Childhood Maltreatment

Christine Wekerle, PhD, is Associate Professor of Pediatrics, McMaster University, Hamilton, ON, CAN, and has conducted research over the past 25 years into child maltreatment and related areas. She is currently Editor-in-Chief for Child Abuse and Neglect. David A. Wolfe, PhD, ABPP, is Adjunct Professor, Centre for School Mental Health, and Research Scholar, Centre for Research and Education on Violence Against Women and Children, Faculty of Education, Western University, London, ON, CAN. Judith A. Cohen, MD, is Medical Director of the Center for Traumatic Stress in Children & Adolescents, Allegheny General Hospital, Pittsburgh, PA, US, and Professor of Psychiatry, Drexel University College of Medicine, Philadelphia, PA, US. Daniel S. Bromberg, PhD, ABPP, is Director of Special Psychological Services, LLC, Bloomfield NJ, US. He is a licensed psychologist and board-certified in behavioral and cognitive psychology by the American Board of Professional Psychology. Laura Murray, PhD, is Associate Scientist in Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, US.

Dedication
Acknoledgments
1 Description
1.1 Terminology
1.2 Definitions
1.2.1 Neglect
1.2.2 Physical Abuse
1.2.3 Sexual Abuse
1.2.4 Psychological or Emotional Abuse
1.2.5 Diagnostic Codes
1.3 Epidemiology
1.4 Course and Prognosis, and Context
1.5 Recognizing, Reporting, and Disclosing
Maltreatment
2 Theories and Models of Child
Maltreatment
3 Diagnosis and Treatment Indications
3.1 Clinical Interview and Assessment
3.2 Forensic Mental Health Assessment
3.3 Specific Disorders Associated with Childhood
Maltreatment
3.3.1 Mood Disorders, Self-Harm, and
Suicidality
3.3.2 Anxiety Disorders
3.3.3 Posttraumatic Stress Disorder and
Dissociation
3.3.4 Substance Use Disorders
3.3.5 Eating Disorders
3.3.6 Asymptomatic Victims
4 Treatment
4.1 Methods of Treatment
4.1.1 Stabilization and Skills Building
4.1.2 Trauma Narrative and Processing
Phase
4.1.3 Integration and Consolidation Phase
4.1.4 Traumatic Grief Components
(Optional)
4.1.5 TF-CBT Termination Phase
4.2 TF-CBT Mechanisms of Action
4.3 Efficacy and Prognosis
4.4 Variations and Combinations of Methods
4.5 Challenges in Carrying Out the
Treatments
4.6 Cross-Cultural Issues
5 Case Vignette
6 Further Reading
7 References
8 Appendix: Tools and Resources