• Summary
  • Contents
  • Subject index

The Handbook for Child Protection Protection Practice presents a comprehensive and critical portrait of the phenomenon of neglect. Drawing on theory, research and clinical practice experience, the contributors cover issues facing social workers. They provide a view of child neglect which moves beyond the current child welfare focus on parental omissions in care. Organized in question and answer format, topics covered include: engaging with the client; initial assessments for factors such as neglect and physical and sexual abuse; how to assess the family; interventions with various different emphases; and safeguarding the social workers well-being: legally, physically and mentally.

Chapter 42: How Do I Interpret Results of a Child Sexual Abuse Examination?: What Conditions May Be Mistaken for Sexual Abuse?

How Do I Interpret Results of a Child Sexual Abuse Examination?: What Conditions May Be Mistaken for Sexual Abuse?
How do I interpret results of a child sexual abuse examination?: What conditions may be mistaken for sexual abuse?
Robert A.Shapiro
General Principles

Normal examinations are common after sexual abuse. Most children who have been sexually abused will have normal physical examinations, including children who report vaginal or anal penetration. The finding of a normal examination does not mean the child was not abused.

Facts About the Hymen:

  • Every girl is born with a hymen.
  • Hymens vary in shape and size among individual females.
  • The hymen changes significantly during puberty.
  • After puberty, bleeding from hymenal injury may or may not occur during first-time intercourse.

The examiner is searching for physical changes that may be ...

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