Differences in Perceptions of Child Sexual Abuse Based on Perpetrator Age and Respondent Gender

Child sexual abuse changes the lives of countless children. Child sexual abuse victims experience short and long term negative outcomes that affect their daily functioning. In this study, undergraduate students' perceptions of CSA were obtained using vignettes with an adult or child perpetrator and a general questionnaire. Results indicated participants receiving the child-on-child vignette were less likely to rate the vignette as abuse, saw the abuse as less severe, and assigned less blame to the perpetrator than participants reading the adult-on-child vignette. On a general questionnaire, male participants saw child-on-child abuse as less severe and more encouraged by society than did female participants. The information can be utilized by professionals in treatment planning and preventing revictimization at disclosure.     

Back to basics: child psychiatry after Cleveland

SUMMARY. In this personal view of recent developments, the author suggests that child psychiatrists were taken by surprise when they began receiving a rapid increase of referrals involving sexual abuse. Many saw their prime role as needing to adapt psychiatric techniques to determine whether abuse had occurred. Child sexual abuse was seen as being outside of normal psychiatric conditions. These responses led to major controversy within the profession. It is argued that the Cleveland Inquiry should now allow child psychiatrists to work with sexually abused children in a more traditional way, their main function being to assess and treat the whole child and its family and evaluate the significance of the abuse in a wider context     

Sexual Minority and Heterosexual Former Foster Youth: A Comparison of Abuse Experiences and Trauma-Related Beliefs

The current study compared the abuse experiences of 108 sexual minority and heterosexual former foster youth who received scholarships through the Orphan Foundation of America. Participants used an anonymous online survey to answer questions regarding their history of physical and sexual abuse. All participants who reported a history of sexual abuse also completed the Trauma Related Beliefs questionnaire (TRB; Hazzard, 1993). Differences across sexual orientation were observed in sexual, but not physical, abuse rates and in the Self-Blame/Stigmatization subscale of the TRB. Specifically, sexual minority participants reported more incidents of sexual abuse, as well as higher scores on the TRB subscale, than did heterosexual participants. These results suggest that sexual orientation is relevant to the experience of abuse among children in the child welfare system.     

Undergraduate students' attributions of depicted adult-adolescent and adolescent-adolescent sexual interactions

The grayest areas of defining child sexual abuse appear to involve the age and sex of the individuals involved, resulting in a potential for different attributions regarding child sexual abuse across individuals. As a result, this study examines the responses of 262 male and female college student participants after viewing a series of hypothetical sexual abuse vignettes that depicted a 15-year-old victim that neither resisted nor encouraged the advances of a 15-, 25-, or 35-year-old perpetrator's actions. Gender roles and sexual attitudes were examined as potentially important covariates. Using a series of analyses of covariance, female participants gave more pro-victim ratings than male participants, and younger perpetrators were viewed less negatively than older perpetrators. Gender roles and sexual attitudes served as significant covariates. These findings emphasized the need to educate individuals about child sexual abuse and unwanted sexual contact involving individuals under the age of consent.     

Undergraduate Students' Attributions of Depicted Adult–Adolescent and Adolescent–Adolescent Sexual Interactions

The grayest areas of defining child sexual abuse appear to involve the age and sex of the individuals involved, resulting in a potential for different attributions regarding child sexual abuse across individuals. As a result, this study examines the responses of 262 male and female college student participants after viewing a series of hypothetical sexual abuse vignettes that depicted a 15-year-old victim that neither resisted nor encouraged the advances of a 15-, 25-, or 35-year-old perpetrator's actions. Gender roles and sexual attitudes were examined as potentially important covariates. Using a series of analyses of covariance, female participants gave more pro-victim ratings than male participants, and younger perpetrators were viewed less negatively than older perpetrators. Gender roles and sexual attitudes served as significant covariates. These findings emphasized the need to educate individuals about child sexual abuse and unwanted sexual contact involving individuals under the age of consent.     

Brief Report: Attitudes About Responding to Survey Questions Concerning Childhood Sexual Abuse by Hispanic Female College Students

In no studies have research participants been asked how they feel about answering questions concerning childhood sexual abuse. We have performed searches from two different search engines again and have found nothing published which specifically addresses this question in the way we have. A questionnaire about childhood sexual abuse was administered to a sample of Mexican-American female college students. Over 32% reported positive histories of childhood sexual abuse before age 18. These subjects were more uncomfortable (37%) than those who did not experience childhood sexual abuse when answering questions about childhood sexual abuse (12%; p < 0.00001), but they were not more uncomfortable in answering questions about alcohol or drug use. Women who were sexually abused in childhood also readily disclosed childhood sexual abuse histories despite revealing discomfort about being asked questions concerning childhood sexual abuse. Our findings support concerns by researchers that childhood sexual abuse is neglected because researchers have an unwarranted perception about how fragile sexually abused subjects are as subjects.     

Profiles of adult survivors of severe sexual,physical and emotional institutional abuse in Ireland

Adult survivors of institutional abuse were interviewed with a comprehensive assessment protocol which included the Childhood Trauma Questionnaire, the Institutional Child Abuse Processes and Coping Inventory, the Structured Clinical Interviews for Disorders of the Diagnostic and Statistical Manual of Mental Disorders IV axis I disorders and personality disorders, the Trauma Symptoms Inventory, a Life Problems Checklist, the Experiences in Close Relationships Inventory and the Kansas Marital Satisfaction Scale. Profiles were identified for subgroups that described severe sexual (N = 60), physical (N = 102), or emotional (N = 85) abuse as their worst forms of maltreatment. Survivors of severe sexual abuse had the most abnormal profile, which was characterised by higher rates of all forms of child maltreatment and higher rates of post‐traumatic stress disorder, alcohol and substance abuse, antisocial personality disorder, trauma symptoms and life problems. Survivors of severe emotional abuse were better adjusted than the other two groups. The profile of survivors of severe physical abuse occupied an intermediate position between the other two groups. A thorough assessment of abuse history and current functioning should be conducted when providing services to adult survivors of institutional abuse, since this may have important implications for the intensity of services required. Survivors of severe sexual abuse may require more intensive services. Copyright © 2009 John Wiley & Sons, Ltd.     

Impact of Perpetrator Type on Attributions of Mother Fault in Child Sexual Abuse

Blaming nonoffending mothers for child sexual abuse has substantial negative consequences for both the mother and child victim. Although perpetrator type has been shown to influence how much blame and responsibility is placed on nonoffending mothers in child sexual abuse cases, research to date has focused primarily on perpetrators who are strangers to the child or the child’s biological father, ignoring the effect of other father-figure perpetrators. The current study examined how differences in perpetrator’s relationship to the mother impacted blame, responsibility, cause, and prevention as separate constructs. One hundred and eight participants from an online community sample were randomly assigned to read a vignette describing a child sexual abuse situation with a female victim and one of two perpetrators: the victim’s biological father or the mother’s boyfriend. Participants assigned significantly higher levels of fault for CSA to the mother when the perpetrator was the mother’s boyfriend. Implications and future directions are discussed.     

Health Professionals' Responses to Disclosure of Child Sexual Abuse History: Female Child Sexual Abuse Survivors' Experiences

This study reports on a postal questionnaire, conducted in 2004, with female survivors of historic child sexual abuse. The questionnaire explored their experiences of health professionals' responsiveness to disclosure of child sexual abuse history. Of 61 participants, aged between 22 and 65, 69% had disclosed to health professionals. Those who had not disclosed reported that they would have liked to but were not asked about child sexual abuse. Thirty-five percent of participants suggested routine questioning about child sexual abuse. Most participants related a fear of common medical examination procedures to their experience of child sexual abuse, and 64% said this stopped them from attending regular health checks. The current study suggests the development of guidelines for dealing with possible child sexual abuse survivors would be useful for health professionals.     

Maladaptive Schemas as Mediators in the Relationship Between Child Sexual Abuse and Displaced Aggression

Child sexual abuse is one of the most serious forms of abuse due to the psychological consequences that persist even into adulthood. Expressions of anger among child sexual abuse survivors remain common even years after the event. While child sexual abuse has been extensively studied, the expression of displaced aggression has been studied less. Some factors, such as the maladaptive early schemas, might account for this deficiency. The objective of this study was to analyze the relationships between child sexual abuse, displaced aggression, and these schemas according to gender and determine if these early schemas mediate the relationship between child sexual abuse and displaced aggression. A total of 168 Spanish subjects who were victims of child sexual abuse completed measures of childhood trauma, displaced aggression, and early maladaptive schemas. The results depict the relationship between child sexual abuse, displaced aggression, and early maladaptive schemas. Women scored higher than men in child sexual abuse, emotional abuse, disconnection or rejection and impaired autonomy. Mediational analysis found a significant mediation effect of disconnection or rejection on the relationship between child sexual abuse and displaced aggression; however, impaired autonomy did not mediate significantly.     

Participant responses to retrospective surveys of child maltreatment: does mode of assessment matter?

This study examines the impact that different methods of assessing child maltreatment history may have on adult participants. A total of 334 female undergraduate students were randomly assigned to complete a retrospective measure of child sexual and physical abuse in one of three conditions: paper-and-pencil questionnaire, face-to-face interview, or computer-administered survey. Disclosure rates of abuse, psychological distress and mood change, preferences for assessment format, and perceptions of confidentiality were examined across the three assessment formats. Although disclosure did not vary by condition, participants with a history of abuse reported more distress and mood change than did nonvictims, particularly in the computer condition. Nevertheless, the computer condition was rated as the most preferred format and was viewed by participants as the most confidential means of assessing maltreatment history. Participants reporting abuse through interviews were more likely than those in other conditions to state a preference for another type of assessment format. The implications of these findings for abuse history research are discussed.     

Gender Differences in Psychosocial Predictors of Attitudes Toward Reporting Child Sexual Abuse in the United Kingdom

There is a dearth of research investigating psychosocial correlates of attitudes toward reporting child sexual abuse in males and females and a lack of such studies drawing on participants from the United Kingdom. Therefore, the main objective of this article is to examine gender differences in social and psychological predictors of attitudes toward reporting child sexual abuse. Participants drawn from the United Kingdom general population were recruited via an opportunistic sampling method. Cross-sectional design using a self-report questionnaire was utilized. Hierarchical multiple regression analyses revealed that social support, masculinity, and age form significant associations with attitudes toward reporting child sexual abuse in females (total variance explained by the model was 25%). In the male sample, the only significant predictor of attitudes toward reporting child sexual abuse was interpersonal manipulation (total variance explained by the model was 9%). This study provides an important insight into psychosocial barriers and facilitators to reporting child sexual abuse. Such knowledge is crucial for the early detection and prevention of abuse.     

Sexual behavior and responsiveness to sexual stimuli following laboratory-induced sexual arousal

Sexual excitement can be seen as an action disposition. In this study sexual arousal was expected to generate sexual action and to increase interest and responsiveness to sexual stimuli. In two experiments, male and female participants were exposed to a neutral or a sexual film. We measured genital and subjective responses to the film, and sexual behavior following the laboratory visit. In Experiment 2, film exposure was followed by a task in which participants rated the sexual arousability of neutral and sexual pictures. Rating time of the sexual pictures served as an index for sexual interest. Responsiveness to the sexual pictures was measured by modulation of spinal tendinous (T) reflexes. Sexual activity, but not sexual desire, was higher for participants in the sexual film condition than for participants in the neutral condition. Sexual interest and responsiveness to still pictures were not higher for participants in the sexual film condition than for those in the neutral film condition. In addition, men who saw the neutral film showed a greater responsiveness to still pictures than men who saw the sexual film. The results support the view of sexual arousal as an emotional state generating action tendencies and actual sexual behavior.     

Sexual behavior and responsiveness to sexual stimuli following laboratory‐induced sexual arousal

Sexual excitement can be seen as an action disposition. In this study sexual arousal was expected to generate sexual action and to increase interest and responsiveness to sexual stimuli. In two experiments, male and female participants were exposed to a neutral or a sexual film. We measured genital and subjective responses to the film, and sexual behavior following the laboratory visit. In Experiment 2, film exposure was followed by a task in which participants rated the sexual arousability of neutral and sexual pictures. Rating time of the sexual pictures served as an index for sexual interest. Responsiveness to the sexual pictures was measured by modulation of spinal tendinous (T) reflexes. Sexual activity, but not sexual desire, was higher for participants in the sexual film condition than for participants in the neutral condition. Sexual interest and responsiveness to still pictures were not higher for participants in the sexual film condition than for those in the neutral film condition. In addition, men who saw the neutral film showed a greater responsiveness to still pictures than men who saw the sexual film. The results support the view of sexual arousal as an emotional state generating action tendencies and actual sexual behavior.     

Professionals’ Attitude Toward Reporting Child Sexual Abuse in Saudi Arabia

Child sexual abuse (CSA) requires specialized knowledge and training that includes forensic interview skills. The aim of this study was to determine variations in professionals’ attitudes toward CSA by measuring three aspects of forensic attitudes (sensitivity, specificity, and skepticism) and evaluating disagreements concerning the assessment of CSA cases in Saudi Arabia. A cross-sectional, web-based study, in which the Child Forensic Attitude Scale was used to measure professionals’ attitudes, was conducted. Professionals who dealt with suspected cases of CSA as part of their jobs or were in professions that necessitated involvement with such cases, were selected as participants. Of 327 participants, 53% were aged ≤40 years, and 54% were men. In addition, 24% were doctors/nurses, 20% were therapists/psychiatrists, 24% were social workers, 17% were educators, 9% were law enforcement professionals, and 5% were medical examiners. Attitude subscale scores differed significantly according to participants’ sex, specialty, and training. Women, healthcare professionals, and those who had participated in more than five training courses were more concerned about the underreporting of abuse (high sensitivity) relative to other professionals. In comparison, men, medical examiners, law enforcement officers, and undertrained professionals tended to underreport suspected sexual abuse cases (high specificity). High specificity in attitudes toward suspected cases of CSA could affect professionals’ judgment and contribute to low reporting rates. Certain strategies, including increasing self-awareness of personal bias, specific CSA recognition courses, and team approaches to case assessment and management, should be implemented to control the influence of subjective factors.     

Judicial Decision-Making and Juvenile Offenders: Effects of Medical Evidence and Victim Age

ABSTRACT

A growing body of evidence suggests that jurors place greater weight on DNA or other types of forensic evidence than non-forensic evidence (Cole & Dioso-Villa, 2009). For cases involving child sexual abuse, certain types of evidence, including forensic medical evidence, may be viewed as more important or indicative of abuse than other types of evidence, such as victim statements or disclosure. The present study evaluated perceptions of juvenile offenders and victim credibility across four vignettes that systematically manipulated variables related to victim age and physical indicators of abuse. A sample of 636 participants read vignettes and answered questions pertaining to the vignette. Participants also provided demographic information and responded to a series of items assessing participants’ judicial decision-making strategies and outcomes. Broadly, the presence of medical evidence significantly influenced participants’ decision-making across a variety of variables, including verdict outcome, verdict confidence, confidence that the victim was truthful, and determinations involving sex offender registration and notification requirements. The influence of medical evidence and victim age on perceptions and sentencing of juvenile sex offenders across these and additional outcome variables will be discussed.     

An Exploratory Study of Domains of Parenting Concern among Mothers Who Are Childhood Sexual Abuse Survivors

This study conducted an exploratory factor analysis and initial validation of Ruscio’s (2001) parenting attitudes questionnaire, which assessed parenting concerns among child sexual abuse survivors. Child sexual abuse survivor mothers (N = 60) reported on their abuse experiences and completed the parenting attitudes questionnaire, the Center for Epidemiologic Studies Depression Scale, and subscales of the Parenting Stress Index and the Parent–Child Relationship Inventory. Three primary factors emerged: (a) concerns regarding the child’s sexuality and safety, (b) boundary disturbances within the child–survivor relationship, and (c) lack of energy for parenting due to recovery issues. Concerns about safety and sexuality and lack of energy for parenting were robust predictors of parenting outcomes. Assessment of such concerns may facilitate discussion of the balance between recovery work and parenting challenges.     

Lay persons' emotional reactions toward an abused elderly person

This study examined lay persons' emotional reactions to abuse, with special attention to two types of disease: Alzheimer's disease and osteoporosis. A total of 169 adults (mean age = 60) were interviewed face-to-face using a vignette methodology. Although the majority of the participants found the vignette to describe a situation of abuse, one-quarter did not consider it an abusive situation. The person described in the vignette elicited more positive than negative emotions, with a high percentage of participants expressing sympathy, desire to help, and concern. The various emotional reactions to abuse are associated with different correlates.     

How child protective services investigators decide to substantiate mothers for failure-to-protect in sexual abuse cases

The purpose of this study was to determine how Child Protective Services (CPS) investigators decide to substantiate mothers for failure-to-protect from sexual abuse. A case-comparison study was used to compare 31 mothers who were and 62 mothers who were not substantiated for failure-to-protect by CPS. The multivariate analysis showed that mothers who did not consistently believe the sexual abuse occurred and who did not consistently act protectively were more likely to be substantiated. In addition, if they knew about the abuse from more than one source were less supportive of the children; and had a substance abuse problem, a mental health problem or were being battered, then they were more likely to be substantiated. Investigators appear to apply criteria consistently to substantiate mothers. doi:10.1300/J070v15n04_04.