Bridging the gap: feminist theory and practice reality in work with the perpetrators of child sexual abuse

Child sexual abuse has been a focus of concern for feminist writers for over a decade, and social work and probation practitioners are spending an increasing amount of time undertaking intervention with men who sexually abuse children. This paper uses a review of feminist literature which identifies three contested areas in the feminist discussion: theory, power and the fixity of gender, and discusses whether these debates are reflected in any way in the interventions being undertaken with men who sexually abuse children. The conclusion reached is of a distance between theory which draws on a radical patriarchal analysis of child sexual abuse and the practice of those who attempt to work with the perpetrators of such abuse. Although some workers frame their intervention in terms of a patriarchal understanding of society and of the nature of power within this – to this extent following a radical feminist approach – there is a sense in which practitioners' use of feminist theory is only partial. Thus feminist theory is often presented as unitary and there is a sense in which practitioners who say they are espousing feminism are not in touch with the subtleties of feminist analysis revealed in the literature review. In addition, the logic of the radical feminist perspective is not followed through in practice as there is evidence of a sensitivity to difference which may be aligning practitioners with a post-modern/post-structural interpretation of men's sexual violence towards children.     

Double jeopardy: the link between child abuse and maternal depression in child and family social work

The link between child care and mental health problems in social work clients has begun to attract some attention. Despite some review articles, research is, as yet, at a very early stage of development. Maternal depression and child care problems in particular appear likely to be closely associated. This paper focuses on the link between maternal depression and the most severe of child care problems: child abuse. The paper shows a significant relationship between maternal depression and child abuse. It explores this relationship by distinguishing three groups: families where no abuse had occurred (non abuse families), families where abuse had occurred but where the mother was not depressed (non depressed-abuse group) and families where both child abuse and maternal depression were present (depressed-abuse group). The depressed-abuse group are shown to be considerably worse off than both the other groups for a range of measures, including indices of deprivation and range and severity of social problems. The depressed-abuse group were also more chronic users of services and consumed far more resources than the other two groups. Remarkably, there were few differences between the non abuse group and the non depressed abuse group in nature and severity of problems and intervention. Depression in mothers, then, provides the major distinction between families where abuse was an issue compared with families where abuse was not present. Such families are characterized not simply by maternal depression and child abuse, but frequently by abuse of the mother herself, who is often socially isolated. These findings are of major importance for child care practice, indicating that working with the mother's depression and the social conditions that provide its backdrop, are a major aspect of social work practice.     

Children's and carers' perspectives of a therapeutic intervention for children affected by sexual abuse

This paper presents the findings of a qualitative study with children affected by sexual abuse who had recently completed a therapeutic intervention (N = 12) and their carers (N = 17). Four themes emerged from the thematic analysis that influenced participants' satisfaction with the service: the attribution of the child's recovery to the therapeutic support received; the therapeutic relationship between the child and practitioner; children's recollection of important aspects of the intervention and the relationship between the carer and the child's practitioner. The findings indicate that the process elements of therapeutic support, including the development of strong relationships and allowing children choice and control, are as important as the content.     

Child protection social work and men's abuse of women: an Irish study

This paper reports the findings of an exploratory study of the response of social workers within a community care setting, in a large Dublin suburb, to cases involving men's abuse of women. This research aims to focus on what child protection workers do regarding this abuse, and what they say about what they do, thereby giving readers a sense of the action taking place in this social work team. The data, generated from both qualitative and quantitative methodological research, reflects this aim, as it taps into the working model of responses to men's abuse of women held by social workers, and identifies what influences that, thereby reflecting the realities and constraints of everyday work. At the time the research was carried out (2000), the results confirm that the prevalence of cases involving men's abuse of women on this team was in line with international findings. This research revealed an absence of a team policy, an agreed definition of intimate violence in this context and agency practice guidelines, and illuminated how these gaps act as a deterrent to effective intervention. This paper explores some of the ethical and practical dilemmas that may arise for child protection social workers intervening in cases where the abuse of women by men is present. Recommendations arising from this research identify a need for a clear policy and best practice guidelines for social work staff in relation to this abuse.     

Avoidance and confrontation: social work practice in relation to domestic violence and child abuse

Action on the relationship between domestic violence and child abuse has been slow to emerge in mainstream child protection agencies. This paper reports a qualitative study of child protection files. Particular attention was given to the issues for Asian families. Initially the numerous strategies which social workers and other professionals at child protection conferences used to avoid the issue of domestic violence are explored. However, there was also a small, but emerging, pattern of child abuse in the context of domestic violence being taken seriously. In each of these cases strong expectations were placed on women to separate from or remain separated from men who were violent. These expectations were backed by 'threats' or the actual accommodation of children often with little interagency support for women undertaking this difficult and dangerous task, or before women were ready to undertake this separation. Suggestions are made about aspects of the organizational context which need to change if good child protection is also to include appropriate protection and support for the child's mother.     

Evaluation of child sexual abuse - what should be evaluated?

An analysis of behavioural changes, mental symptoms and personal characteristics may contribute significantly to the evaluation of child sexual abuse. Examples from children of different ages are presented to illustrate how such information may be used in the evaluation process. Not rarely the psychological investigation of the abuse allegations is regarded as almost synonymous with an analysis of the child and what the child has communicated. In fact, there are many other important - but often neglected - sources of information than those related to the child as an individual. Different kinds of information concerning the suspects are presented as illustrations of this thesis. A hermeneutic approach is advocated for the evaluation. This means that the main issue is understanding the unique rather than knowledge of what is most common.     

User-centred responses to child sexual abuse: the way forward?

Two parallel surveys were carried out based in the north-east of England and Cumbria: one ascertaining statutory social work services provided for child and adult survivors of sexual abuse, the other drawing upon the perceptions of adult survivors of child sexual abuse about existing and desirable forms of provision for adults and children. The surveys indicate the need for greater genuine partnership between service users and statutory agencies in the field of child sexual abuse, similar to that which is being pioneered in the field of adult care and disability. A community-orientated response to sexual abuse, centred on service-users, is required if one of the largest social problems facing us today is to be effectively challenged.     

Asylum, children's rights and social work

Although it is only a minority of displaced and persecuted people globally who seek refuge in ‘Western’ countries, they meet an increasingly hostile reception. This paper focuses on the situation facing children seeking asylum with or without their families in Britain and Australia, and the implications for children's rights and for social work. The policy background and its racist foundations in both countries are outlined. Despite geopolitical differences, there are unnerving parallels. Legislative changes and policy complexity signal increasingly punitive attitudes towards asylum seekers. The situation of children and families in the community is discussed in terms of the exclusion of asylum seekers from basic rights, and specific issues for separated children. Even more damaging is the incarceration of children and families in detention centres, and the emerging research is explored. In both countries there is widespread flouting of children's rights, and children also feature as pawns in ideological contests. However, they also act autonomously and illustrate an inclusive model of citizenship. The role of social workers in the statutory and voluntary sectors is considered, and the paper concludes with a discussion of the challenges for social work of avoiding collusion with repressive policies and actively promoting human rights.     

Internal and external evaluation of social work

In the UK a number of factors are bringing the idea of evaluation of social work into a new prominence. This paper considers the different meanings which may be attached to the terms internal and external in the context of social work evaluation, and outlines the differences between scientific, developmental and managerial approaches. It is argued that while some suspicion of the purpose of current demands for evaluation may be justified, the calls for greater accountability have some justice and are unlikely to diminish. If the domination of bureaucratic and financial considerations over professional judgements is to be avoided, social workers must overcome their alleged anti-evaluative professional culture and consider how to systematically evaluate their own practice, both individually and collectively.     

Domestic violence and child abuse: developing social work practice

This paper takes as its starting point the report produced by the Social Services Inspectorate (1995), entitled Domestic Violence and Social Care , which seeks to alert social workers to the links between domestic violence and child abuse and urges the profession to respond more effectively to these two interconnected forms of violence. Having examined the research findings which provide evidence for these links, the theoretical and service delivery contexts in which these two forms of violence have been studied and conceptualized by the social work profession, both in the United Kingdom and in the United States, are identified. Studies of the social work response to domestic violence are discussed and some of the difficulties experienced by social workers in responding effectively to the needs of families where both forms of violence are experienced are considered. In particular, the issues of 'invisible' men and 'trapped' women and children are explored. It is argued that effective social work intervention which challenges these stereotypes will require additional resources and the article concludes with a consideration of whether the Messages from Research report might herald a shift in the approach to child protection that would promote the allocation of resources to this area of work.     

Professionals' attitudes about victims of child sexual abuse: implications for collaborative child protection teams

In responding to victims of child sexual abuse, considerable attention has been given to multidisciplinary collaborative response teams. Recent evidence, however, suggests that team members may be divided by differences in attitudes towards victims and offenders and about the causes and consequences of abuse. This paper draws on a larger study of the various professionals who make up one child abuse response system in Newfoundland, Canada. In particular, the paper focuses on social workers, teachers and the police, and their views about the characteristics and credibility of sexual abuse victims, and the extent to which they attribute to the victim some responsibility for the abuse. Data for the study were collected in two stages: key informant interviews; and a survey of social workers, teachers and police. The analysis includes an interpretation of the role of gender, professional group membership and experience with cases. The most striking finding is the extent to which the child's age and behaviour appears to influence differentially attitudes about the victims' credibility. These differences complicate multidisciplinary collaborative initiatives since it would appear that those with the least real case experience, and the least knowledge about the relationship between abuse and behaviour, are the ones most likely to be the first point of contact for reports or disclosures.     

Psychosocial and relationship-based theories for child and family social work: political philosophy, psychology and welfare practice

Psychosocial perspectives on children’s development are allied to theories that recognize the ‘self’ as essentially a social entity. The quality of relationships that children experience in their social environment have a profound effect on their socio-emotional development, personality formation and social competence. To this extent, psychosocial theories of children’s development and wellbeing can provide child and family social workers with a powerful framework within which to analyse, assess and practise. However, it is also recognized that the character of child welfare practices and policies are influenced by prevailing political climates. A simple dichotomy is described between political philosophies of the right and left; libertarianism and communitarianism; individual freedom and collective action. It is argued that the present swing to libertarian individualism has brought about major changes in the policy and practice of much child and family social work, including a preference for theories that emphasize people’s psychological independence, rationality and personal responsibility. In such a climate, child and family social work becomes more legalistic, orientated towards principles of justice rather than welfare, and towards rights and responsibilities rather than personal relationships and social competence. Psychosocial developmental theories, with their emphasis on the importance of social relationships and the emotional interconnectedness of people in community, fare less well under the rigours of psychological individualism and free-market economics. The paper concludes that if children’s psychosocial development and competence are a product of their social history, practices that psychologically ‘disembed’ people from their relationship environment are unable to consider children’s needs within a coherent, well-grounded theoretical framework. If child and family social work is premised on helping children develop social understanding and emotional wellbeing, theory and practice are best served by taking a psychosocial perspective.     

Parental experiences in cases of child sexual abuse: a qualitative study

This paper describes the themes which emerged from in-depth interviews with parents of a small number of Australian children who were believed to have been sexually abused. The parents' experiences in the wake of the abuse, including their involvement with three services - a hospital counselling service, the statutory child protection service, and the police - were explored in home interviews conducted 3 months following termination of the case by these services. The themes include: issues related to trust and authority in the casework relationship; expectations of counselling; contamination of normal sexuality in the family; the perception of the sexually abused child as'damaged'; and relationships within their family and social network. Some of the implications for practice are discussed.     

Defining the boundaries: social worker assessment of sexual abuse in a cultural context – multivariate analysis of personal and professional factors influencing social workers' labelling of intimacy behaviour

To explore personal and professional factors influencing social worker assessment of family intimacy behaviour in diverse cultural groups, a 27‐item questionnaire was mailed to a random, stratified sample of MSW‐level social workers. The instrument measured rank‐order responses to 10 questions about attitudes towards public exposure to sexual stimuli and rank‐order responses to questions about three vignettes depicting culturally informed family intimacy behaviour. The instrument also measured sample characteristics such as area of social work practice and per cent of caseload involving sexually abused as well as diverse clients. Completed questionnaires (n = 387) were analysed for association between respondents' definition of intimacy behaviour (dependent variable), attitude towards sexual stimuli, and intervening variables thought to explain variance in the dependent measure. Labelling theory provided a basis for hypotheses testing. When mean attitude scores were correlated with mean definition scores, Pearson's r returned a significant low, positive association between conservative attitudes towards exposure to sexual stimuli and definitions of cross‐cultural scenarios as sexual abuse. Holding attitude scores constant, regression modelling of the sample's definition of scenarios indicated that practice area, minority status, and per cent of caseload with sexual abuse clients were significant predictors of R² change in the dependent variable. Further analysis of data through regression tree modelling showed that a small group of conservative practitioners with ethnically diverse caseloads were more likely to label culturally influenced behaviours as deviant. Among conservative practitioners with less diverse caseloads, number of hours in sexuality training had a moderating influence on deviancy labelling. Tree modelling of the data also indicated that an ethnic minority subgroup within the sample accounted for the lowest ranking of scenarios as sexual abuse. Results support earlier work on social worker assessment of child maltreatment as a function of agency setting. Another implication for social work is the need for practitioners to understand their attitudes towards human sexuality in relation to assessment of diverse patterns of childhood sexual socialization.     

An ecological approach to social work with children and families

This paper examines research into the social ecology of parents and children, with particular reference to the effects of social support on family functioning and outcomes for children. The historical failure of social work in the UK to successfully apply the findings from this area of research to mainstream work with children and families is considered in the light of the prevailing child protection discourse. Challenges to this discourse are now beginning to emerge from developments in both research and practice. The implications of these developments for the construction of a new discourse, which recognizes the wider social and political factors that shape the family environment, are discussed. It is argued that there is sufficient research evidence available to demonstrate the potential of community social work strategies, which enhance the social support networks of families, to significantly reduce the incidence of child abuse. A number of successful action-research projects of this nature are considered.     

From Seebohm to Think Family: reflections on 40 years of policy change of statutory children's social work in England

This paper critically reflects upon the changes in the role, tasks and aspirations of local authority social work with children and families in England since the publication of the Seebohm Report in 1968. In particular, it analyses how far the current changes related to the Every Child Matters: Change for Children programme, The Children's Plan: Building Brighter Futures and the Think Family report will have the effect of either furthering or undermining the principles and ambitions set out in the Seebohm Report. It concludes by suggesting that while the aims of the current changes have much in common with those of the Seebohm Report, the roles and tasks of social workers have been recast. While social work can be seen as occupying a somewhat marginal role in the new arrangements and it functions on a much narrower terrain than that envisaged by Seebohm, at the same time its importance and contribution has been legitimated.     

Parenting conditions in the midst of suspicion of child sexual abuse (CSA)

This paper presents the findings of an exploratory study on parenting in the midst of suspicion of child sexual abuse (CSA). Data were drawn from in‐depth interviews with 19 parents. Five of these had been accused of CSA. Study methods followed guidelines of grounded theory approaches. Specific parenting conditions during CSA suspicion were identified. Six analytic categories were developed: uncertainty concerning abuse, dilemmas on protection, changes in parent–child relationships, changes in the natural support network, dependency upon professional competence and severe emotional strain. The results are suggested as a tool for identifying themes in order to support and strengthen parenting in ensuring the safety and well‐being of children in these kinds of situations. The current paper contributes to the field by exploring the perspectives of both suspected and non‐suspected parents.     

Children's narratives of sexual abuse

Children rarely disclose sexual abuse. Hence, studies of children's abuse experiences are relatively rare. This paper reports on a qualitative analysis of 2986 cases of self‐disclosure of sexual abuse from children, aged 5–18 years, who contacted ChildLine Scotland, a free, confidential telephone counselling service. Children discussed their feelings regarding the abuse, the impact of abuse on their health and well‐being, sources of support, disclosure, coping strategies, the context in which abuse occurs and the various ways in which they were groomed or their compliance in abuse was gained. Children's narratives contained detailed contextual information on their experiences of sexual abuse, perpetrators of sexual abuse and the circumstances in which sexual abuse occurs. The way in which children communicated about sexual abuse was found to differ quite considerably, and the terminology they employed was often markedly different from adult constructs. Nonetheless, children of all ages were able to describe their experiences and their feelings around the abuse in considerable detail. This study provides a rare insight into children's accounts of sexual abuse. The findings illustrate the profound impact that sexual abuse has on the lives of children and their understandings of the circumstances in which abuse occurs.     

Preventive therapy and resilience promotion: an evaluation of social work led skills development group work

Concerns have been expressed for some time about a decline in emphasis on therapeutic work in social work, notably articulated in the Munro Review. Further concerns have been expressed in child care that social workers have increasingly had to focus on child protection work rather than earlier stages of prevention. However, there remain opportunities for social workers through the development of new programmes. One development has been that of Behaviour and Education Support Teams: multi‐professional teams, containing as a key element social workers, and encouraging novel practices designed to help emotional stability and improved behaviour and education performance. This study reports on an evaluation of a social worker delivered school‐based social skills programme, which can contribute to the important area of resilience. This showed significant and sustained improvements in pro‐social behaviour and friendships. The implications of this for the therapeutic potential and professional role of social work are discussed.