Elder Sexual Abuse in Britian:

Ninety cases of suspected elder sexual abuse were identified by professionals working with vulnerable elderly people in Britain. A female to male victim ratio of 6:1 was indicated and some 85% of all victims were aged 75 years and over. In all but two cases, the abuser was male. Almost 90% of the victims were dependent on their abusers for care. Preliminary findings of the study are presented and the implications of the research are considered.     

Abuse of the Child Sexual Abuse Accommodation Syndrome

No abstract available for this article.     

Women Survivors of Sexual Abuse:

This article discusses issues that employees bring to the workplace and to the EAP counselor when childhood incest is the refering problem. It examines three broadly related areas of potential difficulty that EAP counselors, employers and coworkers can anticipate from a coworker who is an incest survivor: power, control and connection. The impact of these dynamics on the workplace and the EAP counselor is explored. Treatment goals and interventions emphasize five key areas of intervention: ( I ) therapeutic relationship; (2) rituals; (3) flexible boundaries; (4) recognizing family and workplace patterns; and (5) creating workable realities for the survivor.     

From Adolescence to Young Adulthood: the partnership challenge for learning disability services in England

The transition from adolescence to young adulthood is acknowledged to be difficult for all young people, but the problems facing those with a learning disability will tend to be greater. This article identifies these additional difficulties, and considers the extent to which new policy requirements and expectations in England can address them. At the heart of this new approach is the need for partnership working between a complex range of agencies and professionals. What is at stake is not only a better system of support for some vulnerable young people, but also—in microcosm—the viability of partnership working as a policy tool for addressing complex issues.     

Sexual Abuse in Malawi: Patterns of Disclosure

Potential human immunodeficiency virus transmission makes prompt disclosure of child sexual abuse in Africa critical. The pattern of disclosure of 133 children presenting to the largest hospital in Malawi were analyzed. Eighty percent presented early enough for effective use of HIV postexposure prophylaxis. Seventy-five percent of children made a disclosure of child sexual abuse; 29% spontaneously and 47% after prompting. Disclosures were most commonly made to a parent, and age did not affect the pattern of disclosure. The number of children reporting child sexual abuse is increasing, possibly because of increasing awareness, availability of services, and fear of HIV. Although prompt disclosure rates were relatively high, facilitating easier disclosure of child sexual abuse by a free telephone help-line and better training of teachers may be helpful.     

Professionalization of Police in Child Sexual Abuse:

No abstract available for this article.     

Child Sexual Abuse and Psychological Impairment in Victims: Results of an Online Study Initiated by Victims

Sexual abuse of children has been a topic of scientific investigation for the past few decades. Research in this area, however, is rarely initiated, conceptualized, and conducted by victims themselves. Apart from possibly having painted a one-sided picture of sexual abuse, this presumed dominance of nonvictims might also have marginalized victims in a research area central to their lives. This study was conducted by a victims interest group as an effort to meet the need to add victims' perspectives to our current understanding of this topic. The online survey focused on investigating victims' psychosocial impairment, which was found to be extensive. Results indicated that an intact social support system facilitates better health, especially when offered early on.     

The production of disability research in human geography: an introspective examination

The ‘geographies of disability’ is an important and evolving area of scholarship within human geography. Uniting the disparate areas of inquiry in this sub‐discipline are researchers’ shared interests in understanding processes of disablement and socio‐spatial experiences of disability. What drives human geographers to engage with this scholarship? We address this and other introspective questions through presenting an analysis of the findings of an online survey conducted with 30 such disability researchers. The overriding purpose is to understand how and why these researchers do what they do. Our presentation of the survey findings is divided into four organizational categories: (1) the researcher; (2) the inquiry; (3) the research outputs; and (4) the institutions. A key finding is that conducting disability research in human geography is very much about negotiating around or through constraints while identifying and enacting enablers in order to accomplish goals associated with producing disability research.     

Disclosures of Sexual Abuse by Puerto Rican Children

Psychotherapists who have experience working with Puerto Ricans on issues of child sexual abuse, and Puerto Rican women who were abused sexually as children were interviewed in this exploratory study about disclosure. Certain cultural norms and factors related to Puerto Ricans' status as an oppressed minority in the United States were identified as making the disclosure of sexual abuse especially difficult for Puerto Rican children.     

Making and missing connections: learning disability services and the transition from adolescence to adulthood

The transition from adolescence to young adulthood for people with a learning disability is complex and has not generally been handled well in the UK. The response from Government agencies has been to introduce law, regulation, guidance and good practice guides, but these appear to have only limited effect. Drawing upon evidence from a national study, this article examines explanations for the limited progress in this area. It identifies inter-organisational divisions as a crucial factor, and is critical of the 'top-down' approach that has characterised policy responses. It is suggested that a person-centred approach based upon Elmore's concept of 'backward mapping' provides both a tool for understanding and a model for improved implementation.     

Response to the Abuse of the Child Sexual Abuse Accommodation Syndrome

No abstract available for this article.     

Health Professionals' Responses to Disclosure of Child Sexual Abuse History: Female Child Sexual Abuse Survivors' Experiences

This study reports on a postal questionnaire, conducted in 2004, with female survivors of historic child sexual abuse. The questionnaire explored their experiences of health professionals' responsiveness to disclosure of child sexual abuse history. Of 61 participants, aged between 22 and 65, 69% had disclosed to health professionals. Those who had not disclosed reported that they would have liked to but were not asked about child sexual abuse. Thirty-five percent of participants suggested routine questioning about child sexual abuse. Most participants related a fear of common medical examination procedures to their experience of child sexual abuse, and 64% said this stopped them from attending regular health checks. The current study suggests the development of guidelines for dealing with possible child sexual abuse survivors would be useful for health professionals.     

Evaluation of an Innovative Tool for Child Sexual Abuse Education

Child sexual abuse poses a serious threat to public health and is often unreported, unrecognized, and untreated. Prevention, early recognition, and treatment are critically important to reduce long-term effects. Little data are available on effective methods of preventing child sexual abuse. The current research demonstrates a unique approach to promoting awareness and stimulating discussion about child sexual abuse. Qualitative methods have rarely been used to study child sexual abuse prevention. Qualitative inductive analyses of interviews from 20 key informants identified both positive and negative assessments with six emergent themes. The themes revealed inherent tensions in using narrative accounts to represent the complex cultural context within which child sexual abuse occurs. More research is needed, but the program shows potential as a methodology to raise awareness of child sexual abuse.     

Sexual Abuse Images in Cyberspace: Expanding the Ecology of the Child

Cyberspace has added a new dimension to the ecology of children made the subjects of sexual abuse images distributed online. These images cannot be permanently removed and can continue to circulate in cyberspace forever. A review of the current literature suggests that helping professionals are not consistently aware of or do not probe possibilities of online sexual victimization in the investigation, assessment, and treatment of child sexual abuse. Nor is this issue adequately addressed in their education and training. There are gaps in the literature regarding how to identify and provide treatment for these children. New assessment and treatment targets are needed to enhance existing practice approaches. A contemporary ecological model that incorporates an explicit consideration of the cybersystem is provided as a starting point for practitioners to be aware of the possibility that images of child sexual abuse were recorded and distributed online.     

Child Sexual Abuse: Community Concerns in Urban Tanzania

The aim of this study was to explore community perceptions about child sexual abuse in Tanzania. Thirteen focus group discussions were conducted with adult community members. The core category, children's rights challenged by lack of agency, was supported by eight categories. Aware but distressed portrayed feelings of hopelessness, lack of trust in the healthcare and legal systems reflected perceived malpractice, decreased respect for children's rights referred to poor parental care and substance abuse, myths justifying CSA illustrated cultural beliefs to rationalize child sexual abuse, disclosure threatened by fear of stigma and discriminationaligned the manifestations that prevent disclosure, actions driven by economic circumstances described the economical dependence of victims, urging a change in procedures reflected informants' wish to ally with local governance and pressure groups, and willingness to act indicated the community's role in supporting victims. The study showed how lack of agency calls for efforts to increase children's human rights at all levels.     

Child Sexual Abuse,Sexual Anxiety,and Sexual Satisfaction: The Role of Self-Capacities

Research indicates that child sexual abuse produces lasting alterations in interpersonal relatedness, identity, and affect regulation, often referred to as self-capacity disturbance. Child sexual abuse also has been shown to negatively impact sexual functioning. This study examined the role of altered self-capacities in mediating the relationship between child sexual abuse and sexual responses. Path analysis revealed that child sexual abuse was related to sexual anxiety and decreased sexual satisfaction through its association with reduced self-awareness and a propensity to be involved in difficult interpersonal relationships.     

Compassion-Focused Therapy as an Intervention for Adult Survivors of Sexual Abuse

Child sexual abuse can have long-term negative impacts across psychological, physical, and interpersonal domains. Some of the common issues for survivors of sexual abuse include shame and self-blame, attachment-based difficulties, avoidant coping strategies, and reduced capacity for self-compassion. Compassion-focused therapy is a transdiagnostic intervention that specifically responds to these concerns. Compassion-focused therapy was originally developed for clients who experience high levels of shame and self-criticism and aims to strengthen the soothing and affiliative system through the cultivation of compassion. This article will highlight the theoretical alignment between some of the common issues and impacts associated with experiences of sexual abuse, with the core underlying principles of compassion-focused therapy. This includes (a) the capacity of the therapy’s evolutionary framework to reduce perceptions of self-blame, (b) the cultivation of compassion to respond to feelings of shame, (c) acknowledgment of the role of early attachment experiences and facilitation of corrective affiliative experiences, (d) regulation of the threat-based system following trauma, and (e) provision of an alternative to avoidant-based coping by responding to distress with compassion. It is proposed that the theoretical framework and core focus and aims of compassion-focused therapy are highly applicable for survivors of sexual abuse and therefore holds significant promise as a treatment option for this client group.     

Prevalence of Childhood Sexual Abuse in China: A Meta-Analysis

The objective of the current study was to explore the estimated prevalence of childhood sexual abuse in China. We conducted a meta-analysis that used the data from 36 articles. A total of 125 independent samples and 131,734 participants were included. The results revealed no significant difference in the prevalence of childhood sexual abuse between Chinese men (9.1%) and women (8.9%). The prevalence of childhood sexual abuse in studies from mainland areas was significantly higher than that from Hong Kong/Taiwan. The estimated prevalence of childhood sexual abuse in China also differed according to the definition of child sexual abuse, data collection method, year of data collection, and the mean age of participants at the time of assessment.     

Child Sexual Abuse and the Media: A Literature Review

The media play an important role in practice, policy, and public perception of child sexual abuse, in part by the way in which news stories are framed. Child sexual abuse media coverage over the past 50 years can be divided into five time periods based on the types of stories that garnered news coverage and the ways in which public policy was changed. This systematic literature review of research on child sexual abuse media coverage across disciplines and geographic boundaries examines 16 studies published in the English language from 1995 to 2012. A seminal work is identified, citation network analysis is applied, and a framework model is developed.