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Expert Medical Assessment in Determining Probability of Alleged Child Sexual Abuse.
Herbert, Carol P. – Child Abuse and Neglect: The International Journal, 1987
Retrospective medical chart audits of physical and behavioral symptoms and laboratory findings suggestive of child sexual abuse were correlated with abuse allegations to classify 63 patients regarding probability of abuse. Results indicated 65% were probable or determined cases, suggesting the need for a systematic approach to the medical…
Descriptors: Child Abuse, Incidence, Medical Evaluation, Sexual Abuse
The Identification and Reporting of Physical Abuse by Physicians: A Review and Implications for Research.
Warner, Jody E.; Hansen, David J. – Child Abuse and Neglect: The International Journal, 1994
This paper offers an overview of the multistep, multibehavior process of identification and reporting of physical abuse; presents a literature review examining factors influencing the identification and reporting of physical child abuse by physicians; and outlines future directions for research. (Author/JDD)
Descriptors: Child Abuse, Evaluation Methods, Identification, Medical Evaluation
Medical Diagnosis of the Sexually Abused Child.
Bays, Jan; Chadwick, David – Child Abuse and Neglect: The International Journal, 1993
This article on medical diagnosis of the sexually abused child summarizes clinical research on physical findings in nonabused children, abused children, and abused children with independent confirmation of abuse. A classification of physical findings is proposed along a continuum of certainty that sexual abuse has occurred. (Author/JDD)
Descriptors: Child Abuse, Classification, Clinical Diagnosis, Medical Evaluation
Expert Testimony Regarding Child Sexual Abuse.
Myers, John E. B. – Child Abuse and Neglect: The International Journal, 1993
This article discusses legal issues relating to expert testimony in child sexual abuse litigation, including when expert testimony is permitted, qualifications of expert witnesses, permissible bases supporting expert testimony, expert testimony on ultimate factual and legal issues, the reasonable certainty standard of expert testimony, and…
Descriptors: Child Abuse, Court Litigation, Legal Responsibility, Medical Evaluation
The Use of Consumer Injury Registry Data to Evaluate Physical Abuse.
Wissow, Lawrence S.; Wilson, Modena H. – Child Abuse and Neglect: The International Journal, 1988
Descriptive case information evaluated by 68 medical personnel included a fall from a highchair as the explanation of an injury, with or without injury pattern data obtained for such falls from the U.S. Consumer Product Safety Commission (CPSC). Respondents given the CPSC data appropriately had less confidence in the explanation. (Author/JW)
Descriptors: Case Studies, Child Abuse, Clinical Diagnosis, Evaluation
Medical Evaluation Referral Patterns for Sexual Abuse Victims.
Hibbard, Roberta A.; Zollinger, Terrell W. – Child Abuse and Neglect: The International Journal, 1992
A survey of 497 professionals attending educational programs on child sexual abuse found that 69 percent of the nonphysicians did not refer all alleged child abuse victims for medical evaluations (as recommended). The type of abuse and presence of physical and psychological symptoms were considered in making referral decisions. (Author/DB)
Descriptors: Child Abuse, Decision Making, Inservice Education, Medical Evaluation
Developing Guidelines for HIV Antibody Testing among Victims of Pediatric Sexual Abuse.
Gellert, George A.; And Others – Child Abuse and Neglect: The International Journal, 1990
An interim set of human immunodeficiency virus (HIV) testing guidelines for victims of pediatric sexual abuse (PSA) is proposed. Guidelines are based on responses of 63 practitioners of PSA assessment to 7 hypothetical clinical profiles with 12 testing criteria. (Author/DB)
Descriptors: Acquired Immune Deficiency Syndrome, Child Abuse, Clinical Diagnosis, Evaluation Methods
Normal versus Abnormal Genital Findings in Children: How Well Do Examiners Agree?
Adams, Joyce A.; Wells, Robert – Child Abuse and Neglect: The International Journal, 1993
Preselected colposcopic photographs of the anogenital area of 16 patients were shown to 170 medical examiners, who rated their level of suggestion or indication of penetrating injury. Agreement between the participants and experts was higher on the abnormal cases than on the normal cases, and higher on genital findings than on anal findings.…
Descriptors: Child Abuse, Interrater Reliability, Medical Evaluation, Pediatrics
Commentary: Ethical Considerations in Testing Victims of Sexual Abuse for HIV Infection.
Fost, Norman – Child Abuse and Neglect: The International Journal, 1990
Ethical issues in screening of victims of sexual abuse for infection with the human immunodeficiency virus (HIV) are raised in response to Gellert (EC 222 881). It is concluded that widescale HIV testing of child victims of sexual abuse is not justified by the available information. (DB)
Descriptors: Acquired Immune Deficiency Syndrome, Child Abuse, Clinical Diagnosis, Ethics
Interpretations of Colposcopic Photographs: Evidence for Competence in Assessing Sexual Abuse?
Brayden, Robert M.; And Others – Child Abuse and Neglect: The International Journal, 1991
Seventy physicians and two nurse practitioners rated colposcopic photographs. Results showed that leaders in the field of child sexual abuse assessment made significantly more accurate assessments than pediatricians, pediatric and family practice residents, and intern physicians. Predictors of agreement with standard assessments, although weak,…
Descriptors: Child Abuse, Competence, Evaluation Methods, Evaluators
Genital Abnormalities in Female Siblings and Friends of Child Victims of Sexual Abuse.
Muram, David; And Others – Child Abuse and Neglect: The International Journal, 1991
Fifty-nine girls (age 12 and under) who were associates of victims of sexual abuse received a colposcopic examination. Forty-five of the girls were found to have abnormal genital findings, which were considered specific for sexual abuse in 40 cases. Medical evaluation of siblings and close associates of sexual abuse victims is recommended.…
Descriptors: Anatomy, Child Abuse, Clinical Diagnosis, Diagnostic Tests
Sexual Abuse of Children under 12 Years of Age: A Review of 511 Cases.
Dube, Robert; Hebert, Martine – Child Abuse and Neglect: The International Journal, 1988
Charts were reviewed to identify the characteristics of 511 prepubertal children brought to a Montreal, Quebec (Canada) pediatric hospital for evaluation regarding alleged sexual abuse. Specific characteristics were found to distinguish victims on the basis of their age, sex, and type of sexual abuse (intra- versus extra-familial). (Author/JDD)
Descriptors: Age Differences, Child Abuse, Foreign Countries, Individual Characteristics
Bruising and Hemophilia: Accident or Child Abuse?
Johnson, Charles F.; Coury, Daniel L. – Child Abuse and Neglect: The International Journal, 1988
Two case histories illustrate the difficulty in evaluating abuse/neglect in children with bleeding problems such as hemophilia. Discussed are guidelines for diagnosis and prevention of abuse, including: screening techniques, the need for protection from environmental trauma, parental stress, evaluation of parents' disciplinary methods, and the…
Descriptors: Accidents, Child Abuse, Clinical Diagnosis, Counseling Services