By Anna Aprile, Cristina Ranzato, Melissa Rosa Rizzotto
Sexual abuse is an important factor in baby and formative years well-being, frequently implementing an instantaneous and critical impact on baby well-being and severe long-term effects on maturity. the intense variability of observable symptoms of attainable baby sexual abuse can diversity from the obscure to the transparent minimize and this has resulted in the truth that allegations of sexual abuse are often contested. the good variety of variables to be considered within the process of selection making renders the substantiation technique very advanced for the situations of suspected baby sexual abuse. This publication explores all of the features regarding the matter of fake allegations and misdiagnoses of CSA. ranging from a bibliometric examine exploring the most traits and features of the foreign literature on CSA, a synthesis of present up to date evidences and a evaluation of all to be had case experiences released, the problem is tackled contemplating all attainable elements which can impression the pros in arriving to a choice to whether or now not a baby has been sexually abused and in integrating empirical learn to aid consultant their decision-making procedure.
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Additional info for Child Sexual Abuse: Pitfalls in the Substantiation Process
Consistent history with or without abnormal physical findings positive Chlamidia trachomatosis culture in prepubertal child (not via rapid antigen test) positive herpes simplex virus 2 culture trichomoniasis Class IV Definite abuse 1. 2. 3. 4. 5. 6. 7. category-4 findings, no accident history sperm or seminal fluid found pregnancy positive Neisseria gonorrhoea culture postnatal syphilis photographs or videotapes showing abuse HIV infection, not perinatal acquired, via needle or blood (modified from Adams and colleagues ).
Based on these studies, recommendations for diagnostic criteria or standards as well as classifications Sexual Abuse: A Bibliometric Analysis 47 schemes have been developed [16,17,18,19]. Another important trend in the literature on CSA regards the psychological research dealing particularly with interviews and child testing, memory and episodes recollection, adulthood psychological consequences and recovery . • • • • • • • The two databases searched store a considerably different number of manuscripts on CSA (3 878 PsycINFO vs 1 242 PubMed) and the overlap is represented only by 397 manuscripts (32% in PubMed and 10% of PsycINFO), belonging to few selected journals (mostly Child Abuse & Neglect).
46. Positive serology for HIV, if perinatal transmission, transmission from blood products, and needle contamination has been ruled out. Diagnostic of sexual contact 47. Pregnancy. Sperm identified in specimens taken directly from a child's body. * Follow-up examination is necessary before attributing these findings to trauma. (modified from Adams and colleagues ). ” 53 Table 2. Adams assessment of the likelihood of abuse Class I No indication of abuse 1. normal examination findings, no history, no behavioural changes, no witnessed abuse 2.