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Trauma-informed Care
Published in James Matheson, John Patterson, Laura Neilson, Tackling Causes and Consequences of Health Inequalities, 2020
Many clinicians have been complicit in replicating prior trauma. A very obvious example would be restraining patients who have been previously violently assaulted. Other forms of accidental complicity with the abuser may be less obvious, such as use of the common phrase, ‘that’s unbelievable’ after disclosure of traumatic episode. There may also be some difficulty in fully accepting an incident took place and sometimes clinicians have been involved in difficult debates about repressed memories. As Ronald Summit wrote in ‘The Child Sexual Abuse Accommodation Syndrome’, ‘…initiation, intimidation, stigmatisation, isolation, helplessness and self-blame depend on a terrifying reality of child sexual abuse. Any attempts by the child to divulge the secret will be countered by an adult conspiracy of silence and disbelief” [15].
The Relationship between Social Dominance Orientation and Child Sexual Abuse Credibility Assessment
Published in Journal of Child Sexual Abuse, 2019
Rebeca Alcantara, Kendahl M. Shortway, Barbara A. Prempeh
Summit (1983) introduced the concept of child sexual abuse accommodation syndrome (CSAAS) indicating that victims tend to react and disclose in the following phases: secrecy, helplessness, entrapment and accommodation, delayed or conflicted disclosure, and retraction. In a review, London, Bruck, Wright, and Ceci (2008) found that victims of CSA often delay disclosing the abuse or even do not disclose it during childhood. Moreover, McElvaney (2015) found a consensus in the literature that most people who experience CSA do not disclose it until adulthood. When disclosure does occur in childhood, significant delays are common. Delays in disclosure are not an indication of falsehood in the report of CSA. This knowledge is important for clinicians, investigators and jury members in their assessment of CSA credibility.