True and False Allegations of Sexual Abuse in Child Custody Disputes

Abstract

This paper describes a method of evaluating children referred for suspected sexual molestation based upon our current knowledge of the symptoms and sequelae associated with child sexual abuse. This evaluation is specifically designed to differentiate between “true” and “false” cases of sexual abuse. Important forensic issues are also discussed in order to prepare the clinician for the role of an expert witness in court. Case histories are presented which illustrate the typical problems and pitfalls encountered during these evaluations.