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Interviewing the young child sexual abuse victim
1Medical College of Ohio, Toledo 43699, USA.
Summary
Nurses can improve child sexual abuse disclosure using sensitive language and guided questioning. Rapport-building and cognitive interviewing techniques enhance accurate memory recall in young children.
Area of Science:
- Child Psychology
- Forensic Interviewing
- Nursing Practice
Background:
- Child sexual abuse (CSA) is a significant concern requiring effective disclosure methods.
- Nurses play a crucial role in identifying and supporting child abuse victims.
- Accurate information gathering from young children presents unique challenges.
Purpose of the Study:
- To outline strategies for nurses to facilitate disclosure of sexual abuse by young children.
- To enhance the effectiveness of interviews with child sexual abuse victims.
- To improve the quality of evidence obtained from child witnesses.
Main Methods:
- Utilizing developmentally sensitive language tailored to children's understanding.
- Employing a guided questioning approach, moving from open-ended to focused inquiries.
- Establishing rapport and acknowledging child discomfort during interviews.
- Applying cognitive interviewing techniques for memory reconstruction.
Main Results:
- Developmentally sensitive language, including proper nouns and simple sentences, aids disclosure.
- A structured interview approach, differentiating specific from suggestive questions, is effective.
- Rapport-building and a matter-of-fact demeanor foster trust and comfort.
- Cognitive interviewing techniques improve the accuracy of recalled memories.
Conclusions:
- Nurses can effectively facilitate CSA disclosure through specialized communication and interviewing techniques.
- Rapport and cognitive interviewing are key to obtaining reliable accounts from children.
- These strategies support nurses in their role of protecting child welfare and gathering critical information.