Rosie Problemchild

Mr. and Mrs. M, a black couple, and their 16-year-old daughter Rosie were referred for evaluation to the sexual abuse team follow-up clinic following Rosie's allegation that her father, Mr. M, had shown her pictures of nude men and women and forced her to have sexual intercourse with him.

In making her disclosure, Rosie appeared teeny, upset, and nervous. She reported that since her alleged victimization, about two months ago, she was having nightmares and getting up in the middle of the night. She also reported having intrusive thoughts about the alleged event, saying "I can't stop thinking about it."

The family has a history of contact with protective services because of Rose's truancy from school and her delinquent behavior. Rose is the product of a conflicted marital relationship characterized by what Mrs. M called Mr. M's "excessive and sometimes physically violent demands for her attention." During her interviews Mrs. M was open and cooperative. She reported a personal history of psychiatric illness. She expressed concern for her daughter, but at the same time she agreed with Mr. M that Rose was troubled and difficult to manage.

Mr. M, a 42-year-old security guard at a local bank, consistently denied the allegations, shaking his head as if in disbelief. His report that his reputation at the bank was excellent was substantiated by his employers, who stated that he never drank and was reliable and responsible. According to Mr. M, Rose had always been a problem child who lied and who "started fooling around with boys about two years ago."

What is the diagnosis for Rosie? Click questions for the answer.

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