Children and Domestic Violence

The latest of the Journal of Interpersonal Violence has a fascinating study about the effect of domestic violence on children.  It included a small sample, and needs to be replicated, but it is the first major study to look at the effect of the relationship between a child who witnesses domestic violence and the perpetrator.  It found no significant difference in regard to Post-Traumatic Stress Disorder, but found that children with multiple father figures showed significantly more troublesome behaviors.

Child Sexual Behavior -- Normal Curiosity or Cause for Concern?

                        

This month's edition of Pediatrics magazine has a report about evaluating sexual behavior in children. It does not break any new ground, but offers an excellent overview of the current state of research into the range of child sexual behaviors.   It notes, for example, the connection with parental neglect, as well as witnessing domestic violence.

Scientifically-Effective Treatment for Trauma

One of the most controversial questions I encounter in litigation involving children is predicting the costs of future mental health treatment.  Everyone agrees that children who have suffered a trauma need therapy, but few people agree on what sort of therapy or how much.  The American Journal of Preventive Medicine recently published a study concluding that only cognitive behavior therapy (individual and group) has been proven to be effective.  (Hat tip: Anxiety Insights blog). 

Defense attorneys will like this study for the same reason that plaintiff's attorneys will be skeptical - cognitive behavior therapy  requires only 8-12 sessions.  It may need to be repeated periodically at developmental milestones, such as puberty, but it does not require long-term, ongoing therapy sessions.

Other therapies that I often see recommended, such as intensive psychoanalysis or psychotropic medication, are simply not yet proven.  I have yet to see a Daubert challenge to such recommendations, but more studies like this one certainly would support one.