Psychological Assessment of Sexually Abused Children and Their Families

by William N Friedrich

• ISBN13: 9780761903109
• ISBN10: 0761903100
• Edition: 1st
• Format: Hardcover
• Copyright: 2001-10-18
• Publisher: Sage Publications, Inc

Summary

'If you do any forensic child sexual abuse evaluation, you need to read this book. In a carefully documented, well written text it sets the standard for abuse assessment. Not only does it advocate an integrated approach to evaluation that includes information on the child, the child's context and the child's relationships, but it goes on to offer clear and helpful directions for gathering this information. A generous sprinkling of relevant case histories links theory to practice. This excellent book is a much needed contribution to the arena of psychological assessment in child sexual abuse' - Sandra Hewitt, Ph.D. Private Practice, St Paul, Minnesota'In this book, Dr Friedrich provides a thorough guide to assessing the constructs central to his three-part model for directing the treatment of sexually abused children and their families. What distinguishes this volume from others like it is Friedrich's attention to the complexity of assessing theoretically critical aspects of child and family functioning, the practicality of the techniques described, and the wisdom of the author. The generous inclusion of many scales, interviews, and clinical aides should facilitate the application of Friedrich's ideas among experienced and novice clinicians'- Daniel W Smith, Ph.D., Research Assistant Professor & Director of TrainingNational Crime Victims Research & Treatment Center Medical University of South Carolina'I am extremely impressed with Dr Friedrich's latest book. This is the definitive volume on the assessment of sexually abused children and adolescents. Rich in data, clinical information, and compassion, this book far exceeds anything written on the topic to date. Although geared toward sexual abuse victims, there is much here for those who assess other forms of childhood victimization as well'- John Briere, Associate Professor of Psychiatry, and Director, Psychological Trauma Clinic, USADesigned for professionals in the field of child maltreatment, this authoritative book presents a compelling theoretical framework that guides assessment of children and adolescents who have been sexually abused and their parents. The book is designed to make it easier for clinicians to select a number of measures or procedures across three dimensions that have considerable clinical relevance - attachment, dysregulations, and self-perception. Psychological Assessment of Sexually Abused Children and Their Families features in particular the assessment of sexually aggressive children and an extensive set of interview formats, checklists, and other forms that clinicians will find especially useful in evaluating children and their families. The book is also richly illustrated with case studies.

Table of Contents

Introduction	ix
The Purposes of the Psychological Evaluation of Sexually Abused Children and Adolescents	1	(34)
Why Should Anyone Need More Than Background Information?	2	(6)
The Purposes of Psychological Evaluations	8	(16)
Guidelines for a Valid Evaluation	24	(8)
The Process of Interpretation	32	(2)
Summary	34	(1)
Theoretical Framework for Assessment	35	(20)
Attachment	38	(7)
Dysregulation	45	(5)
Self-Perception	50	(4)
Summary	54	(1)
Variability in Sexually Abused Children	55	(18)
Contributions to Variability	56	(15)
Summary	71	(2)
Attachment-Related Assessment	73	(48)
Attachment-Related Case Material	75	(8)
Parent-Child Relationship	83	(22)
Marital Relationship	105	(1)
Family Functioning	106	(1)
Child-Parent Relationships	107	(7)
Child-Peer Relationship	114	(1)
Common Clinical Assessment Dilemmas	115	(4)
Summary	119	(2)
Assessment of Dysregulation	121	(38)
Dysregulation-Related Case Material	123	(4)
Overview of Dysregulation	127	(4)
Parent Rating---Self	131	(6)
Parent/Caregiver Rating of Child	137	(5)
Parent Rating---Family	142	(1)
Child Rating---Self	143	(9)
Common Clinical Assessment Dilemmas	152	(4)
Translating the Evaluation Into Treatment Recommendations	156	(1)
Summary	157	(2)
Evaluation of Sexual Behavior Problems	159	(35)
Sexualization-Related Case Material	162	(2)
Origins of Sexual Behavior Problems	164	(3)
How Does Sexually Aggressive Behavior Emerge?	167	(4)
Types of Sexual Behavior Problems	171	(2)
Developmental Differences	173	(2)
Assessment	175	(1)
Parent Rating---Self	176	(2)
Parent Rating---Child	178	(5)
Adolescents	183	(1)
Evaluator Rating of Sexual Behavior	184	(1)
Parent Rating---Family	185	(1)
Child Report---Self	186	(3)
Common Clinical Assessment Dilemmas	189	(2)
Translating the Evaluation Into Treatment Recommendations	191	(2)
Summary	193	(1)
Assessment of Self-Perception	194	(26)
Case Material Related to Self-Perception	196	(2)
Overview of Self-Perception Issues	198	(3)
Parent Report---Self	201	(7)
Parent Report---Child	208	(1)
Teacher Report---Child	209	(1)
Child Report---Generic	209	(7)
Child Report---Specific	216	(1)
Common Clinical Assessment Dilemmas	217	(1)
Translating the Evaluation Into Treatment	218	(1)
Summary	219	(1)
Screening	220	(18)
Framework	222	(2)
Case Example	224	(12)
Case Example	236	(1)
Summary	237	(1)
A Case Example for the Psychological Assessment of Teens and Their Families	238	(32)
Diana M. Elliott
Introduction	238	(1)
Background Information	239	(2)
Psychological Assessment of Catherine and Her Parents	241	(6)
Information Obtained in the Interviews	247	(15)
Appendix: Case Report on Catherine A	262	(8)
The Language of Distress: The Role of Ongoing Assessment in Understanding True and False Allegations of Sexual Abuse	270	(53)
W. Hobart Davies
Molly Murphy Garwood
Anita R. O'Conor
Angela Carron
Appendixes
A. Parent Interview	282	(3)
B. Rating of Parent-Child Interaction	285	(1)
C. Family Evaluation Checklist	286	(1)
D. Marital/Significant Other Relationship Interview	286	(1)
E. Attachment-Related Interview Questions to Use With Children	287	(1)
F. Attachment Story Stems	288	(1)
G. Safety Checklist	289	(4)
H. Preschool Structured Interview	293	(6)
I. Risk Factor Checklist	299	(1)
J. Checklist of Factors to Assess With the CSBI	300	(1)
K. Evaluator Rating Scale	300	(1)
L. Adolescent Sexual Behavior Inventory---Self Report	301	(3)
M. Adolescent Sexual Behavior Inventory---Parent Report	304	(3)
N. My Feelings About the Abuse Questionnaire	307	(1)
O. Weekly Monitor Sheet	308	(1)
P. Victimization Screen	309	(5)
Q. Self-Injurious Behavior Checklist	314	(1)
R. Self-Injurious Behavior Interview	315	(6)
S. Alternate PTSD Criteria for Early Childhood	321	(2)
References	323	(22)
List of Acronyms	345	(4)
Index	349	(16)
About the Author	365	(2)
About the Contributors	367