n Child Abuse Research in South Africa - 'n Voorgestelde intervensiemodel vir die seksueel misbruikte middelkinderjare-kind

Volume 4, Issue 2
  • ISSN : 1562-1383



This paper describes a short-term structured intervention for children who are sexually abused during middle childhood. The proposed model is essentially eclectic in nature, combining elements of abuse-focused therapy, cognitive behavioural therapy, and movement therapy in a structured programme informed by nine key principles: (a) the safety of the child, (b) honesty on the part of the therapist, (c) the utilisation of a broad range of therapeutic techniques, (d) an appreciation of the child's level of linguistic development, (e) alternation of intervention strategies, (f) the creation of a predictable therapeutic environment, (g) individually tailored interventions, (h) the use of physical activity as a therapeutic tool, and (i) the involvement of non-offending parents in the treatment programme. Key components of the intervention programme include: a comprehensive initial assessment; a focus on the development of emotional and cognitive skills and competencies; a careful working through of abuse related recollections; assisting the child to cognitively and emotionally process the trauma; and psycho-educational input regarding the abuse, sexuality in general, and abuse prevention strategies.

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