[Sexual abuse of boys. Examples of a group-oriented treatment]. / Seksuelle overgrep mot gutter. Eksempel på en gruppeorientert tilnaerming.

Although the sexual abuse of boys is much less written and talked about than the sexual abuse of girls, it is thought that one of three victims of abuse is a boy. This article sums up the symptoms and reactions seen in male victims. Whereas women usually react with depression and guilt, men react more with anger. Psychosomatic symptoms are often seen, as well as sexual problems such as homophobia or exaggerated masculinisation. As many as 30-50% of male rapist and child molesters have been molested as children. This makes it important to establish a therapeutic dialogue with these men about what they have been through, so as to avoid the development of such behaviour if possible. Experience from the treatment of male adults who were sexually abused in childhood is described, and placed in relation to the existing literature on the subject.

[A case of sexual abuse with several victims in a small municipality. A cooperation project between health services]. / Overgrepssak med manage ofre i mindre kommune. Et samarbeidsprosjekt mellom første- og annenlinjetjenesten.

This article describes the management of an extensive case of sexual abuse in a small Norwegian community. The victims were adult men who had been exploited in childhood and adolescence by the same abuser. A demand for support was addressed to the health services when these men realised as adults that they shared this experience. The community health service and the psychiatric department decided to arrange psycho-educative meetings in the community centre. Victims, their families and local professional helpers were invited. The meetings gave general information about sexual abuse, early and late symptoms and the treatment facilities available locally. In one facility a psychiatrist and a general practitioner led a treatment group together. Five of the victims took part in this group. Fortunately, this case never reached the public press. Cooperation between specialist and community health services in managing such cases is regarded as essential.

[A general practitioner as artisan]. / Allmennpraktikeren som håndverker.

For the general practitioner to practice his craft he must be able to combine attitudes, knowledge and skills in a lifelong process of learning. In this connection, reflection about his own practice is important, alone or together with colleagues, because his is a lonesome place of work, without the same network to rely on as his colleagues in hospital. The demands with regard to the craft of general practice depend to some extent on where in Norway the practice is located, but there are some practical skills that every general practitioner should possess, and critical reflection on one's own practice is important for developing them. Such skills are also necessary for communication with the hospitals. These days, the general practitioner has to deal with many problems that were solved earlier in hospital. The family practitioner has to connect all the threads from the different specialists. To do this well, he must develop his "craftsmanship", so as to maintain his credibility and the trust of the community.

[Exchange practice visits--a new and good way of training. A method for quality assurance in general medicine]. / Gjensidig praksisbesøk--en ny og god kursform. En metode for kvalitetssikring i allmennmedisin.

The Norwegian Association of General Practitioners has adopted a method for postgraduate education in general practice called exchange practice visit. This article presents the method, which is a simplified version of the procedure described in the booklet, What sort of doctor, from The Royal College of General Practitioners in England. We have tested this way of education, and describe our experiences of it. We conclude that an exchange practice visit is an important supplement to the training of general practitioners, and provides a good tool for quality assurance in medicine.