Disclosure of Child Sexual Abuse: Issues from A Child-Oriented Perspective

The purpose of this paper is to highlight issues that future researchers must deal with to better understand child sexual abuse from the perspective of children. Research specifically directed at children's perceptions of the abuse is limited. Instead, most of the current literature in the area is based on clinical studies of abused children and on retrospective reports of adults who were abused as children. It is argued that the effects of the abuse may well depend on their perceptions of the abuse at or about the time it occurs as well as their perceptions of the interventions following disclosure of the abuse. Some of the difficulties that face children following disclosure are outlined, with particular reference to the problems that result from the failure of the judicial system to accommodate the special needs and vulnerabilities of children.     

(Un)‐blaming mothers whose partners sexually abuse children: in view of heteronormative myths,pressures and authorities

Mothers of children who have been sexually abused are often shamed, blamed and held guilty for their male partners' sexual perpetrations. These feelings are constrained by the dominant heteronormative discourses, institutions and systems that devalue women, that silence them and which subsequently blame women for the abuse as well as their silence. Paradoxically, the risks for mothers speaking out are reinforced by social criticism and professional response that draw on heteronormative discourses that accuse women for ‘failing to protect’ their children, for being ‘bad’ mothers or for making poor choices in their lovers. With these issues at the forefront, this paper illuminates how heteronormative discourses may operate to not only shame and blame women unable to leave their adult relationships and protect their children, but they also strengthen the perpetrator's power as strategic actors in concealing child sexual abuse. It is argued that the heteronormative discourses that reinforce women's sense of guilt obstruct professional intervention and make service engagement of these women difficult. In light of the power of discourse, the importance of combining an overlapping systems approach in which individualized client‐centred support is provided to each family member involved in child sexual abuse matters, including for the mothers in their own right, is discussed.     

Non‐abusing mothers' support needs after child sexual abuse disclosure: A narrative review

The role of maternal support has been perceived as vital throughout the recovery process of sexually abused children. However, it is important to look at the concept “support” from the perspective of non‐abusing mothers' personal needs. This narrative review of the literature aimed to find out how non‐abusing mothers' need for support in their responses to disclosure of child sexual abuse has been recognized. A comprehensive search on Jyväskylä University Library interface yielded 12 academic articles based on empirical research. These articles were selected from those considered to have sufficiently investigated support for non‐abusing mothers and included a mixture of qualitative, quantitative, and mixed‐method research. The data consisted of peer‐reviewed online articles published in English between 2000 and 2017. Four themes emerged from the thematic analysis: improving the quality of the whole social support network for non‐abusing mothers; being blamed, maternal guilt, and shame; anger; and coping strategies. The findings show that the support needs of non‐abusing mothers are usually explained based on their interaction with sexually abused children. However, it is necessary to listen to women's needs independently of their mothering role. If these mothers are better understood, not only they, but also their children, could be empowered.     

Applying narrative analysis to the process of confirming or disregarding cases of suspected sexual abuse

This article analyses discourse about sexual abuse at a detention home for young women. At the centre of attention is staff members’ struggle with the process of confirming or disregarding cases of alleged sexual abuse. The determining factor for establishing an act as sexual abuse was whether or not the act involved a person who was defined as a victim. A core issue in the process was an evaluation of the credibility of the alleged abused girl and the degree of consent. The unintended result was that many of the girls’ narratives were never confirmed. The article argues that there is no objective ‘given’ regarding the definition of sexual abuse. To be involved in the process of understanding and establishing an act as sexual abuse means being involved in a process of social definition. To be able to handle such involvement constitutes a fundamental professional issue in social work. Adopting a narrative approach to the process of confirming or disregarding cases of suspected sexual abuse shifts the focus from developing categories of social problems and work on the basis of them to developing ways of listening to young people and allowing their narratives to provide a point of departure.     

Managing sexually abused and/or abusing children in substitute care

This paper reports on research on the characteristics, management and therapeutic treatment of sexually abused and/or abusing children in substitute care. Of the 40 sexually abused and/or abusing young people aged 10 or over in the interview sample, two‐thirds showed sexual behaviours in the placement studied but one‐third did not. The range of sexual behaviours shown by the young people is described. Analysis of the findings shows that four key components of effective management are supervision, adequate sex education, modification of inappropriate sexual behaviour and therapeutic attention to the needs that underlie such behaviour. Supervision includes planning for safe care before placement, preparing other children in the setting, teaching young people how to keep themselves safe when out on their own, and careful monitoring of contact with birth family members. The need for a proactive approach to sex education is stressed. Effective management approaches to masturbation, sexualized behaviour and sexually abusing behaviour are discussed but the processes of denial and minimization of sexual abuse and the development of high thresholds for action when looked after children are abused or at risk are shown to present obstacles to effective care. Finally, the importance of addressing children's deeper needs is emphasized, including the importance of regular review of their need for counselling. At the end of the article two case examples from the study are given.     

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.     

Social services provided for physically abused children in Sweden: background factors and interventions

This study aims at describing and analysing what kinds of social services are provided for physically abused children in Sweden. The social services files were examined for 113 children under 15 years of age (67 boys and 46 girls) who had been reported to the police as having been physically abused by a parent or equivalent caretaker in a particular police district. The children's social services files indicated an increased risk of a parental abusive behaviour prior to the abuse incident. There had been former interventions in 81 per cent of the families and previous reports on neglect or abuse in 44 per cent of the 113 families. After the abuse incident, investiga-tions were opened in 80 per cent of the cases. The three most common interventions were placement in foster care, referrals to Child and Adolescent Psychiatric Service and Social Services support contacts. The study shows that there was a tendency towards more proactive work with injured children, children of immigrant parents and children of mentally ill parents.     

Child sexual abuse: a marker or magnifying glass for family dysfunction?

A report of child sexual abuse leads to a multi-agency investigation that often reveals other maltreatment and dysfunctional behaviors within the family. Due to recent developments in this field, the emphasis of the investigation has shifted to the child’s history rather than information from the parent or accused, or the presence of injuries. In the last 10 years Children’s Advocacy Centers have become a central component to the investigation of child sexual abuse and provide a means for long-term follow-up of referred families. The idiosyncrasies of this investigative and advocacy system have provided an in-depth view of the families of sexually abused children.Four family types emerge: safe and secure, safe and insecure, unsafe and enmeshed, and unsafe and insecure. The characteristics of child sexual abuse, the response to the child’s disclosure of abuse, and the prognosis for the child victim vary among the different family types. An innovative long-term program of wrap-around services for sexually abused children and their families provides counseling, peer activities, family mentoring, and child mentoring while tracking the symptoms and behaviors of the child victims. The identification of a child victim of sexual abuse can be a tragic crisis and an opportunity for intensive and timely intervention.     

Psychological distress among women who were sexually abused as children

One of the aims of the study was to investigate how participants in self‐help groups (SHG) for women (n = 87) who had been sexually abused in childhood rated their mental health and to what extent they were at risk of developing posttraumatic stress disorder (PTSD). A further aim was to investigate the relationship between the ratings of mental health, occurrence of PTSD, women's interpersonal relationships, reasons for participating in an SHG and characteristics of the childhood sexual abuse (CSA). The participants completed questionnaires regarding their personal relationships, reasons for joining a group, abuse characteristics, mental health (Symptom Checklist‐90‐Revised) and PTSD (Impact of Event Scale‐Revised). The women showed poor mental health, and more than half of them were at risk of developing PTSD. Lack of social support and feelings of shame correlated with poor mental health, whereas guilt did not. Relationships with female friends had a positive association. Further research is needed to determine whether participating in an SHG could provide adequate social support and reduce feelings of shame, thereby contributing to the healing process in the aftermath of CSA. Key Practitioner Message: ? Child abuse is a significant component of the global burden of disease; ? Both social workers and public health care providers meet sexually abused girls and it is important that they have knowledge about the subject; ? An important clinical implication for adequate treatment would be to assess and recognise childhood sexual abuse and to link diagnosis to trauma.     

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.     

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.     

Maltreatment and Internal Representations of Relationships: Core Relationship Themes in the Narratives of Abused and Neglected Preschoolers

This study examined whether the predominance of particular themes in maltreated pre-schoolers' stories about relationships is related to type of maltreatment they experienced. The MacArthur Story Stem Battery was administered to 49 maltreated and 22 non-maltreated children. Children's representations of self and other were extracted from the resulting stories using the Core Conflictual Relationship Theme Method. Significant differences were found among the physically abused, sexually abused, neglected, and comparison subgroups with respect to the predominance of specific relationship themes in their stories. Both physically abused and neglected children represented the self as angry and opposing others more frequently than non-maltreated children. Neglected children represented others as hurt, sad, or anxious more frequently than both abused and non-maltreated children. Compared with all other children, sexually abused children represented others more frequently as liking them, and compared with physically abused children, expressed more frequent wishes to be close to others. This study supports the hypothesis that maltreated children's internal representations of relationships are related to their experiences of specific types of maltreatment.     

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.     

Between the maternal and the professional: the impact of being a child welfare officer on motherhood

Child welfare officers experience stress from exposure to child neglect and abuse and the burden of responsibility for children's well‐being. This qualitative study addresses the question: How do social workers who are child welfare officers perceive and cope with the influence of their professional occupation on their relationships with their own children? The research is based on in‐depth interviews with a purposive sample of 10 child welfare workers who are mothers (of 2–4 children aged 2–23 years). The data analysis illustrates how the professional identity and the maternal identity of the child welfare officer fluctuate between two positions. The first is ‘anxious motherhood’ in which anxiety is the prism through which the welfare officer views the world as dangerous for her children, stimulating protective, control‐enhancing actions. The second position is reflective motherhood in which the welfare worker struggles with her own stresses and conflicts as a mother and searches for an experience of meaningful, positive motherhood. The findings reinforce the need to raise the consciousness of child welfare officers regarding the impact of encountering distress and trauma on their own well‐being as parents. In this way, they can prevent secondary traumatization and enhance professional and maternal growth.     

Nonresidential fathers with children in foster care: A descriptive study in the United States

This study used the data from 64 nonresidential fathers who had their children placed in foster care to describe their characteristics. The survey included questions about demographic background and personal challenges, the father's involvement with his child in foster care, the father's relationship with the mother, barriers to the father's involvement, and the relationship with child welfare agencies and workers. The average age of the participants was about 39 years, and the majority of them were African American. About 70% of the fathers reported low levels of education. Almost 69% of fathers reported frequent face‐to‐face contact with their children. On average, the participants were arrested 2.6 times, and it ranged from 0 to 34. More research is necessary to learn more about these fathers, develop programs to help them become a viable source for permanency option, and become more involved in their children's lives.     

Utilization of child helpline (CHL) among adolescents in Saudi Arabia: Results from a national survey

This study determines the rate of adolescents' interest in disclosing their exposure to abuse or neglect through a child helpline (CHL) and identifies the factors influencing disclosure through the line. A cross‐sectional, national survey utilizing ISPCAN Child Abuse Screening Tool‐Children's Home Version was conducted in secondary high schools in the main 5 provinces of Saudi Arabia. Boys and girls from public and private schools were selected to participate. Students (N = 16,010) aged 15–18 years were invited to complete the survey. The relationship between willingness to utilize CHL and demographic characteristics of the participants were evaluated using chi‐square test. Approximately, half (48%) of the participants reported their willingness to utilize a future CHL if they experienced any type of abuse in the past. Significant difference in age, gender, areas of residence, and abuse experience were found in terms of willingness to utilize CHL, and it was more likely among older age (17–18 years), boys, urban area, and abused participants (p < .01). Participants who reported experiencing multiple forms of abuse, neglect, and psychological abuse were 1.3, 1.9, and 1.2 times, respectively, more likely willing to utilize CHL. Educating adolescents about the utilization of CHL through awareness‐raising activities might reduce the prevalence of child abuse.     

Social work,poverty, and child welfare interventions

The relationship between children's material circumstances and child abuse and neglect raises a series of questions for policy, practice, and practitioners. Children and families in poverty are significantly more likely to be the subject of state intervention. This article, based on a unique mixed‐methods study of social work interventions and the influence of poverty, highlights a narrative from practitioners that argues that, as many poor families do not harm their children, it is stigmatizing to discuss a link between poverty and child abuse and neglect. The data reveal that poverty has become invisible in practice, in part justified by avoiding stigma but also because of a lack of up‐to‐date research knowledge and investment by some social workers in an “underclass” discourse. We argue, in light of the evidence that poverty is a contributory factor in the risk of harm, that it is vital that social work engages with the evidence and in critical reflection about intervening in the context of poverty. We identify the need for fresh approaches to the harms children and families face in order to support practices that engage confidently with the consequences of poverty and deprivation.     

Mother–Child Reminiscing About Peer Experiences and Children's Peer‐related Self‐views and Social Competence

This study examined mother–child reminiscing about children's experiences with peers and its relation to children's peer‐related self‐views and social competence. Sixty‐three mothers and their preschool‐aged children discussed at home two specific past events involving the child and his or her peers, one event being positive and one negative. The children's self‐views in peer relationships were assessed at school during individual interviews, and their social competence was rated by mothers. Both maternal and child participation in the reminiscing, in terms of reminiscing style and content, were uniquely associated with children's peer‐related self‐views and social competence. The results suggest the important role of family narrative practices in children's social development.     

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.