Abstract
Increasing emphasis is being placed on the identification and management of sexual abuse in children. Family physicians have a role to play in identifying and treating these children. Some common myths about sexual abuse are that assaults are made mostly by strangers, that sexual abuse is rare, and that there's nothing wrong with sex between adults and children. Indicators in the child may be physical or behavioral. In the family, indicators include fathers with low self-esteem, poor relationships with wives, tendency to be domineering and restrictive, and mothers who are passive. Immediate and longterm intervention includes legal, protective and treatment components. The essential factors in successful intervention are belief in the child's disclosure; communication of that belief to the child; and immediate protection of the child and siblings.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BRANCH G., PAXTON R. A STUDY OF GONOCOCCAL INFECTIONS AMONG INFANTS AND CHILDREN. Public Health Rep. 1965 Apr;80:347–352. [PMC free article] [PubMed] [Google Scholar]
- Burgess A. W., Holmstrom L. L. Sexual assault: signs and symptoms. J Emerg Nurs. 1975 Mar-Apr;1(2):11–15. [PubMed] [Google Scholar]
- Burgess A. W., Holmstrom L. L. Sexual trauma of children and adolescents. Nurs Clin North Am. 1975 Sep;10(3):551–563. [PubMed] [Google Scholar]
- Finkelhor D. What's wrong with sex between adults and children? Ethics and the problem of sexual abuse. Am J Orthopsychiatry. 1979 Oct;49(4):692–697. doi: 10.1111/j.1939-0025.1979.tb02654.x. [DOI] [PubMed] [Google Scholar]
- Folland D. S., Burke R. E., Hinman A. R., Schaffner W. Gonorrhea in preadolescent children: an inquiry into source of infection and mode of transmission. Pediatrics. 1977 Aug;60(2):153–156. [PubMed] [Google Scholar]
- Hall N. M. Group treatment for sexually abused children. Nurs Clin North Am. 1978 Dec;13(4):701–705. [PubMed] [Google Scholar]
- Nakashima I. I., Zakus G. Incestuous families. Pediatr Ann. 1979 May;8(5):300–308. [PubMed] [Google Scholar]
- Pascoe D. J. Management of sexually abused children. Pediatr Ann. 1979 May;8(5):309–316. [PubMed] [Google Scholar]
- Sarafino E. P. An estimate of nationwide incidence of sexual offenses against children. Child Welfare. 1979 Feb;58(2):127–134. [PubMed] [Google Scholar]
- Sgroi S. M. Sexual molestation of children. The last frontier in child abuse. Child Today. 1975 May-Jun;4(3):18-21, 44. [PubMed] [Google Scholar]
- Summit R., Kryso J. Sexual abuse of children: a clinical spectrum. Am J Orthopsychiatry. 1978 Apr;48(2):237–251. doi: 10.1111/j.1939-0025.1978.tb01312.x. [DOI] [PubMed] [Google Scholar]
- Tsai M., Feldman-Summers S., Edgar M. Childhood molestation: variables related to differential impacts on psychosexual functioning in adult women. J Abnorm Psychol. 1979 Aug;88(4):407–417. doi: 10.1037//0021-843x.88.4.407. [DOI] [PubMed] [Google Scholar]
- Woodling B. A., Kossoris P. D. Sexual misuse: rape, molestation, and incest. Pediatr Clin North Am. 1981 May;28(2):481–499. doi: 10.1016/s0031-3955(16)34010-x. [DOI] [PubMed] [Google Scholar]
