title: [Sexual abuse of children: the necessity of medical intervention].
abstract: Recently the Dutch Health Council published a report on the medical aspects of sexual abuse of children. The questions underlying this report reflect an attempt to arrive at hard indices of sexual abuse in children through the assessment of physical symptoms. For the medical assessment, the authors refer to the Dutch translation of an English report entitled Physical signs of sexual abuse in children, published by The Royal College of Physicians. The hazards connected with the exclusive focus on physical symptoms are recognized, and the authors stress that medical examination should be part of a much broader assessment of the child and his/her family. However, instead of confining themselves to assessment issues of physical symptoms, the authors add a rather meagre account of behavioural and emotional factors relevant to the diagnosis of sexual abuse of children. Unfortunately, this approach seems to aggravate the problems underlying misdiagnosis rather than to increase diagnostic accuracy and improve adequate care for sexually abused children.
authors: Academisch Ziekenhuis Rotterdam-Sophia Kinderziekenhuis, afd. Kinder- en Jeugdpsychiatrie.
authors: F C
authors: FC
authors: Verhulst
mesh_terms: D001291:Attitude of Health Personnel; D002648:Child; D002650:Child Abuse, Sexual / Q000175:diagnosis* / Q000523:psychology; D002652:Child Behavior; D003951:Diagnostic Errors; D005189:False Positive Reactions; D006801:Humans; D010808:Physical Examination; D010820:Physicians / Q000523:psychology*
vernacular_title: Seksueel misbruik van kinderen: de noodzaak van medische bemoeienis.