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Grundlagen

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Kindesmisshandlung

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Zusammenfassung

Die klinisch-medizinische Auseinandersetzung mit sexuellem Kindesmissbrauch ist ein vergleichsweise junges Phänomen. Erst in den 80er- und 90er-Jahren des letzten Jahrhunderts wurde hauptsächlich in amerikanischen und einigen britischen Arbeiten das Spektrum klinischer Befunde beschrieben und der Stellenwert der medizinischen Diagnostik als Teil einer obligat multiprofessionellen Herangehensweise etabliert. Die ärztliche Beschäftigung mit dem Thema hat sich erst in den letzten Jahren hin zu evidenzbasierter Forschung und konsensusbasierter Festlegung der „Best Clinical Practice“ entwickelt und erfährt zunehmend auch in Deutschland fachliche Akzeptanz. Bei der überwiegenden Mehrzahl sexuell missbrauchter Kinder lassen sich keine auffälligen körperlichen Befunde erheben. Dennoch spielt die korrekte Erhebung, Dokumentation und auf der Grundlage aktueller Evidenz basierende Interpretation sowohl etwaiger Befunde als auch der Gesamtsituation eine große Rolle und kann erhebliche Implikationen für den Schutz und die Betreuung betroffener Kinder haben. Die generellen Umstände und Hintergründe sexuellen Kindesmissbrauchs und Möglichkeiten und Grenzen des medizinischen Ansatzes müssen bei der Durchführung medizinischer Untersuchungen bewusst sein.

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Author information

Authors and Affiliations

  1. Ärztliche Kinderschutzambulanz, Klinikum Kassel GmbH Kinderklinik, Kassel, Deutschland

    Bernd Herrmann

  2. Universitätsklinikum Gießen Inst. Rechtsmedizin, Gießen, Deutschland

    Reinhard B. Dettmeyer

  3. Institut für Rechtsmedizin, Universität zu Köln, Medizinische Fakultät und Uniklinik, Köln, Deutschland

    Sibylle Banaschak

  4. Kinder- und Jugendmedizin, Universität zu Lübeck Kinder- und Jugendmedizin, Lübeck, Deutschland

    Ute Thyen

Authors
  1. Bernd Herrmann
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  2. Reinhard B. Dettmeyer
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  3. Sibylle Banaschak
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  4. Ute Thyen
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Corresponding author

Correspondence to Bernd Herrmann .

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© 2022 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Herrmann, B., Dettmeyer, R.B., Banaschak, S., Thyen, U. (2022). Grundlagen. In: Kindesmisshandlung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62417-3_7

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  • DOI: https://doi.org/10.1007/978-3-662-62417-3_7

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-62416-6

  • Online ISBN: 978-3-662-62417-3

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