The Long-Term Consequences of Childhood Incestuous Victimization upon Adult Women's Psychological Symptomatology

Current estimates of the prevalence of incest suggest that 16-20% of the women in the United States may be victims of such sexual abuse by the age of 18. The long-term consequences of incestuous victimization appear lo be numerous, producing in its victims feelings of powerlessness, stigmatization, and betrayal many years after the abuse. Some of the diagnostic consequences of childhood sexual abuse include affective disorders, substance abuse, eating disorders, anxiety disorders, dissociative disorders, post-traumatic stress disorder. and sexual dvsfunction. Therefore. the vumse of the present study was to comp&e adult women who were'viciims of childhood incest to various control groups to determine whether there were differences in psychological symptomatology. The results of this study suggest that the long-term consequences of incest are numerous and varied. Adult incest survivors reported greater levels of psychological distress as well as more types of symptomatology when compared to all three control groups. Overall. the data describing the incest survivors indicated that they were significantly more dcpressed, alienated, inhibited. socially introverted, and yet interpersonally more sensitive than other groups studied.     

Forensic Evaluation in Alleged Sibling Incest Against Children

Sibling incest is a serious form of intrafamilial sexual abuse with health, social, and legal relevance. A retrospective study was conducted through the analysis of forensic medical reports of the alleged sibling incest of victims under 18 years old (n = 68) from 2004 to 2011 as well as the respective judicial outcomes. Results demonstrated that sibling’s sexual abuse is associated with several circumstances that might exacerbate its severity such as vaginal, anal, and/or oral penetration. Moreover, the victim’s young age, the proximity between victim and abuser, and the fact that it is committed at the victim’s and/or abuser’s home and by using physical violence and verbal threats justify a late detection of these cases.     

Sister–Sister Incest: Data from an Anonymous Computerized Survey

Retrospective data were entered anonymously by 1,521 adult women using a computer-assisted self-interview. Thirty-one participants were victims of sister–sister incest, 40 were victims of brother–sister incest, 19 were victims of father–daughter incest, 8 were victims of sexual abuse by an adult female (including one mother), and 232 were victims of sexual abuse by an adult male other than their father before reaching 18 years of age. The rest (1,203) served as controls. The victims of sister–sister incest had significantly more problematic outcomes than controls on many measures as adults. Victims of sister–sister incest were more depressed and more likely than controls to be distant from the perpetrator-sister and to have traded sex for money, experienced an unplanned pregnancy, engaged in four different types of masturbation, and engaged in 13 different same-sex behaviors. Our findings were consistent with other reports of early eroticization and persistent hypereroticization of incest victims.     

A clinical practice model for treatment of college-aged incest survivors

Adult incest survivors frequently exhibit signs and symptoms of posttraumatic stress disorder. Many clinicians have geared their group treatment of incest survivors to address these manifestations. Given the nature of the sexual abuse, the early developmental periods in which some trauma occurs, the past and current relationship between the victim and the perpetrator, and the dynamics inherent in this violation and betrayal of trust, love, and power within the family unit, additional clinical concerns and safeguards must be considered. In addition, the struggles of college-aged incest survivors to come to terms with their history of sexual abuse often mirror the developmental tasks faced by their peers--autonomy, intimacy, sexuality, and formation of personal values and ethics. To focus solely on the incest without also considering these developmental issues may solidify a gridlock between inadequate resolution of the developmental issues and the continued victimization of the student incest survivor. The author discusses a time-limited group treatment for college-aged incest survivors that uses a modified posttraumatic stress disorder model as a conceptual framework and addresses both sets of concerns.     

The effects of mother-son incest

Parsons has popularized the myth that mother-son incest is the most damaging form of incest. A review of sixteen cases casts doubts on this belief. It was found that responses to this type of incest are multi-dimensional, representing an extraordinary range of behavior not foreseen by Parsons. This leads to the conclusion that motherson incest does not trigger some innate biological response, but that the effects are more directly related to the symbolic meanings attributed to this act by the participants.Leslie Margolin received a Ph.D. in Sociology from the University of Nebraska-Lincoln. He is currently a Visiting Assistant Professor in the Department of Human Development and Family Studies at Cornell University in Ithaca, New York.Address reprint requests to Leslie Margolin, Visiting Assistant Professor, Department of Human Development and Family Studies, Cornell University, Ithaca, NY 14853.     

Training Knowledge of Professionals on Specific Topics in Child Sexual Abuse

This exploratory study examined the training background and self-reported level of knowledge of a group of professionals on specific topics in child sexual abuse. The results show that while the vast majority of those working with adult victims, female victims, and incest victims have received training, many professionals working in the area of child sexual abuse treatment have not had training on topics directly related to their work. It was found that fewer than 40% of those working with female offenders, victims and offenders who are gay or lesbian, victims and offenders who have developmental disabilities, or in cases where cultural issues are relevant, have had training in working with these types of cases. Those professionals who had received training reported feeling more knowledgeable on these topics than did those without training. It is recommended that graduate degree programs and continuing education programs examine their offerings in the area of child sexual abuse.     

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 Effectiveness of Group Treatment for Female Adult Incest Survivors

Very few clinicians receive training in the treatment of sexual abuse, yet during their careers many will encounter victims of sexual abuse. This article discusses the incidence of child sexual abuse, defines incest, and discusses treatment options. A review of group treatment is explored, with results being documented providing support for the effectiveness of the group treatment process.     

Group issues and activities for female teen survivors of sexual abuse

The impact of sexual abuse can be devastating, especially for young girls at the crucial stage of adolescent development. Ramifications for these survivors of incest and extrafamilial abuse are addressed. Group therapy as an effective means of intervention is described. Group considerations discussed include group name; member and leadership selection; confidentiality; contracting and closed nature; parent meetings; self-disclosure; and objectives.Twelve weeks of group topics, activities, and homework are detailed. These topics are applicable to most female teen survivors of sexual abuse, independent of the age or gender of their perpetrators.     

Couple and Familial Characteristics of Father-Child Incest Families

Couple and familial characteristics of father-child incest families are often described in the sexual abuse clinical and theoretical literature. However, few of these ideas have been tested empirically, and the limited research on the systemic functioning of incest families has resulted in contradictory findings. Results from a study describing couple and family system characteristics of 54 father-child incest families are reported. Both mothers and father perpetrators in the families were assessed. Findings from this study indicate that when compared to normative scores parents in incest families report greater than average social isolation, higher levels of family control and moral-religious emphasis, and lower emphasis on personal independence and individuation. Support was not found for an enmeshed level of family cohesion, as is often reported in the clinical literature. Nearly one-half of the couples reported clinically significant relationship distress and high levels of desired behavior change by their partner. Over one-half of the couples also reported substantial sexual discord in their relationships. The clinical and research implications of the findings are discussed.     

What women talk about. Sexuality issues of chemically dependent women

1. In group discussions on sexuality, the topics discussed most often by recovering chemically dependent women were incest and sexual child abuse; rape; sex while sober; values regarding sex; battering; women's health concerns; and coping strategies. 2. Addressing sexuality in an unstructured format allows the women time to deal with these issues as they are able, since strong emotions are evoked. 3. The group leader needs to be knowledgeable about sexuality and be comfortable with explicit sexual and abuse talk.     

Recovering Process from Child Sexual Abuse During Adulthood from an Integrative Approach to Solution-Focused Therapy: A Case Study

ABSTRACT

In recent times, strengths-based recovery approaches that focus on the present and build strategies that look toward the future have become popular. However, some cases require the consideration of experiences from previous stages of the clients’ development. This single-case study explores the psychotherapeutic process of a middle-aged woman who presented with a history of child sexual abuse (incest) and a long-term adult diagnosis of depression that was treated in public health services. This psychotherapy involved an integrative approach to solution-focused therapy; specifically, the approach proposed by Yvonne Dolan to work with adult survivors of sexual abuse, in conjunction with techniques and strategies from the transtheoretical model. Measures incorporating therapeutic working alliance and outcomes were administered over sessions. Results showed positive outcomes from this therapeutic intervention, which remained at 3-month and 12-month follow-ups. Implications for practitioners’ specialist practice in health services are discussed, given the complexity of comorbid mental health conditions with a history of child sexual abuse.     

Predatory Priests: Sexually Abusing Fathers

The media, the public, and the Church have spotlighted the effects of the scandals on the Church rather than the effects of priest abuse on its victims. Child sexual abuse has ominous relational implications for its victims. It often results in distrust of authority; seeing relationships in hierarchical, exploitative terms; distance and isolation; and fear of relating. Dissociation, an adaptive response to trauma, can become a characteristic, dysfunctional response to stress. Boys often have particular problems because of socialized masculine-gender norms that men are not victims and concerns about the implications of same-sex abuse for their sexual orientation. To these aftereffects, sexual abuse by a priest adds betrayal of spirituality, unconscious feelings that incest has occurred, and a crisis of faith arising from a sense that one has betrayed God. Examples from film, clinical practice, and an interview with a mental health professional sexually abused as a boy illustrate these points.     

Pornography and the Organization of Intrafamilial and Extrafamilial Child Sexual Abuse: Developing a Conceptual Model

This paper uses a case study (the experience of having been sexually abused as a child) and a review of the relevant literature as the basis for developing a conceptual model of the relationship between intrafamilial and extrafamilial child sexual abuse and child sexual exploitation, and the role of adult and child pornography in it. The paper illustrates some of the characteristics and effects of pornography and child sexual abuse including: gender; intra- and intergenerational patterns of victimization; coercion and compliance; the sexualization of the child; pornography and prostitution; and the function of incest as a form of pimping for the perpetrator and as grooming for extrafamilial abuse. It also illustrates the way in which pornography is a part of all forms of intrafamilial and extrafamilial abuse and is itself a form of organized abuse. © 1997 John Wiley & Sons, Ltd.     

Sibling incest: reports from forty-one survivors

An exploratory study was conducted with a convenience sample of 41 adult survivors of sibling incest using a retrospective survey design. Participants were interviewed about their childhood sexual experiences with a sibling. Most participants reported vaginal or oral intercourse and coercive experiences. Half of the sample reported sexual experiences with family members, as well as other child abuse. Half of the participants showed evidence of distorted beliefs about child sexual abuse. Disclosure of the incest during childhood was rare. doi:10.1300/ J070v15n04_02.     

A Study of Shame from Sexual Abuse Within the Context of a Norwegian Incest Center

Working with those who have experienced sexual abuse is a complicated matter because such abuse not only involves the violation of the victim's body, but it often generates shame in those involved. This article is based on empirical data from 26 hours of videotaped focus group interviews with 19 adult men and women in a Norwegian incest center who spoke openly of the shame they experienced from sexual abuse as children, parents, and employees. Findings from this study show that shame from sexual abuse can be grouped into seven major categories: (a) family, (b) emotions, (c) body, (d) food, (e) self-image, (f) sex, and (g) therapy.     

Placing Clinical Social Workers “Between a Legal Rock and a Practice Hard Place”: Reactions to Madden and Parody

The debate about the veracity of incest memories uncovered in therapy is often impassioned and acrimonious. Recent statements by various professional organizations, advising that corroboration of recovered memories is the only method for determining their accuracy, have not decreased the intensity of this debate. This response to Madden and Parody's paper discusses the importance of corroboration of recovered memories of sexual abuse and details the clinical, scientific, and legal foundations for this approach. A point of confusion in Madden and Parody's paper and an important aspect of this response is the difference between clients who uncover completely new memories of childhood sexual abuse and clients who enter therapy with a history of sexual abuse. Those clients with new memories are the focus of this debate and the standard of care proposed in this paper.     

Betrayed and Broken: A Study of the Experiences of Victims of Child Sexual Abuse in the Ga Community in Accra,Ghana

ABSTRACT

Child sexual abuse is increasingly becoming an issue of concern in most societies across the globe, including Ghana. This is a phenomenological study that sought to describe the lived experiences of victims of child sexual abuse in Ghana, using the Ga community as a case study. Purposive and snowball sampling techniques were used to identify 17 sexually abused children in the Ga Community. Using the interpretative phenomenological analysis (IPA), four main themes described the experiences of the victims: (a) forced sex (b) incest (c) joleying and (d) transactional sex. The findings illustrate the different circumstances in which children were sexually abused in the community studied. It also presents socio-cultural factors that normalizes the sexual abuse of children in the Ga Community. These findings underline the need for effective preventive programs and community interventions to protect children and support victims of child sexual abuse.     

Daughter's Perceptions of Being Mothered by an Incest Survivor: A Phenomenological Study

ABSTRACT

This article presents the results of a qualitative analysis of the experience of being the daughter of an incest survivor using a phenomenological approach to the narratives of six women. The majority of the daughters identified a number of effects of their mother's abuse that they perceived as harmful as a child and that lasted into adulthood. Most perceived their mothers as failing to grow up. The daughters responded with a lack of affection toward their mothers, complications in differentiation and integration of a negative self-view. Even in adulthood, the daughters reported a number of characteristics that are normally associated with being a victim of sexual abuse, despite the fact that only two of the six had been so abused. The mother's ultimate disclosure of her incest history helped the daughter to offset these difficulties. The clinical implications of these findings are outlined.