Leventhal J M, Hamilton J, Rekedal S, Tebano-Micci A, Eyster C
Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut 06510.
Pediatrics. 1989 Nov;84(5):900-6.
To determine the value of using anatomically correct dolls in diagnostic interviews of young children suspected of being sexually abused, the records of 83 children who were less than 7 years of age and who were evaluated at Yale-New Haven Hospital because of a suspicion of sexual abuse were reviewed. The dolls were used in 60 cases (72%). When the dolls were used, children provided significantly more information than by interview alone about what had happened and about the identity of the suspected perpetrator. Children less than 3 years of age, however, were unable to provide details about the abuse despite the use of the dolls. The ratings of the likelihood that sexual abuse had occurred were based on all of the information in the case including that obtained through the diagnostic interview with the dolls. When these ratings were compared with the ratings based on evidence obtained solely from noninterview data, the likelihood of abuse was higher in 35% of the cases. It was concluded that substantially more information is provided by young children when anatomically correct dolls are used and that the likelihood of detection of abuse is increased when information from the child is included in the assessment.
为了确定在对疑似遭受性虐待的幼儿进行诊断性访谈时使用解剖学上正确的玩偶的价值，我们回顾了83名7岁以下因疑似性虐待而在耶鲁-纽黑文医院接受评估的儿童的记录。在60例（72%）病例中使用了玩偶。当使用玩偶时，与仅通过访谈相比，儿童提供了关于所发生事情以及疑似犯罪者身份的显著更多信息。然而，3岁以下的儿童尽管使用了玩偶，仍无法提供关于虐待的细节。性虐待发生可能性的评级基于案件中的所有信息，包括通过使用玩偶进行诊断性访谈获得的信息。当将这些评级与仅基于非访谈数据获得的证据的评级进行比较时，35%的病例中虐待的可能性更高。得出的结论是，当使用解剖学上正确的玩偶时，幼儿会提供更多信息，并且当将儿童提供的信息纳入评估时，发现虐待的可能性会增加。
