Prior Agency Contact and Physical Abuse in Cases of Child Homicide

Correspondence to Ania Wilczynski: Faculty of Law, University of Sydney, 173–175 Phillip St, Sydney, NSW 2000, Australia Summary This article describes the features of child homicide offenders'previous contact with professional agencies and the incidenceof prior physical violence towards their victims. This is basedon an examination of 48 cases notified to the Director of PublicProsecutions in 1984 in which children had been killed by parentsor parent-substitutes in England and Wales. Professional agencieshad been involved with two-thirds of the offenders. Women'scontacts were usually with medical agencies, and men's withsocial agencies. Of those cases with prior agency contact, whilstalmost two-thirds involved a history of violence towards thechild, in only a third of the cases had the reason for agencycontact explicitly included concern about physical abuse. Infact, the most frequent reason for agency contact was concernabout the offender's mental health. Agencies had taken actionin two-thirds of the cases seen by them; this tended to be psychiatrictreatment for women and child protection measures for men. Aquarter of the offenders seen by professionals had been hostileto this intervention. The above findings run counter to thepopular stereotype (fostered by the child death inquiries) thatchild-killers will have had extensive contact with social agenciesand explicitly concerning physical abuse. Professionals needto be aware of more ‘subtle’ warning signals inidentifying potentially filicidal parents.     

Unasked Questions or Unheard Answers? Policy Development in Child Sexual Abuse

Correspondence to Julie Browne, 5 Belsize Crescent, London NW3 5QY Summary Despite an increase in both publicity on child sexual abuseand initiatives from government and voluntary agencies, it isby no means obvious that the position of the majority of sexuallyabused children has been significantly improved. Most sexuallyabused children still do not disclose the fact that they arebeing abused and it has been argued that new ways of approachingthe problem of child sexual abuse are needed. A study was madeof the policy development work being carried Out by the children'scharities and by survivors' organizations in this area. Individualsurvivors were also questioned as to the type of help they neededwhen children to enable them to end or escape the abuse. Itemerged that, in the main, the charities espouse pathologized/legalisticsolutions to the problem of child sexual abuse. In contrast,survivors' organizations tended to adopt a view of the problemwhich challenges societal attitudes, male sexual socialization,and the labelling of victims as passive and damaged. This articleattempts to find explanations for why these different approacheshave been taken and examines the implications for policy developmentin this area. It concludes that social workers and the children'scharities could benefit considerably from greater collaborationwith both survivors and survivors' organizations.     

The Cognitive Interview--A Useful Tool for Social Workers?

Correspondence to Helen L. Westcott, Public Policy Department, NSPCC, 67 Saffron Hill, London EC1N 8RS. Summary Interviewing techniques embodied in the Cognitive Interview(CI) are introduced with a view to assessing their potentialfor interviews conducted with child abuse victims. The techniquesare summarized and literature pertaining to their developmentpresented. Two studies examining use of the CI with child witnessesare discussed, before the general applicability of the CI forsocial work interviews with abused children is assessed. Itis concluded that the CI does offer possibilities, but thatfurther research into the CI which is more specifically designedwithin the social work context is-needed.     

Videotaped Evidence of Children: Application and Implications of the Memorandum of Good Practice

Correspondence to Penelope Welbourne, Senior Lecturer, Department of Social Policy and Social Work, University of Plymouth, Devon PL4 8AA, UK. E-mail: p.welbourne{at}plymouth.ac.uk Summary A sample of videotapes carried out in accordance with the ‘Memorandumof Good Practice’ in one Child Protection Unit was evaluatedto ascertain any factors associated with disclosure of abuseduring the interview. The sample of children selected for interviewwas compared with the group of all children referred to theUnit during the study period. It was found that such interviewsare used primarily for victims of suspected sexual abuse. Onlyvideotaped interviews of children who had made a prior disclosureof abuse contained disclosures on video. It is argued that useof the Memorandum as an investigative technique in child protectionand criminal justice is problematic because of the inflexibilityof the Memorandum procedures. It is proposed that they be reviewedin light of information now available about the impact of theirapplication.     

The Association between Child Abuse and Attempted Suicide

Summary A recent survey by the authors has demonstrated that attemptedsuicide is common in parents, particularly mothers, who abusetheir children. However, the nature of the association betweenchild abuse and attempted suicide is complicated. Here somepossible types of association are suggested. In management ofchild abuse, special note should be taken of a history of attemptedsuicide in the parents because, in some cases, it suggests apoor prognosis. Similarly, young children of parents who attemptsuicide should be assessed in case they are at risk of abuse.     

Legal Liability and Accountability for Child-care Decisions

Correspondence to Tom Guthrie, School of Law, University of Glasgow, Stair Building, University of Glasgow, Glasgow G12 8QQ, UK. Summary Although decisions taken by social workers in cases of suspectedchild abuse and in looking after children in their care maybe the subject of public enquiries and press comment, they willnot in general incur any legal liability to compensate childrenwho claim to have suffered as a result of these decisions. Thisarticle examines the reasons why such liability is excludedby the courts, as well as looking briefly at other mechanismsfor challenging social workers'decisions. It is argued thatthe grounds for excluding liability are speculative and thatintroducing liability to this area might encourage good practice.     

The Manifest and Latent Lessons of Child Abuse Inquiries

Correspondence to University of Glasgow, Department of Social Administration and Social Work, Lilybank House, Bute Gardens, Glasgow G12 8RT. Summary This article examines some of the key implications of publicchild abuse inquiries for social work services and practice.It recognizes the positive value of certain of their findingsand recommendations. However, equally important are the unintendedconsequences and latent social functions of inquiries. Thesehave meant that the general public has been able to distanceitself from responsibility for protecting children. Attentionhas been diverted from wider social processes, including adult-childand male-female power relationships. At the same time, the dominantrole of child protection procedures in the statutory sectorhas inhibited the development of preventive practice strategies.     

Child Sexual Abuse and the Male Monopoly: An Empirical Exploration of Gender and a Sexual Interest in Children

Correspondence to Mike Freel, Child Protection and Review Unit, Kirklees Children and Families Services, Westfields, Westfields Road, Mirfield, WF14 9PW, UK. E-mail: mike.freel{at}kirkleesmc.gov.uk Summary Researchers argue there is a male monopoly in the perpetrationof child sexual abuse, and that a male sexual interest in childrenis relatively common in society. Government and organizationsworking with children have done little to address possible implicationsof such research. This study explores gender differences inan expressed sexual interest in children, a history of childhoodsexual abuse, and the relationship between these two factors.A self-administer questionnaire was given to a sample of 92female and 91 male public sector child care workers. Resultsshowed a significantly higher percentage of males (15 per cent)than females (4 per cent) expressed a sexual interest in children.Females (20 per cent) were more than twice as likely as males(8 per cent) to report childhood sexual abuse. More than twiceas many men who had been sexually abused as a child (29 percent) expressed a sexual interest in children compared withnon-abused men (14 per cent), but this did not reach statisticalsignificance. In summary, this study found that a sexual interestin children is relatively common among male public sector childcare workers. Prevalence findings for childhood sexual abuseare broadly in line with other research. Experiencing childhoodsexual abuse was not related to a sexual interest in children,but this finding is based on small numbers reporting such aninterest.     

Children and young people with a hidden disability: an examination of the social work role

Summary There has been little research attention paid to the natureand extent of social work intervention with children and youngpeople with invisible impairments. The recent study describedhere found that children and young people with a hidden andstigmatizing impairment received a social work service whichwas at a minimal level. The children and young people were affectedby physically induced incontinence, and described how they facedan environment which created particular tensions. Their parentsconcurred with this overall picture and reported unmet needs.Recommendations are made about social services input, but itis recognized that the level of social services interventionavailable to these families may, in part, be a reflection ofa low priority assigned to disabled children generally. It isargued that, although such an assignment is a common picturein recent research about social services provision to disabledchildren, a change in priorities is needed which recognizesthe importance of coherent support to disabled children as ameans of improving their environment and thereby reducing families'stress levels and the likelihood of abuse or rejection.     

Problems in the Perinatal Prediction of Child Abuse

Summary The aim of this paper is to consider and comment criticallyupon the recommendation by some eminent authorities that effortsbe made to design and implement procedures to predict the abuseof children. My view is that this move toward prediction—‘sponsored’largely by American paediatricians—is less of a new departurethan an extension of the dominant conceptual tradition wherebychild abuse is seen as analogous to a disease. However, in spiteof its basis in a medical model, it is clear that the idea thatthe abuse of children can be accurately predicted has greatappeal for many social workers. I shall argue, however, thatserious obstacles stand in the way of prediction; that theseobstacles are insufficiently appreciated by the advocates ofprediction; and that—consequently—social workers(and others) should temper with scepticism their enthusiasmfor these developments.     

Young Men Living Through and with Child Sexual Abuse: A Practitioner Research Study

to andrewdurham{at}warwickshire.gov.uk Summary This paper uses a post-structural framework to examine the experienceand impact of child sexual abuse on the lives of seven youngmen aged between 15 and 24. The study highlights the importanceof survivors' perspectives and of allowing children and youngpeople to speak for themselves and theorize their own experiences.The study's sensitive methodology allowed the young men to besupported throughout the research and feel able to impart hiddenfeelings and anxieties which they had held on to for significantperiods of time. The research showed how the perpetrators tookextensive measures in targeting and gaining access to and silencingthe boys they sexually abused. Through purposefully constructedrelationships, the boys were made to feel responsible and guiltyabout being abused and therefore found it extremely difficultto tell. A social context of patriarchal relations, with genderconstructions characterized by compulsory heterosexism and homophobiasignificantly exacerbated the experiences of the young men.This context was shown to create circumstances and ‘normal’power relationships that allowed the abuse to happen, creatingmany opportunities for the abusers to justify their actionsand further silence their victims.     

The Cumbrian Reparation Scheme

Correspondence to David Smith, Lecturer in Social Work, Department of Social Administration, University of Lancaster, Fylde College, Bailrigg, Lancaster LA1 4YF Summary This paper discusses an experimental ‘reparation’scheme run by the probation service in Cumbria. A general contextis provided by an analysis of some varieties of mediation andreparation, and the scheme is then placed within its local organizationalcontext, which meant that it drew its work from juvenile liaisonpanels established by the police. The paper argues that thepanels suffered from the lack of a clear commitment to diversionfrom prosecution on the part of the police, and that the reparationscheme was used as part of the probation service's effort toincrease the use of cautions. The practice of reparation andthe experiences victims and offenders had of it are then reviewed.Offenders generally viewed the scheme more positively than victims,but some victims were glad of the opportunity to be involvedin something which might be helpful to young offenders. In conclusion,it is argued that despite the contradictions which were evidentin the practice of reparation in this setting, there may stillbe scope for innovative work by social work agencies in relationto victims of crime.     

Sexual Abuse by Men who Work with Children: An Exploratory Study

Correspondence to Dr Matthew Colton, Department of Social Policy and Applied Social Studies, University of Wales Swansea, Singleton Park, Swansea SA2 8PP, UK. Summary This paper reports findings from an exploratory study on sexualabuse by men who work with children. As a first step towardsfilling a major gap in the relevant research literature, in-depthinterviews were carried out with a small sample of men servingprison sentences for sexually abusing children in their trust.The paper focuses on their accounts of their life histories,including their experiences of prison treatment programmes,and provides a detailed picture of their thinking, feelingsand motivations. In revealing how the men construct their ownsense of masculine identity within social and professional contextsthat are dominated by a heterosexual, white male hegemony, thepaper challenges purely psychological explanations of why mensexually abuse. It concludes that sexual abuse in organizationalsettings is less likely to be challenged if masculinity is notfocused on as an issue of power.     

Victimization, Care and Justice: Reflections on the Experiences of Victims/Survivors Involved in Large-scale Historical Investigations of Child Sexual Abuse in Residential Institutions

Correspondence to Professor Matthew Colton, Centre for Applied Social Studies, School for Social Science and International Development, University of Wales Swansea, Science Tower, Singleton Park, Swansea SA2 8PP, UK. Summary Large-scale investigations into historical child abuse in residentialinstitutions have been undertaken throughout the United Kingdom.This paper reflects on the experiences of those who give evidencein such investigations, drawing on interviews carried out withtwenty-four victims/survivors. Emerging themes include: thefactors which motivate victims/survivors to make disclosures;the impact on individuals of involvement in an investigation;the nature and effectiveness of help and support offered tovictims/survivors; the level of priority given to the needsof victims/survivors; and issues concerned with power and gender.The concluding discussion highlights vital issues for socialworkers and social services departments.     

The Quality of Parenting of Individuals Who had Failed to Thrive as Children

Correspondence to Professor Dorota Iwaniec or Dr Helga Sneddon, Institute of Child Care Research, The Queen's University of Belfast, 5a Lennoxvale, Belfast BT9 5BY, UK. E-mail: d.iwaniec{at}qub.ac.uk, h.sneddon{at}qub.ac.uk Summary Parenting behaviour is determined by a range of factors includingpersonality, psychopathology, values, social support, childcharacteristics and socio-cultural influences. It has also beensuggested that an individual's style of child-rearing is influencedby the style of parenting that they experienced as children.The relationships between children who fail-to-thrive and theirparents are often characterized by interactional difficulties.Previous research using retrospective accounts suggested thatmothers of children who fail-to-thrive for non-organic reasonsthemselves showed high levels of abuse, neglect, and deprivationduring their childhoods. However, to date no one has investigatedprospectively what kinds of parents failure-to-thrive individualsbecome. This paper examines the parenting experiences of individualswho had received psychosocial intervention for their non-organicfailure-to-thrive as children over 20 years ago. Results suggestthat where initial intervention failed to bring about long-termchanges in family interactional patterns, there was a greaterincidence of failure-to-thrive in the next generation. Thesefamilies were characterized by dissatisfaction with the child,high levels of stress associated with the parenting role, andlow levels of social support. However, where the family environmentin the original study had changed substantially, the formerclients' outcomes were more positive with their own children.These parents tended to find interaction with their childrenmore rewarding, had good support networks and low levels ofstress. The characteristics of particular cases are discussedin detail to illustrate differences between these two groupsof individuals.     

Pictures and silences: memories of sexual abuse of disabled people

The article de–individualises the debate about sexual abuse of disabled people, especially women, by showing that both the sexual and asexual identity of impaired persons are invariably fashioned within the institutional arrangement of domination and subjugation. It shows that if disabled persons are seen as asexual or if they are sexualised, they cannot escape sexual violence, which is not an aberration, but is intrinsic to the social construction of disability. The article includes personal testimonies of women with different disabilities from Slovenia, who were abused either at home or in public care and shows some responses of the professionals and caregivers who minimise the importance of abuse. It claims that ignoring the memories of sexual abuse is part of a subtle and unintentional discrimination, which reflects a continuity of prejudices and hatred toward disabled children and adults in the private realm as well as in public care. People from ethnic minorities, such as Roma, are still today more often diagnosed as mentally disabled, which shows that the disability diagnosis has to be seen as part of cultural responses towards an economically and socially marginalised group. The author uses different perspectives: historical, social work theories, cultural studies and feminist analysis.     

A National Survey of the Investigation of Child Sexual Abuse

Correspondence to Department of Sociology, University of Surrey, Guildford, Surrey GU2 5XH, UK Summary The article reports a national survey of social services andpolice arrangements for investigating child sexual abuse (CSA).It is now officially accepted as good practice for police andsocial workers to jointly investigate such allegations. To evaluateinvestigative practice, the survey aimed to (i) document existingarrangements for police/social services investigation and managementof CSA cases; (ii) identify the main organizational models informingsuch work, and (iii) explore the perceptions of police and socialservices managers of the key policy and practice issues posedby such work. The criteria for judging the benefits of jointwork were: reduction in the number of occasions children wereinterviewed, clarification of the role of professionals involved,increased coordination of service delivery, and establishmentof group support for difficult decisions. While there were signsthat some benefit was being achieved, there were also indicationsof the endurance of problems long associated with multiagencywork.     

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.     

Competing Orientations in Child Abuse Management

Summary This case study illustrates some of the problems which occurwhen different professionals are involved in the managementof child abuse cases.     

The Field Social Work Implications of Residential Child Care

Summary The workloads of field social work staff vary markedly, andlittle is known about the ‘burdens’ imposed by differentgroups of clients or cases. The research study reported hereset out to examine the extent to which field social work involvementin residential child care varied between individual childrenand to attempt to explain that variation in terms of the characteristicsof children, the characteristics and workloads of staff andtheir teams, the packages of services received by children andtheir families, and some general features of the residentialplacements. Field social worker involvement was measured interms of the number of contacts between ‘caseholders’and ‘case’ and the total amount of time spent onthe case over a three month period. The observed variationsin these two indicators were found to be significantly associatedwith the characteristics of cases and other factors. Indeed,these characteristics explained almost two-thirds of the variance.The empirical results have a number of policy implications whichare discussed under six heads: supply constraints, caseloadweighting, fieldwork organization, coordination and monitoring,out-county placements and travelling time, and comparative costings.