Child rape: extending the therapeutic intervention to include the mother-child dyad

In this his paper the authors describe therapeutic interventions with survi vors of child rape and sexual abuse at Alexandra Clinic in Gauteng. Cases p resenting at this community clinic are described, in the context of the sta rtling increase in crimes against children and particularly sexual offences . The literature pertaining to the effects of trauma on children, important mediating factors in the child's experience and existing interventions wit h child trauma survivors are then reviewed. Attention is focused on studies taking into account the impact of the trauma on the child's familial envir onment. A description of the general intervention approach employed is foll owed by a deeper exploration of two core issues which characterised this ap proach - the identification of both mother and child as clients and the use of the mother-child relationship as a central focus for therapeutic interv ention. It is suggested that these strategies enable greater access to the experience of the younger child in particular, address the effects of secon dary traumatisation upon care-takers and ensure that the gains of therapy a re extended to the child's larger social network.