Last year offered plenty of moments to have a sustained national conversation about child sexual abuse: the Jerry Sandusky verdict, the BBC's Jimmy Savile, Horace Mann's faculty members, and a slew of slightly less publicized incidents. President Obama missed the opportunity to put this issue on his second-term agenda in his inaugural speech.
Child sexual abuse impacts more Americans annually than cancer, AIDS, gun violence, LGBT inequality, and the mortgage crisis combined—subjects that Obama did cover.
Had he mentioned this issue, he would have been the first president to acknowledge the abuse that occurs in the institution that predates all others: the family. Incest was the first form of institutional abuse, and it remains by far the most widespread.*
1. What are the clinical presenting symptoms and how are these documented?
2. What is the diagnosis and the science behind that diagnosis?
3. What is the prescribed treatment and the science behind that treatment?
4. Who have been primary providers apart from the court's involvement? Have court-ordered clinicians consulted with them?
5. Do court-ordered clinicians have relevant training in trauma, domestic violence, child sexual abuse, etc.?
6. How is the court-ordered treatment paid for, and does this deplete insurance coverage for more appropriate treatment by primary providers?
7. What new symptoms appear during and after court-ordered treatment and how are these documented?
8. What kinds of coercion and penalties have been imposed related to the involvement of court-ordered clinicians?