Evaluation of the Sexually Abused Child: A Medical Textbook and Photographic Atlas - 2nd edition

Written by a group of nationally-recognized physicians, Evaluation of the Sexually Abused Child, 2E is a comprehensive and authoritative resource that provides a step-by-step discussion of how to interview and clinically evaluate suspected child sexual abuse cases. The contributors draw on their extensive experience to provide sensitive and practical guidance on psychological aspects of abuse, conducting the medical interview and physical exam to make a diagnosis, sexually transmitted disease, and the role of the physician in court. This new edition includes updated information on lab techniques, revised protocols for intervention programs, and a host of new data from several recently released longitudinal studies that followed abused children into adolescence and adulthood. A key feature of the first edition, a photographic atlas documenting and classifying ambiguous signs of abuse, has been expanded by more than 40% to incorporate new photos on the sexual abuse of adolescents, patterns of healing trauma, and additional examples of normal variations and medical conditions. Contents......Page 8 Introduction......Page 10 Contributors......Page 14 1. Making the Diagnosis of Sexual Abuse: Ten Years Later......Page 16 2. The Child Protection System......Page 26 3. Psychological Effects of Child Sexual Abuse......Page 36 4. The Medical Interview......Page 56 5. Physical Examination of the Child and Adolescent......Page 72 6. Forensic Examination: The Role of the Physician as "Medical Detective"......Page 94 7. Anatomy......Page 110 Embryology of the Genital Tract......Page 112 Anatomic and Physiologic Changes......Page 120 Anatomical Terms of Female External Genitalia......Page 124 Normal Genitalia......Page 130 Congenital Variants......Page 131 Anatomic Variations and Medical Conditions: Diagnostic Challenges......Page 132 Acute Genital Trauma—Sexual Abuse......Page 134 Normal Ani and Nonspecific Changes......Page 135 Adolescents......Page 136 Sexually Transmitted Diseases......Page 137 9. Sexually Transmitted Diseases......Page 202 10. Testifying as an Expert Witness......Page 240 E......Page 256 P......Page 257 V......Page 258 Annotated Bibliography, 1992–1998......Page 260 Appendices......Page 282 A. State of California Sexual Abuse Protocol......Page 284 B. Memphis, TN Sexual Abuse Protocol......Page 290 C. Commonwealth of MA Sexual Abuse Protocol......Page 296 D. Pilot Sexual Abuse Protocol, Children's Hospital, Boston......Page 303 E. Preappointment Questionnaire, University of California, Irvine......Page 315 F. American Professional Society on the Abuse of Children—Practice Guidelines: Descriptive Terminology in Child Sexual Abuse Medical Evaluations......Page 317 A......Page 324 B......Page 326 C......Page 327 D......Page 330 E......Page 331 F......Page 332 G......Page 333 H......Page 335 K......Page 337 L......Page 338 M......Page 339 P......Page 341 R......Page 344 S......Page 345 T......Page 348 U......Page 349 V......Page 350 W......Page 351 Y......Page 352 Oxford University Press, USA Contents 8 Introduction 10 Contributors 14 1. Making the Diagnosis of Sexual Abuse: Ten Years Later 16 2. The Child Protection System 26 3. Psychological Effects of Child Sexual Abuse 36 4. The Medical Interview 56 5. Physical Examination of the Child and Adolescent 72 6. Forensic Examination: The Role of the Physician as "Medical Detective" 94 7. Anatomy 110 Embryology of the Genital Tract 112 Anatomic and Physiologic Changes 120 Anatomical Terms of Female External Genitalia 124 8. Photographic Atlas 130 Normal Genitalia 130 Examination Positions and Techniques 131 Congenital Variants 131 Nonspecific Changes 132 Anatomic Variations and Medical Conditions: Diagnostic Challenges 132 Acute Genital Trauma—Accidental 134 Female Genital Mutilation 134 Acute Genital Trauma—Sexual Abuse 134 Sexual Abuse—Delayed Disclosure 135 Normal Ani and Nonspecific Changes 135 Anal Trauma and Healing 136 Adolescents 136 Sexually Transmitted Diseases 137 9. Sexually Transmitted Diseases 202 10. Testifying as an Expert Witness 240 Glossary 256 A 256 C 256 E 256 F 257 H 257 L 257 M 257 P 257 R 258 S 258 T 258 U 258 V 258 Annotated Bibliography, 1992–1998 260 Appendices 282 A. State of California Sexual Abuse Protocol 284 B. Memphis, TN Sexual Abuse Protocol 290 C. Commonwealth of MA Sexual Abuse Protocol 296 D. Pilot Sexual Abuse Protocol, Children's Hospital, Boston 303 E. Preappointment Questionnaire, University of California, Irvine 315 F. American Professional Society on the Abuse of Children—Practice Guidelines: Descriptive Terminology in Child Sexual Abuse Medical Evaluations 317 Index 324 A 324 B 326 C 327 D 330 E 331 F 332 G 333 H 335 I 337 J 337 K 337 L 338 M 339 N 341 O 341 P 341 R 344 S 345 T 348 U 349 V 350 W 351 X 352 Y 352 9780195131260 Cd Contains Interactive Case Studies, Photo Atlas, And Readings. 1. Making The Diagnosis Of Sexual Abuse: Ten Years Later -- 2. The Child Protection System -- 3. Psychological Effects Of Child Sexual Abuse -- 4. The Medical Interview -- 5. Physical Examination Of The Child And Adolescent -- 6. Forensic Examination: The Role Of The Physician As Medical Detective -- 7. Anatomy -- 8. Photographic Atlas -- 9. Sexually Transmitted Diseases -- 10. Testifying As An Expert Witness -- App. A. State Of California Sexual Abuse Protocol -- B. Memphis, Tn Sexual Abuse Protocol -- C. Commonwealth Of Ma Sexual Abuse Protocol -- D. Pilot Sexual Abuse Protocol, Children's Hospital, Boston -- E. Preappointment Questionnaire, University Of California, Irvine -- F. American Professional Society On The Abuse Of Children- Practice Guidelines: Descriptive Terminology In Child Sexual Abuse Medical Evaluations. [edited By] Astrid H. Heger, S. Jean Emans, David Muram ... [et Al.]. Includes Bibliographical References And Index. System Requirements: Mac Os 7.5 Or Higher; 120 Mhz Powerpc, 6 Mb Hard Disk Space, At Least 16 Mb Ram For Application, Monitor Displaying Thousands Of Colors, 4x Cd-rom Drive, Quicktime 2.5 Or Higher. System Requirements: Windows 95 Or Higher; 150 Mhz Pentium Processor, 6 Mb Hard Disk Space, 32 Mb Ram Recommended; Svga Monitor, 4x Cd-rom Drive, Quicktime For Windows 2.5 Or Higher. Over the past ten years many medical professionals have integrated knowledge about the recognition of child sexual abuse into their medical education and practice.