Developing a Sensitive Practitioner Research Methodology for Studying the Impact of Child Sexual Abuse

Correspondence to Andrew Durham, Warwickshire Social Services Department, The Grange, Coventry Road, Southam CV47 1QB, UK. E-mail: andrewdurham{at}warwickshire.gov.uk Summary This paper outlines the methodology of a research study whichused unstructured life-story interviewing to explore the impactof child sexual abuse on the lives of seven young men aged between15 and 24 (see Durham, 1999). In approaching this research,a theoretical relationship was established between ethnography(particularly a life-story approach), feminist praxis, anti-oppressiveresearch and social work practitioner research. Researchingexperiences of child sexual abuse is stressful for all concerned,and requires a methodology which establishes a safe environment,which facilitates an expression and discussion of painful andfearful feelings and experiences, and provides appropriate on-goingsupport. In setting up this environment and providing support,before, during and after the data collection phase, the valueand importance of social work practitioner research was established.The potential influence of this on the nature of data collectedwas acknowledged, both as a potential cost, in terms of objectivity,but also as a benefit, in creating a climate for the productionof sensitive knowledge. It is concluded that a life-story practitionerresearch approach, incorporating the principles of anti-oppressiveresearch practice, is an appropriate methodology for the studyof the experience and impact of child sexual abuse, producingknowledge of substantial depth.     

No-one else could understand': Women's Experiences of a Support Group run by and for Mothers of Sexually Abused Children

Summary Previous studies have shown that when a woman finds out aboutthe sexual abuse of her children the consequences for her areserious and can represent a major life crisis. Women in thisposition frequently report a lack of professional understandingand support. The current study explores the experiences of women attendinga busy peer support group at the NSPCC in York. It demonstratesthe vital role that peer support can play. It traces a varietyof factors which mean that family, friends and social workersare not well placed to help. At the heart of these difficultiesare the powerful feelings of guilt and failure in their roleas mothers which the women experienced as a result of the sexualabuse of their children. For these women it was impossible toshare with social workers their doubts about their own abilitiesas mothers, particularly in a context in which those workerswere making judgements about their ‘ability to protect’.On the other hand the support group provided a safe and non-judgementalforum in which these powerful emotions could be expressed anddealt with. The study explores the role that social workerscan play in relation to such groups.     

Child Sexual Abuse Allegations in the Context of Divorce: Issues for Mothers

Correspondence to Catherine Humphreys, Department of Applied Social Studies, University of Warwick, Coventry, CV4 7AL Summary The investigation and assessment of allegations of child sexualabuse constitute a difficult and contentious area for practitionersinvolved in this process. When these allegations emerge in thecontext of divorce, the problems of assessment appear to becompounded. This paper argues that when mothers raise concernsabout child sexual abuse during divorce proceedings these areoften construed as vindictive or misguided. Such constructionsof mothers have significant implications for the protection,or lack of protection of children in these circumstances. Theway in which this ‘knowledge’ about mothers hasdeveloped is explored and held up against the results of empiricalstudies which show that there is little basis for this constructionof mothers. Possible explanations for this incongruity are suggestedwith a view to progressing child protection in this area. As the court cases go on I can see the hopelessness of the wholething. It's getting stronger in me to want to take the law intomy own hands. I wouldn't say it's revenge, it's not ... I meana mother protects its young. You wouldn't see a lioness lettingsomething attack its young. (A mother expressing her desperation that the Family Court ofAustralia has ordered her to send her child on visits to herex-husband who she believes sexually abused their child.)     

Women Whose Children have been Sexually Abused: Reflections on a Debate

Catherine Humphreys, Department of Applied Social Studies, University of Warwick, Coventry CV4 7AL, UK. Summary Women whose children have been sexually abused have been thesubject of a polarized debate between feminist practitioners/writersand family therapists. This paper explores the development ofthat debate, outlining the key characteristics of work whichwas informed by family systems perspectives and the contrastingunderstandings which feminist perspectives brought to analysisand practice. Both feminist perspectives and family therapyhave changed since the original debate erupted. This articleexplores issues which may have been obscured within feministperspectives. These are, first, the difficulties in the mother-childrelationship and, second, the contribution which aspects offamily therapy can make to progressing the interests of womenand children in the aftermath of child sexual abuse.     

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.     

The Social Worker as 'Bad Object'

Correspondence to Dr Marguerite Valentine, 56 Osbaldeston Road, London N16 7DR Summary A ‘bad object’ has been defined as an ‘objectwhom the subject hates or fears, who is experienced as malevolent.A bad object may be either an internal or an external object’(Rycroft, 1988, p. 100). This paper explores the circumstancesin which public fears and anxieties over child abuse becomeprojected into the social worker. It discusses how social workersintroject these feelings, become a ‘bad object’,and how social services departments have developed a numberof strategies which defend against feelings of blame and responsibility.The exploration is derived from my own experiences and observations,and applies Kleinian psychoanalytic theory to studies of institutionaldefences.     

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.     

Narrating Love and Abuse in Intimate Relationships

via email: heather.fraser{at}rmit.edu.au Summary In this article, I use discourse analysis to explore the relationshipbetween love and abuse. I argue that Anglo-American social workhas been reticent to theorize love; and that when it does, theborders separating love from abuse are usually assumed to berelatively stable and readily apparent. After nominating someof the reasons for and repercussions of dichotomizing love andabuse, I suggest that knowledge about intimate abuse will expandif more attention is given to the study of love. I promote theuse of feminist discourses because they provide valuable insightsabout the operations of power in love relationships. Drawingideas from both structural feminism and post-structural feminism,I encourage social workers to move their analytical attentionback and forth between the micro-politics of intimate relationshipsto the wider cultural contexts within which they are staged.I conclude with the assertion that social workers will be betterplaced to understand the dilemmas that many ‘ordinary’women confront in their everyday lives, if they critically analysethe intersections of love and abuse.     

Current Issues in Child Protection: An Overview of the Debates in Contemporary Journals

Correspondence to Celia Doyle, School of Behavioural Studies, Nene College, Northampton NN2 7AL Summary This article provides an overview of the current debate andconcerns in child protection work as reflected in current, mainlyBritish, academic and professional journals. Some of the concernswhich have been expressed during the past twenty years are stillpart of contemporary discourse. These include the divide betweenphysical punishment and abuse, child fatalities, assessment,procedures, intervention and prevention. Some more recent themeshave also emerged, in particular ritual abuse, the links betweendomestic violence and child maltreatment, children as witnessesand the plight of children with disabilities and young corers.Perhaps the most prominent feature is the overwhelming pre-eminenceof articles about child sexual abuse. Physical neglect remainson the sidelines while emotional abuse, as the main or soleform, merits barely a mention.     

Understanding Adolescent Female Prostitution: A Literature Review

Correspondence to Dr Jill Jesson. Aston Business School, Aston Triangle, Birmingham B47 7ET. Summary Sexual behaviour and sexuality are currently topical issuesof concern for child care social workers. Social workers arespending more and of more of their time with children who comeinto care because of sexual abuse, or who have an involvementin the ‘rent’ scene or Prostitution. In additionmany teenage young women come into care because of social orparental concern over their lsquo;promiscuous’ behaviour.The review of research on adolescent prostitution offers severalexplanations for involvement in prostitution. which vary accordingto the discipline of the author. Explanations vary from pathologicaland personal psychology factors to the wider social aspectsof the family and local environment. This literature reviewwas used as a basis for research which examined the incidenceof female prostitution for a social services department. Thisis a relatively new field of interest and consequently thereis very little British research published on the issue of adolescentprostitution, or on under age (16) prostitution. There is nopublished research on girls in care and prostitution. We needto know much more about the reality of young people's livesbefore social workers can offer a meaningful response.     

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.     

Sexual Abuse as a Moral Event

Correspondence to Kate Stewart, 8 Sellbourne Villas, St Marys Road, Bradford BD9 4NN Summary This article suggests that the moral dimension of sexual abusehas remained implicit rather than explicit. As such, it hasreceived little examination and thought with the result thatthe blunt instrument of common sense morality is applied withoutanalysis. The article examines the way in which this commonsense morality is differentially applied to the event of sexualabuse and the events of the professional system's reactionsto sexual abuse. It proposes a form of moral mapping which willhelp children and professionals disentangle and analyse themoral dimensions of sexual abuse and other events in children'slives.     

Bibliotherapy in Social Work

Summary Bibliotherapy literally means the therapeutic use of literature.Many people will have experienced the power of literature orother art forms to offer new insight, to provide sources ofidentification, to stir the emotions, and to release feelings.In line with its current usage bibliotherapy can be broadlydefined as a technique whereby the worker seeks to utilise theseinteractive processes therapeutically so that those experiencingthe literature or other form of media can be helped towardspreventative, remedial and/or developmental goals. The literaturecan be either imaginative or didactic. It is the contentionof this article that Bibliotherapy is a useful additional toolfor social workers that can be used at the individual and grouplevel with both children and adults. Illustrations are takenfrom the ‘Wednesday Group’ which was set up by theauthor for elderly depressed patients using a bibliotherapeuticapproach, as well as from the wider literature on Bibliotherapy.     

Which Children are Registered at Case Conferences?

Correspondence to Terry Fisher, Department of Social Policy and Social Work, University of York, Heslington, York YO1 5DD. Summary A postal questionnaire to social workers was used to describethe characteristics of situations where children were the subjectsof child protection case conferences, to identify factors distinguishingthose registered from those not registered and to describe theaccounts given by social workers of the reasons for registration.The paper reports and analyses this information and raises somebasic issues about the relative importance in registration decisionsof evidence of physical or sexual abuse, characteristics ofthe adults involved, and a child's feelings and emotional state.     

BREAKING THE LAST TABOO: CHILD SEXUAL ABUSE BY FEMALE PERPETRATORS

In the past two decades the truth about the sexual violation of children has been spoken over and over. Finally, the magnitude of this problem is being recognised. Volumes have been written about the prevention of and intervention in child sexual abuse, and services (although inadequate) have been established. Sexual abuse by women until recently, has been treated as a taboo subject. The knowledge that the overwhelming proportion of child sexual abuse is perpetrated by males left the issue of female perpetrators unexamined. Having only recently made progress in a hard-fought battle to place gender and male power at the centre of an analysis of sexual abuse, practitioners and theoreticians are understandably reluctant to focus any attention on female abusers. However, it is now becoming clear that a significant minority of victims are abused by women and it is essential that no child should be silenced by ideology which denies the reality of abuse by females. This article examines the controversies surrounding the issue of female sexual abuse and the struggles which we have in confronting this abuse. An explanation of sexual abuse by women within feminist understanding is proposed. Current evidence on the prevalence of female sexual abuse and characteristics of perpetrators is outlined. Practice implications for practitioners working with child victims or adult survivors are explored.     

Assessing Child Protection Risk

Correspondence to Lorraine Waterhouse, Lecturer, Edinburgh Centre for Social Welfare Research, 23 Buccleuch Place, Edinburgh EH8 9LN. Summary The article outlines a set of child protection criteria usedby social workers for the evaluation of risk in sexual abusecases. The criteria were distilled from research findings basedon a sample of 51 child sexual abuse cases drawn from ChildProtection Registers in Scotland in 1987/89. Criteria dividebetween two types: primary (child care) criteria which concentrateon assessing circumstances prevailing within the family home;and secondary (disclosure) criteria which serve to either substantiateor refute disclosure. Primary criteria include attitude of non-abusingparent to alleged perpetrator; access between referred childand alleged perpetrator; type of abuse; age of child or youngperson; attitude of alleged perpetrator to allegations; andparental attitude to social work investigation. Secondary criteriainclude belief or disbelief of child; psychological symptomsin child; physical signs of abuse; children's attitudes towardsremaining at home; and criminal or psychiatric history includingalcohol or drug abuse. In practice the criteria tend to be usedlike a set of building blocks: tall towers represent higherrisk; low towers lesser risk. Given the enormous stakes involvedin child protection decisions, front-line practitioners wereunder considerable pressure to ‘play it safe’.     

Masking Hegemonic Masculinity: Reconstructing the Paedophile as the Dangerous Stranger

Summary This paper reviews the social constructions of the paedophileas these are embodied in clinical and journalistic discourses.It considers how these discourses have influenced communityperceptions of risk and professional responses to the concernsthey portray. It then locates these professional constructionswithin a context of hegemonic masculinity and unsafe families.It concludes that community safety is not adequately addressedby professional assessments of risk that focus primarily onthe problems posed by known paedophiles. It is important toconsider the problem of sexual violence in a much wider contextthat problematises the context in which sexual abuse occurs.     

Moving beyond Litigation and Positivism: Another Approach to Accusations of Sexual Abuse

Correspondence to Professor Lena Dominelli, Department of Social Work Studies, University of Southampton, Highfield, Southampton SO17 IBJ. Summary The Current polarized debated about false memory and reclaimedmemory with regard to child sexual abuse have trivialized thesignificance of experimental knowledge and contributed to thesilencing of the voice of the victim-survivor. They have alsoenabled the alleged abuser to avoid confronting those elementsof his behaviour which are problematic for others and discouragedpreventative approaches by locking the protagonists into adversarialpositions. We argue that this need not be the case if therapeuticrelationships can operate outside of court driven proceedingsand be aimed at responding to the needs of the victim-survivorto have their experience of abuse validated and of the allegedabuser to work on non-abusive ways of relating to others.     

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.     

What has Gender got to do with it ? Exploring Physically Abusive Behaviour Towards Children

Correspondence to Brid Featherstone, Lecturer in Social Work, Department of Applied Social Studies, University of Bradford, Bradford BD7 1DP Summary This article explores the lack of impact that feminism has hadon analyses of physical abuse. It links this to the kinds offeminist theory which have been used to explore family violencegenerally. These have been based on fixed notions of men, womenand children. It argues for perspectives which are characterizedby an appreciation that gendered positions are neither fixednor inevitable, but, rather, subject to constant struggle andredefinition. It argues that the concept of power may not bethe most helpful concept to use when exploring emotional relationshipswhich are characterized by vulnerability and dependency, andthat the concept of domination may be more helpful. Finally,the paper draws on the work of Virginia Goldner and her associatesto posit the possibility of working on a number of levels, fromthe psychological to the material.