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Table of Contents
10
1 Description
12
1.1 Terminology
17
1.2 Definition
21
1.3 Epidemiology
23
1.4 Course and Prognosis
26
2 Theories and Models of the Effects of Childhood Maltreatment
28
2.1 PTSD Symptomatology Model
28
2.2 Social Cognitive Information Processing Models
29
3 Diagnosis and Treatment Indications
31
3.1 Psychiatric Impairment and Specific Disorders Associated with Childhood Maltreatment
32
3.1.1 Mood Disorders
32
3.1.2 Suicidal/Self-Harm Behaviors
32
3.1.3 Anxiety Disorders
33
3.1.4 Posttraumatic Stress Disorder (PTSD)
34
3.1.5 Dissociation
36
3.1.6 Behavioral Problems and Disorders
37
3.1.7 Substance Use Disorders
39
3.1.8 Eating Disorders
40
3.1.9 Personality Disorders
42
3.1.10 Asymptomatic Victims
42
4 Treatment: Intervening with Childhood Maltreatment Victims
43
4.1 Methods of Treatment
44
4.1.1 Trauma-Focused Cognitive Behavior Therapy
44
4.2 Mechanisms of Action: Components of Trauma- Focused Cognitive Behavioral Treatment
45
4.2.1 Child- Treatment: Coping Skills Training
46
4.2.2 Child- Treatment: Cognitive Processing
46
4.2.3 Child- Treatment: Gradual Exposure
47
4.2.4 Child- Treatment: Psychoeducation
48
4.2.5 Parent- Treatment
48
4.2.6 Parent- Treatment: Orientation
48
4.2.7 Parent- Treatment: Coping Skills Training
49
4.2.8 Parent- Treatment: Gradual Exposure
50
4.2.9 Parent- Treatment: Psychoeducation
51
4.3 Efficacy and Prognosis
51
4.3.1 Empirical Support of TF-CBT for Childhood Sexual Abuse
51
4.3.2 Empirical Support for TF-CBT for Childhood Physical Abuse
52
4.4 Variations and Combinations of Methods
52
4.4.1 Dialectical Behavior Therapy
52
4.5 Problems and Issues in Carrying Out the Treatments
60
4.5.1 Individual Problems
61
4.5.2 Family Problems
61
5 Case Vignette
63
6 Further Reading
67
7 References
68
8 Appendix: Tools and Resources
71
Childhood Maltreatment Assessment Tools
71
The Children’s Impact of Traumatic Events Scale – II
72
Vicky Veitch Wolfe (2002)
72
The Children’s Impact of Traumatic Events Scale – II: Scoring Form
81
Vicky Veitch Wolfe (2004)
81
The Childhood Experiences of Violence Questionnaire
90
Childhood Experiences of Violence Questionnaire
91
Things that may have happened to me
91
The End
99
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