SW3701 Interventions for Child Sexual Abuse lecture notes PDF

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Professor Timothy Zuel, spring 2016 lecture notes on Interventions for Child Sexual Abuse for SW 3701 "Introduction to Child Maltreatment: Intervention and Prevention"...

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Interventions for Child Sexual Abuse What is trauma? ● Event ● Response ● Beliefs What is “Trauma-informed”? ● Understanding the effects of trauma on the brain and development ○ Regulation - reset (affects natural response to things) ○ Fragmentation - the story ○ Perceptions are skewed and beliefs may change ○ Learned helplessness - afraid to do things, take risks Why should trauma drive treatment? ● ensures that a child is not being re-traumatized by the therapeutic process ● unless trauma is addressed, children can go on w/o obvious symptoms and still be suffering ● impact of trauma can be experienced later in life or in new developmental stages What are we assessing? ● Conditional prior ● Developmental level ● Symptoms Complex Trauma ● When a bunch of shitty things happen to you

Sexual Abuse Symptoms ● Powerlessness (depression and anxiety) ● Stigma (social isolation or peer problems) ● Traumatic Sexualization (sexual acting out, sexual avoidance or aggression) ● Numbing (dissociation, problems with concentration, living in fantasy) Up or down ● Work from bottom or top? Phases of Treatment

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Stabilization Family Engagement Process Future

Types of Treatment Approaches: ● What are the 3 most common types of treatment used with sexually abused children? ○ Trauma-informed CBT ■ focus on thoughts about self and touch ■ Goal 1: identify thoughts about inappropriate touch which are maladaptive ■ Goal 2: identify inappropriate ways to manage emotions ■ Goal 3: identify ways to manage memories and body sensations ○ Non-directive play therapy ■ seeks to create a safe haven for child ■ Allows child to have power over situation in therapeutic context ■ Encourages child to use imagination ■ Disadvantages: May never get to traumatic event ○ Body-based techniques ■ SMART (Sensory Motor Arousal Regulation Treatment) ■ EMDR (Eye Movement Desensitization and Reprocessing) ■ Sensorimotor Psychotherapy, Pesso Boyden and Somatic Experiencing ■ Disadvantage: may not buy into it...