Tishelman Amy C, Meyer Susanne K, Haney Penny, McLeod Sara K
Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA.
J Child Sex Abus. 2010 Sep;19(5):590-608. doi: 10.1080/10538712.2010.512553.
We propose the use of an approach to evaluation that can be undertaken in a clinical setting when concerns regarding child sexual abuse are unclear or ambiguous and other systems are not involved, thus providing an option for the nondisclosing child often discussed in the "delayed disclosure" literature. This approach can also be appropriate for a child with a questionable prior disclosure not being served by other intervention systems. We have labeled this an "integrative" model, incorporating forensically sound practices into evaluations conducted in a clinical setting. The goals of this manuscript are to (a) provide a rationale for conducting child sexual abuse extended evaluations in a clinical setting, (b) delineate the purposes of such evaluations, (c) differentiate this "integrative" model from the forensic-clinical dichotomy framework discussed by Kuehnle (1996), and (d) briefly describe the format, which can be refined by future practice and research.
我们建议采用一种评估方法，当对儿童性虐待的担忧不明确或模糊且未涉及其他系统时，可在临床环境中进行这种评估，从而为“延迟披露”文献中经常讨论的不透露情况的儿童提供一种选择。这种方法也适用于其他干预系统未涉及的、先前披露情况存疑的儿童。我们将此称为“综合”模型，将具有法医学依据的做法纳入临床环境中的评估。本文的目的是：(a) 为在临床环境中进行儿童性虐待扩展评估提供理论依据；(b) 阐述此类评估的目的；(c) 将这种“综合”模型与库恩勒（1996年）讨论的法医 - 临床二分法框架区分开来；(d) 简要描述其形式，该形式可在未来的实践和研究中加以完善。
