New Scoring Method of the Family Drawing for Sexually Abused Preschoolers

This study assesses whether the global psychological adjustment score on the family drawing, derived with a new scoring method, can predict the presence of internalized and externalized behavior problems among sexually abused children. A family drawing was completed by 78 sexually abused children, and three questionnaires were administered to the nonoffending parent. The results indicate that a poorer global psychological adjustment score on the family drawing is associated with a higher probability of clinical thresholds for internalized and externalized behavior problems in children who have been sexually abused, even when controlling for parents’ psychological distress, child's age, number of stressful events experienced by the child, and type of sexual abuse.     

Characteristics of Sexually Abused Children and Their Nonoffending Mothers Followed by Child Welfare Services: The Role of a Maternal History of Child Sexual Abuse

Considering the importance of mother’s support in the adaptation of a sexually abused child, it is relevant to determine if the mothers and children involved in an intergenerational cycle of child sexual victimization differ from dyads in which only the child has been abused. The purpose of this study was to compare mother–child dyads with sexually abused children according to whether the mother had herself been victim of child sexual abuse. The sample included 87 dyads with sexually abused children aged 3–18 years old and their mothers (44 reporting maternal and child abuse), followed by social welfare services of the province of Quebec (Canada). The two groups of mothers were compared on their past family abuse experiences and past family relations, their mental health history, their current psychological distress, their parenting behaviors, and their current levels of family functioning. Children were compared on their adaptation. Multivariate analyses indicated that mothers reporting child sexual abuse were more likely to report more other maltreatments in their childhood and greater prevalence of lifetime history of alcohol abuse disorders, dysthymia, and panic disorder compared with mothers who had not experienced CSA. Compared to children whose mothers had not experienced CSA, those whose mothers had experienced CSA showed higher rates of problems behaviors and were more likely to report having been sexually abused by a trusted person. These results highlight the specific clinical needs for the assessment and treatment for sexually abused children whose mothers experienced child sexual abuse.     

Child Sexual Abuse Workers’ Emotional Experiences of Working Therapeutically in the Western Cape, South Africa

South African child sexual abuse workers active in low-income communities bear witness to stories of sexual and physical abuse, neglect, pervasive deprivation, and violence. North American, British, and European workers’ emotional experiences have been captured in the literature, and a gap remains to be filled by those of their South African colleagues. This research aims to focus on the emotional experiences of social workers who engage therapeutically with sexually abused children in the Helderberg basin of the Western Cape, and resonate in some way with readers working in situations of poverty and trauma in other parts of the world. This study employed an explorative inductive research method, and followed a critical realist and contextual constructionist approach. Multiple-case study data collection took place by means of semi-structured interviews with social workers who engage therapeutically with sexually abused children. Data were examined by means of thematic analysis, and psychoanalytic theory was employed to analyse defences that surfaced during interviews. There were similarities in emotional experiences between South African participants and their abovementioned counterparts. The research also identified salient features of working with child sexual abuse in South Africa. The emotional experiences of doing such work, coupled with participants’ ways of managing sexually abused children’s material, gave rise to possible vicarious traumatisation symptoms and allowed for a psychoanalytic understanding to be put forward. The research also reports on useful measures that might enable individuals to continue interventions. To enable ongoing effective therapeutic engagement, social workers should have access to opportunities for acknowledging countertransferences and processing dynamic material defended against. The research contributes to knowledge of working in South Africa by exploring the emotional experiences of those who help sexually abused children daily, and by investigating the psychological impact prolonged therapeutic engagement has on workers active in Western Cape low-income communities.     

Staying safe: strategies for qualitative child abuse researchers

Undertaking interview‐based research with victim/survivors of child abuse can be difficult and challenging for researchers. Much has been written about the impact of research on participants, but researcher effects are less explored. This paper reviews the literature on sensitive interview‐based research and child abuse research. The theoretical underpinnings of researcher trauma are outlined and challenges identified and related to child abuse research using researcher reflections from the authors' interview‐based research with children who have been abused and young mothers who were sexually abused in childhood. Strategies and recommendations are developed to minimise child abuse researcher trauma. Copyright © 2009 John Wiley & Sons, Ltd.     

Organized abuse: NSPCC experience

A survey of a national child protection agency's experience of organized abuse in 1990–1991 found awareness of incidents among 41% of the participants and direct involvement with children in 20%. The 19 cases where there was direct involvement with 61 children from 43 families were categorized by the workers as network (N = 10), ritual (N = 6) and child pornography (N = 3) and came from England, Wales and Northern Ireland. The children in the three types presented different profiles from each other and from that of the sexually abused children placed on child protection registers. The children in the network cases were more likely to be boys and abused by non-relatives, the majority of whom were charged and convicted. The children in the ritual cases were the youngest, more likely to be abused by extended family members and most often the subjects of legal protection. The inherent difficulties in fully describing an organized abuse ‘case’ are outlined.     

Clinical psychology and child sexual abuse after Cleveland

SUMMARY. This paper details some of the unresolved issues for clinical psychologists following the Cleveland crisis and Inquiry. The author argues that psychological expertise can he employed in both the investigative and treatment stages, and in the general evaluation oj the child, particularly henefitting children who present without an initial disclosure, where specialist interviewing techniques can clarify what may have happened. The clinical approach should be developed to meet evidential requirements, useful to both court and child. ‘This requires subjecting their work to scrutiny and crossing professional boundaries to help sexually abused children who may represent a hitherto unrecognised but significant proportion of psychologists’ caseloads     

Diagnosing physical abuse using Bayes' Theorem: a preliminary study

Objectives. To perform a preliminary study to compare the patterns of bruises in a physically abused group of children and a control group; to investigate whether these could be modelled statistically to enable probabilities of typical bruise patterns to be calculated; to apply Bayes' Theorem to find the probability that a child with a given bruise pattern has been the subject of physical abuse. Design. An observational study. Setting. Cardiff and Vale of Glamorgan. Subjects. Children who have suffered child physical abuse, 0–14 years. The diagnosis was confirmed at a case conference in all cases. A control group of 289 children who presented to the Accident and Emergency Department at the Cardiff Royal Infirmary after an accidental injury. Main outcome measures. The distribution bruise pattern in three regions of the body. The posterior probability of abuse for a given bruise pattern. Results. The bruise distribution in physically abused and control children was well described by a negative binomial distribution. There was a different distribution for the three different regions of the body in physically abused children. The bruising frequency and distribution for the physically abused group was very different from that of the controls. We were able to use parameters derived from these distributions to calculate posterior probabilities of physical abuse given a particular pattern of bruises using Bayes' Theorem. Conclusions. This preliminary study demonstrates that we can use Bayes' Theorem to combine prior probabilities of physical abuse with observed patterns of bruising in given children to obtain posterior probabilities of abuse. This principle has considerable potential for better diagnosis of the physically abused child. © 1998 John Wiley & Sons, Ltd.     

The gender neglect and textual abuse of children in the print media

In recent years the relationship between the media and child abuse has been subjected to closer scrutiny. Research at Monash University into the media portrayal of child abuse has led the researchers to examine the language used by the print media to represent both children who have been abused or neglected and the offences committed against them. This paper presents two findings from this research. The analysis firstly found that a child who has been abused or neglected may be objectified in print media language even when the child’s gender is previously identified. Secondly, the analysis found that the language used to describe the sexual abuse of children may serve to reduce the seriousness of offences. These phenomena, termed ‘gender neglect’ and ‘textual abuse’, are highlighted by examples from UK and Australian print media. The authors argue that ‘critical language awareness’ is important for children, just as it has been identified in research that examines the representation of women in print media. Copyright 2000 John Wiley & Sons, Ltd.     

Evidence,incidence, gender and age in sexual abuse of children perpetrated by children. Towards a developmental analysis of child sexual abuse

This paper describes a study of all children alleged to have sexually abused children in the city of Liverpool during a 12-month period. The nature of the evidence in the allegations is reviewed and each designated as ‘stronger’ or ‘weaker’. On this basis annual incidence figures are calculated for children being investigated as possibly or probably having abused another child. Systematic age banding of child perpetrators is extended to a similar age banding of alleged adult perpetrators. An adolescent is more than twice as likely to be suspected of having perpetrated CSA than any other comparable age band in adulthood or childhood. This emphasizes a developmental perspective on sexual offending across the lifespan.     

Are Children Protected in the Family Court? A Perspective from Western Australia

Despite a landmark High Court judgement in the area of child sexual abuse allegations (M and M, 1988), a major concern in such cases seems to be the fear that mothers use false accusations against fathers as ‘weapons’ in custody and contact cases. This paper seeks to examine the validity of such views as they apply to Western Australia. In particular, it examines the belief that false accusations are rampant; the questionable nature of ‘parental alienation syndrome’, the belief that young children's accounts of abuse lack credibility, and the ignoring of the effect of abuse itself on the nature of a child's testimony. The paper argues that the principle of ‘protection of the child's best interests’ should not necessarily be equated with the child having access, even supervised access, with a parent previously accused of having abused the child.     

Children of sex rings

Children who have been sexually abused by a ring of adults present in a way that may confuse and mislead practitioners familiar only with single-offender sexual abuse. Understanding the similarities and differences between single- and multiple-offender sexual abuse is essential in determining the validity of a child's disclosure as well as in carrying out an appropriate treatment plan. Addressing the denial and resistance within the child welfare system in relation to child sexual exploitation by a ring is crucial to a practitioner's effectiveness. Finally, developing a therapeutic parent-child relationship is critical to the families who must live with their child's experience.     

The right to be different: Implications for child protection

This paper traces the historical emphasis of defining the disabled child or adult as ‘abnormal’—to be made ‘normal’! Such an emphasis disempowers the child, who comes to believe that his or her difference is as ‘bad’, ‘unacceptable’, and readily allows him or her to be viewed as ‘useless’. Such disabilist attitudes have fostered the belief that child protection services would not be relevant for this child population. The experiences of disabled women are explored, and clear messages emerge that can help us consider the environment of disabilism and the effects of this on disabled children. It helps us to see that, even before the disabled child is abused, his or her experience is one of oppression.     

Incest,paedophilia, pornography and prostitution: making familial males more visible as the abusers

In this paper I return to the survivor case study and sex offender data I used in my paper on conceptual models of the relationship between pornography and child sexual abuse in Child Abuse Review in 1997. Here I use them to show how paedophile typologies and sex offender classifications contribute to constructing the invisibility of the normal, ordinary, heterosexual family men who sexually abuse their own and other people's children on a very substantial scale. I also use it as the basis for developing a typology which constructs the connections between incest, paedophilia, pornography and prostitution in the form of a ‘Continuum typology of child sexual abuse and the characteristics of child sexual abusers’, and captures the crossover of victims and perpetrators and the overlap of intrafamilial and extrafamilial child sexual abuse and exploitation. This, in turn, becomes the basis for constructing a ‘Nosology of child sexual abuse classification’ which genders the abusers and takes account of both the overlap and the dominant discourse currently of policing and policy, in which ‘paedophilia’ and ‘child sex offending’ have become synonymous, and incest abusers are invisible. Copyright © 2001 John Wiley & Sons, Ltd.     

The Use of Peer Support for Parents and Youth Living with the Trauma of Child Sexual Abuse: An Innovative Approach

ABSTRACT

This article describes and reports on an innovative intervention program for parents of sexually abused children and youth. Peer support provided by non-professional staff and volunteers, who have been personally affected by the trauma of child sexual abuse, is an approach with unique advantages. Many of these consumers have not been able to benefit from traditional service delivery approaches. Goals and objectives of the Peer Support Program (PSP) have been developed through inter-agency collaboration initiatives comprised of a coalition of existing social service agencies. This report examines characteristics of service delivery and level of consumer satisfaction of parents and youth who have participated in the peer support program. Implications for interventions with sexually abused youth and parents of sexually abused children are discussed.     

Individual Counseling for Sexually Abused Children: A Role for Animals and Storytelling

This article addresses the use of animal assisted therapy in individual counseling for sexually abused children. It focuses on how the animal can help the sexually abused child disclose abuse and express feelings. Storytelling forms a part of the treatment process. The author's clinical experience at Project Against Sexual Abuse of Appalachian Children in Knoxville, Tennessee, forms the basis for the article.     

Representations of the ‘Damaged’ Child: ‘Child Saving’ in a British Children's Charity ad Campaign

This article discusses the representation of abused children as ‘damaged’, drawing on a series of three advertising campaigns for a British children's charity. The pictures and text of the advertisements seek to elicit readers’ concern for abused children by portraying them (a) as passive agents in their development and (b) as signifiers of the dangers of the world and the safeness of the home. The portrayal of abused children in the advertisements serves to reinforce a perception of the vulnerability of all children and the need for adult supervision and ‘care’. Without seeking to dismiss the seriousness of abuse or of the work done by children's charities, the article questions the implications of these representations of childhood and ‘damage’, and argues that the dominant representation of abused children drawn on in such campaigns oversimplifies many complexities in the worlds and the lives of children who have been abused.     

Mix and match: planning to keep looked after children safe

The risks which children run from other children in substitute care have received little attention. However, if children's safety in care is to be maximized, then placement planning will need to focus on the risks and vulnerability of both the child to be placed and others already in the setting. It should also ensure that full information is given to the caregivers. In an interview sample of 40 looked after sexually abused and/or abusing young people aged 10 or over, most of the young abusers were placed in foster care and the majority of the sexually abused young people went into children's homes. However, in fewer than a third of these placements was consideration given to how the young person would fit in with others in that setting. This meant that the potential risks which that child posed to others or vice versa were not addressed. More worrying still, in just under half of the sample, no information about the young person's history of sexual abuse or abusing behaviour was given to the caregivers. This meant that caregivers were unable to plan to provide the level of supervision which might have averted a number of instances of abuse. When the whole histories of the sexually abused young people in the study were examined, it was found that half of them had abused another child at some stage, generally another child in care. This evidence suggests that the experience of sexual abuse should be regarded as an important risk factor in the later development of sexually abusing behavior and that local authorities need to fashion policies which emphasize the prime importance of social workers providing full information about children's backgrounds when placements are made. Copyright © 1999 John Wiley & Sons, Ltd.