Tôi đang xảy ra bởi thực tế rằng có hai cách khác nhau để nhìn vào điều này. Một mặt bạn có thể nói, vấn đề này đã được với chúng ta quá lâu. Thực sự thời gian để lên kế hoạch một cách ra khỏi mớ hỗn độn này không quan trọng những gì nó cần. | 360 FAMILY THERAPY PRACTICE WITH CHILD AND ADOLESCENT PROBLEMS their own sexual and emotional needs. This often involves addressing marital issues within marital therapy. The central concern is to help the couples develop communication and problem-solving skills described in Chapters 9 and 14 and facilitate them in using these skill to address the way in which they sort out their mutual needs for intimacy and power sharing within the marriage. Long-term membership of a self-help support group may be a useful way for abusers to avoid relapse. If this option is unavailable booster sessions offered at widely spaced intervals is an alternative for managing the long-term difficulties associated with sexual offending. SUMMARY Prevalence rates for more intrusive forms of sexual abuse involving contact are about 1-16 for males and 6-20 for females. Most abusers are male. About two-thirds of all victims develop psychological symptoms and for a fifth these problems remain into adulthood. Children who have been sexually abused show a range of conduct and emotional problems coupled with oversexualised behaviour. Traumatic sexualisation stigmatisation betrayal and powerlessness are four distinct yet related dynamics that account for the wide variety of symptoms shown by children who have been sexually abused. The degree to which children develop the four traumagenic dynamics and associated behaviour problems following sexual abuse is determined by stresses associated with the abuse itself and the balance of risk and protective factors within the child s family and social network. Case management requires the separation of the child and the abuser to prevent further abuse. A family therapy-based multisys-temic programme of therapeutic intervention should help the child process the trauma of the abuse and develop protective relationships with non-abusing parents and assertiveness skills to prevent further abuse. For the abuser therapy focuses on letting go of denial and .
