‘Turn to the colour plates.’ Training Before and After Cleveland
摘要
‘Turn to the colour plates’: training before and after Cleveland traces the extent to which doctors and health visitors were equipped to recognise the signs of sexual abuse and respond effectively to children. The chapter chronologically traces the development of training and work-place support, demonstrating that at least until the late 1980s, practitioners received little of either. Early training materials aimed to shock practitioners into action and here technology was important, particularly the use of colour photography. However, there was confusion about the extent to which different disciplines should be able to recognise the physical signs. These debates crystallised in Cleveland in 1987 when 125 children were removed from their families on suspicion of sexual abuse and the diagnostic techniques deployed by two paediatricians came under intense scrutiny. Although scholars have argued that publicity about Cleveland increased practitioners’ reluctance to identify sexual abuse, this chapter demonstrates that after Cleveland, there was greater clarity on what could be expected of GPs and what required more specialist input from a paediatrician, although health visitors’ roles remained unclear. The form of training also shifted from the use of graphic photographs to a more textual, procedural and bureaucratised training regime.