Page 76 - Aug Sept 2016
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A Case for Specialized and Specific Intervention and Treatment Strategies with Abused Children
        state of the art questioning                         treatment. A valid and reliable progress
        environments and protocols,                          measurement tool for use at the

        expectations of adults for children to               commencement and duration of treatment
        readily speak with a relative stranger               would bring a wealth of information to the

        following what may be a traumatic and  process and outcome of treatment efforts.
        embarrassing abuse episode, and that
        challenges the child’s family loyalty is             There are several efforts attempting to

        a tall order.                                        design best practices training programs
                                                             in forensic interviews of abused children,
        It is well established that the diagnosis  among them the American Prosecutors

        of Post-Traumatic Stress Disorder was  Research Institute’s National Center for
        developed out of the middle of the                   Prosecution of Child Abuse, the American
        last century’s experience with combat                Professional Society on the Abuse of

        in various wars. The diagnosis was                   Children, and the National Children’s
        not designed with abused children in                 Advocacy Center. (Siegal, 2004) The

        mind. Marshal, Spitzer, and Liebowitz  National Children’s advocacy Center states
        (1999) conducted longitudinal studies                on their website that their training has an
        that used Acute Stress Disorder criteria  efficacy of gaining enough credible factual

        that suggest that there is a need to                 witness information to prosecute in 64%
        reevaluate the DSM approach to                       of their cases (www.nationalcac.org) The

        stress syndromes. This clearly is the                National Center for Prosecution of Child
        case when considering the expansion                  Abuse program strives to get training to
        of understanding of the experiences                  half of the nation by 2010. There was

        and behaviors, and special needs of                  no current information on the website
        abused children with PTSD diagnoses.  concerning how many States have thus far

        Briere and Spinazola (2005) opine                    been sufficiently trained.
        that clinicians often may need to
        make decisions on what part of the                   It would appear that Daubert case may

        stress complex is most relevant,                     point to more than just the ‘junk science’
        and that ever more precise tools                     worry; it may in fact point to the need for

        are needed to fully understand the                   some vehicle to educate judges as well as
        unique dimensionality of a survivor                  front line workers in the care of abused
        of trauma. Such understanding should                 and PTSD diagnosed children. In May of

        lead to improvements in the forensic                 1996 in the Supreme Court of Tennessee, a
        questioning of child victim witnesses                dissenting opinion from Judge Leon Burns

        and legal interventions, as well as                  typifies the this particular difficulty:

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