Adult survivors of child sex abuse

BMJ 1995;311:748 (16 September)

Letters

Adult survivors of child sex abuse

Group therapies are also effective

EDITOR,--In their paper on the pilot service, Breakfree, foradult survivors (both men and women) of childhood sexual abuseDavid Smith and colleagues leave some points unclear.¹ How manysupport workers were there, and how professionally trained werethey? They were "initially supervised," but by whom and forhow long? The average duration of a counselling session was1.8 hours (no range was given), sometimes twice weekly. Thisseems a lavish use of resources. The scheme was found to besuccessful in this study, but care would have to be taken inreplication to ensure the quality of supervision and counselling.

In testing the differences between scores at the start and endof treatment the authors have emphasised hypothesis testingby quoting z and P values. It would have been helpful, however,if they had given summary statistics, such as the median scoresand percentile . . . [Full text of this article]

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Relevant Article

Adults with a history of child sexual abuse: evaluation of a pilot therapy service: David Smith, Linda Pearce, Mike Pringle, and Richard Caplan
BMJ 1995 310: 1175-1178. [Abstract] [Full Text]