Paradise J E, Rostain A L, Nathanson M
Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia Child Guidance Clinic.
Pediatrics. 1988 Jun;81(6):835-9.
Recent news reports have implied that charges of sexual child abuse during parental separation or divorce are often deliberately falsified. Such a conclusion could be harmful if it biased practitioners faced with such allegations in clinical practice. To investigate this concern, sexual abuse cases in a hospital-based consecutive series and in one author's clinical practice were reviewed. Abuse allegations with and without a concomitant custody or visitation dispute were compared. A custody or visitation dispute occurred in 12 (39%) of 31 sexual abuse complaints lodged against a parent. Allegedly abused children whose parents contested custody or visitation were significantly younger than those for whom custody or visitation was not an issue (5.4 v 7.8 years, P = .02). Sexual abuse allegations were substantiated less frequently when there was concomitant parental conflict (67% v 95%, nonsignificant) but were nevertheless substantiated more than half of the time.
最近的新闻报道暗示，在父母分居或离婚期间对儿童的性虐待指控往往是蓄意伪造的。如果这一结论使临床实践中面对此类指控的从业者产生偏见，可能会造成危害。为调查这一问题，我们回顾了一家医院连续收治的一系列病例以及一位作者临床实践中的性虐待案例。对伴有或不伴有监护权或探视权纠纷的虐待指控进行了比较。在针对父母的31起性虐待投诉中，有12起（39%）涉及监护权或探视权纠纷。父母对监护权或探视权提出争议的据称受虐儿童明显比监护权或探视权不成问题的儿童年龄小（5.4岁对7.8岁，P = .02）。当存在父母冲突时，性虐待指控得到证实的频率较低（67%对95%，无显著差异），但仍有超过半数的指控得到了证实。
