Search results for ‘Subject term:"diagnosis"’ Sort:
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Physical signs of sexual abuse in children: report of a working party of the Royal College of Physicians
- Authors:
- PRIESTLEY Betty L., et al
- Publisher:
- Royal College of Physicians
- Publication year:
- 1997
- Pagination:
- 106p.,illus.,bibliog.
- Place of publication:
- London
Revised report on the physical signs of sexual abuse in children.
A jigsaw approach
- Author:
- HOBBS Chris
- Journal article citation:
- Community Care, 28.1.93, 1993, pp.20-21.
- Publisher:
- Reed Business Information
Argues that medical evidence should be given sufficient weight together with other evidence in making a diagnosis in child sexual abuse cases.
Physical signs of sexual abuse in children
- Author:
- ROBINSON R.
- Journal article citation:
- British Medical Journal, 13.4.91, 1991, pp.863-864.
- Publisher:
- British Medical Association
Summarises and comments on the report of a working party set up by the Royal College of Physicians of London.
Physical signs of sexual abuse in children
- Author:
- ROYAL COLLEGE OF PHYSICIANS
- Publisher:
- Royal College of Physicians
- Publication year:
- 1991
- Pagination:
- 80p.,tables,illus.,bibliog.
- Place of publication:
- London
Report and guidelines from a working party whose terms of reference were to agree terminology, describe the range of normal findings, advise on techniques of examination, produce evidence of what the physical signs are, and produce suitable guidelines for the medical and legal profession and others concerned with sexually abused children. The guidelines concentrate on one aspect of diagnosis -
Patterns of child sexual abuse knowledge among professionals
- Authors:
- HIBBAD R.A., ZOLLINGER T.W.
- Journal article citation:
- Child Abuse and Neglect, 14(3), 1990, pp.347-355.
- Publisher:
- Elsevier
Reports on a survey conducted among professionals including social workers which showed that a significant proportion were not knowledgeable about some important features of abuse.
Child abuse
- Author:
- HEALD R.J.
- Journal article citation:
- British Medical Journal, 6.8.88, 1988, p.421.
- Publisher:
- British Medical Association
Letter by a specialist explaining why reflex anal dilatation may occur in many children who have not been abused.
Test balloons? Small signs of big events: a qualitative study on circumstances facilitating adults’ awareness of children's first signs of sexual abuse
- Authors:
- FLAM Anna Margrete, HAUGSTVEDT Eli
- Journal article citation:
- Child Abuse and Neglect, 37(9), 2013, p.633–642.
- Publisher:
- Elsevier
This research examined caregivers’ awareness of children's first signs of sexual abuse. The aim was to explore circumstances that facilitate adults’ awareness of first signs in everyday natural settings. Data were obtained from a Norwegian university hospital's outpatient specialty mental health clinic. Included were all cases (N = 20) referred during a two-year period for treatment after the disclosure of sexual abuse that was reported to the police and child protective service. Nonabusing caregivers’ awareness of first signs were recollected in hindsight as part of therapy. Qualitative analysis was conducted to capture caregivers’ experiences. As identified by caregivers, all children gave signs. Thereafter, children either stopped, delayed, or immediately disclosed sexual abuse. At first signs, each child had time and attention from trusted adults, connection to the abuser, and exhibited signs of reservation against that person or related activities. Then, if met with closed answers, first signs were rebuffed as once-occurring events. If met with open answers and follow-up questions, children continued to tell. Unambiguous messages were prompted only in settings with intimate bodily activity or sexual abuse related content. In sum, when trusted adults provided door-openings, children used them; when carefully prompted, children talked; when thoughtfully asked, children told. The study suggests that children's signs of sexual abuse can be understood as “test balloons” to explore understanding and whether anything is to be done. A disclosing continuation hinges on the trusted adult's dialogical attunement and supplementary door-openings. Divergent from an idea of behavioural markers, or purposeful versus accidental disclosures, this study calls for a broader attention: Moments of first signs are embedded in dialogue. A uniqueness at moments of first signs appears: Both to form such moments and to transform them into moments of meeting for joint exploration and telling, hinge upon how trusted caregivers scaffold opportunities for the child to disclose. Subsequently, support offers need to be addressed not only to strengthen children to tell, but also for caregivers and professionals to take into account the necessity of a dialogically oriented sensitivity towards children, both for telling to occur and for hearing to take place. (Publisher abstract)
Difficulties in diagnosing sexual abuse in children with condyloma acuminata in Turkey
- Authors:
- BULBUL Selda, et al
- Journal article citation:
- Journal of Child Sexual Abuse, 19(1), January 2010, pp.35-42.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Human papillomavirus is responsible for anogenital warts and could be regarded as an indicator of possible sexual abuse in children. This article describes a case study in which a genital wart was detected during an investigation of anti-hepatitis C virus positivity in a 4-year-old male patient. No pathological findings of another sexually transmitted disease were found except complete cleft palate and circumferential lesions in the perianal region. No family member was anti-hepatitis C virus positive, but the patient's uncle and his wife had genital condylomata. Although detailed physical examination uncovered no other findings indicative of sexual abuse, suspicion of abuse could not be eliminated. This article aims to draw the attention of health professionals to the association of anogenital warts in children and sexual abuse.
Which sexual abuse victims receive a forensic medical examination? The impact of Children's Advocacy Centers
- Authors:
- WALSH Wendy A., et al
- Journal article citation:
- Child Abuse and Neglect, 31(1), October 2007, pp.1053-1068.
- Publisher:
- Elsevier
This study examines the impact of Children's Advocacy Centers (CAC) and other factors, such as the child's age, alleged penetration, and injury on the use of forensic medical examinations as part of the response to reported child sexual abuse. This analysis is part of a quasi-experimental study, the Multi-Site Evaluation of Children's Advocacy Centers, which evaluated four CACs relative to within-state non-CAC comparison communities. Case abstractors collected data on forensic medical exams in 1,220 child sexual abuse cases through review of case records. Suspected sexual abuse victims at CACs were two times more likely to have forensic medical examinations than those seen at comparison communities, controlling for other variables. Girls, children with reported penetration, victims who were physically injured while being abused, White victims, and younger children were more likely to have exams, controlling for other variables. Non-penetration cases at CACs were four times more likely to receive exams as compared to those in comparison communities. About half of exams were conducted the same day as the reported abuse in both CAC and comparison communities. The majority of caregivers were very satisfied with the medical professional. Receipt of a medical exam was not associated with offenders being charged. Results of this study suggest that CACs are an effective tool for furthering access to forensic medical examinations for child sexual abuse victims.
Twenty years of progress?
- Author:
- VALOIS Natalie
- Journal article citation:
- Community Care, 26.4.07, 2007, pp.22-23.
- Publisher:
- Reed Business Information
The 1987 Cleveland child abuse scandal saw 121 children removed from their families. The author looks at what has changed for professionals when they take on abuse cases today.