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Integrated Model of Psychotherapy for Abused Children (From The APSAC [American Professional Society on the Abuse of Children] Handbook on Child Maltreatment, Second Edition, P 141-157, 2002, John E.B. Myers, Lucy Berliner, et al., eds. -- NCJ-198699)

NCJ Number
198705
Author(s)
William N. Friedrich
Date Published
2002
Length
17 pages
Annotation
This chapter presents theories and associated treatment techniques that have the benefit of targeting specific symptoms presented by abused children.
Abstract
A treatment model illustrates not only the ideal but also the essential considerations that are needed in sensitive and effective treatment. The integrated, contextual model described in this chapter begins with child/teen victims and their families. In addition, central features of the victims and often their parents warrant consideration to prevent further abuse and interrupt a pathological trajectory. The integrated model profiled in this chapter borrows from attachment theory, behavior/emotion regulation, and self-perception/concept. The effects of abuse are reflected in each of these three broad domains. Treatment approaches specific to individual, group, and family treatment can be derived from this model. This chapter outlines the relevance of the three elements of this integrated model (attachment, dysregulation, and self-perception); identifies specific treatment approaches that follow from each of these elements; and applies each approach to individual, group, and family therapy. The author advises that therapists owe it to the children they treat to do at least the following: assess the presence of behavioral problems by using standard measures at pretreatment and immediately after treatment, as well as 3 to 6 months later; document the interventions used in therapy; document the amount of therapy and whether abuse was discussed; invite other clinicians to collaborate to expand sample size and types of interventions; and share findings. Appended outline of selected treatment techniques and 53 references