Sexual Orientation Victimization and Posttraumatic Stress Symptoms Among Lesbian,Gay, and Bisexual Youth

This cross-sectional study utilized data gathered from 350 lesbian, gay, and bisexual (LGB) youth, and examined the relationship between significant life experiences and posttraumatic stress symptoms (PSS), with an ultimate goal of analyzing contribution of sexual orientation victimization (SOV) to PSS among LGB youth. Results of bivariate analyses indicate that verbal and physical sexual orientation victimization, childhood gender atypicality, internalized homophobia, and stressful life events unrelated to sexual orientation were all individually related to PSS. Multivariate analysis showed that verbal and physical sexual orientation victimization explained a significant portion of variance, over and above the study's other variables. Internalized homophobia, stressful life events, and verbal sexual orientation victimization were found to be the most significant predictors of PSS among LGB youth.     

Child Sexual Abuse and Intimate Partner Violence Victimization in Adulthood: Sex-Differences in the Mediating Influence of Age of Sexual Initiation

Child sexual abuse is a major public health concern in the United States with devastating sequelae. Although the relationship between child sexual abuse and intimate partner violence victimization in adulthood is known, little is known about the mediating influence of the age of sexual initiation on the association, or whether sex differences exist. Using data from waves I, III, and IV of the National Longitudinal Study of Adolescent to Adult Health (N = 1,163), we aimed to examine the mediating influence of age of sexual initiation on the association between child sexual abuse and intimate partner violence victimization in adulthood and identify sex differences. Findings reveal that in female survivors, age of sexual initiation partially mediated the association between child sexual abuse and physical intimate partner violence victimization in adulthood. In male survivors, no mediational effect was observed. Public health practitioners should be aware of sex differences in the effect of early sexual initiation on intimate partner violence victimization in adulthood among child sexual abuse survivors.     

Sexual Abuse and Sexual Functioning in a Chronic Pelvic Pain Sample

ABSTRACT

Sexual abuse, particularly childhood sexual abuse, has been linked to chronic pelvic pain and to sexual dysfunction, though the sexual functioning of survivors of sexual abuse has not been studied in a chronic pain population. Sixty-three women with chronic pelvic pain completed measures of sexual function, sexual abuse, and pain. Using an index of the extent of sexual abuse experiences in childhood and adolescence/adulthood, higher scores were related to lower rates of sexual activity, less satisfaction with orgasm and feelings of closeness with sexual partners, and greater severity of and interference from pain. Findings point to the importance of controlling for relationship status in analyses of long-term effects of sexual abuse and of assessing chronic pelvic pain patients for histories of sexual abuse using measures that address the extent or severity of abuse.     

Victimization and Violence: An Exploration of the Relationship Between Child Sexual Abuse,Violence, and Delinquency

Child sexual abuse (CSA) continues to be a major public health issue with significant short- and long-term consequences. However, little contemporary research has examined the relationship between CSA and delinquent and violent behavior in adolescence. Children who have been sexually abused experience a unique form of victimization compared to children who have endured other forms of maltreatment, as CSA can result in feelings of shame, powerlessness and boundary violations. The purpose of this study was to examine the effect of CSA on delinquent and violent behavior in adolescence. We examined self-report data at the age 18 interview from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN) on measures of sexual abuse experience, and engagement in delinquent and violent behavior in the past year. All participants reported either a history of maltreatment or were identified at-risk based on demographic risk factors. Participants included 368 males and 445 females who self-reported experiences of CSA and delinquent and violent behavior (N = 813). Findings indicated that, when controlling for gender and race, the odds of engagement in delinquent and violent behavior for those who have experienced CSA are 1.7 times higher than for those who have not. Additionally, female victims of CSA were .52 times less likely to engage in violent and delinquent behavior compared to their male counterparts. Further efforts are needed to examine the effects of CSA on violent and delinquent behavior to better guide treatment efforts that prevent juvenile justice involvement.     

Difficulties in Emotion Regulation as a Mediator of the Relationship Between Child Sexual Abuse Victimization and Sexual Aggression Perpetration in Male College Students

Although numerous studies document a link between child sexual abuse and later sexual assault perpetration in men, little research has examined why this relationship exists. One potential mechanism may be emotional regulation difficulties. The current study utilizes a college sample of 132 men to examine the mediating role of emotion regulation difficulties on the relationship between experiencing child sexual abuse and later sexual aggression. Although emotion regulation difficulties in general was not significantly related to sexual aggression, one facet, impulse control difficulties, emerged as a significant mediator of the relationship between child sexual abuse and sexual aggression. Intervention programs should focus on the care that children receive following sexual abuse, with particular emphasis on how emotion regulation abilities may be impacted.     

Justice towards youth: Investigating the mismatch between current policy and public opinion

In this article, we present evidence that public perceptions within the United States are not as supportive of the harsh treatment afforded juveniles as public policy would suggest. Based on data from a representative state-wide survey, we used path analysis to investigate whether respondents' understanding and beliefs surrounding child and adolescent development were related to their beliefs surrounding appropriate levels of punishment towards juveniles. We estimated direct and indirect pathways whereby factors such as the age at which a respondent considers a youth responsible for his/her actions and adolescents' cognitive ability were associated with overall attitudes towards punishment. The results indicated respondents' attitudes towards punishment were associated with their beliefs and attitudes concerning different aspects of adolescent development. The results provided support for the premise that deeper knowledge and understanding of adolescent development does make a difference in terms of how individuals view appropriate punishment options. We argue that such evidence can be used as part of a broader advocacy strategy designed to develop more just programs and policies directed at children and youth involved with the justice system.     

Exploring the Overlap in Male Juvenile Sexual Offending and General Delinquency: Trauma,Alcohol Use,and Masculine Beliefs

Despite Burton and Meezan's (2004 Burton, D. L. and Meezan, W. 2004. Revisiting recent research on social learning theory as an etiological proposition for sexually abusive male adolescents. Journal of Evidence-Based Social Work, 1(1): 41–80. [Taylor & Francis Online] , [Google Scholar]) finding that sexually aggressive youth are three to four times more likely to recidivate nonsexually than sexually, there is little to no research to date that explores this overlap in criminality. With a sample of 290 male sexually violent adjudicated and incarcerated youth, this study was able to successfully predict those who are exclusively sexually violent from those who are both nonsexually and sexually violent with each of the following factors: childhood trauma, masculine beliefs, and alcohol use. While alcohol use accounted for the greatest variance between the groups, masculine beliefs offered the greatest basis for the discussion and future projects for the authors of the study. Treatment and research implications are offered.     

Relationship Churning,Physical Violence,and Verbal Abuse in Young Adult Relationships

Young adults' romantic relationships are often unstable, commonly including breakup –reconcile patterns. From the developmental perspective of emerging adulthood exploration, such relationship “churning” is expected; however, minor conflicts are more common in churning relationships. Using data from the Toledo Adolescent Relationships Study (N = 792), the authors tested whether relationship churning is associated with more serious conflict, such as physical violence and verbal abuse. Couples who were stably broken up (breakup only—no reconciliation) were similar to those who were stably together in their conflict experiences. In contrast, churners (i.e., those involved in on/off relationships) were twice as likely as those who were stably together or stably broken up to report physical violence and half again as likely to report the presence of verbal abuse in their relationships; this association between churning and conflict held net of a host of demographic, personal, and relationship characteristics. These findings have implications for our better understanding of unhealthy relationship behaviors.     

Sexual Beliefs and Sexual Functioning: The Mediating Role of Cognitive Distraction

Dysfunctional sexual beliefs are vulnerability factors for sexual dysfunction. This cross-sectional study aimed to test the mediating role of cognitive distraction on the relationship between dysfunctional sexual beliefs about sexual functioning shared by men and women and sexual function. The authors used a sample of 421 cisgender heterosexual participants involved in a monogamous relationship. The hypothesized mediation model was tested using a bootstrapped cross product of coefficients approach. Results showed a significant negative, indirect effect between dysfunctional sexual beliefs and women's sexual function through cognitive distraction. The discussion of this study highlights the importance of cognitive factors in sexual functioning.     

Attachment Quality and Post-treatment Functioning Following Sexual Trauma in Young Adolescents: A Case Series Presentation

Children and adolescents who suffer sexual abuse evidence symptoms that may persist into adulthood. Attachment theory may lend some insight into the psychological sequelae following sexual trauma. A clinical case series presents four sexually abused young adolescents from the first author's clinical caseload. Each case is rated regarding the quality of attachment, the severity of trauma, and the child's functioning at the time of follow-up. Ratings are made by the first author and qualified by a second clinician who is familiar with each case. Findings suggest that those youngsters who had the benefit of a strong and secure attachment evidence more positive outcome at follow-up.     

Domestic Violence and Intergenerational Rates of Child Sexual Abuse: A Case Record Analysis

Using case review at a shelter for battered women and their children, this exploratory study investigated the association between physical abuse, exposure to domestic violence and intergenerational occurrence of child sexual abuse. The charts of 570 children were reviewed in an attempt to explore the relationship between the children's experiences with sexual abuse and their nonoffending parent's own history of having been sexually abused. Results indicated that a significant percentage of nonoffending parents who reported a history of child sexual abuse also had children who were sexually abused. Additionally, we found that most (93%) of the children studied had been exposed to domestic violence, and while the base rate of sexual abuse was relatively low (11%), the rate of physical abuse of the children was substantial (41%). Logistic regression results indicated that children of sexually abused nonoffending parents may be at heightened risk for sexual abuse. Implications for treatment and intervention are discussed.     

Female Juvenile Sexual Offenders: Understanding Who They Are and Possible Steps That May Prevent Some Girls From Offending

In recent years, there has been accumulating evidence that sexual abuse committed by females is not rare and can be just as traumatic as sexual abuse committed by males. Despite the increased recognition given to sex offending by adult women, however, very little attention has been given to sex offenses committed by juvenile females. There has further been very little published material that has focused specifically on intervening with female children and adolescents before they offend. In an attempt to fill this gap, this article describes common characteristics of juvenile female sex offenders, ways in which juvenile female sex offenders are similar to and different from juvenile male sex offenders, and the limitations that exist related to our knowledge about these offenders. Based on this information, suggestions are given for possible ways to intervene in the lives of at-risk female youth before they offend.     

Sexual Violence Against Children in Sports and Exercise: A Systematic Literature Review

Sexual violence against children in sports receives little research attention. The aim of this Preferred Reporting Items for Systematic Reviews and Meta-Analyses-based systematic literature review was to synthesize the up-to-date knowledge and identify the already known and the still unknown information in this area. The literature search yielded seven eligible studies for inclusion. Their key outcomes suggest that sexual violence against children in sports is prevalent. Girls are more often the victims than boys, but gender appears to mediate the disclosure. Minority groups are at higher risk for sexual violence, and athletes at higher levels of competition seem to be more vulnerable for grooming. While the coach is often seen as the perpetrator, new research suggests that peer-athletes may precede the coach. Disclosure is a problem, due to personal and interpersonal concerns, which deters scholastic research in this area. In the final section of the review, a “what we know” and “what we need to know” list of highlights is offered as the concluding summary of the review. These factual points could raise the awareness of parents and/or guardians about the vulnerability of their children to sexual abuse if they are involved in sports. They could also attract the attention of the policy makers to the urgent need of developing and implementing preventive measures to make sports and exercise environments pleasurable and safe for children.     

Associations Between Psychological,Physical, and Sexual Intimate Partner Violence and Health Outcomes Among Women Veteran VA Patients

Women veterans experience high rates of lifetime intimate partner violence (IPV) and suffer a variety of trauma-related health conditions. The purpose of this study was to identify health status and health risk behaviors associated with experiences of psychological, physical, or sexual IPV among women veterans receiving care at a Veterans Affairs (VA) medical center. We conducted surveys with 249 women veteran patients and examined health factors associated with each form of violence. Sexual IPV victimization had the most pronounced associations with adverse health. In multivariate analysis, controlling for age, race, and income, women veterans who experienced sexual violence victimization were close to or more than three times as likely as those who experienced no IPV to report poor or fair overall health, a diagnosis of post-traumatic stress disorder or depression, bipolar disorder, or anxiety, difficulty sleeping, cigarette smoking, and problem drinking. Those who reported psychological violence only (without physical or sexual violence) also reported greater odds of self-rated poor or fair health. These findings are consistent with findings from studies with non-veteran populations and serve to further identify the unique contributions of sexual IPV to health outcomes. The integrated VA health care system offers opportunities for IPV identification and response including a coordinated team-based care model with social work integrated within primary care.     

Social Constructions of Masculinity and Male Survivors of Wartime Sexual Violence: an Analytical Review

ABSTRACT

Male sexual violence has been reported in 25 armed conflicts in recent years. However, communities and organizations are not equipped to deal with male survivors of sexual violence because it undermines the ideals of social constructions of masculinity. Compared with females, male survivors lack access to reproductive health programs and are generally ignored in gender-based violence discourse. Yet, male survivors are known to suffer from numerous physical injuries and psychosocial disorders. In this review, we call for a move beyond the paradigm of female-only sexual violence victims and for programs that address both male and female survivors.     

Exposure to Community Violence,Suicidality, and Psychological Distress Among African American and Latino Youths: Findings From the CDC Youth Violence Survey

The present investigation explored risk and protective factors for suicidal ideation and behavior in a sub-sample of African American and Latino adolescents (n = 2,626) who participated in the 2004 Centers for Disease Control Youth Violence Survey. Structural equation modeling was used to explore exposure to violence at the community level as a contextual factor that could potentially influence depressive symptomatology, substance abuse, parental support, social support, and suicidality among study participants. Findings indicated that exposure to violence at the community level was not directly related to suicidality among this population of urban adolescents. However, it was directly related with several other variables under study in the model, which in turn were directly related with suicidality. Tests of invariance revealed several across-group differences, particularly by race and gender, in how the identified risk and protective factors in the model related to suicidality. Implications for research and practice with urban, ethnic minority, adolescent populations are discussed.     

Adolescence,Sexual Aggression and the Criminal Law

SUMMARY

Criminal law and criminal policy history is perceived as an evolution of legitimation: from a morality paradigm before the Seventies of last century to a utilitarian concept of interdisciplinary enlightenment and rationality, and on to a factual paradigm of risk containment, security orientation and mere exclusion since the Nineties. However, in the area of sexual crime, and especially as far as “the protection of minors” is concerned, Western law appears to have undergone an additional paradigm change, namely in reverting to moralistic principles in disregard of scientific insight. This process, for which victimology appears to be the door opener, is reflected in legal doctrine and criminal policy, in law enforcement, in populistic media and politics. This evolutionary process is interpreted as symptomatic for a post-modern trend in the globalised society where sexual behavior on one hand is blatantly and abusively commercialised, and on the other hand, if deviant, represents the psychologically most expedient object of scapegoating and symbolic policy. The article finishes pleading for a return to the ‘project of modernity’ and to interdisciplinary studies rather than morality as a foundation for criminal policy.     

Interpersonal and Affective Traits of Psychopathy in Child Sexual Abusers: Evidence from a Pilot Study Sample of Italian Offenders

It has been demonstrated that psychopathy is a crucial construct for the understanding of criminal and violent behavior. However, research on psychopathic traits among child sexual abusers is still scant. In this study, the Psychopathy Checklist–Revised was used to assess psychopathy in a group of 87 Italian, male inmates who were convicted of violent crimes. Child sexual abusers (N = 23) scored higher on the Psychopathy Checklist–Revised interpersonal-affective factor compared to participants who did not perpetrate child sexual abuse. Notably, child sexual abusers showed a very high average score on the Psychopathy Checklist–Revised affective dimension; furthermore, they showed high scores on the two Psychopathy Checklist–Revised items excluded from its two factors–four facets structure (i.e., the items denoting devaluation of intimate relationships). The results of this study may positively inform the development of treatment strategies for child sexual abusers.     

Contraceptive Use Patterns Within Females' First Sexual Relationships: The Role of Relationships,Partners, and Methods

This study used the 1995 National Survey of Family Growth (NSFG) to assess whether characteristics of females' sexual partners, relationships, and choice of contraceptive methods were associated with contraceptive use patterns within their first sexual relationship. White, Black, and Hispanic females under age 25 (N = 915) provided retrospective information on sexual activity and contraceptive use for first sexual relationships that occurred between 1991 and 1995. Females with older sexual partners and with same race/ethnicity partners (among Hispanics) had reduced odds of ever using contraception and/or uninterrupted use. Longer sexual relationships were associated with higher odds of ever using contraception but lower odds of uninterrupted use. Females who were older at first sex, who used hormonal methods (among Whites), or who switched to more effective methods during their first sexual relationships had higher odds of ever using contraception and/or uninterrupted use. In contrast, switching to less effective methods during a first sexual relationship was associated with reduced odds of uninterrupted use.     

Exploring the Relationship between Exposure to Violence,Perceptions of Neighborhood Safety,and Children's Adaptive Functioning: Clinical and Community Implications

This study explored the relationship of exposure to violence and children's perceptions of neighborhood safety and children's adaptive functioning. It used a cross-sectional quadi-experimental design of 300 inner-city children and a bttery of standardized measures, which included the Child Maltreatment Classification Scheme, Exposure to Community Violence Scale, the Domains of Safety Subscale for Neighborhood, and the Child Behavior Checklist-Teacher's Report form. Hierarchal regression analysis revealed that child maltreatment history and perceptions of neighborhood safety were significantly related to children's overall adaptive functioning. Social workers can help by engaging in efforts to increase neighborhood safety and reinforcing positive adaptive psychosocial functioning of children at risk or exposed to violence.