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

By: Angelo P. Giardino, Martin A. Finkel, Eileen R. Giardino

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Hardcover | 9 October 1992

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Carefully developed and thoroughly field tested, this volume is a guide to aid practitioners in the identification, evaluation, and documentation of suspected sexual abuse of children. It will be invaluable to a broad range of professionals, including pediatricians, doctors, nurses, health care and child protection workers, clinical social workers, and psychologists.With over 45 medical illustrations, the manual reassures caregiving professionals in their role as health care provider and/or child advocate. It provides a solid reference showing how to proceed with medical and psychological assessment and gives practical guidelines for doing physical and genital examinations, pertinent laboratory studies, and proper documentation.

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You Can Find This Book In

Non-Fiction Society & Culture Social Issues & Processes Violence in Society Child Abuse Medicine Medicine in General Public Health & Preventive Medicine Social Services & Welfare Social Welfare & Social Services Social Work Welfare & Benefit Systems

Child Welfare Clinical & Internal Medicine Paediatric Medicine Psychology Social Psychology Domestic Violence

Foreword
The Problem
The Evaluation
Interview and History
Physical Examination and Laboratory Specimens
Differential Diagnosis of Anogenital Findings
Sexually Transmitted Diseases (STDs)
Mental Health Evaluation
Documentation and Conclusions
Foreword - Extended Contents Suzanne M Sgroi
Definition - Chapter One: The Problem
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
Approach to Evaluation of Sexual Abuse - Chapter Two: The Evaluation
Emergent Evaluation
History
Physical Examination
Laboratory Studies
Documentation
Brief
Interview as Diagnostic and Therapeutic - Chapter Three: Interview and History
The Interview Process
Compliance with Legal Responsibilities
Brief
Physical Examination - Chapter Four: Physical Examination and Laboratory Specimens
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
Framework for Consideration - Chapter Five: Differential Diagnosis of Anogenital Findings
Anogenital Erythema, Excoriation, Pruritus
Anogenital Bruising
Anogenital Bleeding and/or Bloody Vaginal Discharge
Nonbloody Vaginal Discharge
usual Anatomic Appearance
Gonorrhea - Chapter Six: Sexually Transmitted Diseases
Chlamydia Trachomatis
Syphilis
Condyloma Acuminata
Trichomoniasis
Herpes Genitalis
HIV
Pediculosis Pubis
Gardnerella Vaginalis
Chancroid and Granuloma Inguinale
Candida
Brief
Referrals - Chapter Seven: Julie Lippmann and Ester Deblinger-Sosland: Mental Health Evaluation
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
Detail of the Medical Record - Chapter Eight: Documentation and Conclusions
Recording the History
Recording the Physical Examination
Court Testimony
Conclusion: In Brief
Table of Contents provided by Ingram. All Rights Reserved.

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

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