Tishelman Amy C, Geffner Robert
Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA.
J Child Sex Abus. 2010 Sep;19(5):485-90. doi: 10.1080/10538712.2010.512262.
This article introduces the first in a two-part special issue focusing on forensic, cultural, and systems issues in child sexual abuse cases. The five articles contained in this issue include a diversity of perspectives on approaches to extended interviews and evaluations of child sexual abuse suspicions, an exploration of the ways culture affects child sexual abuse disclosure and reporting, considerations relevant to the management of a child's mental health needs while forensic process are ongoing, and the use of anatomical dolls in forensic interviews. We call for attention to several practice areas, including (a) prioritizing a child's mental health needs while minimizing disruption of forensic processes, (b) developing best practices and models of child sexual abuse assessment and evaluation when a one-session forensic interview is insufficient, (c) appropriately evaluating child sexual abuse concerns when they occur without a disclosure and/or in children with communication limitations, and (d) the integration of cultural sensitivity into interviews and evaluations.
本文介绍了一个两部分特刊中的第一篇文章，该特刊聚焦于儿童性虐待案件中的法医、文化和系统问题。本期包含的五篇文章涵盖了对儿童性虐待怀疑进行扩展访谈和评估方法的多种观点，探讨了文化影响儿童性虐待披露和报告的方式，在法医程序进行期间对儿童心理健康需求管理的相关考量，以及在法医访谈中使用解剖玩偶的情况。我们呼吁关注几个实践领域，包括：（a）在尽量减少对法医程序干扰的同时，优先考虑儿童的心理健康需求；（b）当一次法医访谈不足时，制定儿童性虐待评估和评价的最佳实践和模式；（c）在没有披露和/或在有沟通障碍的儿童中出现儿童性虐待问题时，进行适当评估；以及（d）将文化敏感性融入访谈和评估中。
