Families who present for counseling to address child sexual abuse (CSA) benefit from interventions that are evidence-based and meet children’s developmental needs. Trauma-focused cognitive behavioral therapy (TF-CBT) is an empirically supported approach that is structured to include parents or caregivers in parent-only sessions and a family component. This article reviews the CSA literature as it relates to families, provides an overview of TF-CBT and the trauma narrative intervention, and discusses preparation for and implementation of the narrative family session which is illustrated by a case study.
BriereJ. (2002). Treating adult survivors of severe childhood abuse and neglect: Further development of an integrative model. In MyersJ. E. B.BerlinerL.BriereJ.HendrixC. T.ReidT.JennyC. (Eds.), The APSAC handbook on child maltreatment(2nd ed.). Newbury Park, CA: Sage.
2.
CarlsonB. E.MaciolK.SchneiderJ. (2006). Sibling incest: Reports from forty-one survivors, Journal of Child Sexual Abuse, 15, 19–34. doi:10.1300/J070v15n04-02
3.
Centers for Disease Control and Prevention. (2005). Adverse childhood experiences study: Data and statistics. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Retrieved fromhttp://www.cdc.gov/nccdphp/ace/prevalence.htm#table
4.
ChassonG. S.VincentJ. P.HarrisG. E. (2008). The use of symptom severity measured just before termination to predict child treatment dropout. Journal of Clinical Psychology, 64, 891–904. doi:10.1002/jclp.20494
5.
CohenJ. A.MannarinoA. P. (2000). Predictors of treatment outcome in sexually abused children. Child Abuse and Neglect, 24, 983–994. doi:10.1016/S0145-2134(00)00153-8
6.
CohenJ. A.MannarinoA. P. (2008). Trauma-focused cognitive behavioral therapy for children and parents. Child and Adolescent Mental Health, 13, 158–162. doi:10.1111/j.1475-3588.2008.00502.x
7.
CohenJ. A.MannarinoA. P.BerlinerL.DeblingerE. (2000). Trauma-focused cognitive-behavioral therapy: An empirical update. Journal of Interpersonal Violence, 15, 1203–1223. doi:10.1177/088626000015011007
8.
CohenJ. A.MannarinoA. P.DeblingerE. (2006). Treating trauma and traumatic grief in children and adolescents. New York, NY: The Guilford Press.
9.
CohenJ. A.MannarinoA. P.KnudsenK. (2005). Treating sexually abused children: 1 year follow-up of a randomized controlled trial. Child Abuse and Neglect: The International Journal, 29, 135–145. doi:10.1016/j.chiabu.2004.12.005
10.
CoidJ.PetruckevitchA.FederG.ChungW. S.RichardsonJ.MooreyS. (2001). Relation between childhood sexual and physical abuse and risk of revictimisation in women: A cross-sectional survey. The Lancet, 358, 450–454.
11.
CorcoranJ. (2004). Treatment outcome research with the non-offending parents of sexually abused children: A critical review. Journal of Child Sexual Abuse, 13, 59–84. doi:10.1300/J070v13n02_04
12.
FeatherJ. S.RonanK. R. (2009). Trauma-focused CBT with maltreated children: A clinic-based evaluation of a new treatment manual. Australian Psychologist, 44, 174–194. doi:10.1080/00050060903147083
13.
FinkelhorD.HammerH.SedlakA. J. (2008, August). Sexually assaulted children: National estimates and characteristics. Bureau of Justice Statistics, U.S. Department of Justice. Retrieved fromhttp://www.ncjrs.gov/pdffiles1/ojjdp/214383.pdf
14.
FosterJ. M.HagedornW. B. (in press). Through the eyes of the wounded: A narrative analysis of children’s sexual abuse experiences and recovery process. Journal of Child Sexual Abuse.
15.
GidronY.DuncanE.LazarA.BidermanA.TandeterH.ShvartztmanP. (2002). Effects of guided written disclosure of stressful experiences on clinic visits and symptoms in frequent clinic attenders. Family Practice, 19, 161–166. doi:10.1093/fampra/19.2.161
16.
GreenE. J. (2008). Reenvisioning Jungian analytical play therapy with child sexual assault survivors. International Journal of Play Therapy, 17, 102–121. doi:10.1037/a0012770
17.
Hiebert-MurphyD. (1998). Emotional distress among mothers whose children have been sexually abused: The role of a history of child sexual abuse, social support, and coping. Child Abuse & Neglect, 22, 423–435. doi:10.1016/S0145-2134(98)00006-4
18.
HunterS. V. (2006). Understanding the complexity of child sexual abuse: A review of the literature with implications for family counseling. The Family Journal, 14, 349–358. doi:10.1177/1066480706291092
19.
JonesF.MorrisM. (2007). Working with child sexual abuse: A systemic perspective on whether children need to tell their therapist details of the abuse for healing to take place. Journal of Family Therapy, 29, 222–237. Retrieved from PsycINFO.
20.
KlempnerM. (2000). Navigating life review interviews with survivors of trauma. Oral History Review, 27, 67–83.
21.
LanktreeC.BriereJ. (2008). Integrative treatment of complex trauma for children (ITCT-C): A guide for the treatment of multiply-traumatized children aged eight to twelve years. Retrieved fromhttp://johnbriere.com/articles.htm
22.
McNallyR. J. (2007). Betrayal trauma theory: A critical appraisal. Memory, 15, 280–294. doi:10.1080/09658210701256506
23.
MossigeS.JensenT. K.GulbrandsenW.ReicheltS.TjerslandO. A. (2005). Children’s narratives of sexual abuse: What characterizes them and how do they contribute to meaning-making?Narrative Inquiry, 15, 377–404. doi:10.1075/ni.15.2.09mos
NockM. K.PhilM.KazdinA. E. (2001). Parent expectancies of child therapy: Assessment and relation to participation in treatment. Journal of Child and Family Studies, 10, 155–180.
26.
OzS. (2005). The “wall of fear”: The bridge between the traumatic event and trauma resolution therapy for childhood sexual abuse survivors. Journal of Child Sexual Abuse, 14, 23–47. doi:10.1300/J070v14n03_02
27.
SheinbergM.TrueF. (2008). Treating family relational trauma: A recursive process using a decision dialogue. Family Process, 47, 173–195. doi:10.1111/j.1545-5300.2008.00247.x
28.
SilvermanW. K.OrtizC. D.ViswesvaranC.BurnsB. J.KolkoD. J.PutnamF. W.Amaya-JacksonL. (2008). Evidence-based psychosocial treatments for children and adolescents exposed to traumatic events. Journal of Clinical Child and Adolescent Psychology, 37, 156–183. doi:10.1080/15374410701818293
29.
SnyderH. N. (2000). Sexual assault of young children as reported to law enforcement: Victim, incident, and offender characteristics. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. Retrieved fromhttp://www.ojp.usdoj.gov/bjs/pub/pdf/saycrle.pdf
30.
TremblayC.HebertM.PicheC. (1999). Coping strategies and social support as mediators of consequences in child sexual abuse victims, Child Abuse and Neglect, 23, 929–945. doi:10.1016/S0145-2134(99)00056-3
31.
WelfareA. (2008). How qualitative research can inform clinical interventions in families recovering from sibling sexual abuse. Australian and New Zealand Journal of Family Therapy, 29, 139–147. doi:10.1375/anft.29.3.139
