The Psychological Assessment Of Abused And Traumatized Children

The past decade has seen more and more clinicians involved in the assessment and treatment of abused and traumatized children. They have contributed to an impressively large body of literature on the impact of abuse and trauma at all ages, the focus of which has been the short and long-term sequelae apparent in the child's behavior, emotional experience, and social interaction. But there have been few efforts to investigate the ways in which abuse and trauma damage the intrapsychic systems and structures that often guide, direct, and inform the child's manifest adjustment and functioning. The need to redress the balance was the major impetus for this book. Kelly offers a clinical paradigm for the personality assessment of abused or traumatized children via projective instruments--the TAT and Rorschach--and shows how various projective measures and indices can be utilized as sensitive barometers of changes in self, object, and ego functioning following therapeutic interventions and other corrective experiences. But further, integrating the tenets of trauma theory and those of psychoanalytic theory, he sets this clinical paradigm in a meaningful theoretical context, and draws on both theory and clinical experience to develop a comprehensive psychological composite of the child who has been maltreated. Part I provides an overview of theoretical models relevant to the assessment and diagnosis of the maltreated child. Contemporary psychoanalytic theory serves as one frame and is discussed first, with particular emphasis on object relations and ego functions. Equal attention is devoted to developmental psychology as another frame. Part II reviews relevant research. The Mutality of Autonomy Scale (MOA) and the Social Cognition and Object Relations Scale (SCORS) are introduced as examples of reliable and valid instruments readily employed to assess the impact of abuse or trauma on a child's object relations functioning. Additional Rorschach indices--boundary disturbance measures, thought disorder indices, trauma markers, and defensive functions measures--are discussed as measures of the impact on different facets of ego functioning. These various projective measures can be utilized as sensitive barometers of changes in self, object, and ego functioning following therapeutic interventions and other corrective experiences. Part III includes a variety of extended clinical illustrations. Seven cases of boys and girls subjected to varying degrees of abuse and trauma are presented to demonstrate the clinical utility of projective material for assessment, diagnosis, and treatment planning. For the clinician who takes the idiographical-phenomenological approach, appropriate given the uniqueness of each situation of abuse or trauma and the frequent brevity and barrenness of the protocol, such material can open a window onto a rich vista of the child's psychological terrain. The resulting map can point the way to wise decisions about type, timing, and level of therapeutic intervention, the resolution of such process issues as transference and countertransference, plus additional questions. Two cases of adult women who were abused as children and find themselves continuing to struggle with enduring unresolved issues vis a vis their own children are also presented. These cases underscore the value of TAT and Rorschach material, and object relations measures, in assessing and understanding the abusive and potentially abusive parent.

Designed for professionals in the field of child maltreatment, this authoritative book presents a compelling theoretical framework that guide's assessment of children and adolescents who have been sexually abused and their parents. The book is designed to make it easier for clinicians to select a number of measures or procedures across three dimensions that have considerable clinical relevance – attachment, dysregulations, and self-perception. Psychological Assessment of Sexually Abused Children and Their Families features in particular the assessment of sexually aggressive children and an extensive set of interview formats, checklists, and other forms that clinicians will find especially useful in evaluating children and their families. The book is also richly illustrated with case studies.

The past decade has seen more and more clinicians involved in the assessment and treatment of abused and traumatized children. They have contributed to an impressively large body of literature on the impact of abuse and trauma at all ages, the focus of which has been the short and long-term sequelae apparent in the child's behavior, emotional experience, and social interaction. But there have been few efforts to investigate the ways in which abuse and trauma damage the intrapsychic systems and structures that often guide, direct, and inform the child's manifest adjustment and functioning. The need to redress the balance was the major impetus for this book. Kelly offers a clinical paradigm for the personality assessment of abused or traumatized children via projective instruments--the TAT and Rorschach--and shows how various projective measures and indices can be utilized as sensitive barometers of changes in self, object, and ego functioning following therapeutic interventions and other corrective experiences. But further, integrating the tenets of trauma theory and those of psychoanalytic theory, he sets this clinical paradigm in a meaningful theoretical context, and draws on both theory and clinical experience to develop a comprehensive psychological composite of the child who has been maltreated. Part I provides an overview of theoretical models relevant to the assessment and diagnosis of the maltreated child. Contemporary psychoanalytic theory serves as one frame and is discussed first, with particular emphasis on object relations and ego functions. Equal attention is devoted to developmental psychology as another frame. Part II reviews relevant research. The Mutality of Autonomy Scale (MOA) and the Social Cognition and Object Relations Scale (SCORS) are introduced as examples of reliable and valid instruments readily employed to assess the impact of abuse or trauma on a child's object relations functioning. Additional Rorschach indices--boundary disturbance measures, thought disorder indices, trauma markers, and defensive functions measures--are discussed as measures of the impact on different facets of ego functioning. These various projective measures can be utilized as sensitive barometers of changes in self, object, and ego functioning following therapeutic interventions and other corrective experiences. Part III includes a variety of extended clinical illustrations. Seven cases of boys and girls subjected to varying degrees of abuse and trauma are presented to demonstrate the clinical utility of projective material for assessment, diagnosis, and treatment planning. For the clinician who takes the idiographical-phenomenological approach, appropriate given the uniqueness of each situation of abuse or trauma and the frequent brevity and barrenness of the protocol, such material can open a window onto a rich vista of the child's psychological terrain. The resulting map can point the way to wise decisions about type, timing, and level of therapeutic intervention, the resolution of such process issues as transference and countertransference, plus additional questions. Two cases of adult women who were abused as children and find themselves continuing to struggle with enduring unresolved issues vis a vis their own children are also presented. These cases underscore the value of TAT and Rorschach material, and object relations measures, in assessing and understanding the abusive and potentially abusive parent.

This book serves as a practical guide for clinicians and other professionals working with children and adolescents exposed to trauma, offering an overview and rationale for a comprehensive approach to trauma-informed assessment, including key domains and techniques. Building on more than 2 decades of work in collaboration with the National Child Traumatic Stress Network (NCTSN), the book provides strategies for conducting an effective trauma-informed assessment that can be used in practice to support the treatment planning and intervention process, family engagement and education, and collaboration and advocacy with other providers. As part of APA's Division 56 series, Concise Guides on Trauma Care, the book surveys a range of recommended tools and considerations for selecting and implementing those tools across stages of development and in relation to a child's sociocultural context. The authors also examine challenges that may arise in the context of trauma-informed assessment and suggest approaches to overcome those barriers.

Designed for professionals in the field of child maltreatment, this authoritative book presents a compelling theoretical framework that guide's assessment of children and adolescents who have been sexually abused and their parents. The book is designed to make it easier for clinicians to select a number of measures or procedures across three dimensions that have considerable clinical relevance – attachment, dysregulations, and self-perception. Psychological Assessment of Sexually Abused Children and Their Families features in particular the assessment of sexually aggressive children and an extensive set of interview formats, checklists, and other forms that clinicians will find especially useful in evaluating children and their families. The book is also richly illustrated with case studies.

Understanding how chronic stress affects child development with step-by-step guidelines for conducting trauma-informed assessments and interventions Children exposed to early negative and adverse experiences may not think, feel, process emotions, behave, respond to, or relate to others the same way that typically developing children do. If psychologists do not appreciate and understand the effects of trauma in the lives of children, they may be working in ways that are not efficient or effective and may actually be providing a disservice to the children and families they serve. This volume provides an overview of the deleterious effects of adverse childhood experiences (also referred to as complex trauma, toxic stress or developmental trauma) on children's functioning, adjustment, cognitive, social-emotional, behavioral, academic, and neuropsychological outcomes. Complex trauma can alter brain structure and function and throw children off a normal developmental trajectory resulting in a myriad of negative outcomes. In addition, step-by-step guidelines are provided for conducting trauma-informed assessments, treatments, and interventions. Understand how early stressors can affect influence normal development and influence child psychopathology Learn how exposure to early life adversity affects the biological stress systems which can compromise normal brain development Become familiar with the functions and neuropsychological constructs associated with brain regions affected by chronic stress. Identify risk factors that can negatively influence children’s behavioral, social, emotional, cognitive, and academic functioning Identify and use trauma-sensitive assessment instruments and protocols Gather background and family history from a trauma perspective Use evidence-based interventions to best meet each child's unique needs Essentials of Trauma-Informed Assessment and Interventions in the Schools is essential reading for school, clinical, and related psychologists and their trainers.

This comprehensive, authoritative volume meets a key need for anyone providing treatment services or conducting research in the area of trauma and PTSD, including psychiatrists, clinical psychologists, clinical social workers, and students in these fields. It is an invaluable text for courses in stress and trauma, abuse and victimization, or abnormal psychology, as well as clinical psychology practica.

Learn what to do when allegations of child sexual abuse become part of the child custody process Child Custody Litigation: Allegations of Child Sexual Abuse is an invaluable resource for forensic mental health professionals involved with conducting custody evaluations in family court proceedings. Each of the book’s five chapters reviews an important component of the evaluation process when allegations of child sexual abuse have been made, moving beyond the description of each parent’s psychological functioning and parenting capacity, the identity and needs of the child, and the parent’s ability to meet those needs. The book’s contributors examine the organizational structure of a child custody evaluation, the meanings of sexual behaviors demonstrated by children, descriptions of sex offenders assessment instruments, the usefulness of Rorschach examinations, and observations from presiding judges. Child Custody Litigation: Allegations of Child Sexual Abuse is one of the few resources to tackle this difficult forensic area. This unique book examines the myths concerning the occurrence of child sexual abuse (CSA) and victim characteristics, the basic principles of a sex offender evaluation, and the ways evaluators craft their evaluations and testimony to assist the Court. Contributors also look at the relationship of sexual behavior to sexual abuse, domestic violence, physical abuse, family sexuality, behavior problems, reporter characteristics, and age and gender of the child. Topics covered in Child Custody Litigation: Allegations of Child Sexual Abuse include: macro-interview structures for the child interview psychological evaluation and testimony the Court’s expectations within the order for evaluation a model order for custody evaluations exploring CSA statistics a forensic evaluation model data collection, interpretation, and communication of results and much more Child Custody Litigation: Allegations of Child Sexual Abuse is essential as a professional aid in conducting and analyzing child custody evaluations in family court proceedings.