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APPENDIX B:



Text Description

 

A Sample Continuum of Medical History Questions and Confidence in the Responses

  Question Type Example Child Response  
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OPEN-ENDED General Why are you are here today? Because Uncle John was mean to me. MORE CONFIDENCE
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  Focused What happened with Uncle John? He hit me.  
    Where (on your body) did he hit you? He hit my legs.  
arrow pointing down   What did he hit you with? A stick. arrow pointing down
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  Multiple Choice Did he hit you with a stick, a cane, a whip or something else? He used a stick.  
    Did this happen in the daytime or nighttime? In the day and night.  
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  Yes/No Questions Did he tell you not to tell? Yes, he said not to tell my mother.  
    Did you have your clothes off? No, but my pants were down.  
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  Leading Questions He pulled your pants down, didn't he? Yes.  
CLOSED-ENDED   Didn't he pull your pants down before he hit you? Yes. LESS CONFIDENCE

SOURCE: Adapted from Faller KC. A continuum of types of questions used in interviewing children alleged to have been sexually abused and confidence in responses. The Advisor 1990; 3(2).


Text Description for Appendix B

This table illustrates five types of questions and that confidence in the response decreases as questions become closed-ended.

  • Open-ended, general questions like "Why are you here today?" and a child's response of "Because Uncle John was mean to me." provide the most confidence in the response.

  • Open-ended, focused questions such as "What happened with Uncle John?" and a response of "He hit me." or "Where (on your body) did he hit you?" and a response of "He hit my legs." or "What did he hit you with?" and a response of "A stick." provide just slightly less confidence.

  • Multiple-choice questions like "Did he hit you with a stick, a cane, a whip, or something else?" and a response of "He used a stick." or "Did this happen in the daytime or nighttime?" and a response of "In the day and night." provide less confidence in the answer because the questions are no longer open-ended.

  • Answers to yes/no questions like "Did he tell you not to tell?" and a response of "Yes, he said not to tell my mother." or "Did you have your clothes off?" and a response of "No, but my pants were down." provide less confidence because the question is closed-ended.

  • Questions like "He pulled your pants down, didn't he?" and a response of "Yes." or "Didn't he pull your pants down before he hit you?" and a response of "Yes." provide the least confidence in the response because they are




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Appendices  Appendix A: Post-Assault Testing and Treatment  Appendix B: A Sample Continuum of Medical History Questions and Confidence in the Responses  Appendix C: Body Diagrams  Appendix D: Burn Assessment - Rule of Nines  Appendix F: Common Types of Diaphyseal Fractures Seen in Childhood  Appendix G: Findings That May Be Confused with Abuse  Appendix H: Differential Diagnosis Table  Appendix I: List of Community Services  Appendix J: Supplemental Resources  Appendix K: Emergency Contraceptive Pills 

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