首先,不要伤害:批判性地重新审视当代儿童性虐待预防方法
Danielle Arlanda Harris1, Michael Sheath2, Ryan Shields3
1Griffith Criminology Institute, School of Criminology and Criminal Justice, Griffith University, Australia.
Child abuse & neglect
|May 24, 2024
概括
这项研究引入了对儿童性虐待的四级预防,并批评了目前针对无意伤害的干预措施. 它强调了"不要伤害"原则,以改善实践并保护幸存者,家庭和从业者.
科学领域:
- 犯罪学 犯罪学
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 传统的预防犯罪使用初级,二级和三级模式,经常对犯罪作出反应.
- 儿童性虐待干预主要属于三级预防,发生在伤害发生后.
- 现有的预防科学倡导早期干预 (初级和二级),但缺乏评估意外后果的框架.
研究的目的:
- 引入和定义对儿童性虐待的"四级预防".
- 批判性地评估当前儿童性虐待干预措施的意外后果和iatrogenic影响.
- 在儿童性虐待预防战略中推广"不伤害"原则.
主要方法:
- 对现有的关于预防犯罪和儿童性虐待干预措施的文献进行批判性分析.
- 四级预防的概念发展.
- 关于医疗化和过度干预的公共卫生原则的思考.
主要成果:
- 目前针对儿童性虐待的干预措施虽然有良好的意图,但可能导致阳性损害,包括二次和代用创伤.
- 建议制定四级预防框架,以应对这些意外的负面影响.
- 该研究强调需要考虑过度医疗和不必要的干预的风险.
结论:
- 四级预防提供了一个关键的镜头来评估和完善儿童性虐待干预措施.
- 采用"不伤害"的方法对于提高所有预防水平的有效性和安全性至关重要.
- 整合四级预防原则可以减轻阳性影响,更好地服务于受害者幸存者,家庭和从业人员.
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