Miccio-Fonseca L C
Clinic for the Sexualities, CA, USA.
J Child Sex Abus. 2023 Feb;32(2):133-152. doi: 10.1080/10538712.2023.2178991. Epub 2023 Feb 16.
This article renews the call by Chaffin and Bonner in 1998 to cease treating youth who engage in sexually abusive behaviors like adult male convicted sex offenders. The author urges that professionals cease imposing an adult-centered convicted sex offender paradigm in assessment and treatment. A new paradigm is advocated that considers sexual developmental and gender issues, along with judicial status in all areas of intervention (i.e., clinical and risk assessment, treatment/service planning, and possible treatment [when needed]). The paradigm is grounded on the Family Lovemap model, a conceptual framework for assessing the youth's bio-physio-psycho-social-sexual and erotic development. Discussed is the evidence-based, developmentally and gender sensitive risk-level tool, as a viable option for assessing risk for persistent coarse sexual improprieties and sexually abusive behaviors in youth ages 4-19 (adjudicated and non-adjudicated). Selected significant empirical findings are presented from 3,901 youths who were participants in samples of the validation studies.
本文再次呼吁,效仿查芬和邦纳在1998年提出的做法,停止将有性虐待行为的青少年当作成年男性性犯罪罪犯来对待。作者敦促专业人员在评估和治疗过程中,停止采用以成年人为中心的性犯罪罪犯范式。本文倡导一种新的范式,该范式在所有干预领域(即临床和风险评估、治疗/服务规划以及必要时的可能治疗)中,都要考虑性发育和性别问题以及司法状况。这种范式基于家庭爱情地图模型,这是一个用于评估青少年生物-生理-心理-社会-性和情色发展的概念框架。本文讨论了基于证据、对发育和性别敏感的风险水平工具,该工具是评估4至19岁青少年(已被判定有罪和未被判定有罪)持续性不当性行为和性虐待行为风险的可行选择。文中呈现了参与验证研究样本的3901名青少年的部分重要实证研究结果。