Child sexual abuse II: treatment

Barry Nurcombe Child and Adolescent Psychiatry, University of Queensland, Mental Health Centre, Royal Brisbane Hospital, Herston, Queensland, 4029, Australia

(Research Manager) (Professor of Psychology and Professor of Public Policy) (Senior Therapist) (Co-investigator) (Professor of Psychiatry and Director) (Research Manager) (Professor of Psychology and Professor of Public Policy) (Senior Therapist) (Co-investigator) (Professor of Psychiatry and Director) (Research Manager) (Professor of Psychology and Professor of Public Policy) (Senior Therapist) (Co-investigator) (Professor of Psychiatry and Director) (Research Manager) (Professor of Psychology and Professor of Public Policy) (Senior Therapist) (Co-investigator) (Professor of Psychiatry and Director) (Research Manager) (Professor of Psychology and Professor of Public Policy) (Senior Therapist) (Co-investigator) (Professor of Psychiatry and Director) ,

Sally Wooding Child and Adolescent Psychiatry, University of Queensland, Mental Health Centre, Royal Brisbane Hospital, Herston, Queensland, 4029, Australia

Peter Marrington P.A.C.T. (Protect All Children Today), Child Witness Court Support Clinic, Woodridge, Queensland, Australia

Leonard Bickman Peabody College of Vanderbilt University, Nashville, TN, USA

Gwenneth Roberts Child and Adolescent Psychiatry, University of Queensland, Mental Health Centre, Royal Brisbane Hospital, Herston, Queensland, 4029, Australia

Abstract

Objective: To evaluate the scientific literature concerning the treatment of child sexual abuse.

Method: A critical review of the scientific literature.

Results: There are only nine published research studies in which subjects were randomly assigned to an index treatment or treatments and a comparison treatment or no-treatment control group. In seven of the studies, the index treatment exceeded the control or comparison group in regard to treatment outcome; in two studies it did not. The successful treatments involved group therapy, combined individual and group play therapy and cognitive behaviour therapy.

Conclusions: Treatment should be based on an explicit conceptual model of the psychopathology of sexual abuse. The University of Queensland Sexual Abuse Treatment Project, which is based on a transactional model, is described.

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Child sexual abuse II: treatment

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