Services Planned in Abusive Elder Care Situations

This study contrasted 96 physically abusive caregivers of elderly persons with 266 non-caregiver abusers and examined service plans for the two groups of victims and abusers. While elderly persons victimized by caregivers were offered home health care, case management, and adult day care at higher rates than victims of non-caregivers, less than 20% of the victims of caregivers were offered any of these services and 5% or less were offered outreach, counseling, and crisis intervention. Persons abused by caregivers were at particular risk of nursing home placement. Although 25% of the caregiving abusers and 34% of the non-caregiver abusers were reportedly alcoholic, only 3% in each group were referred for alcohol or drug treatment.     

Victims’ Retrospective Explanations of Sibling Sexual Violence

ABSTRACT

While sibling sexual abuse may be the most common form of sexual violence within the family, relatively few studies have been conducted on this topic. The current study addresses this gap in the literature through analyses of thematic categories in narratives gathered from an online survey of sibling sexual violence. Survivors were asked to report why they believed their siblings had become sexually abusive toward them. Participants believed that their abusers had learned to be abusive due to their own victimization or exposure to pornography, were abusive to establish dominance over them, or had some undisclosed mental illness. While the study does not claim to test these explanations or include abusers’ own narratives, it offers insight as to how sibling sexual violence survivors make sense of their experiences and assign blame to abusers and their families. It also offers insights into future inquiries about sibling sexual abuse.     

Differences between sexually victimized and nonsexually victimized male adolescent sexual abusers: developmental antecedents and behavioral comparisons

This study compares sexually victimized and nonsexually victimized male adolescent sexual abusers on a number of variables. Self-report measures were administered to 325 male sexually abusive youth (average age 16) in six residential facilities in the Midwest, 55% of whom reported sexual victimization. The results indicate that the sexually victimized sexual abusers have more severe developmental antecedents (trauma, family characteristics, early exposure to pornography and personality) and recent behavioral difficulties (characteristics of sexual aggression, sexual arousal, use of pornography, and nonsexual criminal behavior) than the nonsexually victimized group. Results are contrasted with recent typological research, which found no relationship between sexual victimization and subtype membership. Treatment, research, and theoretical implications are discussed.     

Differences between Sexually Victimized and Nonsexually Victimized Male Adolescent Sexual Abusers: Developmental Antecedents and Behavioral Comparisons

This study compares sexually victimized and nonsexually victimized male adolescent sexual abusers on a number of variables. Self-report measures were administered to 325 male sexually abusive youth (average age 16) in six residential facilities in the Midwest, 55% of whom reported sexual victimization. The results indicate that the sexually victimized sexual abusers have more severe developmental antecedents (trauma, family characteristics, early exposure to pornography and personality) and recent behavioral difficulties (characteristics of sexual aggression, sexual arousal, use of pornography, and nonsexual criminal behavior) than the nonsexually victimized group. Results are contrasted with recent typological research, which found no relationship between sexual victimization and subtype membership. Treatment, research, and theoretical implications are discussed.     

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.     

Individual treatment of intimate partner violence perpetrators

This article outlines a rationale for investigating the individual (one-on-one) treatment format and individualized (case-tailored) services for partner abuse perpetrators. Many state standards caution against or prohibit individual services in abuser intervention. However, initial research indicates that motivational interviewing, conducted individually, can increase abusive clients' engagement in the change process. Challenges of using the group format in treatment development are discussed along with potential benefits of individual treatment for this population. Notably, individual treatment can be adapted to the client's stage of change, can address a range of presenting concerns (such as substance abuse and mood disorders) that may influence outcome, and can be used to focus clinical attention on case-specific change targets while avoiding potentially negative and antisocial peer influences in the group format. Nevertheless, individual treatment has been almost entirely ignored to date in clinical research with this population.     

Part II: differences between sexually victimized and nonsexually victimized male adolescent sexual abusers and delinquent youth: further group comparisons of developmental antecedents and behavioral challenges

In a recent paper published in the Journal of Child Sexual Abuse, we assessed the differences between sexually victimized and nonsexually victimized male adolescent sexual abusers ( Burton, Duty, & Leibowitz, 2011 ). We found that the sexually victimized group had more severe developmental antecedents (e.g., trauma and early exposure to pornography) and behavioral difficulties (sexual aggression, arousal, pornography use, and nonsexual offenses). The present study compares sexually victimized and nonsexually victimized adolescent sexual abusers with a group of nonsexually victimized delinquent youth. Findings included that delinquent youth had fewer behavioral and developmental problems than the comparison groups. In addition, sexually victimized sexual abusers had the highest mean scores on trauma and personality measures. Implications for research and treatment are offered.     

Male Adolescents: Sexual Victimization and Subsequent Sexual Abuse

Veneziano, Veneziano and LeGrand (2000) found support for the victim to victimizer hypothesis of sexual aggression with 74 sexually abusive youth. This project, a further step in examining this theory (Burton, 2000, Burton, Miller, & Shill, 2002) builds on their ideas with data from 179 adolescent sexual abusers, and supports their findings. In an examination of relationships, gender, modus operandi, and acts, the sexually abused youth were likely to repeat what was done to them. This project also offers a further analysis of how victimization accounts for a significant portion of the variance in perpetration by these youth. Implications for research and practice are offered.     

Whose job is poverty? the problems of therapeutic intervention with children who are sexually violent

Children who commit sexually violent acts have been identified in increasing numbers since the 1980s. Professionals who practise therapeutic intervention with this group have struggled to find explanations for their client's deviant behaviour. Current explanations for, and discourses on, the occurrence of sexual violence minimize the effect of poverty in the therapeutic arena. The most difficult and worrisome child clients for participants of this research are the poor ones, yet the practice of counselling is unable to address structural disadvantage. This leads to a poverty culture explanation for sexual violence and child abuse which recognizes poverty yet pathologizes the individual. The identification of a new problem—children's sexual violence—the individualized case‐based approach to intervention and current social policy minimize the continuing and persistent problem of poverty. Copyright © 2006 John Wiley & Sons, Ltd.     

Integrating cognitive-behavioral and expressive therapy interventions:applying the trauma outcome process in treating children with sexually abusive behavior problems

This article presents intervention strategies based on the Trauma Outcome Process, an integrated treatment model for guiding clinical practice with children with sexually abusive behavior problems. The steps for completing a comprehensive assessment are reviewed, and strategies are presented to help clinicians create a therapeutic alliance and increase these children's self-awareness of their thoughts, feelings, and body sensations. Treatment techniques based on an integrated approach combining cognitive-behavioral and expressive therapy approaches are described. These exercises help children accept responsibility for sexually inappropriate behavior and select adaptive responses for coping with the effects of traumatic experiences.     

Assessing the Traumatic Impact of Child Sexual Abuse

A sample of 531 self-identitied adult and adolescent survivors of sexual abuse were sent or given a 686 item Post-Traumatic Stress Questionnaire. Each respondent described between 1-3 different sexually abusive experiences with different perpetrators, in detail, for a total of 1140 experiences. A series of statistical analyses examined the correlations and relationships between aspects of the abuse (including perceived severe impact, duration, frequency, type of abuse, use of force, age of onset) and scores on a variety of standardized instruments. Results of these analyses of the Impact of Events Scale, the Trauma Symptom Checklist-33, and the MMPI-PTSD scale revealed that the cognitive variable of perceived severity of impact accounted for the most variance in scores on the instruments. Other variables which influenced higher scores were greater number of abusers, greater intrusiveness of abuse with force, and greater intrusiveness of abuse without force.     

An Evaluation of Group Intervention Programs for Violent and Abusive Men

Using the Abusive Behaviour Inventory and Rosenberg's Self Esteem Questionnaire, we assessed the efficacy of six group intervention programs for abusive and violent men. We predicted that both physical and psychological abuse levels would be significantly lower and that self-esteem would increase significantly post-treatment. The six group programs, involving forty-five male participants overall, were conducted over ten to fourteen weeks in the Melbourne metropolitan area. Sixteen non-abusive male subjects were used as a comparison group. Results indicated that the programs were more effective than no treatment in significantly reducing psychological (but not physical) abuse and had no effect on self-esteem. No post-program differences were found between the comparison and treatment groups. We concluded that the programs had positive effects on the participants, particularly in the reduced levels of psychological abuse, and that self-esteem was not a meaningful factor in level of abusive behaviour. The relatively low mean preprogram score on the physical abuse sub-scale for the program groups may explain the lack of significant differences between the physical abuse pre-program and post-program scores.     

Child Abuse: A Cognitive Behavioral Intervention Model

The frequency of child abuse, together with its generational pattern of reocurrence, has created a need for additional models for child abuse treatment. Presented herein is a six-step child abuse intervention model based upon cognitive-behavioral change strategies. Allowing immediate alleviation of abuse when only one adult family member is in contact with the assisting agency, the proposed model provides for the restructuring of parenting style to increase the probabilities of permanent change.
This model is currently being utilized by one of the authors to assist self-referred abusive patients in a group setting.     

Cognitive distortions about sex and sexual offending: a comparison of sex offending girls, delinquent girls, and girls from the community

Cognitive distortions about sexual offending were examined in 11 girls who committed sexual offenses, 12 girls who committed non-sexual criminal offenses, and 21 girls with no history of sexual of non-sexual offending. Participants responded to 12 vignettes that described sexual contact between an adolescent girl and a younger boy. The vignettes varied with respect to the sexual contact portrayed and the victim's response. Girls who had sexually offended were more likely to endorse statements reflecting the belief that the offender in a sexually aggressive vignette was not responsible for initiating the sexual contact. In addition, when the victim's response to the sexual contact was clearly negative, and the degree of contact was more serious, girls who had sexually offended demonstrated more distorted beliefs about the victim than the other two groups. Similarities and differences between the current findings and studies of distorted thinking in male sexual offenders are discussed.     

Most Successful Intervention Strategies for Abused Older Adults

ABSTRACT

In this Project CARE study, intervention plans for 83 cases, with a total of 473 strategies, are analyzed in a qualitative content analysis method. The 473 strategies are designed and implemented by an abuse-trained, multidisciplinary, health and social service agency, home care team. Each strategy is rated by the team for its acceptance/refusal by clients and levels of success. The most accepted and successful strategies for abused older adults are concrete: nursing and other medical care and homemaking assistance, followed by empowerment strategies, such as support groups for abused older adults, information about rights and resources and volunteer buddy/advocates. Less successful strategies for abused persons are referrals to general community activities and programs. For caregiver abusers, the most successful and accepted interventions involve individual supportive counselling to reduce anxiety, stress and depression and education and training. Abuser-oriented strategies are most accepted and successful in the study. Thus, it would seem pertinent for intervenors to focus services and strategies on abusers and not only on abused older adults, in particular offering them supportive individual counselling to reduce anxiety, stress, and depression. For abused care receivers, home-based services can offer the necessary support to move out of their abuse situation with the help of volunteers and support group activities.     

Feelings of Adult Survivors of Child Abuse Toward Their Offender-Parents

This study investigated the relationships among explanations given by adult survivors of child abuse for their offender's abusive behavior, the survivor's personal coping resource (potency), and his/her feelings toward the offender in adulthood. A sample of 51 adult survivors of child abuse, former patients at the Matar and Human Family centers and the rehabilitation center for substance abusers in Israel, were administered questionnaires consisting of four parts: family-history questionnaire, explanation of abusive behavior scale, potency scale, and feelings toward offender-parent scale. Results indicated that potency contributed to lowering the degree of negative feelings toward the offender-parent, while attribution of the abusive behavior to the offender's personality and frequency of the abuse exacerbated the negative feelings.     

Repairing the nest: A psychodynamic developmental approach to clients with severe behavior disorders

In this article, the authors explicate concepts from psychodynamic developmental theory that can foster affirmative assessment and intervention with clients who have developmental disabilities and present severe behavior disorders. A case example illustrates how making bonding the primary goal of intervention appears to facilitate positive behavior change in these clients while reducing feelings of helplessness and discouragement in their caregivers.     

Innovative Moments in Career Construction Counseling: Proposal for an Integrative Model

This article advances understanding of career construction counseling (CCC) by viewing it through the lens of the innovative moments model (IMM) of how clients construct change. The IMM conceives clients’ narrative transformations as resulting from counselors prompting and clients reflecting on exceptions to a problematic self‐narrative (i.e., innovative moments; IMs) that emerges in counseling dialogues. On the basis of intensive IMM analysis of CCC case studies, the authors propose an integration of the 2 models that describes the sequence of client change in IMs across the 3 phases of CCC. This proposal provides both conceptual and assessment tools that make it possible to describe and analyze the process of client change through life‐designing dialogues. The authors illustrate the integrated framework with vignettes from case studies and conclude by suggesting research to examine the validity and usefulness of the client change sequence and interventions for using this pattern of change to foster client transformation.