Treating Children with Sexually Abusive Behavior Problems

Contents
Prologue



Part I: Guidelines for Practice
1. Sexually Abusive Behavior Problems: Definitions and Current Knowledge
Defining Sexually Abusive Behavior Problems
Age-Appropriate Sex Play
Sexually Abusive Behavior
Current Knowledge
Prior Traumatization
Types of Abuse
Effects of Trauma
Dealing with Trauma Effects
Accountability
Social Competence
Empathy
Establishment of Boundaries
The Sexual Abuse Cycle
Summary
2. A Treatment Approach
Trauma Outcome Process
Individual Characteristics
Family Dynamics
Family Boundaries
Accountability
Prior Traumatization
Interpersonal Relationships
Parenting Skills
Triggers
Awareness and Choice
Self-Victimization
Abuse
Recovery
Using the Trauma Outcome Process in Therapy
Adapting the Trauma Outome Process Children
Using the Trauma Outcome Process with Parents
Summary
3. Integrated Treatment Planning
Assessment for Integrated Treatment Planning
General Information
Assessment of Sexual Acting Out Behavior
Accountability
Empathy
Family Environment and Supervision
Sexual Information
Treatment Modalities
Contracts for Treatment
Individual Therapy for the Child
Family Therapy
Group Therapy for Children
Group Therapy for Parents
Assessing Treatment Progress
Treatment Planning for Severely Disordered Children
Summary
4. Parallel Group Treatment
Structure of Group Treatment Program
Young Children's Group
Latency-aged Children's Program
Treatment Topics in Children's Group
Accountability
Empathy
Relationship Skills
Healthy Sexuality
Group Treatment for Parents
Combined Groups
Summary
Part II: Treatment Exercises
Introduction
5. Accountability
Draw the Offense
Taking Responsibility for Your Problems
Steps and Slides Abuse Cycle
The Hot Seat
Catch that Thinking Error
6. Empathy
"Conversation" with the Victim
Letter to the Victim
The Giving Tree
Draw Victim/Own Face
How Would You Feel If . . .
Why My Child Didn't Tell Me
Empathic Responses
7. Coping with Trauma
Basket of Trigger Feelings
What Happened After You Were Abused
Who Is Responsible?
How My Family Has Changed
The Fire
8. Relationship Skills
Anger Thermometer
Trust Target
Trust Exercises
What Makes a Friend
Wheels of Intimacy
Flight Plan for Effective Communication
Blueprint for Boundaries
9. Sexuality
Body Respect
The Great Big Stop Sign
A Touch Is a Touch
Relapse Prevention "Fire Safety Plan"
Communicating Sexual Values
10. The Power of the Treatment Plan
Collaboration
Epilogue
References
Index