Abstract

This paper examines the complex relationship between the process of investigation and the provision of treatment in cases of child sexual abuse. Child sexual abuse is now a well-recognised and documented phenomenon, the deleterious sequelae of which have been studied, initially in survivors presenting in adulthood (Wyatt & Powell, 1989) and (more recently) during childhood (Briere, 1992; Kendall-Tackett et al, 1993). Following the recognition of sexual abuse from the accounts of adult survivors, and in order to reduce the harm caused to sexually abused children by providing earlier protection and treatment, attention began to be directed to the earlier recognition of child sexual abuse, during childhood.

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