Child Sexual Abuse and the Black Disabled Child

This paper seeks to document a previously neglected area of study, namely the effects of sexual abuse on black disabled children. With a particular focus on black children with learning disabilities, it examines how the interlocking dimensions of race, gender and disability compound the problems that they are faced with in the aftermath of sexual abuse. This paper presents case studies drawn from data generated from a broader research project of sexual abuse and black families to illustrate the specific ways the negatively valued position of black disabled children shape responses to them. It is argued that the way in which black disabled children and their families interpret their experiences is likely to differ from other groups of disabled children, as multiple marginalised identities shape their lived realities. The paper concludes with some reflections on the implications for making risk assessment for black disabled children.     

Relationships between maternal adult attachment security, child perceptions of maternal support, and maternal perceptions of child responses to sexual abuse

This study assessed the relationships between maternal adult attachment style, children's perceptions of maternal support following disclosure of sexual abuse, and maternal perceptions of children's behavioral and emotional responses to sexual abuse among African-American child sexual abuse victims aged 4 to 12 (n=96) and a comparison group of non-abused subjects (n=100). Mothers with insecure attachment styles reported significantly higher rates of internalizing behaviors in their sexually abused children than did securely attached mothers. Among mothers of non-abused children, those with insecure adult attachment styles reported significantly higher rates of externalizing behaviors shown by their children in comparison with mothers with a secure adult attachment style. Mothers with insecure adult attachment styles also reported higher rates of overall behavior problems in their non-abused children that approached statistical significance. Sexually abused children's perceptions of maternal support were not related to maternal attachment style nor to child functioning. Contrary to our prediction, mothers of sexually abused children did not show lower rates of secure attachments when compared to mothers of non-sexually abused children. Our findings indicate that fostering parent- child attachment is important in order to decrease the risk for behavior problems and symptomatology in sexually abused children.     

Negative impact of sexual abuse on adult male gender: Issues and strategies of intervention

Although male sexual abuse has co-existed with female sexual abuse, the professional literature has paid minimal attention to the impact of sexual abuse of male children to their adult adaptation. This paper concentrates on the negative impact of sexual abuse on the adult male's gender identity. Examples of eight male clients' responses to sexual abuse in their adult life and the therapeutic framework utilized to work with them are discussed in the paper.This paper was originally presented at the ICAPP conference, 1993.He teaches advanced clinical practice, Human Behavior and AIDS ELECTIVE. He maintains a private practice specializing in Gay men, persons with HIV virus.     

The Role of Youth Problem Behaviors in the Path From Child Abuse and Neglect to Prostitution: A Prospective Examination

Behaviors beginning in childhood or adolescence may mediate the relationship between childhood maltreatment and involvement in prostitution. This paper examines 5 potential mediators: early sexual initiation, running away, juvenile crime, school problems, and early drug use. Using a prospective cohort design, abused and neglected children (ages 0–11) with cases processed during 1967–1971 were matched with nonabused, nonneglected children and followed into young adulthood. Data are from in-person interviews at approximately age 29 and arrest records through 1994. Structural equation modeling tested path models. Results indicated that victims of child abuse and neglect were at increased risk for all problem behaviors except drug use. In the full model, only early sexual initiation remained significant as a mediator in the pathway from child abuse and neglect to prostitution. Findings were generally consistent for physical and sexual abuse and neglect. These findings suggest that interventions to reduce problem behaviors among maltreated children may also reduce their risk for prostitution later in life.     

Correlates of Sexual Behavior in Young Children

SUMMARY

Sexual behavior in children ages 2–12 is related to a variety of environmental, child-specific, and reporter-related variables. This paper reviews correlational research that has examined the relationship of sexual behavior to the variables of sexual abuse, domestic violence, physical abuse, family sexuality, age and gender of the child, child behavior problems, and reporter characteristics. Sexual behavior is directly related to environmental variables that cause dysregulated behavior in children. It is also associated with child behavior problems and varies with age and gender. There are a number of reporter-specific variables, including education level, abuse history, and openness to sexuality, that are also related to the level of reported sexual behavior. The article concludes with a reminder that correlation does not mean causation.     

Tracking the Sexual Behavior-Specific Effects of a Foster Family Treatment Program for Children with Serious Sexual Behavior Problems

Few treatment programs exist for very young children with serious sexual behavior problems. Fewer still have produced data relating to their effectiveness, and the sparse data that have emerged have focused on global social adjustment or improvement rather than on sexual behavior- specific changes. This study tracked both frequency of problem sexual behaviors and care giver estimates of the propensity to re-offend of six initial clients referred to a treatment-intensive foster care program for sexually reactive children and pre-adolescent sexual offenders. A simple pre-post (basepoint-treatment) design was used, and in-treatment data gathered over a two-year interval are presented. Initial results indicate that the problem sexual behaviors of most of these youthful clients were effectively and immediately suppressed in the context of their treatment intensive foster placements, but that the program's impact on the clients' propensity to re-offend given the opportunity—a crude measure of treatment internalization—was much less immediate, less pronounced, and less predictable across clients. Recommendations based on these data are offered concerning the viability of foster care intervention for sexualized and offending children, as well as optimal durations for such treatments. The strengths and weaknesses of the novel progress tracking method are discussed.     

Coping with parental loss because of termination of parental rights

This article addresses the process by which children and adolescents cope with severe acute stress of parental loss from causes other than divorce or death. Participants were 60 children and adolescents from a residential treatment facility. Most had experienced neglect, physical abuse, and sexual abuse, and their parents had their parential rights terminated. Measures of symptomatology indicated that children reported low levels of depressive symptoms, whereas caregivers reported the children were experiencing significant psychological problems. Children used avoidant coping strategies more often than emotion-focused coping strategies, which, in turn, were used more than problem-focused coping strategies. Results are discussed in terms of helping children cope with parental loss.     

Partnering with parents to prevent childhood sexual abuse

Although research demonstrates that child‐focused sexual abuse prevention programmes can teach children personal safety knowledge and skills, childhood sexual abuse (CSA) prevention programmes that involve parents have a number of distinct advantages. The more knowledge parents have about CSA, the greater likelihood they can create safer environments for their children and thus prevent the occurrence of sexual exploitation. Research has demonstrated that parents lack crucial information about CSA and can benefit from even brief educational efforts. This paper will identify potential barriers to participation and offer practical suggestions for enhancing both recruitment and retention rates. Recommendations for parent education programmes are offered, including improving parents' confidence and skills in educating their children about CSA, providing them with parent‐friendly materials to use and developing Internet applications. Copyright © 2010 John Wiley & Sons, Ltd.     

Some methodological problems in estimating incidence and prevalence in child sexual abuse research

Research into child sexual abuse is fraught with methodological problems. This paper provides an overview of some common aspects of them. Definitional inconsistencies are frequent, including that of child sexual abuse itself and what age limits define a child. Other methodological difficulties include determining the number of children sexually abused in any period of time, choice of sample, the type and number of questions asked, factors such as publicity associated with the historical period, and estimates of the rate of increase of child sexual abuse over time. It is suggested that greater consistency, particularly of definition, would assist comparative conclusions to be made with less ambiguity and greater validity.     

Cross‐examination,sexual abuse and child witness identity

This paper presents extracts from cross‐examinations with child witnesses who are alleged victims of child sexual abuse. The manner in which cross‐examination may present a challenge to the child's identity as child, victim and witness is discussed. Specifically, the child may be portrayed as ‘unchildlike’, for example in their experience of sexual relationships or in their sexual knowledge. They may be portrayed as less than innocent, through references to previous contacts with social services or to other behaviours such as delinquency. Child witnesses may be depicted as instigators rather than victims, seducing the adult or seeking revenge through sexual allegations. Finally, children are easily accused of being poor witnesses, as being confused, untruthful and having fallible memories. The paper considers the dynamics and potential impact of such cross‐examination practice within Finkelhor's framework of four traumagenics of sexual abuse: traumatic sexualization, betrayal, powerlessness and stigmatization. The potential for poorly conducted cross‐examinations to create further problems for child witnesses, particularly in the area of identity, is highlighted, and it is suggested traumagenic factors in such cross‐examinations may resemble those of abuse. The paper discusses practice implications for cross‐examination, judicial intervention and witness support following implementation of the Youth Justice and Criminal Evidence Act 1999 in England and Wales. Copyright © 2002 John Wiley & Sons, Ltd.     

Intimacy patterns among Black,middle-class,single parents

Based on a study of college-educated, Black, single parents living in urban areas, the author explores the problems and experiences peculiar to women with children who must fulfill roles of worker, parent, and romantic companion. While the existence of children complicates the normative problems associated with heterosexual intimacy, they also give these women a mechanism for coping with their single status. Children do impose a different single lifestyle on single mothers and impose constraints on their time, sexual behavior, desirability, and mate selection standards.     

Characteristics of Sexually Abused Children and Their Nonoffending Mothers Followed by Child Welfare Services: The Role of a Maternal History of Child Sexual Abuse

Considering the importance of mother’s support in the adaptation of a sexually abused child, it is relevant to determine if the mothers and children involved in an intergenerational cycle of child sexual victimization differ from dyads in which only the child has been abused. The purpose of this study was to compare mother–child dyads with sexually abused children according to whether the mother had herself been victim of child sexual abuse. The sample included 87 dyads with sexually abused children aged 3–18 years old and their mothers (44 reporting maternal and child abuse), followed by social welfare services of the province of Quebec (Canada). The two groups of mothers were compared on their past family abuse experiences and past family relations, their mental health history, their current psychological distress, their parenting behaviors, and their current levels of family functioning. Children were compared on their adaptation. Multivariate analyses indicated that mothers reporting child sexual abuse were more likely to report more other maltreatments in their childhood and greater prevalence of lifetime history of alcohol abuse disorders, dysthymia, and panic disorder compared with mothers who had not experienced CSA. Compared to children whose mothers had not experienced CSA, those whose mothers had experienced CSA showed higher rates of problems behaviors and were more likely to report having been sexually abused by a trusted person. These results highlight the specific clinical needs for the assessment and treatment for sexually abused children whose mothers experienced child sexual abuse.     

Longitudinal Study of the Psychological Effects of Sexual Abuse in African American Girls in Foster Care and Those Who Remain Home

This study longitudinally examined the effects of foster care placement versus remaining at home upon the psychological functioning of 64 African-American, sexually abused girls aged 5-16 years. The children were intitially evlauted with a multi-method assessment protocal within six months following report of the abuse and then reevaluated approximately one year later. The findings indicate that the group as a whole showed a decline in affective distress and depression. However, the children continued to show disturbed perceptions of relationships and high levels of stress relative to their adaptive coping skills. The caregivers continued to rate the children as showing many behavioral problems, low social competence, considerable sexual abuse-related anxiety and sexual acting-out behavior. Overall, there were no significant differences in the psychological functioning of the girls who remained at home and those who were placed in foster care. In supplementary, cross-sectional analyses involving 24 additional subjects, several maternal variables were found to be related to the child's adaptation.     

‘A murderous ‘underclass’? the press reporting of sexually motivated murder

The 'underclass' is widely held by commentators of the Right to be responsible for a host of social problems, including violent crime. This paper shows how in the reporting of sexually motivated murder in a sample of nine British newspapers for one complete year (1992), the image constructed is one where unemployed and other marginalised men are portrayed as the main perpetrators of sexual violence. This, the authors argue, hampers our understanding of sexual violence, for it suggests that it is only men of a 'low' socio-economic background who are a potential threat to women and children. It is also suggested that the 'symbolic environment' of the press reporting of sexual murder provides a context in which a more authoritarian benefit regime and greater control of poor communities can be spuriously justified.     

Parent's Perceptions of Their Child's Knowledge of Sexual Abuse Prevention Concepts

This research investigates the relationship of parental knowledge of the seriousness of child sexual abuse and their children's understanding of sexual abuse prevention concepts. A total of 284 parents and their elementary school-aged children were surveyed immediately after and 5 months after the children participated in a school-based child abuse prevention program. In the first survey, the parents were asked whether they had provided prevention materials or had talked to their child about sexual abuse. At 5 months, 201 parents answered a short test of knowledge regarding child sexual abuse. At the same time, their children completed a 40 item Children's Knowledge of Abuse Questionnaire (C.K.A.Q.) and the parents were asked to predict how their child would respond to 10 key items from this measure. Results indicated that parents in general were likely to overestimate the knowledge levels of the younger children. However, parents with higher knowledge levels more accurately predicted how their child would respond to the selcted C.K.A.Q. items.     

Protecting Children

Abstract

In this study, difficulties that women with alcohol problems and victimization experiences might have protecting their children from victimization were investigated. Mothers of children (ages 3-17) were recruited from a longitudinal study of women, alcohol problems, and victimization; women came from alcohol treatment programs, battered women's shelters, mental health clinics, drinking and driving programs, and a random household sample. Hypothetical parenting scenarios were constructed to assess mothers' ability to protect their children from victimization trauma. Women's responses to the scenarios were analyzed thematically and coded. Next, coded responses were analyzed quantitatively to identify significant differences among women with past alcohol and other drug (AOD) problems, current AOD problems, and no AOD problems. Women with current AOD problems were more likely than women with no AOD problems and women with past AOD problems to provide aggressive responses to scenarios. Women with past AOD problems were more likely than their non-addicted counterparts to perceive sexual abuse as a possibility, to attribute responsibility for the problem to the other participant only (seeing no role for their child), and to seek information about what happened from the other participant only. Findings suggest that some interpersonal problem-solving difficulties resolve when women become sober while others persist into recovery, potentially affecting women's ability to protect their children.     

Preventing child sexual abuse: parents' perceptions and practices in urban Nigeria

This study examined parents' perceptions of child sexual abuse as well as prevention practices in an urban community in southwest Nigeria. Questionnaires were collected from 387 parents and caregivers of children younger than 15 years of age. Results showed that many parents felt CSA was a common problem in the community, and most parents disagreed with common child sexual abuse myths. In addition, almost all parents ( >90%) reported communicating with their child(ren) about stranger danger. However, about 47% felt their children could not be abused, and over a quarter (27.1%) often left their children alone and unsupervised. There were no significant variations in the perceptions of child sexual abuse and communication practices. The implications of findings for child sexual abuse prevention are discussed.