Mental Health Evaluation
 
Documentation and Conclusions
Extended Contents Suzanne M Sgroi
Foreword
Chapter One: The Problem
Definition
 
Scope of the Problem
Incidence and Prevalence  
 
Categories Included in Sexual Abuse
 
Conceptual Models
 
Preconditions for Sexual Abuse
 
Characteristics of the Perpetrator
 
Longitudinal Progression of Sexual Abuse
 
Child Sexual Abuse Accommodation Syndrome
 
Long-Term Effects of Sexual Abuse
 
Issues of Power and Control
 
Brief
Chapter Two: The Evaluation
Approach to Evaluation of Sexual Abuse
 
Emergent Evaluation
 
History
 
Physical Examination
 
Laboratory Studies
 
Documentation
 
Brief
Chapter Three: Interview and History
Interview as Diagnostic and Therapeutic
 
The Interview Process
 
Compliance with Legal Responsibilities
 
Brief
Chapter Four: Physical Examination and Laboratory Specimens
Physical Examination
 
Familiarity with the Prepubertal Examination
 
Laboratory Findings
 
Lack of Evidence
 
Basic Anatomy and Development
 
Estrogen Effect on Female Genitalia
Huffman Stages  
 
Outward Sexual Development
Tanner Stages  
 
Normal Female Genitalia
 
Male Anatomy
 
Anal Anatomy
 
Variables Affecting Physical Evidence
 
Findings in Sexual Abuse
 
Degree of Physical Contact
 
Extragenital Trauma
 
Fondling and Digital Penetration
 
Male Abusive Findings
 
Anal Examination Findings
 
Penile Contact with Genitalia and Anus
 
Oral-Genital Contact
 
Penile Penetration
 
Summary of Abuse Findings
 
Accidental Trauma
 
Preparing for the Physical Examination with the Child
 
Genital and Perianal Examination
 
Examining the External and Internal Structures
 
Collection of the Specimens
 
Forensic Evidence
 
Brief
Chapter Five: Differential Diagnosis of Anogenital Findings
Framework for Consideration
 
Anogenital Erythema, Excoriation, Pruritus
 
Anogenital Bruising
 
Anogenital Bleeding and/or Bloody Vaginal Discharge
 
Nonbloody Vaginal Discharge
 
usual Anatomic Appearance
Chapter Six: Sexually Transmitted Diseases
Gonorrhea
 
Chlamydia Trachomatis
 
Syphilis
 
Condyloma Acuminata
 
Trichomoniasis
 
Herpes Genitalis
 
HIV
 
Pediculosis Pubis
 
Gardnerella Vaginalis
 
Chancroid and Granuloma Inguinale
 
Candida
 
Brief
Chapter Seven: Julie Lippmann and Ester Deblinger-Sosland: Mental Health Evaluation
Referrals
 
Purpose of the Mental Health Evaluation
 
Interviewing the Child
 
Aspects of Validation
 
Assessment of Emotional Impact
 
Interviewing Other Family Members
 
Feedback and Recommendations for Treatment
 
Prognosis
 
eatment
Chapter Eight: Documentation and Conclusions
Detail of the Medical Record
 
Recording the History
 
Recording the Physical Examination
 
Court Testimony
 
Conclusion
 
In Brief

Preview this book

For instructors

This book is not available as a review copy. For more information contact your local sales representative.

Select a Purchasing Option

ISBN: 9780803948150
$124.00