Expression and Management of Neglected and Maltreated Children’s Sexuality in Symbolic and Traumatic Play: Theoretical and Clinical Reflections
Bibliographic record
Abstract
Psychotherapeutic work with sexually abused children can prove to be highly taxing, not only for the children in question but also for the psychotherapists who must cope with a heavy emotional, aggressive, and sexual charge. Be it because of the nature of the trauma experienced by these children or because of the defense mechanisms that they use in psychotherapy, the clinician’s capacity for containment is severely tested. In this theoretical and clinical article, we reflect upon the psychic harm that sexual abuse can inflict on children and the psychic functioning engendered in them by this abuse. In addition, we examine the differences in how children who are developing well and those who are sexually abused express sexuality during psychotherapy. Finally, we present the technical and countertransference challenges that psychotherapists who work with sexually abused children are liable to face. Brief clinical vignettes are provided to illustrate particularities of the therapeutic work conducted with these children.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.005 | 0.014 |
| Scholarly communication | 0.004 | 0.002 |
| Open science | 0.002 | 0.004 |
| Research integrity | 0.004 | 0.006 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".