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Ethical Boundaries: Treating Childhood Sexual Trauma
Childhood Sexual Trauma continuing education MFT CEUs

Section 28

CEU Test | Table of Contents
| Child Abuse
Counselor CEUs, Psychologist CEs, Social Worker CEUs, MFT CEUs

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Peer-Reviewed Journal Article References:
Assink, M., van der Put, C. E., Meeuwsen, M. W. C. M., de Jong, N. M., Oort, F. J., Stams, G. J. J. M., & Hoeve, M. (2019). Risk factors for child sexual abuse victimization: A meta-analytic review. Psychological Bulletin, 145(5), 459–489.

Betsch, T., Wünsche, K., Großkopf, A., Schröder, K., & Stenmans, R. (2018). Sonification and visualization of predecisional information search: Identifying toolboxes in children. Developmental Psychology, 54(3), 474–481.

Böge, K., Mouthaan, J., & Krause-Utz, A. (2020). Effects of dialogical mindfulness on psychopathology: A pilot study’s results from a seven-day psychosynthesis course about the inner child. The Humanistic Psychologist, 48(1), 84–99.

Bonanno, G. A., Keltner, D., Noll, J. G., Putnam, F. W., Trickett, P. K., LeJeune, J., & Anderson, C. (2002). When the face reveals what words do not: Facial expressions of emotion, smiling, and the willingness to disclose childhood sexual abuse. Journal of Personality and Social Psychology, 83(1), 94–110.

Chard, K. M. (2005). An evaluation of cognitive processing therapy for the treatment of posttraumatic stress disorder related to childhood sexual abuse. Journal of Consulting and Clinical Psychology, 73(5), 965–971.

Cuddy, M. A., & Belicki, K. (1992). Nightmare frequency and related sleep disturbance as indicators of a history of sexual abuse. Dreaming, 2(1), 15–22.

Daskovsky, D. (1998). The abuser and the abused: Sources of resistance to resolving splits in the countertransference in the treatment of adults who were sexually abused as children. Psychoanalytic Psychology, 15(1), 3–13.

Ensink, K., Borelli, J. L., Normandin, L., Target, M., & Fonagy, P. (2020). Childhood sexual abuse and attachment insecurity: Associations with child psychological difficulties. American Journal of Orthopsychiatry, 90(1), 115–124. 

Feiring, C., Simon, V. A., & Cleland, C. M. (2009). Childhood sexual abuse, stigmatization, internalizing symptoms, and the development of sexual difficulties and dating aggression. Journal of Consulting and Clinical Psychology, 77(1), 127–137.

Ferrajão, P. C., & Elklit, A. (2020). World assumptions and posttraumatic stress in a treatment-seeking sample of survivors of childhood sexual abuse: A longitudinal study. Psychology of Violence, 10(5), 501–508. 

Franz, M. R., DiLillo, D., & Gervais, S. J. (2016). Sexual objectification and sexual assault: Do self-objectification and sexual assertiveness account for the link? Psychology of Violence, 6(2), 262–270.

Golding, J. M., Sanchez, R. P., & Sego, S. A. (1999). Brief research report: Age factors affecting the believability of repressed memories of child sexual assault. Law and Human Behavior, 23(2), 257–268.

Hartman, M., Finn, S. E., & Leon, G. R. (1987). Sexual-abuse experiences in a clinical population: Comparisons of familial and nonfamilial abuse. Psychotherapy: Theory, Research, Practice, Training, 24(2), 154–159.

Hayes, J. A., Gelso, C. J., Goldberg, S., & Kivlighan, D. M. (2018). Countertransference management and effective psychotherapy: Meta-analytic findings. Psychotherapy, 55(4), 496–507. 

Herman, J. L., & Schatzow, E. (1987). Recovery and verification of memories of childhood sexual trauma. Psychoanalytic Psychology, 4(1), 1–14.

Jones, T. M., Bottoms, B. L., & Stevenson, M. C. (2020). Child victim empathy mediates the influence of jurors’ sexual abuse experiences on child sexual abuse case judgments: Meta-analyses. Psychology, Public Policy, and Law. Advance online publication.

Karlsson, M. E., Zielinski, M. J., & Bridges, A. J. (2020). Replicating outcomes of Survivors Healing from Abuse: Recovery through Exposure (SHARE): A brief exposure-based group treatment for incarcerated survivors of sexual violence. Psychological Trauma: Theory, Research, Practice, and Policy, 12(3), 300–305.

Keller, S. M., Zoellner, L. A., & Feeny, N. C. (2010). Understanding factors associated with early therapeutic alliance in PTSD treatment: Adherence, childhood sexual abuse history, and social support. Journal of Consulting and Clinical Psychology, 78(6), 974–979.

Kessler, B. L., & Bieschke, K. J. (1999). A retrospective analysis of shame, dissociation, and adult victimization in survivors of childhood sexual abuse. Journal of Counseling Psychology, 46(3), 335–341.

Lang, J. M., & Connell, C. M. (2017). Development and validation of a brief trauma screening measure for children: The Child Trauma Screen. Psychological Trauma: Theory, Research, Practice, and Policy, 9(3), 390–398.

Latts, M. G., & Gelso, C. J. (1995). Countertransference behavior and management with survivors of sexual assault. Psychotherapy: Theory, Research, Practice, Training, 32(3), 405–415.

Levenson, J. S., & Grady, M. D. (2016). The influence of childhood trauma on sexual violence and sexual deviance in adulthood. Traumatology, 22(2), 94–103.

London, K., Bruck, M., Ceci, S. J., & Shuman, D. W. (2005). Disclosure of Child Sexual Abuse: What Does the Research Tell Us About the Ways That Children Tell? Psychology, Public Policy, and Law, 11(1), 194–226.

McNally, R. J., Perlman, C. A., Ristuccia, C. S., & Clancy, S. A. (2006). Clinical characteristics of adults reporting repressed, recovered, or continuous memories of childhood sexual abuse. Journal of Consulting and Clinical Psychology, 74(2), 237–242.

Pogge, D. L., & Stone, K. (1990). Conflicts and issues in the treatment of child sexual abuse. Professional Psychology: Research and Practice, 21(5), 354–361.

Polusny, M. A., & Follette, V. M. (1996). Remembering childhood sexual abuse: A national survey of psychologists' clinical practices, beliefs, and personal experiences. Professional Psychology: Research and Practice, 27(1), 41–52.

Priebe, K., Kleindienst, N., Zimmer, J., Koudela, S., Ebner-Priemer, U., & Bohus, M. (2013). Frequency of intrusions and flashbacks in patients with posttraumatic stress disorder related to childhood sexual abuse: An electronic diary study. Psychological Assessment, 25(4), 1370–1376.

Roth, S., & Newman, E. (1992). The role of helplessness in the recovery process for sexual trauma survivors. Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement, 24(2), 220–232.

Schuler, M., Mohnke, S., Amelung, T., Dziobek, I., Lemme, B., Borchardt, V., Gerwinn, H., Kärgel, C., Kneer, J., Massau, C., Pohl, A., Tenbergen, G., Weiß, S., Wittfoth, M., Waller, L., Beier, K. M., Walter, M., Ponseti, J., Schiffer, B., . . . Walter, H. (2019). Empathy in pedophilia and sexual offending against children: A multifaceted approach. Journal of Abnormal Psychology, 128(5), 453–464.

Somer, E., & Szwarcberg, S. (2001). Variables in delayed disclosure of childhood sexual abuse. American Journal of Orthopsychiatry, 71(3), 332–341.

Stappenbeck, C. A., George, W. H., Staples, J. M., Nguyen, H., Davis, K. C., Kaysen, D., Heiman, J. R., Masters, N. T., Norris, J., Danube, C. L., Gilmore, A. K., & Kajumulo, K. F. (2016). In-the-moment dissociation, emotional numbing, and sexual risk: The influence of sexual trauma history, trauma symptoms, and alcohol intoxication. Psychology of Violence, 6(4), 586–595.

Stolzenberg, S. N., & Lyon, T. D. (2014). How attorneys question children about the dynamics of sexual abuse and disclosure in criminal trials. Psychology, Public Policy, and Law, 20(1), 19–30.

Straker, G., & Jacobson, R. S. (1981). Aggression, emotional maladjustment, and empathy in the abused child. Developmental Psychology, 17(6), 762–765.

Webster, G. (2018). Psychoanalytic complexity theory: An application to the treatment of child sexual offenders. Psychoanalytic Psychology, 35(1), 83–92.

Wolfe, V. V. (1992). Review of Child sexual abuse: Critical perspectives on prevention, intervention, and treatment [Review of the book Child sexual abuse: Critical perspectives on prevention, intervention, and treatment, by C. R. Bagley & R. J. Thomlison, Eds.]. Canadian Psychology/Psychologie canadienne, 33(2), 211–212.

Additional References:
- American Association for Marriage and Family Therapy. (2015, January 1). Code of Ethics. Retrieved from http://www.aamft.org/iMIS15/AAMFT/Content/Legal_Ethics/Code_of_Ethics.aspx

- American Counseling Association. (2014). ACA Code of Ethics. Retrieved from http://www.counseling.org/docs/ethics/2014-aca-code-of-ethics.pdf?sfvrsn=4

- American Psychological Association (APA). (2017, January 1). Ethical Principles of Psychologists and Code of Conduct. Retrieved from http://www.apa.org/ethics/code

- Appelbaum, Paul, Uyehara, Lisa, & Mark Elin, Trauma and Memory: Clinical and Legal Controversies, Oxford University Press: New York, 1997.

- Barker, R. L. (1998). Milestones in the Development of Social Work and Social Welfare. Washington, DC: NASW Press. Rankin, Mary, JD employed by the Healthcare Training Institute to research and write the article Evolution of Social Work Ethics. Edited by Tracy Appleton, LCSW. The reference Barker, Robert L. Milestones in the Development of Social Work and Social Welfare. Washington, DC NASW Press, 1998

- Bemecker, Samantha L. Helping Clients Help Themselves: Managing Ethical Concerns When Offering Guided Self-Help Interventions in Psychotherapy Practice. Professional Psychology: Research & Practice. Apr2014, Vol. 45 Issue 2, p111-119.

- Chahal, Parneet Kaur. A trainee counselling psychologist's considerations in CBT-informed practice with adult survivors of childhood sexual abuse. Counselling Psychology Review. Sep2013, Vol. 28 Issue 3, p30-42.

- Cheung, Monit; McNeil Boutté-Queen, Needha; Assessing the Relative Importance of the Child Sexual Abuse Interview Protocol Items to Assist Child Victims in Abuse Disclosure; January 2010, Vol 25 Issue 1, p11

- Christoffersen, Mogens Nygaard; DePanfilis, Diane; Prevention of child abuse and neglect and improvements in child development Child Abuse Review, February 2009, Vol 18 Issue 1, p24

- Cruz, Francisco MA, & Laura Essen, Adult Survivors of Childhood Emotional, Physical, and Sexual Abuse: Dynamics and Treatment, Jason Aronson, Inc.: New Jersey, 2004.

- Duffany, Adrienne; Panos, Patrick T., Outcome Evaluation of a Group Treatment of Sexually Abused and Reactive Children, Research on Social Work Practice, May 2009, Vol. 19, Issue 3, p 291

- Foster, Carolyn PhD, The Family Patterns Workbook, Putnum Publishing Group: New York, 2003.

- Henderson, Kathryn L. Mandated Reporting of Child Abuse: Considerations and Guidelines for Mental Health Counselors. Journal of Mental Health Counseling. Oct2013, Vol. 35 Issue 4, p296-309.

- Jepsen, Ellen K. K.; Svagaard, Tron; Thelle, Mona I.; McCoullough, Leigh; Martisen, Egil W; Inpatient Treatment for Adult Survivors of Childhood Sexual Abuse: A Preliminary Outcome Study; Journal of Trauma & Dissociation, September 2009, Vol 10 Issue 3, p315

- Kangas, Julie L.; Calvert, James D. Ethical Issues in Mental Health Background Checks for Firearm Ownership. Professional Psychology: Research & Practice. Feb2014, Vol. 45 Issue 1, p76-83.

- Karakurt, Gunnur; Silver, Kristin E. Therapy for Childhood Sexual Abuse Survivors Using Attachment and Family Systems Theory Orientations. American Journal of Family Therapy. Jan/Feb2014, Vol. 42 Issue 1, p79-91.

- Kaufman, Bobbie PhD, & Agnes Wohl PhD, Casualties of Childhood: A Developmental Perspective on Sexual Abuse Using Projective Drawings, Brunner-Routledge: New York, 2002

- Kennedy, Roger PhD, Child Abuse, Psychotherapy, and the Law, Free Association Books: New York, 1997.

- Kouyoumdjian, Haig; Perry, Andrea R.; Hansen, David J.,  Nonoffending Parent Expectations of Sexually Abused Children: Predictive Factors and Influence on Children's Recovery, Journal of Child Sexual Abuse, Feb 2009, Vol. 18, Issue 1, p 40- 61

- Loewenberg, F. M., & Dolgoff, R. & Harrington, D. Ethical decisions for social work practice. Itasca, Illinois: F.E. Peacock., 2000.

- MacKinnon, Laurie K. PhD, Trust and Betrayal in the Treatment of Child Abuse, Guilford Press: New York, 1998.

- Moe, Cathrine; Kvig, Erling I; Brinchmann, Beate; Brinchmann, Berit S. Working behind the scenes’ An ethical view of mental health nursing and first-episode psychosis. Nursing Ethics. Aug2013, Vol. 20 Issue 5, p517-527.

- National Association of Social Workers. (2017). NASW Code of Ethics. Retrieved from https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English

- National Board for Certified Counselors, Inc. and Affiliates. (2016, October 7). NBCC Code of Ethics. Retrieved from https://www.nbcc.org/Assets/Ethics/NBCCCodeofEthics.pdf

- Putman, Stacie E., The Monsters in My Head: Posttraumatic Stress Disorder and the Child Survivor of Sexual Abuse, Journal of Counseling & Development, Jan 2009, Vol. 87, Issue 1, p 80-90

- Reamer, F. G. The social work ethics audit: A risk-management strategy. Social Work, 2000, 45(4), 355-366..

- Reamer, Frederic G., Social Work Ethics Casebook: Cases and Commentary. Washington, DC: NASW Press, 2009

- Reamer, Frederic G., Social Work Malpractice and Liability: Strategies for Prevention, 2nd ed. (New York: Columbia University Press, 2003)

- Reamer, Frederic G., Social Work Values and Ethics, 3rd ed. (New York: Columbia University Press, 2006)

- Reamer, Frederic G., Ethical Standards in Social Work: A Review of the NASW Code of Ethics, 2nd ed. (Washington, DC: NASW Press, 2006)

- Reamer, Frederic G., The Social Work Ethics Audit: A Risk-management Tool (Washington, DC: NASW Press, 2001)

- Reamer, Frederic G., Tangled Relationships: Managing Boundaries in the Human Services (New York: Columbia University Press, 2001)

- Reamer, Frederic G., Ethics Education in Social Work (Alexandria, VA: Council on Social Work Education, 2001)

- Rickerby, Michelle. Family support and childhood sexual abuse: A powerful force in recovery. Brown University Child & Adolescent Behavior Letter. Jun2013, Vol. 29 Issue 6, p1-6.

- Rothstein, Mark A., Tarasoff Duties after Newtown, Journal of Law, Medicine & Ethics. Spring2014, Vol. 42 Issue 1, p104-109.

- Shapero, Benjamin G.; Black, Shimrit K.; Liu, Richard T.; Klugman, Joshua; Bender, Rachel E.; Abramson, Lyn Y.; Alloy, Lauren B. Stressful Life Events and Depression Symptoms: The Effect of Childhood Emotional Abuse on Stress Reactivity. Journal of Clinical Psychology. Mar2014, Vol. 70 Issue 3, p209-223.

- Stuart, Richard B. PhD, Violent Behavior: Social Learning Approaches to Prediction, Management, and Treatment, Brunner/Mazel, Inc.: New York, 1998.

- Sullivan-Everstine, Diana PhD, & Louis Everstine, Sexual Trauma in Children and Adolescents: Dynamics and Treatment, Brunner/Mazel Publishers, Inc.: New York, 1999.

- Yancey, C.; Naufel, Karen; Hansen, David. The Relationship of Personal, Family, and Abuse-Specific Factors to Children's Clinical Presentation Following Childhood Sexual Abuse. Journal of Family Violence. Jan2013, Vol. 28 Issue 1, p31-42.


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