Pediatric HIV and Sexual Abuse

No abstract available for this article.     

Pornography and the Organization of Intrafamilial and Extrafamilial Child Sexual Abuse: Developing a Conceptual Model

This paper uses a case study (the experience of having been sexually abused as a child) and a review of the relevant literature as the basis for developing a conceptual model of the relationship between intrafamilial and extrafamilial child sexual abuse and child sexual exploitation, and the role of adult and child pornography in it. The paper illustrates some of the characteristics and effects of pornography and child sexual abuse including: gender; intra- and intergenerational patterns of victimization; coercion and compliance; the sexualization of the child; pornography and prostitution; and the function of incest as a form of pimping for the perpetrator and as grooming for extrafamilial abuse. It also illustrates the way in which pornography is a part of all forms of intrafamilial and extrafamilial abuse and is itself a form of organized abuse. © 1997 John Wiley & Sons, Ltd.     

Childhood Sexual Abuse and Psychobiology

No abstract available for this article.     

Prevention of Child Sexual Abuse: Analysis and Discussion of the Field

Prevention of child sexual abuse is complicated, challenging, and highly necessary as sexual abuse of children and youth represents an extensive problem across the world. This article reviews the existing preventive interventions targeting children, parents, and professionals. An alternative way of organizing the child sexual abuse prevention research literature is offered and applied with emphasis on three areas: (a) child sexual abuse prevention interventions, (b) meta-analyses of child sexual abuse prevention interventions, and (c) general theoretical models about prevention and the child. Based on an analysis of these areas, it was found that there was a lack of connection between theoretical models and concrete preventive interventions. An overview of current challenges and future possibilities in this area is provided.     

Child Abuse and Neglect inChina: What the Papers Say

In order to gain an insight into attitudes towards child abuse in China, a review of a number of newspapers for a period of 3 months was carried out. There was a dearth of relevant stories in national papers, but more in the local type of newspaper read by the majority of Chinese. Overall there were few reports relating to child abuse, especially in the intrafamilial setting. Of particular note is the number of reports of neglect of children following divorce. Violence towards students by teachers also features prominently. But by far the most reported issue is the damaging effect on children resulting from pressures for good academic performance in a highly competitive society.     

Predictors of Attrition from an Expressive Writing Intervention for Sexual Abuse Survivors

This study examined predictors of attrition from a clinical trial examining the effects of an expressive writing intervention for sexual problems among female survivors of child sexual abuse. Participants were 124 women all reporting sexual difficulties, who were randomized to a trauma-focused condition (n?=?45), an experimental sexual schema-focused condition (n?=?37), or a control condition (n?=?42). Thirty-five women (28%) dropped out before completing posttreatment assessments. Younger age, less education, and increased use of positive coping strategies were each independently associated with dropout. Results have implications for both researchers and clinicians working with this population, and it is hoped that these data can help bolster retention of those who are more likely to discontinue treatment.     

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.     

Voices of Healing and Recovery from Childhood Sexual Abuse

Child sexual abuse continues to occur for a significant number of children, often having deleterious consequences for survivors’ physical and mental health. Research has thoroughly explored various consequences as a result of child sexual abuse, but scholars and practitioners know less about the healing processes from survivors’ viewpoints. Using a constructivist grounded theory design, this study examined perceptions of healing in 10 female survivors of child sexual abuse. Results conclude with a theoretical model of healing, capturing the significance of supportive relationships, internal characteristics, turning points, and sources of active healing. Important sources of active healing include therapy, informal and formal education, compassion and empathy, blame attribution to abusers, and confronting abusers. Limitations and implications for research and practice are discussed.     

Childhood Sexual Abuse and Brain Development: A Discussion of Associated Structural Changes and Negative Psychological Outcomes

The effects of traumatic exposure have been researched for many years and studies have shown that the parts of the brain affected by sexually traumatic experiences in childhood are also linked to many physical and psychological problems, such as depression, posttraumatic stress disorder, somatic complaints and suicide. Neuroimaging studies have provided a breadth of evidence that childhood sexual abuse is related to structural changes in the brain. Taken together, childhood sexual abuse affects brain development, leading to differences in brain anatomy and functioning that have lifelong consequences for mental health. Several limitations of neuroimaging research on childhood sexual abuse are discussed, including a lack of refined and sensitive neuroimaging measures and problems interpreting results of structural imaged subjects with associated psychiatric conditions. Future, large‐scale studies are warranted to examine the type and severity of the sexual abuse and how each of the levels of childhood sexual abuse contributes to structural and functional changes. Furthermore, future studies are needed to control for comorbid psychiatric conditions in order to disentangle the effects of childhood sexual abuse from psychiatric conditions that damage brain development. © 2018 John Wiley & Sons, Ltd.

‘Childhood sexual abuse affects brain development, leading to differences in brain anatomy and functioning that have lifelong consequences for mental health’

Key Practitioner Messages

• Childhood sexual abuse is linked to observable structural changes in the brain.
• These structural changes in the brain are associated with a myriad number of negative psychological effects.
• Research is limited in elucidating the role of childhood sexual abuse on brain development, as the bulk of the research has focused only broadly on child maltreatment.

     

Child Abuse Prevention: The Community as Co-Worker

Much of the literature on community organization describes the efforts of a worker to enable a community to coalesce arouund an external enemy in order to resolve systemic service delivery problems. Based on the mid-point of a federally-funded child abuse prevention project, this article describes the roles of worker and community as colleagues in an effort to enhance the community's capacity to shape its own values and behaviors to reduce child abuse and neglect. This article poses a challenge to the social work education community to be more responsive to the potential of becoming a co-worker with the community, and to enhance the social worker's skills in defining strenghts rather than weakness of communities.     

Balancing Acts: Reconceptualizing Support in Maternal Response to Intra-familial Child Sexual Abuse

This article reports the findings of a grounded theory study aimed at identifying factors contributing to maternal response, and aspects of more and less supportive responses, to children who were sexually abused by the mother's intimate partner. The discovery-oriented nature of the research revealed dimensions of maternal support that have not been clearly articulated in previous investigation. Maternal reaction, response, and support are terms that have frequently been used interchangeably. A general lack of clarity in defining support specifically in relation to maternal response has resulted in inconsistent conceptual application in research and has implications for assessment and treatment. Based on qualitative analysis of ten mothers' interview data a more comprehensive picture of support emerged. Dimensions of belief, and affective and behavioral support are expanded upon, and the notion of initial and enduring response are introduced as considerations for practice with mothers of sexually abused children. An expanded framework is offered as a tool for assessing the complexities of maternal support and changes over time therefore assisting social work clinicians in identifying specific targets for intervention.     

Korean American Pastors' Perceptions and Attitudes Toward Child Abuse

Abstract

More than 80 percent of Korean immigrants in the United States attend church on a regular basis. Churches, as informal community organizations, can play a very significant role in protecting children from abuse. This study examines Korean American clerics' knowledge of child abuse, their definition of child abuse, and their familiarity with mandatory child-abuse reporting laws. The study also examines how culture, demographic variables, and individual theological orientation affect their attitudes toward child abuse, mandated child abuse reporting by clergy, and preference of intervention strategies. Major findings include that more than 50 percent of respondents have seen child abuse and neglect among their church members, but the majority who have witnessed child abuse prefer to provide pastoral counseling to the family instead of reporting the case to a child protective agency.     

Attributions of Responsibility in a Child Sexual Abuse (CSA) Vignette Among Respondents with CSA Histories: The Role of Abuse Similarity to a Hypothetical Victim

Previous research suggests that similarity to a victim may influence attributions of responsibility in hypothetical child sexual abuse scenarios. One aspect of similarity receiving mixed support in the literature is respondent child sexual abuse history. Using a sample of 1,345 college women, the present study examined child sexual abuse history, similarity to victim, and attributions of responsibility to a hypothetical victim, family member, and perpetrator in a child sexual abuse vignette. Results revealed no group differences in responsibility ratings among respondents with and without child sexual abuse histories. However, among the 133 respondents with child sexual abuse histories, results indicated that similarity to victim moderated the relationship between vignette characteristics, respondent history, and responsibility attributions. Results suggest that similarity to a victim may influence ratings in a self-preserving manner.     

The Construct of Grooming in Child Sexual Abuse: Conceptual and Measurement Issues

There have been claims that some child molesters engage in a “seduction stage” prior to committing abuse. These behaviors, commonly known as “grooming,” are understood as methods child molesters use to gain access to and prepare future victims to be compliant with abuse. However, there is a lack of consensus regarding exactly what this process entails and how it is clearly distinguished from normal adult–child interactions. It is important to devise an accurate definition of grooming for scientific, clinical, and forensic purposes. We critically evaluate the various definitions and reveal problematic heterogeneity. Furthermore, there are no methods of known psychometrics to validly assess grooming. We review the empirical literature regarding the occurrence of grooming and propose future directions for research.     

Abuse and disabled children: hidden needs…?

In order to look at current practices in recording the abuse of disabled children, a questionnaire was sent out to the 121 Chairs of the Area Child Protection Committees in the United Kingdom. Of the 73 responders, over 50% claimed to identify the disability of an abused child but only 10% could given an actual figure. The lack of statistical evidence made it impossible to calculate anything except an approximation of the rate of abuse of disabled children. Schedules completed over a period of 1 year in two Social Services Departments for all disabled children who were conferenced for abuse showed that they were less likely to be put on the child protection register than a comparison group of non‐disabled children. Semi‐structured interviews with eight of the key workers for the disabled children revealed that they were concerned that there was a tendency ‘not to see’ the abuse of disabled children and they did not feel there was sufficient training regarding the interface between abuse and disabilities. Taking into account the responses to the study, a number of national and local recommendations were made. Copyright © 2002 John Wiley & Sons, Ltd.     

Reporting Child Sexual Abuse within Religious Settings: Challenges and Future Directions

The sexual abuse of children within religious settings is an issue that has gained increased popular and professional attention over the past two decades. Various reports have highlighted the scale of such abuse, along with shortcomings in reporting practices. In this article, we outline some contemporary research that sought to understand the psychology that underpins variable reporting practices. In line with this research, we set out two conceptual frameworks that have some potential to help to explain such practices: system justification theory and moral foundations theory. Further, we describe how these frameworks could be adopted in research moving forward in order to make sense of the ways in which members of religious groups respond to allegations of child sexual abuse within their institutions. We close the article by arguing that by gaining a deeper understanding of the psychology underlying reporting practices, it may be possible to communicate more effectively about child sexual abuse within religious institutions, and therefore encourage more widespread reporting of allegations before more children are harmed.

‘We outline some contemporary research that sought to understand the psychology that underpins variable reporting practices’

Key Practitioner Messages

• Those most likely to observe or suspect child abuse in religious settings are themselves likely to participate in such settings.
• The challenge for these ‘onlookers’ is to overcome the psychological dynamics that push against the recognition and reporting of child abuse in religious settings.
• These dynamics can be understood via established psychological theories and frameworks.
• Practitioners concerned with improving reporting practice in these contexts can draw on this work to inform training and intervention strategies.