Examined is the clinical use of fables in the evaluation of child sexual abuse. A review of projective assessment, the use of human figure drawings, anatomically correct dolls and projective apperception testing is presented within the context of clinical assessment of child trauma. The efficacy of the fable assessment technique is discussed, as are issues in the use of projective assessment with children. Issues and import for the clinician are explored.
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McCann IL, Pearlman LA, Sakheim DK, Abrahamson DJ: Assessment and treatment of the adult survivor of childhood sexual abuse within a schema framework. In Sgroi (Ed.),Vulnerable Populations: Evaluation and Treatment of Sexually Abused Children and Adult Survivors (Vol. 1) Lexington, Massachusetts: Lexington Books, 1988, Pp 77–101.
Tilelli J, Turek D, Jaffe A: Sexual abuse of children: Clinical findings and implications for management.N Eng J Med 302: 219–232, 1980.
Wilbur C: Multiple personality and child abuse: An overview.Psychiat Clin North America 7(1): 3–7 1980.
Goodenough F:Measurement of Intelligence by Drawings. New York: Harcourt, Brace & World, Inc., 1926.
Drucker J, Shapiro C: First scribbles: The emergence of an ego function.Amer Acad Child Psychiatr 18(4): 629–646, 1979.
Koppitz E:Psychological Evaluation of Children's Human Figure Drawings. New York: Grune & Stratton, 1968.
Burgess A, Laszlo, A.: When the prosecutrix is a child: The victim consultant in cases of sexual assault. In Viano (Ed.),Victims & Society. Washington, D.C.: Visage Press, 1976.
Sturner R, Rothbaum F: The effects of stress on children's human figure drawings.J Clin Psychology 36: 324–331, 1980.
Thomas J: Yes, you can help a sexually abused child.RN 43(8): 23–29, 1980.
Sgroi S: Validation of sexual abuse. In Sgroi (Ed.),Handbook of Clinical Intervention in Child Sexual Abuse, Lexington, MA: Lexington Books, 1984.
Hibbard RA, Roghmann K, Hoekelman RA: Genitalia in children's drawings: An association with sexual abuse.Pediatrics 79(1): 129–137.
Yates A, Beutler L, Crago M: Drawings by child victims of incest.Child Abuse and Neglect,9: 183–189, 1985.
Renshaw D: Incest: Understanding and Treatment. Boston: Little, Brown and Company, 1982.
White S, Strom G, Santilli G, Halpin B: Interviewing young sexual abuse victims with anatomically correct dolls.Child Abuse and Neglect 10: 519–529, 1986.
Jampole L, Weber MK: An assessment of the behavior of sexually abused children with anatomically correct dolls.Child Abuse and Neglect 11: 187–192, 1987.
Murstein BI: Assumptions, adaptation level and projective techniques.Perceptual and Motor Skills 12: 106–125, 1961.
Despert JJ: A therapeutic approach to the problem of stuttering in children.The Nervous Child,2, 2: 134–147, 1943.
Veltkamp LJ, Miller TW: Psychodiagnostic use of fables. Unpublished presentation, Department of Psychiatry, University of Kentucky, May, 1984.
Datel WE, Gengerelli JA: Reliability of Rorschach interpretations.Journal of Projective Techniques,19: 372–381, 1955.
Howard KI: The convergent and discriminant validation of ipsative ratings from three projective instruments.J Clin Psychology,18: 183–188, 1962.
Mischel W:Personality and Assessment. New York: Wiley, 1968.
Nunnally J:Psychometric Theory, 2nd ed. New York: McGraw-Hill, 1978.
Lubin B, Wallis RR, Paine C: Patterns of psychological test usage in the United States: 1935–1969.Prof Psycho 2: 70–74.
Authorship reflects equal contribution to this article.
Appreciation is extended to Deborah Kessler and Katrina Scott, Library Service; Lorie Hensley, Psychology Service, V.A.M.C., Lexington; and Debbie Howard, Department of Psychiatry, University of Kentucky, for their assistance in the preparation of this manuscript.
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Miller, T.W., Veltkamp, L.J. Assessment of child sexual abuse: Clinical use of fables. Child Psych Hum Dev 20, 123–133 (1989). https://doi.org/10.1007/BF00711659
- Child Sexual Abuse
- Projective Assessment