Child-Parent Relationship Therapy with Extra-Familial Abused Children

Roy Tal, Kineret Tal, Ohad Green

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Sexual abuse by a perpetrator outside of the family is the most prevalent form of child sexual abuse. It is associated with serious consequences for both the child and his family. Surprisingly, however, the issue of extra-familial sexual abuse has received very little research and clinical attention. The purpose of the current study was to explore the effectiveness of Child-Parent Relationship Therapy (CPRT), which uses nondirective play therapy tools, among parents of extra-familial abused children and their parents. In order to do so, data was collected from 51 parents who participated in CPRT, at three points in time: pretreatment stage, at the beginning of the first meeting; and in the post treatment stage. The data included the parents’ reports via three questionnaires: Parenting Stress Inventory (PSI), Compassion Fatigue Self-Test (CFST), Child Behavior Checklist (CBCL). Overall, the results indicated a decrease in internalizing and externalizing symptoms among the children, as well as in parenting stress and in parental secondary trauma symptoms. This study contributes to the literature on interventions with victims of extra-familial child abuse and their parents. Specifically, the results highlight the benefits and importance of involving both parents and children in therapeutic interventions for victims of extra-familial child sexual abuse, with particular emphasis on the benefits of Child-Parent Relationship Therapy.

Original languageEnglish
Pages (from-to)386-402
Number of pages17
JournalJournal of Child Sexual Abuse
Issue number4
StatePublished - 19 May 2018
Externally publishedYes

Bibliographical note

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© 2018, © 2018 Taylor & Francis.


  • Child-parent relationship therapy
  • extra-familial child sexual abuse
  • nondirective play therapy


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