Resumen

GONZALEZ SAENZ, Marcela; ALVAREZ UMANA, Silvia Vanessa; SOTO CERDAS, Jahaira Vanessa  y  QUIROS QUIROS, Víctor Daniel. Abordaje del abuso sexual infantil: Combatiendo la revictimizacion. Med. leg. Costa Rica [online]. 2016, vol.33, n.1, pp.116-125. ISSN 2215-5287.

When the doctor has little experience, the diagnosis of sexual abuse is difficult and when the victim is a child, is even more complicated. The dynamic of these events involved several factors. When assessing the affected youth it is essential to avoid re-victimization, which becomes a new aggression. In order to achieve this is required an interdisciplinary and experienced team to develop the analysis. Avoid duplication of interrogations, interviews and physical examination. In cases of chronic abuse, the physicians can dispense physical examination. The predominant relationship in cases of abuse is father and daughter and the most frequent type of aggression is touching, almost in 90% of cases. Reason why is not uncommon to get no abnormal findings in physical examination. The consequences of these kinds of events will depend on family support, the degree of culpability that is generated on the child and the approach and the implemented strategies to deal with aggression.

Palabras clave : childhood aggression; child sexual abuse; incest; genital examination.

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