Transcription of 子ども虐待対応の手引き - mhlw.go.jp
1 25 .. 1.. 2.. 2.. 2.. 2.. 4.. 4.. 4.. 5.. 7.. 7.. 7.. 7.. 8.. 8.. 8.. 8.. 9.. 9.. 9.. 10.. 10.. 10.. 10.. 11.. 11.. 12.. 12.. 13.. 14.. 17.. 20.. 20.. 20.. 21. 1.. 22.. 22.. 24.. 26.. 26.. 26.. 26.. 28.. 30.. 30.. 30.. 32.. 32.. 33.. 33.. 34.. 35.. 36.. 36.. 36.. 36.. 40.. 41.. 45.. 46.. 46.. 47.. 47.. 48.. 48.. 48.. 49.. 52.. 52.. 53.. 56.. 57. 2.. 58.. 60.. 60.. 60.. 60.. 60.. 61.. 61.. 61.. 62.. 63.. 64.. 64.. 64.. 65.. 66.. 66.. 67.. 67.. 70.. 71.. 72.. 72.. 74.. 74.. 80.. 80.. 81.. 82.. 83.. 83.. 85.. 85.. 86. forensic interview . forensic interview .. 88.. 88. forensic interview . forensic interview .. 90. 3.. 91.. 92.. 99.. 99.. 99.. 99.. 103.. 103.. 103.. 103.. 104.. 105. 5.. 105.. 105.. 106.. 106.. 106.. 107.. 109.. 109.. 110.. 110.. 111.. 111.
2 111.. 111.. 112.. 112.. 112.. 113.. 113.. 114.. 115.. 115.. 116.. 117.. 117. 4.. 118.. 118.. 118.. 119.. 119.. 120.. 120.. 120.. 121.. 123.. 124.. 124.. 124.. 126.. 128.. 131.. 131.. 131.. 132.. 132.. 132.. 133.. 133.. 133.. 136.. 136.. 137.. 138.. 138.. 139.. 139.. 147.. 147.. 28 .. 147.. 147.. 27 .. 148.. 5. 28 .. 149.. 149.. 151.. 151.. 151.. 152.. 152.. 153.. 154.. 155.. 155.. 155.. 156. 28 .. 156.. 159.. 159.. 160.. 163.. 166.. 166.. 166.. 169.. 172.. 172.. 172.. 172.. 174.. 174.. 174.. 180.. 180.. 180.. 180.. 182.. 183.. 184.. 185. 6.. 186. 10 .. 187.. 189. 1 .. 189.. 189.. 189.. 190.. 190.. 190.. 191.. 191.. 192.. 192.. 193.. 195.. 195.. 195.. 195.. 196.. 198.. 199.. 199.. 200.. 200.. 201.. 201.. 201. 28 .. 202.. 202.. 203. (( ) .. 203.. 203.. 205.)
3 207.. 208.. 209. 7.. 210. ) .. 210. ( .. 211.. 212.. 212.. 222.. 222.. 222.. 224.. 224.. 224.. 224.. 224.. 225.. 225.. 225.. 226.. 227.. 227.. 228.. 228.. 229.. 229.. 229.. 231.. 231.. 231.. 232.. 233.. 233.. 234.. 236.. 237.. 237.. 237.. 239.. 240. 40.. 240. 8.. 240.. 240.. 241.. 241.. 243.. 244.. 244.. 245.. 246.. 246.. 246.. 247. 18 .. 248.. 248.. 248.. 249.. 250.. 250.. 252.. 252.. 252.. 252.. 253.. 253.. 255.. 255.. 255.. 257.. 257.. 257.. 258.. 259.. 261.. 261.. 261.. 263.. 263. 9.. 264. Shaken Baby Syndrome . Shaken .. 264. SBS .. 265.. 266.. 267. Munchausen Syndrome by Proxy Munchausen Proxy . MSBP .. 268.. 270.. 271.. 271.. 272.. 272.. 273.. 273.. 273.. 274.. 274.. 275.. 276.. 276.. 277.. 277.. 277.. 278.. 279.. 280.. 281.. 282.. 282.. 282.. 283.
4 284.. 285.. 285.. 287.. 287. 10.. 288.. 288.. 288.. 289.. 289.. 289.. 289.. 290.. 290.. 290.. 291.. 291. 1.. 291.. 292.. 292.. 293.. 293.. 293.. 294.. 294.. 294.. 296.. 296.. 297.. 297.. 298.. 298.. 299.. 300.. 300.. 301.. 302.. 304.. 305.. 305.. 305.. 305.. 306. 11.. 306.. 309.. 309.. 309.. 310.. 312.. 312.. 312.. 313.. 314.. 314.. 314.. 315.. 315.. 316.. 316.. 316.. 316.. 316.. 317.. 318.. 318.. 320.. 320.. 321.. 323. 12.. 11 3 . 12 . 12 82 . 16 . 16 30 . 16 153 19 .. 19 73 20 . 20 85 . 23 23 61 . 16 .. 2 3 5 133 . 17 2 14 0214002 .. 1.. 18 .. 2.. (1) . (2) .. (1) . (2) . (3) .. 3.. 33 10 . 23 .. 63 .. 1994 .. 23 .. 4.. 34 .. 5.. ADHD .. PTSD . PTSD .. 6.. 7.. 8.. 9.. 1 .. 6 .. 10.. 11.. 10 . 11 12 .. 2008 .. 1 .. 12.. Olds . Olds .1986 ..1986 .. 25.
5 13.. 2008 . 2008. OLD DL et al :Prevention child abuse and neglect :a randomized trial of nurse home OLD. visitation. Pediatrics. Jul;78(1)65-78. Jul;78(1)65 78. 1986.. 16 .. 2 .. 14.. 15.. 13 .. 16.. 16 .. 17 2 25 0225001 .. 20 .. 1 . 9 . 0 0 . 0.. 3 3 4 2 .. 17.. 18.. 19.. 61 .. 34 .. [1] . [1] .. [2] . [3] .. [3] . [3] . 28 .. 7 .. [1] . 25 .. 20. 6 .. 13 .. 25 .. 15 57 .. [1] .. [2] .. 16 23 .. 25 .. 21.. 25 .. 19 7 . 12 19 7 .. ( ) .. ( ) .. ( ) .. ( ) . 25 .. 22.. ( ) .. ( ) .. ( ) .. ( .. ) .. 23.. 1 6 .. 61 .. 24.. 13 .. 13 .. 13 .. 22 3 31 0331.. 6 . 24 11 30 . 1130 1 1130 1 .. 25.. 12 11 .. [1] . [1] [2] . [2] .. [3] .. [4] .. 4 . 26.. ( .. 27.. [1] . [1] . [2] . [3] .. 9 9-1 . 5 5-1 .. 20 3 14 0314001 .. 28. 1.. 29.. 16 .. 12 12 . 13 .. 2500g.)
6 Olds 1986. 1986 1999 . 2002 .. 2 23 . 2 4 .. 19 . 19 .. 30. 13 .. 25 .. OLD. OLD DL et al :Prevention child abuse and negle neglect ct :a randomized trial of nurse home visitation. Pediatrics. Jul;78(1)65-78. Jul;78(1)65 78. 1986. OLD. OLD DL et al :Prenatal and infancy home visitation by nurses :recent findings. Future Child. Spring Spring--Summer 65. 1999. 9(1):44-65. 31. OLD DL et al :Home visiting by paraprofessiona paraprofessionals ls and by nurses: a randomized controlled trial. Pediatrics. Sep;110(3):486. Sep;110(3) . 4. 3 4.. 1 3.. 4 .. 32.. 33. 25 3 27 .. 24 11 30 1130 1 1130 .. 1 .. 34. 24 11 30 1130 2 1130.. 2 .. 24 11 30 . 1130 1 1130 1 .. 24 11.. 30 1130 2 1130 2 .. 23 7 27 0727 4 0727 3 .. 35.. 16 .. 3-1. 1 .. 36.. 3-1 .. 37. 38. 39.. 48.
7 48.. 40.. ( ) . ( ) . ( ) .. ( ) . 41. ( ) . ( ) .. ( ) . ( ) .. 42.. ( ) . ( ) .. ( ) .. ( ) .. ( ) .. ( ) .. 43. ( ) .. ( ) .. ( ) .. 44.. 45.. 46.. 7 .. 47.. 28 .. 48.. ( ) .. ( ) .. 49.. 50. 51.. 52.. 28 .. 53.. 48 .. 54.. 55.. 20 . 20 .. 35 . 12 . 23 .. 11 .. 56.. 57.. 58.. 59.. 60.. 28 .. 61.. 62.. 63.. 29 .. 19 .. 2 .. 64.. 65.. 29 28 .. 28 .. 61 50.. 23 23 . 554 .. 66.. 10 .. 213 .. 67.. 220 .. ( ) . ( ) . ( ) .. 68.. 212 .. ) . ( .. ( ) .. 213 .. 220 . 199 .. 210 .. 69.. 28 .. 70.. 4-33 .. (4) . (4) .. 71.. 72.. 4-2 .. 73.. (1) .. (4) .. 1 .. 74.. ( ) .. ( ) .. ( ) .. 75.. ( ) .. 153 2 .. 76.. 10 .. 77.. 37 160 . 37 .. ( .. 78.. 79.. 2011 ( . 23 3 ) .. 2011 .. 80.. ( . ).. ) .. ( .. ) . ( .. ) .. ( .. ) .. PC .. ( .. ) .. 81.. 82.. ( .. 2011 . ).
8 83.. ( . ) .. 84.. 2011 .. 6 . 1 .. 1. 33 .. 2.. 3.. 4.. 5.. 6.. 7.. 85.. 1.. 1-1 forensic interview . forensic interview 1-2 . 1-3 . 1-4 . 1-5 . 1-6 . 2.. 2-1 . 2-2 . 2-3 . 2-4 . 2-5 . 3.. 3-1 . 3-2 . 3-3 .. 2011 . 86.. ( . ).. ( ) ( ). ( ) .. PTSD . ADHD .. Dr.. 87. forensic interview forensic interview .. forensic interview .. * .. 2011 . forensic interview .. forensic interview .. *forensic interview 2012 9 . (National Institute of Child (National Health and Human Development)NICHD CornerHouseTM RATAC . RATAC . 2 .. forensic interview . forensic interview .. 88.. 89. forensic interview . forensic interview .. 3 .. forensic interview forensic interview .. forensic interview . forensic interview .. 3 .. 90.. Open-endedQuestion Open endedQuestion .. Open Open-ended ended Question.)
9 STD .. 91.. 92.. 22 9 30 0930.. 2 . 22 8 26 . 0826 1 . 24 4 12 0412.. 1 . 93. 94. 95. 96. 97. 98.. 33 .. 5-2 .. 99. 100. 101. 102.. 1.. 103.. 5--2 .. 5-2 . 5-1 .. 5-1 .. 5-1 5-2 .. 5-1 5-2. 2 .. 5-1 .. 104.. 105.. 24 .. 13 .. 2 . 2.. 106.. 107.. ( .. 108.. 12 .. 109.. 110.. 1 .. 111.. [1] [2] . [2] [3] .. ) .. ).. 112.. 33 .. 113.. 33 .. 12 .. 24 3. 9 0309 1 .. 10 . 12 .. 12 .. 33 .. 28 .. 28 28 .. 114.. 10 .. 10 .. 115.. 19 7 12.. 116.. 20 3 14 0314001 .. 117.. 28 33 .. 28 33 7 .. 118.. 57 .. 119.. 2 .. 33 . ( .. ).. 28 .. 2 .. MSBP .. 2 .. 23 . 2 . 2.. 33 .. 28 . 33 .. 120.. 2 .. 2 . 2 .. 2 . 22.. 2 . 2 .. 2 .. 4 6.. A . 2 . 121. A .. 122.. 2 . 40 . 40.. 4 6.. 20 3 14 0314001.. 24 3 9 0309 1 . 123.. 124.. 125. (i) .. (ii) .. (iii) .. (iv) .. (v) .. (vi).
10 126.. 127.. 24 . 128.. 129.. : .. 130.. 131.. ( ) .. 132.. 133.. 20 3 14 0314001 .. 134.. 135.. 136.. 9 .. 137.. 138.. 4 4 . 5 6 .. 139.. 140.. 28 .. 141.. 21 . 22 3 . 142. 143. 144. 145. 146.. 28 .. 27 .. 28 .. 28 .. 47 .. 28 .. 28 .. 28 .. 28 .. 28.. 50 4 .. 147.. 27 .. 28 .. 27 .. 28 .. 27 .. 28 .. 28 .. 14 12 6 .. 55 9 70 . 148. 28 .. 47 .. 28 .. 149.. 28.. 28 . 28 .. 28 .. 28 .. 28 .. 28 .. 28.. 150.. 27 .. 28 .. 28 .. 28 . 28 12.. 151.. 239 12 .. 23 .. 19 .. 19 73 3 .. 22 . 23 .. 23 .. 23 . 152.. 820 .. 834 . 2 .. 23 .. 33 . 23 .. 797 .. 153.. 834 .. 797 . 2 .. 28 2 . 2 .. 10 .. 154.. 835 .. 23 .. 23 .. 105 .. 174 .. 836 . 155.. 33 .. 838 .. 33 47 .. 28 .. 28 . 28 .. 28 .. 156.. 2 .. 28 .. 28 .. 23 .. 28 .. 28 . 28 .. 28 28 . 28. 2 12 .. 28 . 28.
