Treating Children with Sexually Abusive Behavior Problems

Barbara J Christopherson, Jan Ellen Burton, Lucinda A Rasmussen, Steven C. Huke, Julie Bradshaw

• Contents ProloguePart I: Guidelines for Practice 1. Sexually Abusive Behavior Problems: Definitions and Current Knowledge Defining Sexually Abusive Behavior Problems Age-Appropriate Sex Play Sexually Abusive Behavior Current Knowledge Prior Traumatization Types of Abuse Effects of Trauma Dealing with Trauma Effects Accountability Social Competence Empathy Establishment of Boundaries The Sexual Abuse Cycle Summary 2. A Treatment Approach Trauma Outcome Process Individual Characteristics Family Dynamics Family Boundaries Accountability Prior Traumatization Interpersonal Relationships Parenting Skills Triggers Awareness and Choice Self-Victimization Abuse Recovery Using the Trauma Outcome Process in Therapy Adapting the Trauma Outome Process Children Using the Trauma Outcome Process with Parents Summary 3. Integrated Treatment Planning Assessment for Integrated Treatment Planning General Information Assessment of Sexual Acting Out Behavior Accountability Empathy Family Environment and Supervision Sexual Information Treatment Modalities Contracts for Treatment Individual Therapy for the Child Family Therapy Group Therapy for Children Group Therapy for Parents Assessing Treatment Progress Treatment Planning for Severely Disordered Children Summary 4. Parallel Group Treatment Structure of Group Treatment Program Young Children’s Group Latency-aged Children’s Program Treatment Topics in Children’s Group Accountability Empathy Relationship Skills Healthy Sexuality Group Treatment for Parents Combined Groups Summary Part II: Treatment Exercises Introduction 5. Accountability Draw the Offense Taking Responsibility for Your Problems Steps and Slides Abuse Cycle The Hot Seat Catch that Thinking Error 6. Empathy “Conversation” with the Victim Letter to the Victim The Giving Tree Draw Victim/Own Face How Would You Feel If . . . Why My Child Didn’t Tell Me Empathic Responses 7. Coping with Trauma Basket of Trigger Feelings What Happened After You Were Abused Who Is Responsible? How My Family Has Changed The Fire 8. Relationship Skills Anger Thermometer Trust Target Trust Exercises What Makes a Friend Wheels of Intimacy Flight Plan for Effective Communication Blueprint for Boundaries 9. Sexuality Body Respect The Great Big Stop Sign A Touch Is a Touch Relapse Prevention “Fire Safety Plan” Communicating Sexual Values 10. The Power of the Treatment Plan Collaboration Epilogue References Index