This chapter traces the key themes of the book and its implications for survivors of child sexual abuse, as well as for the different community-based health professions tasked with protecting children. It argues that although early intervention in child sexual abuse was established as a core responsibility for GPs, health visitors and mental health practitioners in the 1980s, their potential in terms of identifying children’s distress and taking effective action to stop sexual abuse in the family was never realised. The history of community health practitioners’ involvement in protecting children between the 1970s and the 2010s cannot be contained within a neat narrative of linear progress. Their effectiveness was affected by context and contingency and changed over time, but was ultimately hampered by a lack of strategic leadership, poor structural and institutional investment in those engaged in frontline practice and the legacy of a misogynistic culture that operated at multiple levels. Finally, this chapter calls for a renewed feminist stance that requires all adults to take responsibility as active protectors of children.

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Conclusion

  • Ruth Beecher

摘要

This chapter traces the key themes of the book and its implications for survivors of child sexual abuse, as well as for the different community-based health professions tasked with protecting children. It argues that although early intervention in child sexual abuse was established as a core responsibility for GPs, health visitors and mental health practitioners in the 1980s, their potential in terms of identifying children’s distress and taking effective action to stop sexual abuse in the family was never realised. The history of community health practitioners’ involvement in protecting children between the 1970s and the 2010s cannot be contained within a neat narrative of linear progress. Their effectiveness was affected by context and contingency and changed over time, but was ultimately hampered by a lack of strategic leadership, poor structural and institutional investment in those engaged in frontline practice and the legacy of a misogynistic culture that operated at multiple levels. Finally, this chapter calls for a renewed feminist stance that requires all adults to take responsibility as active protectors of children.