Abstract
In undertaking investigations and planning interventions, it is important to recognize that there are a range of different kinds of abusive and sexually harmful behaviors towards children, including:
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This is based on ideas that somehow incest is different from other forms of CSA and this is largely not true. Some incest fathers/stepfathers are abusing children outside of their home. Some rape adult women.
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It is important to point out that all these evidence based interventions have been largely on one ethnic group of children and none have long follow-ups. Available data is not in a position yet to say with confidence that these interventions are the best ones globally. They are promising but CPS need to be more cautious in recommending them without further research and cultural modification. For example in the TF-CBT model, repeatedly going over the trauma is a critical part. In a culture where talking about sexual things to anyone is a taboo, a socially acceptable model needs to be promoted. Also, in some cultures, purification rituals might be more effective than desensitization in reducing anxiety around memories of the CSA? Any intervention needs to learn more than we currently know about the use of these specific interventions in diverse cultural contexts. Within the arab region, such types of therapies are in the process of implementation and evaluation.
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Gerbaka, B., Richa, S., Tomb, R. (2021). The Impacts and Consequences of CSA. In: Child Sexual Abuse, Exploitation and Trafficking in the Arab Region. Child Maltreatment, vol 13. Springer, Cham. https://doi.org/10.1007/978-3-030-66507-4_10
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