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Clinical Child Psychology and Psychiatry, Vol. 2, No. 2, 239-249 (1997)
DOI: 10.1177/1359104597022005

When Individual Child Psychotherapy Exacerbates Family Systems Problems in Child Abuse Cases: A Clinical Analysis

Ian Shochet

Griffith University, Nathan, Australia

Mark Dadds

Griffith University, Nathan, Australia

Children who have suffered physical or sexual abuse are as vulnerable as adult trauma victims to experience `secondary trauma', in which the reactions of the family or broader system exacerbate the child's difficulties. Three clinical cases are presented that suggest that this secondary trauma can be made worse by either excessive or insufficient provision of individual child psychotherapy, and the way the system interprets and reacts to these clinical decisions. Types of secondary trauma and their interactions with clinical decisions are discussed. Ways of framing clinical decisions to minimize the potential secondary trauma are presented.

Key Words: child maltreatment • family systems • individual treatment • secondary trauma


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