title: Therapeutic management of sexual abuse allegations in custody and visitation disputes.
abstract: Our experience is that in many cases, trying to assess the "truthfulness" or "falseness" of sexual abuse allegations that occur in the midst of custody and access disputes may not be possible. Instead therapeutic management of such cases is advocated. A case is presented in which sexual abuse was suspected because the recanting child displayed sexualized symptoms. Following a thorough assessment, which indicated that the child was abused, but could not confirm who the offender was, both the child and the mother were seen in psychotherapy on a regular basis. The father used counselling to achieve rights for visitations. The building of a therapeutic relationship allowed us to experiment with the situation to where we felt we could identify the potential offender who had to be kept away from the child. In addition, the therapeutic relationship enables this family to come to us to resolve their disputes rather than use the judicial system.
authors.affiliation: Family Court Clinic, Clarke Institute of Psychiatry, Toronto, Ontario.
authors.forename: G A
authors.initials: GA
authors.lastname: Awad
authors.forename: H
authors.initials: H
authors.lastname: McDonough
mesh_terms: D000328:Adult; D002648:Child; D002650:Child Abuse, Sexual / Q000331:legislation & jurisprudence / Q000523:psychology*; D002655:Child Custody / Q000331:legislation & jurisprudence*; D002675:Child, Preschool; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D005196:Family Therapy; D005260:Female; D006801:Humans; D008297:Male; D010348:Patient Care Team; D011613:Psychotherapy; D012725:Sexual Behavior