Abstract
Despite the prevalence of Post-Traumatic Stress Disorder (PTSD) due to child sexual abuse, few studies examine the clinical treatment of such children. The studies that exist are behavioral in nature and have been conducted on children who have witnessed violence, not those who have the disorder due to sexual abuse (Saigh, 1992). This limits clinicians who strive to use validated therapy techniques but who feel that behavioral therapy is inappropriate or inadequate for their clients. Using family therapy over more traditional behavioral treatments is beneficial and allows for the treatment of emotional issues not addressed in behavior therapy for PTSD. A 16-step strategic family therapy approach to treating intrafamilial sexual abuse published by Cloe Madanes (1990) is presented. The treatment adaptation for families in which the perpetrator is not present for the therapy is exemplified through the case of a 9-year-old boy who was sexually abused.
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