The effects of trauma and abuse on children can be long-lasting, acute and damaging. Evidence suggests that cognitive behavioral therapy (CBT) is a highly effective form of psychotherapy to help children to overcome these effects. This book uses an evidence-based CBT treatment model to assist children and adolescents aged 9-15 years to resolve trauma symptoms and increase their coping skills. The approach is made up of 16 step-by-step sessions to carry out with the young person, and includes worksheets and fun activities using arts and crafts. The model uses four phases: strengthening the child's psychosocial context; enhancing their coping skills; processing their trauma through gradual exposure; and, addressing special issues that the child may have and preventing relapse. The child keeps a scrapbook for the duration of the programme in which they keep worksheets, artwork and any other activities they carry out. The approach is designed for individual therapy but also includes sessions for parents and caregivers. With photocopiable worksheets and easy to follow sessions, this will be an invaluable resource for all practitioners working with traumatized and abused children, including therapists, psychologists, counsellors, health professionals and social workers.

Praise for the first edition: 'Ann Cattanach writes with enormous empathy and warmth, and with a refreshing lack of sentimentality... [This] is an unpretentious and optimistic book, and a very positive addition to recent publications.' - British Association of Play Therapists 'I would recommend the book to anyone working in this field. This is a well presented, clear and easy-to-read book, providing a balanced mixture of factual information and case material.' - British Journal of Occupational Therapy 'What impressed me so much about this work was Cattanach's knowledge of children and their inherent strengths as well as their vulnerabilities. This practical and easy to apply book is recommended for anyone who works with abused children and would like further insight as well as practical and informative advice on healing the traumatized child.' - Trauma and Loss: Research and Interventions 'Her accounts of the way in which play is used to make sense of traumatic experiences are full of insight and often moving. All aspects of the work are covered. This is an exceptional volume - goes far beyond a mere text book.' - Therapy Weekly This second edition of Ann Cattanach's highly commended book explores the use of play therapy with abused children as a way of helping them heal their distress and make sense of their experiences through expanding their own creativity in play. The book provides practical ways of starting play therapy with abused children and explains how the child can use this process for healing. Models of intervention are described with consideration given to the particular needs of the child and the work setting of the therapist. Suggestions include short and medium term interventions, individual/group and sibling work. This edition provides new case study material, up-to-date information on relevant legislation on children's rights and welfare and recent developments in research in the field. This book is essential reading for professionals working with abused children, as well as those interested in the use of creative therapies.

Accurate statistics on the prevalence of child and adolescent sexual abuse are difficult to collect because of problems of underreporting and the lack of one definition of what constitutes such abuse. However, there is general agreement among mental health and child protection professionals that child sexual abuse is not uncommon and is a serious problem which has become more widely spread with the internet. This new book presents recent and significant research from around the globe.

This toolkit is designed to support practitioners in their work with families where parents misuse drugs and there are concerns about the children's welfare. While focusing on drugs, it covers a wider pattern of misuse, including alcohol. It contains: summaries of key messages for practitioners tools and tips to support effective practice training and development activities a wide range of practice examples The toolkit is written for the range of professionals involved with families including drug misusing parents.

Building upon the theoretical work of Ferenczi, Fairbairn, and Berliner, the author describes four basic relational patterns in the lives of abused children: the reliving of abusive relationships, either as victim or as perpetrator; identification with the aggressor; masochistic self-blame; and the seeking of object contact though sex or violence. The interweaving of these patterns creates what Dr. Prior calls 'relational dilemmas.' According to him, these four basic relational patterns are held in place by the child's profound fear of falling into primitive states of unrelatedness and consequent annihilation anxiety. For example, the abused child believes that victimization by or identification with the bad object, no matter how horrible that may be, is preferable to the psychic disintegration that complete nonrelatedness creates. Dilemmas of this nature tear apart the child's psyche, leading to unstable and tormented models of self, other, and relationship. Object Relations in Severe Trauma provides sensitive understanding of childhood traumatization and a conceptual and technical framework for the treatment of patients both children and adults who have suffered from it."

This powerful book recounts the process of a study that examines personal narratives of abuse survivors by assessing the relationship between narration and teller empowerment. The narratives, which include survival stories of rape, incest, and battery, were collected in personal interviews, transcribed, and coded for emergent themes. Results of the study indicate that narrating experiences of victimization and abuse is a necessary step in moving from victimization and survivorship, and is an essential way for victims of abuse to become empowered. The book discusses in detail the fundamental steps in acquiring narrative research. Special attention is paid to the precautions and implications of conducting research on sensitive material. Through its examination of the data collection and analysis processes, Taking Narrative Risk will be beneficial in coursework in communication studies, performance methodology, and narrative analysis.

The international feminist contributors to this book look through the lens of poststructuralism at how child sexual abuse is differently represented and understood in the populist, academic, clinical, media and legal contexts. Reworking earlier feminist analyses, they show how child sexual abuse is not just about gender and power but also about class, race and sexuality. The first, theoretical section of the book critiques normative theories of the 'effects' of abuse, explores the impact and consequences of feminist interventions and critically examines the potential usefulness of a feminist post-stucturalist approach. In the second part, these understandings are applied to specific arenas of practice with the aim of providing a framework for critical intervention and alternative and better ways of working with child sexual abuse.

The field of child sexual abuse has dramatically changed since Understanding Child Sexual Maltreatment was published in 1990. Considerable developments in child and offender research have emerged. But more significantly, a backlash against child abuse victims, Child Protective Services, and mental health professionals has impacted nearly every aspect of research, diagnosis, and intervention.

Understanding and Assessing Child Sexual Maltreatment, Second Edition updates its comprehensive coverage of child sexual abuse definitions and indicators, interview and questioning techniques, and diagnosis guidelines to include an insightful response to the building social backlash against the so-called "child abuse industry." Distinguished scholar and experienced practitioner Kathleen Coulborn Faller applies twenty-five years of clinical experience and state-of-the-art research to offer authoritative guidance to both novice and experience practitioners.

This Second Edition has been extensively revised to include

• A completely rewritten section on data gathering and analysis
• Updated assessment techniques and instruments
• Detailed coverage of post assessment intervention strategies
• Revised chapters that reflect up-to-date research and practice
• Extensive analysis of the backlash against child abuse cases

Understanding and Assessing Child Sexual Maltreatment, Second Edition presents a wealth of practical information and field-tested tools. Author Kathleen Coulborn Faller uses clear language and numerous case studies to address all aspects of child sexual abuse including: the scope of the problem, professional collaboration, data analysis and diagnosis, and sexual abuse in special contexts.

An essential resource for child protection workers, mental health practitioners, lawyers, and law enforcement personnel, Understanding and Assessing Child Sexual Maltreatment, Second Edition is also an ideal supplementary text for graduate courses in child welfare practice, social work, and psychology.

A professional book aimed at practitioners and practitioners in training, this volume is the first attempt to provide a comprehensive, practical approach to the assessment and treatment of physically abused children. While there are other books that cover certain aspects of assessment and treatment, this book is comprehensive in that it covers child-specific, parent-specific, and family-specific interventions. The volume will present an overview of child physical abuse (including statistics and consequences), it will discuss outcome studies and treatment implications, and it will thoroughly discuss assessment and treatment. It will help practitioners:

• Understand children?s abuse experiences, views, exposures to violence, and it will help expose thinking errors or negative attributions. It will also help the practitioner help the children with anxiety management, anger management, social skills, and safety plans.
• Help parents with child management and development, expectations and cognitive distortions, behavior management, and discipline.
• Facilitate family communication and problem solving. 

`It is refreshing to find child therapists ready to engage with sexually abused children by incorporating trauma theory and research, addressing child protection and seeing themselves as part of a team that includes the carers. The authors provide an overview of phases of treatment, theoretical considerations and essential skills. They emphasize the importance of relationship and explore its impact on the therapist. Their approach is creative and child-centered. Case vignettes, poems and exercises promote empathy with the child's perspective. There is a useful chapter on cultural issues and the needs of children in alternative care... this is an excellent primer for the child's helping network' - Community Care

`This is an excellent book for workers seeking to respond more effectively to child victims of abuse' - David Pearson, Caring Magazine

Therapeutic Work with Sexually Abused Children is a creative and practical guide for professionals working directly with those who have suffered sexual abuse and for their carers. The trauma of sexual abuse experienced in childhood can be severe and enduring. Therapeutic support is offered to help both the child and the family cope with psychological or emotional difficulties both currently and in later life.

Therapists must be able to respond effectively to the child victim in a sensitive and timely way which prioritizes the needs of each child. Drawing on their experience as practitioners, the authors explore the reactions which children commonly experience following abuse and examine the tasks of the therapist in responding to them.

This book explores the counselling of children who have been abused rather than adult survivors of child abuse.

Child sexual abuse is an issue which crosses professional boundaries and requires an integrated, interprofessional approach. Therapeutic Work with Sexually Abused Children will therefore be of interest to those undertaking specialist work or training in this area including social workers, psychotherapists, counsellors, psychologists, and health and education professionals.

This book explores the counselling of children who have been abused rather than adult survivors of child abuse.

- The book will benefit from the combined experiences of one US author and one UK author.

Protecting Young Children is a practical and accessible guide that provides answers to many of the questions early years practitioners commonly have about safeguarding children. It includes: information about child abuse advice on how to respond to concerns updated material on the statutory framework guidance on management and support - including recruitment and whistleblowing suggestions for building a relationship with families that may help to prevent child abuse simple interactive exercises for individuals and groups. This book is the ideal introduction to this important subject, and is essential reading for any early years pracitioner.

Psychological maltreatment is probably the most common form of child abuse. Not only is it a type of maltreatment existing in its own right, but also is imbedded in and interacts with all other forms of child abuse and neglect.

Psychological Maltreatment of Children is a brief introduction to the emotional abuse of children and youth for mental health professionals, child welfare specialists, and other professionals involved with research, education, practice, and policy development in child maltreatment. The book defines and outlines theories of psychological maltreatment and describes its effects, as well as examines this form of abuse as a social problem. It also covers assessment, prevention, and treatment strategies and shows how to analyze a case of child psychological maltreatment. This book also offers an opportunity to earn four continuing education (CE) units through the purchase and successful completion of its accompanying CE test. Both practicing professionals and students will find this concise work to be an excellent introduction to this highly pervasive yet often-ignored form of child abuse.

Written for mental health professionals, this indispensable guide reviews the range of relevant literature covering issues in assessing child molesters. Fully updated, this volume directs the professional to the most current knowledge available on the subject in a compact, accessible form. Readers will learn from this resource which characteristics do and do not distinguish child molesters, which situational factors are related to molestation, which instruments are used in the assessment of child molesters, how assessment information is used to appraise risk and guide treatment, and all of the elements of a useful assessment report.

Highlighting the importance of a 'safe place' as the foundation of the healing process for those affected by child sexual abuse, this practical book details the factors that contribute to a secure therapeutic climate where recovery can take place. The Children and Families Project draws on the perspectives of those who have been abused to show how a person-centred approach to establishing a sense of safety can enable children and their relatives to regain trust and self-esteem. The book demonstrates how therapeutic services can be improved through feedback from service users and how creative activities such as storytelling, painting and drama can encourage the expression of experiences. The need for preventative work is also addressed. Of particular relevance to professionals is the exploration of some of the difficulties that may be encountered in this field of work, such as the tension that can arise between therapeutic work and the child protection system. This is an invaluable resource for anyone working with abused children and adults.

Based on 17 years of clinical work in both the United States and the United Kingdom, this book presents a comprehensive discussion on the use of art in counselling sexually abused children, their families, and both adult and adolescent sex offenders. Using concepts of the "trauma model" and other current theoretical models that have been shown to be effective, and drawing on case examples from her own clinical experience, Maralynn Hagood demonstrates how art therapy, counselling and psychotherapy can be blended, and tailored to the needs of the individual. She emphasises the dangers of interpreting artwork in diagnosis, arguing that it is the process of art-making which has therapeutic value.

This book presents an innovative approach to navigating the painful confusions and dilemmas experienced by families in which incest has occurred. The authors show that while not all incestuously abused children experience the classic diagnostic symptoms of trauma, virtually all do experience "relational trauma" disruptions in the sense of safety, security, loyalty, and trust that may block connection and open communication with nonoffending family members. Integrating social constructionist, feminist, and systems thinking, the treatment model focuses on strengthening the child's protective relationships, mobilizing the family to help resolve the child's emotional and behavioral symptoms, and building the family's resiliency. Through rich, annotated cases, the book illustrates how to engage family members as full collaborators in treatment, thereby restoring their sense of control. The therapist is guided in conducting individual and conjoint sessions not only with nonoffending family members, but also with the offending family member. Key clinical challenges and decision points are highlighted, and ways to resolve them effectively are described. Included are detailed recommendations on when, how, and why to involve the offending member in sessions with the child.

Part of a comprehensive psychoeducational program for nonoffending parents and partners of sex offenders, this book helps therapists determine if and when children can live safely in homes with known sexual offenders and presents a model for treating the nonoffending members of families who plan reunification. While the authors do not advocate reunification, the book describes a unification plan that keeps family safety through relapse prevention as the first priority. Treating Nonoffending Parents in Child Sexual Abuse Cases begins by bringing the therapist into the confused, anxious, and sometimes shattered world of the nonoffending parent. Guidelines are then offered for conducting a comprehensive family assessment to determine if a family is a realistic candidate for reunification. A structured, group treatment program for the nonoffending parents/partners follows, including treatment module covering such issues as denial, the effects of sexual abuse on children and families, understanding sex offenders and sex offender treatment, and creating realistic family safety plans. Therapists are instructed in conducting follow up couples sessions to engage the nonoffending partner in challenging the offender to prove he is ready to live safely with children. In family sessions with the children, sexual abuse prevention, clarification, and family safety planning are addressed. The book concludes with valuable information on report writing and making responsible recommendations following treatment. Treating Nonoffending Parents in Child Sexual Abuse Cases comes with a copy of the Connections Workbook, the companion manual for the nonoffending parent/partner. The authors, who specialize in treating sex offenders, originally developed and field tested this book with the partners of their own clients. Since 1997, and earlier version of the program has been in use throughout North America. Therapists, probation officers, and CPS workers who work with families that are recovering from incest for have any kind of sex offender as one of their parents will find Treating Nonoffending Parents in Child Sexual Abuse Cases and its accompanying workbook an useful tool in helping a particularly complex and vulnerable client.

This sensitively written, easy-to-use workbook is a vital component of the Connections psychoeducational program for the nonoffending parents of sexual abuse victims and partners of sex offenders. Taking clients through a step-by-step process toward family healing and possible reunification, this book covers such issues as denial among family members, signs and symptoms of sexual abuse, understanding sex offenders, child protection, developing family safety plans, and the clarification process between the offenders and victims.

Featuring many useful checklists, illustrative diagrams, and spaces to record thoughts and feelings as the client works through the process, the Connections Workbook coordinates with its companion book Treating Nonoffending Parents in Child Sexual Abuse Cases.

Each day, case managers, psychiatric nurses, and other mental health professionals interact with adults who have a history of physical and/or sexual abuse during childhood. Many of these important professionals will often be the first practitioners to hear about a client?s background of abuse, but they may not have specialized training in understanding and working with survivors of childhood trauma. The Link Between Childhood Trauma and Mental Illness gives mental health professionals who are not child abuse specialists knowledge and skills that are especially relevant to their direct service role and practice context. It introduces to these practitioners a conceptual bridge between biomedical and psychosocial understandings of mental disorder, providing a multidimensional approach that allows professionals to think holistically and connect clients? abusive pasts with their present-day symptoms and behaviors. Building upon this conceptual foundation, the book then focuses on direct practice issues, including how to ask clients about child abuse, the nature of power in the helping relationship, the full recovery process, effective treatment models, client safety issues, and ways to listen to client?s stories. Also included are valuable insights into helping clients who are in a crisis situation, the particular needs of male victims of child abuse, racial and cultural considerations, and the professional?s self-care. Designed to meet the needs of such helping professionals as case managers, psychiatric nurses, rehabilitation counselors, crisis and housing workers, occupational and physical therapists, family physicians, and social workers, The Link Between Childhood Trauma and Mental Illness is an accessible and convenient guide to understanding the effects of childhood abuse and incorporating that understanding into direct practice.

Early prevention of child maltreatment is most commonly delivered through home visitation services, with the goal of promoting a positive start in parenting to avert potential child abuse and neglect, Stopping Child Maltreatment Before It Starts introduces best practice principles for early home visiting, examining the contexts from which these strategies arise.

Beginning with a discussion of the nature and etiology of physical child abuse and neglect, Guterman then examines the mechanisms by which child protective and early home visitation services have traditionally operated. The book explores best practice principles by providing a detailed "inside tour" of those practices that have been empirically linked with positive outcomes in serviced families. Guterman also discusses in detail ways how home visitation may more adequately address the problem of family substance abuse in reducing child maltreatment risk, and ways visitation can attend to social network and community influences and increase parent empowerment.

An essential text for child welfare courses, Stopping Child Maltreatment Before It Starts will also appeal to practitioners and policy makers in the child abuse and neglect field.

This book builds upon a foundation of research literature on incest victims and their families as well as the author?s own clinical experience to provide a conceptual framework for intervention and treatment of the non-offending mother. Amply illustrated with case examples, the author, Virginia C. Strand, outlines a treatment model and gives suggestions for specific treatment strategies. Particular emphasis is paid to the context of the mother?s situation, and how such factors as social class, ethnicity, age, and education must be taken into consideration when treating these clients. In addition, Strand provides helpful guidance to the therapist whose client must deal with the multiplicity of systems that are involved with intervention, investigation, and prosecution of child abuse cases. This book is a much needed guide for therapists, case workers, and other service providers who work with both the children who are incest victims, as well as their families.

?The authors clearly document the nee for special techniques when interviewing about sensitive sexual issues, and their defense of Russell?s prevalence rates is convincing. Readers will gain an understanding of the impact of research methods on results and the interplay of political agendas and research interests. Extensive references as well as clear tables and figures. Highly recommended for academic collections.? ?Choice ?This is a fascinating book which will have wide appeal to academicians and scholars in the field. Dr. Russell?s outstanding reputation in the field should sell any book and this book is another example of her excellent work. . . . I offer my highest praises for this book and believe it will become an instant ?classic?.? ?Helen M. Eigenberg, Ph.D., Professor and Director of the School of Social and Community Services This long-awaited follow-up to Diana Russell''s landmark 1984 book Sexual Exploitation examines the many ? and often conflicting ? findings of studies that have since been conducted on the incidence and prevalence of rape and child sexual abuse in the United States. The wide variation in prevalence rates obtained by these studies ? for example, rape rates ranging from 2.6% to 44% ? has led many hostile critics to attack the high rates as misleading and alarmist. Diana E. H. Russell and Rebecca M. Bolen''s careful evaluation of 14 government- and privately-funded studies (including Russell''s own) provides a definitive statement on the realities concerning the prevalence of rape and child sexual abuse. Their evaluations consider the various definitions researchers have used for rape and child sexual assault, as well as their methodologies for collecting data. The authors also address in particular the sexual victimization statistics reported by two important U.S. government agencies, the FBI and the Bureau of Justice Statistics, both of which have reported relatively low incidence rates. This book also addresses the widely-publicized backlash criticism ? from both anti-feminists and a new breed of feminist critics ? claiming that high sexual assault rates are greatly exaggerated. Armed with the belief that accurate information about the magnitude of sexual assault in society is vital to the theory, prevention, and treatment of these crimes, the authors have produced a ground-breaking resource that is a must-read book for those who study, educate about, and help the women and girls who are victims of sexual assault.

"This is a well written and nicely organized book that can be both a helpful handbook for clinicians just starting to do group treatment for young victims of sexual abuse as well as a terrific resource for useful group treatment activities for the more experienced clinicians. It addresses important issues in the treatment of sexual abuse and offers suggestions and hints when using different activities, as well as discusses potential problems for each activity. The book is full of examples taken from actual groups and includes materials to use for both support and therapy groups for boys and girls, ages four to eighteen. As someone who has provided group treatment for many years, I found this to be a comprehensive book that successfully incorporates treatment issues for both children and their parents with great new and practical ideas for group treatment."

--Kerry J. Todd, MSW Children?s Response Center, Bellevue, Washington

Group work is particularly effective with child sexual assault victims because it breaks down their feelings of isolation, builds social skills, teaches appropriate boundary settings, and helps them realize they are normal. This easy-to-follow manual presents techniques for working with groups of children who have been sexually abused. It begins with an overview of the theory and literature of group therapy with children and then offers seven sections of psychosocial skill-building techniques: trust-building, self esteem, identifying and expressing feelings, healing the inner child, relationships, boundary setting, and prevention skills. It concludes with sample outlines for conducting 10-week groups and a bibliography of information on sexual assault. It is directed to mental health professionals who work with sexually abused children, school counselors and psychologists, workers in group homes, and advanced students in the mental health fields. It will also be helpful to early childhood educators and therapists working with any children, since many of the techniques can be utilized with children of divorce or in bereavement and general self esteem groups.

This text provides a knowledge base in relation to child sexual abusers which is focused on practice - assessment, treatment and evaluation - but rooted in psychological theory. It simplifies and outlines an approach to this group of offenders, particularly so given that the author has developed and managed a sex offender project in South East London which is now one of the largest, longest running, and most thoroughly evaluated in the country. Although some of the academic focus is on British factors, the book aims to appeal to an international audience in terms of the step-by-step detail relating to the process of assessment and treatment, and a chapter has been devoted to the primary challenge of denial in child sexual abusers.