[Date Prev][Date Next][Thread Prev][Thread Next][Date Index][Thread Index]
RE: Child Sexualized Behavior Treatment
<x-html>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns:o = "urn:schemas-microsoft-com:office:office" xmlns:st1 =
"urn:schemas-microsoft-com:office:smarttags"><HEAD>
<META http-equiv=Content-Type content="text/html; charset=us-ascii">
<META content="MSHTML 6.00.2900.2802" name=GENERATOR></HEAD>
<BODY>
<DIV dir=ltr align=left><SPAN class=829195821-20122005><FONT face=Arial
color=#0000ff size=2>So the CBT treatment was 500% more effective than the play
therapy group?</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=829195821-20122005><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=829195821-20122005><FONT face=Arial
color=#0000ff size=2>In fact it looks like an iatrogenic effect for Play Therapy
in comparison to whatever the clinic comparison group was.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=829195821-20122005><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=829195821-20122005><FONT face=Arial
color=#0000ff size=2>What is missing here?</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=829195821-20122005><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=829195821-20122005><FONT face=Arial
color=#0000ff size=2>bill moore</FONT></SPAN></DIV><BR>
<BLOCKQUOTE dir=ltr
style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #0000ff 2px solid; MARGIN-RIGHT: 0px">
<DIV class=OutlookMessageHeader lang=en-us dir=ltr align=left>
<HR tabIndex=-1>
<FONT face=Tahoma size=2><B>From:</B>
owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu
[mailto:owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu] <B>On Behalf Of
</B>Silovsky, Jane F. (HSC)<BR><B>Sent:</B> Tuesday, December 20, 2005 11:32
AM<BR><B>To:</B> Child Maltreatment Researchers<BR><B>Subject:</B> RE: Child
Sexualized Behavior Treatment<BR></FONT><BR></DIV>
<DIV></DIV>
<DIV dir=ltr align=left>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 12pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><SPAN
style="FONT-SIZE: 12pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><SPAN
class=345061216-20122005><FONT color=#0000ff size=2>The pattern of the data is
suggesting that structured, sexual-behavior focused treatment that are
cognitive behavioral in orientation and included a strong family/relationshiop
component is more effective than unstructured supportive or play therapy
approaches. We just presented at the last ATSA conference our 10 year
follow up data on children who participated in Bonner, Walker, and Berliner's
randomized trial (see below for reference) with a clinic comparison group
(no known sexual behavior problems, referred for other disruptive behaviors
such as adhd) - we examined sexual offense arrests and child welfare
sexual abuse reports and found that the children randomized to the CBT group
had significantly lower rates of future sexual offenses (2%) than those
in the play therapy group (10%) and were similar to the clinic comparison
group (3%). These results are consistent with the results from
Cohen, Mannarion, Stauffer, Deblinger, and Friedrich's research looking at
treatment of sexually abused children - finding that sexual behavior problems
reduced with CBT with strong family component treatments - better than
unstructured therapy or time (wait period). We have found similar pattern
with preschool children with sexual behavior problems. Manuscripts on
the 10 year follow up and on the preschool treatment outcome study will
hopefully be published next year. --- also look out for the ATSA Task
Force on Children with Sexual Behavior Problems report which will review and
address these issues and a book by the Bill Friedrich to be published next
year.</FONT></SPAN></SPAN></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 12pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><SPAN
style="FONT-SIZE: 12pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><SPAN
class=345061216-20122005><FONT color=#0000ff
size=2></FONT></SPAN></SPAN></SPAN><FONT face=Arial color=#0000ff
size=2></FONT> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt">Bonner, B.L., Walker, C.E.,
Berliner, L. (1999).<SPAN style="mso-spacerun: yes"> </SPAN>Children
with sexual behavior </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.5in">problems: Assessment and
treatment -Final Report.<SPAN style="mso-spacerun: yes"> </SPAN>Grant
No. 90-CA-1469. <I>National Clearinghouse on Child Abuse and Neglect. </I></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.5in"><I></I> </P><o:p>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt">Pithers, W.D., Gray, A.,
Busconi, A., & Houchens. P. (1998). Five empirically-derived </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.5in">subtypes of children with
sexual behavior problems: Characteristics potentially related to juvenile
delinquency and adult criminality.<SPAN style="mso-spacerun: yes">
</SPAN><EM>The Irish Journal of Psychology</EM>, 19(1), 49-67.</P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.5in"><FONT face=Arial
color=#0000ff size=2></FONT> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.5in"><FONT face=Arial
color=#0000ff size=2></FONT> </P>
<P class=MsoBodyText style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt">Cohen, J. A., &
Mannarino, A. P.<SPAN style="mso-spacerun: yes"> </SPAN>(1997).<SPAN
style="mso-spacerun: yes"> </SPAN>A treatment study for sexually abused
<o:p></o:p></SPAN></P>
<P class=MsoBodyText style="MARGIN: 0in 0in 0pt 0.5in"><SPAN
style="FONT-SIZE: 12pt; mso-bidi-font-size: 10.0pt">preschool children:
Outcome during a one-year follow-up.<SPAN style="mso-spacerun: yes">
</SPAN><I style="mso-bidi-font-style: normal">Journal of the <st1:place
w:st="on"><st1:PlaceName w:st="on">American</st1:PlaceName> <st1:PlaceType
w:st="on">Academy</st1:PlaceType></st1:place> of Child and Adolescent
Psychiatry</I><SPAN style="mso-bidi-font-style: italic">, 36,</SPAN>
1228-1235.<o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.5in"></o:p> </P></DIV>
<P class=MsoBodyText
style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"><SPAN
style="FONT-FAMILY: Arial; mso-bidi-font-family: 'Times New Roman'">Stauffer,
L. B. & Deblinger, E. (1996).<SPAN style="mso-spacerun: yes">
</SPAN>Cognitive behavioral groups for nonoffending mothers and their young
sexually abused children: A preliminary treatment outcome study.<SPAN
style="mso-spacerun: yes"> </SPAN><I>Child Maltreatment</I>, 1,
65-76.</SPAN></P>
<P class=MsoBodyText
style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"><SPAN
style="FONT-FAMILY: Arial; mso-bidi-font-family: 'Times New Roman'"><o:p></o:p></SPAN> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt">Friedrich, W., Luecke, W.,
Beilke, R. L., & Place, V. (1992). Psychotherapy outcome </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.5in">with sexually abused
boys: An agency study.<SPAN style="mso-spacerun: yes"> </SPAN><I
style="mso-bidi-font-style: normal">Journal of Interpersonal Violence, 7</I>,
396-409.</P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.5in"> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.5in"><SPAN
class=345061216-20122005><FONT face=Arial color=#0000ff size=2>best wishes on
your work - </FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.5in"><SPAN
class=345061216-20122005><FONT face=Arial color=#0000ff
size=2></FONT></SPAN> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.5in"><SPAN
class=345061216-20122005><FONT face=Arial color=#0000ff
size=2>Jane</FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.5in"><SPAN
class=345061216-20122005><FONT face=Arial color=#0000ff
size=2></FONT></SPAN> </P><SPAN class=345061216-20122005>
<DIV align=left>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">Jane F. Silovsky,
PhD<o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">Associate
Professor<o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">Center on Child Abuse and
Neglect<o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">Department of
Pediatrics<o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">University of <st1:place
w:st="on"><st1:PlaceName w:st="on">Oklahoma</st1:PlaceName> <st1:PlaceName
w:st="on">Health</st1:PlaceName> <st1:PlaceName
w:st="on">Sciences</st1:PlaceName> <st1:PlaceType
w:st="on">Center</st1:PlaceType></st1:place><o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><st1:Street
w:st="on"><st1:address w:st="on"><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">940 NE 13<SUP>th</SUP>
Street</SPAN></st1:address></st1:Street><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"><o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">CHO 3B3406<o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><st1:place w:st="on"><st1:City
w:st="on"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">Oklahoma
City</SPAN></st1:City><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">,
<st1:State w:st="on">OK</st1:State> <st1:PostalCode
w:st="on">73104</st1:PostalCode></SPAN></st1:place><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"><o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">(405)
271-8858<o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">FAX (405)
271-2931<o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial">Jane-silovsky@ouhsc.edu<o:p></o:p></SPAN></P></DIV></SPAN><BR>
<DIV class=OutlookMessageHeader lang=en-us dir=ltr align=left>
<HR tabIndex=-1>
<FONT face=Tahoma size=2><B>From:</B>
owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu
[mailto:owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu] <B>On Behalf Of
</B>Kelly Pratt<BR><B>Sent:</B> Friday, December 16, 2005 1:18
PM<BR><B>To:</B> Child Maltreatment Researchers<BR><B>Subject:</B> Child
Sexualized Behavior Treatment<BR></FONT><BR></DIV>
<DIV></DIV>
<DIV>I am a graduate student currently researching programs that
specialize in providing treatment for children under the age of 11
who present with sexualized behaviors. If anyone has any
knowledge of any programs, articles that speak to current trends in treating
sexualized behaviors or specialized treatment modalities I would
greatly appreciate it. </DIV>
<DIV> </DIV>
<DIV>Thank you,</DIV>
<DIV>Kelly Pratt</DIV>
<DIV>Boston University School of Social Work</DIV>
<DIV>Boston, MA</DIV></BLOCKQUOTE></BODY></HTML>
</x-html>