Development and Validation of a Tool to Improve Physician Identification of Elder Abuse: The Elder Abuse Suspicion Index (EASI)©

ABSTRACT

This study aimed to develop and validate a brief tool for physician use to improve suspicion about the presence or absence of elder abuse. A literature review on elder abuse, obstacles to its identification, limitations of detection tools, and characteristics of screeners employed by physicians were used to generate elder abuse detection questions for critique by 31 doctors, nurses, and social workers in focus groups. Six resulting questions became the Elder Abuse Suspicion Index (EASI) administered by 104 family doctors to 953 cognitively intact seniors in ambulatory-care settings. Findings were compared to a recognized, detailed elder abuse Social Work Evaluation (SWE) later administered to participants by social workers blinded to the results of the EASI. The EASI had an estimated sensitivity and specificity of 0.47 and 0.75, usually took less than 2 minutes to ask, and 97.2% of doctors felt it would have some or big practice impact. This research is a first phase in the development and validation of a user-friendly tool that might sensitize physicians to elder abuse and promote referrals of possible victims for in-depth assessment by specialized professionals.     

Magazine Coverage of Child Sexual Abuse, 1992–2004

This article analyzes trends in the coverage of child sexual abuse in popular magazines since the early 1990s. The article employs systematic analysis to identify and analyze articles in four popular magazines. Articles are analyzed by subject, length, and publication. The results affirm established theories of newsworthiness related to the coverage of specific stories over time. However, interest in the subject waned in the past 10 years, with the brief and dramatic exception of coverage connected to the Catholic Church in 2002. The findings demonstrate systematic differences between the slants of the four magazines studied. The findings also suggest that child abuse professionals could improve the quality of coverage by agreeing to interviews in connection with articles about childhood sexual abuse.     

Preservice Teachers’ Sources of Information on Mandatory Reporting of Child Sexual Abuse

Teachers in many countries are mandated by law, professional codes, or education authorities to report child abuse and neglect, including child sexual abuse. However, teachers may not receive adequate preparation for such sensitive interventions, as preservice teacher education degrees provide very few or no compulsory courses on child protection and crucially related, lifelong health and well-being issues. So, where do preservice teachers source their information regarding the mandatory reporting of such abuse? This research examines preservice teachers’ professional university education for their sources of information about mandatory reporting and child sexual abuse. A sample cohort of 56 final 4th-year university bachelor of education (primary school) student teachers in Australia identified the sources they used regarding 10 important aspects of child protection. The results suggest that most did not learn about mandatory reporting or child sexual abuse, and others cited sparse and sporadic public media as their primary information source. These findings, building on previous evidence about inadequate or nonexistent preservice mandatory intervention courses in primary teacher education, may guide the design of appropriate training responses enhancing educational professionals’ knowledge, competencies, skills, and efficacies as mandatory reporters of child sexual abuse.     

Older People’s Conceptualization of Abuse: A Systematic Review

The concept of elder abuse is a relatively recent one, and there is ongoing debate around its definition and interpretation. Policy in America, the United Kingdom, and Ireland has been criticized as being professionally driven and therefore paternalistic and disempowering. Little is known about older people’s understanding of the term “abuse” or the behaviors that they deem to be abusive. In this systematic review, eight databases were searched using agreed-upon criteria, and the results were assessed for relevance. Fifteen studies were included and are discussed under the themes of caregiving, domestic violence, society, abusive acts, and thresholds.     

The Use and “Abuse” of Family in Policy Matters

Family as an institution and as rhetoric appears to play an inordinate role in shaping social policy formation, implementation, and evaluation. Its impact affects the work of applied and academic sociologists in multiple ways. Given its importance and the manner in which it operates, I argue that family may be usefully studied as an ideograph. I present a detailed analysis of how family operates rhetorically to shape and constrain policy-related matters. I also illustrate how it affects and delimits consideration of some specific social concerns, and I conclude that social science practitioners should conscientiously take family into account as we do our own work.     

Parents’ Experiences of Reporting Child Sexual Abuse in Urban Tanzania

This article reports parental experiences of legally reporting child sexual abuse in Tanzania. Based on in-depth interviews, four types of sexual abuse incidents are portrayed. Each evokes different reactions from parents and the community. An incident characterized as the innocent child was associated with a determination to seek justice. The forced-sex youth elicited feelings of parental betrayal of their child. The consenting curious youth resulted in uncertainty of how to proceed, while the transactional-sex youth evoked a sense of parental powerlessness to control the child because of low economic status. Differentiating between types of sexual abuse incidents may increase awareness of the complexities of child sexual abuse reporting. Education on laws regulating sexual offenses and a functional national child protection system are needed to address child sexual abuse complexities and safeguard the rights of children in Tanzania.     

Irish Women’s Ongoing Experiences of Domestic Abuse in Cases of Separation and Divorce

The issue of postseparation abuse is a significant problem for women. This qualitative research examines Irish women’s experiences of domestic abuse in cases of separation and divorce. Findings show that methods of abuse change after separation and perpetrators can use institutions of the state to continue their abusive behavior in a new forum and can continue long after marital dissolution is finalized. Such behavior is legitimized by the state’s nonaction and enabled through women’s previous experiences of institutional processes associated with separation and divorce, which resulted in feelings fear and distress.     

“She Got Spoilt”: Perceptions of Victims of Child Sexual Abuse in Ghana

ABSTRACT

International research has commented on social stigma as a key reason for nondisclosure of child sexual abuse. However, the actual components of this social stigma frequently remain unexplored. The present study deals with perceptions of consequences of child sexual abuse among professionals and laypeople in Ghana (N = 44), employing a bystander perspective. As a qualitative study using a grounded theory framework, it considers these consequences in light of their underlying beliefs about child and adolescent development, particularly in relation to gender-based expectations placed on girls and boys. Consequences of child sexual abuse could be divided into sexual health consequences, beliefs about “destroyed innocence” and beliefs about a “destroyed future,” which were strongly related to the sexual nature of the violence perpetrated. These perceived consequences of child sexual abuse hold implications for what surviving child sexual abuse means on a social level. Implications for practice are discussed on the basis of the data analysis.     

Child Abuse: The smothering of an issue—A British perspective

Although firmly established as a major social issue, child abuse still tends to be studied from too narrow a perspective in Britain. It is contended that the existence of a dominant persective for studying welfare issues (the Social Administration approach) has played an important part in ensuring that child abuse be equated solely with the ill-treatment of children within the home. Despite the fact that the “societal” abuse of children has been well documented, there have been few attempts to extend the boundaries of the child abuse debate. An effective challenge to the social administration approach to welfare is deemed necessary if a broader picture of child abuse in British society is to emerge.     

Does Having Children Moderate the Effect of Child Sexual Abuse on Depression?

Nearly 1 in 5 girls and 1 in 20 boys under the age of 18 will be the victim of child sexual abuse. As adults, these individuals are more likely to report myriad mental illnesses including depression. Testing the hypothesis that having children would moderate the depressive effects of child sexual abuse, the authors used public-use data of the National Longitudinal Study of Adolescent Health Wave IV (n = 5,114; mean age = 29.00 years; SD = 1.78). Results indicate that having children significantly moderates the relationship between child sexual abuse and depression for females. Though the risk of depression is increased for all females with a child sexual abuse history, this increase is less dramatic for mothers. Two potential explanations of this effect are presented: biological and psychosocial. The possible implications for mental health professionals working with mothers with a child sexual abuse history include highlighting the role of their children as possible support.     

Factors Associated with Adolescents’ Disclosure of Sexual Abuse Experiences in Hong Kong

This research project is the first study conducted in Hong Kong using adolescent subjects to explore predictors of child sexual abuse disclosure. Eight-hundred male and female adolescents aged 13 to 16 years were recruited from the community while another 30 adolescents joined the study from a clinical setting. One hundred and seventy-seven adolescents acknowledged having a child sexual abuse experience. Results showed that the severity of sexual abuse activities and parent attachment were associated with disclosure in the clinical setting, while abuser’s gender and the adolescents’ disclosure tendency were associated with disclosure among participants in the community setting. Among the 104 participants who had disclosed their childhood sexual abuse, 70% of them had disclosed it within one month and 63% of them had disclosed to 2 to 5 people. The majority of the disclosers (81%) shared their child sexual abuse experience(s) with their friends. Participants from the clinical setting tended to reveal the experience more to adults than those from the community. The study suggested that when choosing a potential confidant, adolescents paid more attention to confidant characteristics than to anticipated confidant responses to their disclosure. Limitations and practical implications for increasing child sexual abuse disclosure rates are discussed.     

Is It Love or Sexual Abuse? Young Adults' Perceptions of Statutory Rape

Adults under age 25 comprise the majority of statutory rape perpetrators, yet we know little about their perceptions of statutory relationships. We assessed 210 (50% male) young adults’ perceptions of statutory rape involving a 15-year-old female adolescent and a male who was either 2, 4, or 6 years older. Across all age gaps, 73.7% of participants felt the relationship should not be a crime. Participants who read about a 4- or 6-year (versus 2-year) age gap perceived the relationship as significantly more of a crime and the older partner as more responsible and in need of legal intervention. Effects were partially mediated by perceptions of the relationship as exploitive. Results suggest a need to educate young adults about statutory rape.     

Social Service Professionals’ Perceptions of Nonoffending Caregivers in Child Sexual Abuse Cases

This study was designed to assess social service workers’ perceptions of nonoffending caregivers in cases of child sexual abuse. Attributions of blame were examined by administering questionnaires to staff at local social service agencies. It was hypothesized that social service workers who worked in the field longer, were male, or had less education would attribute more blame to the nonoffending caregivers. The findings revealed that respondent gender was the only significant predictor of blame attribution toward nonoffending caregivers, with level of education approaching significance as a predictor. There was no relationship between attribution of blame and years in job. The findings have important contributions for informing the practice of social service professionals who work with families of child sexual abuse.     

Should Elder Abuse Be Decriminalized?

The movement to provide protective services for the elderly has brought about elder abuse legislation that provides criminal sanctions for elder abuse and failure to report suspected cases. This paper addresses the current and potential problems of criminalization of a social service and regulatory issue. It includes a discussion of definition and criminal intent issues as they relate to the problem of elder abuse. The position taken by the author is that the criminalization of the elder abuse problem may hamper efforts of the adult protective services worker.     

Perceptions of Abusive Parenting Behaviors: A Preliminary Exploration Into the Underrecognition of Mother–Daughter Sexual Abuse

ABSTRACT

The current study examined the influence of the sex of the parent and the sex of the child on perceptions of sexually abusive behaviors. Vignettes illustrating different forms of sexual abuse were rated by 124 participants, with the different parent–child pairs (mother–daughter, mother–son, father–daughter, father–son) substituted into the vignettes being the only difference between groups. Two-way between subjects ANOVAs revealed that sexually abusive behaviors by mothers were perceived as less damaging to child victims (F (1, 120 = 7.56, p < .01) than the same sexually abusive behaviors committed by fathers. In addition, sexually abusive behaviors by mothers toward daughters were perceived as the least abusive (F (1, 120 = 16.30, p < .001) and the least criminal (F (1, 120 = 4.44, p < .05) as compared to the other three groups. Results suggest that perceptions of sexual abuse may be influenced by perceptions of sex and gender.     

Turkish School Counselors’ Experiences of Reporting Child Sexual Abuse: A Brief Report

This article reports results from a qualitative study conducted with a purposive sample of 25 Turkish school counselors who reported child sexual abuse. Participants were asked to identify resources they consulted, describe how they felt, and identify sources of support and barriers in the reporting process. The laws (68%) were the most consulted resource, while negative feelings (84%) were cited the most. The most cited sources of support were colleagues, lawyers, and school principals (20% each), while school principals also ranked first as barriers (44%), followed by incest victims’ families (32%). Participants predominantly desired safety and security of the reporter ensured (48%). Implications for a more functional child protection system and a reporter-friendly legal system in Turkey are discussed.     

Eliciting Accounts of Alleged Child Sexual Abuse: How Do Children Report Touch?

Investigative interviewers frequently question alleged victims of child sexual abuse about any touching or bodily contact that might have occurred. In the present study of forensic interviews with 192 alleged sexual abuse victims, between 4 and 13 years of age, we examined the frequency with which alleged victims reported bodily contact as “touch” and the types of prompts associated with “touch” reports. Even young alleged victims of sexual abuse reported bodily contact as “touch,” and they used the word “touch” more frequently in response to recall than recognition prompts. Regardless of age, children typically referred to “touch” before interviewers used this term, suggesting that even young children are able to report “touch” without being cued by interviewers.     

Husbands Should Be Punished For Spousal Abuse

A family violence case tried in the Fangcheng County Court in Henan Province on June 18,1997, created an uproar. Plaintiff Yu Xiumei married a young local man by the name of Hu Dongpo some two years ago. Prior to their