Precursors to Offending and the Trauma Outcome Process in Sexually Reactive Children
ABSTRACT The authors delineate five precursors that lead to vulnerability to acting out sexually in children who have been victimized. Fielhor's preconditions for sexual perpetration are reviewed and applied to work with sexually reactive children ages 4- 12. The authors present he "Trauma Outcome Process" as an approach differentiating responses to trauma as self-victimizing. assaultive, andlor healthy coping. This article stresses that victims of sexual abuse make choices in their emotional and behavioral responses to trauma. This approach has implications for treatment.
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ABSTRACT: Recent empirical research has shown that children with sexual behavior problems and adolescents who offend sexually are diverse populations consisting of several subtypes (Hall, Mathews, & Pearce, 2002; Pithers, Gray, Busconi, & Houchens, 1998; Worling, 2001). This article reviews the descriptive and empirical research related to identifying subtypes of children with sexual behavior problems and adolescents who offend sexually. Examples of clinically and empirically derived typologies are presented. The author discusses how data from the empirically derived typologies can be incorporated within a multidimensional assessment framework based on the Trauma Outcome Process model (Burton, Rasmussen, Bradshaw, Christopherson, & Huke, 1998; Rasmussen, Burton, & Christopherson, 1992; Rasmussen, 1999, 2001, 2002). The application of this framework in assessing and treating children with sexual behavior problems and adolescents who offend sexually is described.Journal of Child Sexual Abuse 01/2004; 13(3-4):57-82. · 0.75 Impact Factor