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give an account of psychiatry aspects of incest

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this is my first essay, i hope this is the way to go about it.

.legal definition of incest

.underresearched,underresearchable and underreported

.prevalence- sample bias

.types- MC-father-daughter

.legalities- step reln included in scottish law only

.predisposing factors-

1.victim factors-vulnerable

children

2.perpetrator factors- substance misuse

anti social PD

paedoplilia

other paraphilias

sexual indaequacy

cycle of violence

(H/O child sexual abuse)

freudian projection/phallic fixation

3. environmental factors-

overcrowding

economic status

4. childhood factors- attachment probs

emotional neglect

outcome-

victim- child behavioural difficulties

PTSD, dep, borderline,dissocitive,MPD

eating disorder, trichitilomania

somatisation,substance misuse

&nbsp:lol:SH-complted suicide risk

adult perpertrator

relationship difficulties

sexual diffi (increase or decrease)

dysfunctional emotions.cognition

(shame.blame.guilt)

perpetrator- risk to other children

aspd. subs misuse

risk of suicidality on disclosure

factors affecting outcome-

type of trauma, nature,duration,frequencccy,relationship to abuser ,force, age,family support,vulnerability,previou childhood adversities

assessment- high index of suspiicion

risk assess

carful recording

management-

psychitrist.psychologist

C and A psychitraist

social work

criminal justice system

family

all modes og psychological treatments

adequte follow up and protection

contact with other children

behavioural therapies

DBT

rape crisis center

incest survivor group

mange PTSD

ARISTOTLE- ONE OF THE EARLLIEST WRITERS TO OBSERVE A LINK BETWEEN CHILDHOOD ABUSE AND ADULT BEHAVIOUR

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