Based on over 25 years of research, Child Sexual Abuse, Second Edition 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 Cognitive Behavioral Therapy (TF-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. This book describes the nuts and bolts of treatment including trauma narrative development and processing activities that help 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 delivered in outpatient, school-based, residential, home, and/or group settings.
"This book is much more than an updated classic in the child maltreatment field. It is an extraordinarily thorough description of the application of TF-CBT to the unique challenges experienced by children and youth who have been sexually abused that is firmly grounded in the most recent epidemiological and clinical research literature. The liberal use of case examples, session transcripts, suggested scripts, and explanations of many clinical tools makes it a practice handbook that will enable new and seasoned therapists to use TF-CBT effectively. This book should be studied by every therapist working with children and adolescents impacted by child sexual abuse." --Benjamin E. Saunders, PhD, Professor and Associate Director, National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
"The authors offer us a timely, beautifully written guide for clinicians specifically applying TF-CBT to the treatment of children and families who have experienced child sexual abuse and its sequelae. Detailing empiric support with striking clinical wisdom, this book weaves cognitive-behavioral principles, role plays, creative activities, and therapeutic skill to guide evidence-based practice. I expect this book to benefit clinicians at all levels in their careers in their understanding and treatment of child sexual abuse patients for years to come." --Lisa Amaya-Jackson, MD, MPH, UCLA-Duke National Center for Child Traumatic Stress, Duke University School of Medicine
"This dedicated group of colleagues just keeps on giving! Thank you for this invaluable gift of your research-supported, resource-rich, and resolutely practical primer on TF-CBT and the treatment of child sexual abuse." --Barbara W. Boat, Ph.D., Associate Professor, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati Academic Health Center, and Director, The Childhood Trust, Cincinnati Children's Hospital Medical Center
Chapter 1: Introduction
Chapter 2: Theory, Treatment Development and Research
Chapter 3: Clinical Overview
Chapter 4: Setting the Stage for Treatment: Triage and Assessment
Chapter 5: About This Treatment Guide
Chapter 6: Psychoeducation and Parenting: Initiating the Stabilization and Skill Building Phase of Treatment
Chapter 7: Relaxation Skills and Parenting
Chapter 8: Affective Expression and Modulation Skills and Parenting
Chapter 9: Cognitive Coping Skills and Parenting
Chapter 10: Trauma Narrative Development Part I: Initiating the Trauma Narration and Processing Phase of Treatment
Chapter 11: Trauma Narrative and Processing Part II
Chapter 12: In Vivo Mastery Component and Parenting: Initiating the Consolidation and Closure Phase
Chapter 13: Conjoint Trauma-focused Sessions and Parenting
Chapter 14: Enhancing Safety and Future Development and Parenting
Chapter 15: Ending Therapy
Chapter 16: Addressing Sexual Difficulties and the Impact of Commercial Sexual Exploitation
Chapter 17: Conclusions
Appendix A: Information on How to Obtain Recommended Assessment Measures
Appendix B: Informational and Parenting Handouts
Appendix C: Therapy Resources
Appendix D: Glossary of Terms
Appendix E: Professional Resources
Appendix F: Therapist Forms
About the Authors:
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.