Child Sexual Abuse: A Primer for Treating Children, Adolescents, and Their Nonoffending Parents

Front Cover
Children who have been sexually abused not only often experience PTSD symptoms as a direct result of the trauma, but also develop unhealthy emotional responses and may engage in age-inappropriate sexual behaviors. In addition, parents also suffer from the trauma and thus are often in need of emotional support and guidance in responding to their children's needs.

Based on over 25 years of research supported by grants from the National Institute of Mental Health (NIMH), the National Center on Child Abuse and Neglect (NCCAN), and other funding sources,Child Sexual Abuse describes a premier empirically supported treatment approach for children, adolescents, and non-offending parents/caregivers impacted by child sexual abuse. Developed to provide support and to alleviate symptoms and problem behaviors in children and adolescents, trauma-focused CBT for child sexual abuse incorporates treatment components that provide children and their caregivers with education and coping skills training, while simultaneously addressing the trauma. The book describes the nuts and bolts of treatment including trauma narration and processing that helps to alleviate children's distress and feelings of shame associated with the abuse. Parents are also taught effective behavior management skills, and treatment often culminates with a focus on parent-child communication and enhancing safety and future development. This highly effective treatment model can be adapted to be delivered in school-based, residential, home and/or group settings.

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1 Introduction
2 Theory Treatment Development and Research
3 Clinical Overview
 Triage and Assessment
5 About This Treatment Guide
 Initiating the Stabilization and SkillBuilding Phase of Treatment
7 Relaxation Skills
8 Affective Expression and Modulation Skills
15 Ending Therapy
16 Addressing Sexual Difficulties and the Impact of Commercial Sexual Exploitation
17 Conclusions
Information on How to Obtain Recommended Assessment Measures
Informational and Parenting Handouts
Therapy Resources by PRACTICE Component
Glossary of Terms
Professional Resources

9 Cognitive Coping Skills
 Initiating the Trauma Narration and Processing Phase of Treatment
11 Trauma Narrative Development and Processing Part II
 Initiating the Consolidation and Closure Phase
13 Conjoint TraumaFocused Sessions
14 Enhancing Safety and Future Development
Therapist Forms
About the Authors

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About the author (2015)

Esther Deblinger, Ph.D., is Co-founder and Co-director of the Child Abuse Research Education and Service (CARES) Institute and Professor of Psychiatry at Rowan University School of Osteopathic Medicine. Dr. Deblinger and her colleagues have conducted groundbreaking research on the impact and treatment of child sexual abuse as well as other childhood trauma(s).

Anthony Mannarino, Ph.D., is Director of the Center for Traumatic Stress in Children and Adolescents and Vice Chair, Department of Psychiatry, Allegheny General Hospital, Pittsburgh, PA. He is also Professor of Psychiatry at the Drexel University College of Medicine. Dr. Mannarino has been a leader in the field of child traumatic stress for the past 25 years.

Judith A. Cohen, M.D., is Professor of Psychiatry at Drexel University College of Medicine, and Medical Director of the Center for Traumatic Stress in Children & Adolescents at Allegheny General Hospital in Pittsburgh, PA. Dr. Cohen is a board certified child and adolescent psychiatrist who has received wide acclaim for her work in the field.

Melissa K. Runyon, Ph.D., is Treatment Services Director of the Child Abuse Research Education and Service (CARES) Institute and Professor of Psychiatry at the Rowan University School of Osteopathic Medicine where she has conducted cutting-edge research in the field of child abuse.

Anne Heflin, Ph.D., is an Associate Professor at the American School of Professional Psychology at Argosy University, Washington, DC, where she teaches in the areas of child psychopathology, child psychotherapy, and child maltreatment.

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