This book provides an overview of research on the prevalence, dynamics, and impact of child sexual abuse (CSA), as well as factors that influence youth recovery. The history, development, ...
MoreThis book provides an overview of research on the prevalence, dynamics, and impact of child sexual abuse (CSA), as well as factors that influence youth recovery. The history, development, and numerous treatment outcome studies evaluating the efficacy of trauma-focused cognitive behavioral therapy (TF-CBT), an evidence-based treatment model designed for this population, are described. This includes a clinical overview outlining the theories, principles, values, and components associated with this model and suggestions for addressing complex trauma responses, developmental, and cultural considerations. Screening, engagement, and assessment strategies, as well as general guidelines for using this practical treatment guide are also outlined. The chapters that follow outline practical steps for engaging nonoffending caregivers and youth facing the crisis of CSA in separate individual parent and child sessions as well as conjoint sessions. The acronym PRACTICE outlines the TF-CBT treatment components which include Psychoeducation and parenting, Relaxation, Affect expression and modulation skills, Cognitive coping, Trauma narrative and processing, In vivo mastery, Conjoint sessions, and Enhancing safety and future development. TF-CBT session activities that may be used to implement each of the treatment components are described via clinical descriptions, case examples, and therapist-client dialogues. General suggestions for planning and celebrating the end of therapy are provided. Special considerations and guidelines for addressing sexual behavior problems and difficulties associated with experiencing commercial sexual exploitation are offered. The appendix includes a glossary of terms, useful therapist forms, and valuable client handouts that provide psychoeducation, as well as guidelines for practicing skills between sessions. ...
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