Disclosure of Child Sexual Abuse Among Adult Male Survivors

Men who were sexually abused during childhood are a stigmatized, under-studied, and marginalized population that is at risk for long-term mental health problems. However, many mental health practitioners feel under-prepared and ill-equipped to effectively treat male survivors of child sexual abuse. Furthermore, little is known about factors that may impact the mental health of male survivors such as disclosure of the sexual abuse. The purpose of this study was to (a) describe the disclosure process of male survivors using a lifespan approach, (b) identify disclosure differences based on age and type of abuser, and (c) explore relationships between disclosure attributes and current mental health. Using a large, purposive sample of male survivors (N = 487), the study found that, on average, men delayed telling (M = 21.38 years) and discussing the abuse (M = 28.23 years) for many years. Older age and being abused by a family member (i.e., incest) were both related to delays in disclosure. Most participants who told someone during childhood did not receive emotionally supportive or protective responses and the helpfulness of responses across the lifespan was mixed. Several variables (e.g., timing of disclosure, discussing with a spouse, response to disclosure) were related to current mental health problems. These findings are helpful for clinical social workers who practice with clients from this population. Specific suggestions for improving clinical practice (e.g., assessment, treatment, professional training) are discussed.     

Disclosure of Student Status to Clients

A survey was sent to 163 MSW programs in the United States and Canada that asked directors of fieldwork to respond to questions related to their school’s policies on disclosure of student status in the field. With a response rate of 66.3% (N = 108), most of the schools (68.5%, n = 74) reported policies requiring disclosure and most directors supported this position. The authors review the ethical and legal reasons in favor of disclosure. They strongly suggest that a pro-disclosure policy be written and adopted by social work programs and the discipline’s professional organizations.     

To tell or not to tell: the impact of disclosure on sexual assault survivors' recovery

There is a growing body of research examining the disclosure of sexual assault. But the focus on time to first disclosure does not capture the whole picture. Survivors also differ in how long they continue to disclose, to whom they disclose, and the types of reactions received during disclosure. To provide a more comprehensive view of disclosure, this study sought to identify patterns of disclosure among a sample of 103 female sexual assault survivors recruited from the community. This study also sought to identify characteristics of each disclosure pattern, differences in how each disclosure pattern tends to unfold (e.g., who is told and how they react), and differences in how these disclosure patterns are related to physical and mental health outcomes. Results revealed four distinct disclosure patterns: nondisclosers, slow starters, crisis disclosers, and ongoing disclosers. Assault characteristics and rape acknowledgment distinguished nondisclosers and slow starters from the other two disclosure groups. Slow starters were also less likely to disclose to police and medical personnel and received negative reactions less frequently while nondisclosers experienced more symptoms of depression and posttraumatic stress than other groups. Implications of these findings for future research and practice are discussed.     

Facilitated Disclosure versus Clinical Accommodation of Infidelity Secrets: An Early Pivot Point in Couple Therapy. Part 1: Couple Relationship Ethics, Pragmatics, and Attachment

A critical and potentially polarizing decision in treating infidelity is whether facilitating partner disclosure or accommodating nondisclosure is most beneficial following private disclosure of infidelity to the therapist. Given couple distress and volatility following disclosure, understandably some therapists judge accommodating an infidelity secret both efficient and compassionate. Employing Western ethics and an attachment/intimacy lens, we consider ethical, pragmatic, and attachment intimacy implications of accommodating infidelity secrets. Issues bearing on the decision to facilitate disclosure or accommodate nondisclosure include (a) relationship ethics and pragmatics; (b) attachment and intimacy consequences; and (c) prospects for healing. We conclude that facilitating voluntary disclosure of infidelity, although difficult and demanding, represents the most ethical action with the best prospects for renewed and vital attachment intimacy.     

Corporate fraud,systematic risk,and shareholder enrichment

The impact of the disclosure of alleged illegal corporate activities together with the possible motives for their use increasingly has become the subject of research by financial scholars. These studies primarily analyze the disclosure’s effect on the market returns of the firm’s equity. The consensus of these studies is that the initial disclosure of alleged illegal corporate activities results in significant negative abnormal returns to the existing shareholders. The size of these abnormal returns generally exceeds the actual fines, fees and penalties that the firms eventually experience. The impact of these disclosures on systematic risk and their possible implications for managerial behavior and corporate policy have suffered from relative neglect. The present research seeks to establish what, if any, impact the disclosure of alleged corporate fraud has on systematic risk. Using the data set provided by Karpoff and Lott (1993, The reputational penalty firms bear from committing corporate fraud. J Law Econ, 34, 757–802), this research tests whether securities experience any significant beta shifts upon the initial disclosure of alleged corporate fraud. Empirical tests find evidence consistent with the theory that agents engage in illegal activity in an attempt to enhance share price. The empirical results also provide additional insight into the question of why corporations engage in criminal activity.     

Social reactions to child sexual abuse disclosures: a critical review

Recent studies have examined disclosure of child sexual abuse to determine the correlates and consequences of telling others about this form of victimization. The present article reviews the current empirical literature on disclosure and reactions to adult survivors to assess what is known about the process of disclosure and whether telling others is therapeutic and leads to positive outcomes. Most studies assessing social reactions in detail have concerned adult survivors retrospectively reporting on their disclosures of child sexual abuse. Few empirical studies have been conducted in this area but research suggests that few victims tell anyone about child sexual abuse as children, and that the type of reactions to disclosure vary according to when disclosure occurs (childhood or adulthood), the extent and nature of the disclosure, and the person to whom one discloses. Clear evidence shows that negative social reactions are harmful to survivors' well-being, but better assessment of specific reactions and their effects are needed in theoretically-based studies to evaluate how these responses affect survivors' recovery in the context of other variables. Suggestions for future research on social reactions of others to adult survivors disclosing child sexual abuse are presented.     

Managing Secrecy and Disclosure of Domestic Violence in Affluent Communities

Although it is widely acknowledged that domestic violence (DV) can happen to anyone, there is scant research on affluent women's DV experiences. Using grounded theory, the present study examined how affluent mothers managed secrecy and disclosure of DV in the context of their community. Data consisted of interviews with 10 mothers and 17 service providers from one affluent community. The process of managing secrecy and disclosure of DV was nonlinear, ongoing, and strongly influenced by community culture and familial status. Mothers' secrecy and disclosure decisions (i.e., how and when mothers disclosed) and experiences (i.e., the type of responses they received upon disclosure) varied depending on whether they bought in or opted out of the culture of affluence during marriage. The resulting grounded theory has implications for future research on DV in affluent families and the broader literature on secrecy and DV disclosure.     

Perspectives on disclosure among children living with HIV in India

BackgroundFollowing the widespread uptake of anti-retroviral therapy (ART), young children living with HIV are entering adolescence and beyond, necessitating disclosure of HIV status. However, few studies have described children's experiences following disclosure.MethodsWe assessed disclosure status among children attending HIV clinics at two tertiary-care centers in southern India. Children who had disclosure were administered a pre-tested questionnaire assessing their knowledge about HIV, ART, experiences following disclosure, perceived stigma and ideas about their future. The association of the children's responses with social desirability bias was examined using a modified social desirability scale.ResultsTwenty-four caregiver-child dyads participated in this study. They constituted a subset of children who had been told of their HIV diagnosis from a larger study of 247 dyads. Mean age at disclosure was 10.9 ± 2.5 years. Medical personnel were responsible for disclosure to 14 children, parents/caregivers to 3 children, both medical and care personnel together to 4 children and other relatives to remaining 3 children. Disclosure was met with acceptance by one-third of the children. Despite disclosure, five children did not know how HIV spreads, and three were unaware about how infection could be prevented. Notwithstanding their positive status, 20 children felt that they were treated well at school and by their immediate relatives, although 11 children mentioned that they needed to hide while taking ART. Social desirability bias did not play a role in the responses given by these children.ConclusionsThe rate of disclosure of HIV status among children living with HIV in India was low, even among older children. Most children accepted their status, but knowledge about HIV and ART was inadequate. Disclosure was predominantly performed by medical personnel, rather than the primary caregiver. Incorporating disclosure into the care process for older children is likely to be beneficial, and should be recognized as an iterative process with a need for incorporating cultural sensitivities and a comprehensive approach to health education.     

Disclosure Stress,Social Support,and Depressive Symptoms Among Cisgender Bisexual Youth

Bisexual youth are at elevated risk for depression when compared with lesbians and gay men. Research on bisexual stigma suggests that these youth are uniquely vulnerable to stress related to sexual identity disclosure. Depression associated with this stress may be buffered by social support from parents and friends. We examined the differential influence of social support from parents and friends (Child and Adolescent Social Support Scale) on the relation between disclosure stress (LGBTQ Coming Out Stress Scale) and depressive symptoms (Beck Depression Inventory) and differences by gender in a sample of cisgender bisexual youth (N = 383) using structural equation modeling. Parental support buffered the association between stressful disclosure to family and depressive symptoms, especially for bisexual men; bisexual women seemed not to benefit from such support when disclosure stress was high. This nuanced examination elucidates the ways family members and clinicians can best support bisexual youth sexual identity disclosure.     

Disclosure of Child Sexual Abuse as a Life‐Long Process: Implications for Health Professionals

One of the aims of this research project was to develop a fuller understanding of the process of disclosure of child sexual abuse. Face‐to‐face in‐depth interviews were conducted with 22 men and women aged 25 to 70 years old, who had an early sexual experience at the age of 15 or under with someone of 18 or over. Narrative inquiry methodology was used and data was analysed using Rosenthal and Fischer‐Rosenthal's (2004) process of data analysis. Disclosure can be conceptualised as a complex and life‐long process, and most participants did not make a selective disclosure until adulthood. The findings extend Alaggia's (2004) model of disclosure to include the life stage and the person to whom the disclosure is being made. The main barriers to disclosure and possible gender differences are discussed. Family therapists need to manage the challenges inherent in disclosure of child sexual abuse at any age.     

Maternal Monitoring,Adolescent Disclosure,and Adolescent Adjustment Among Palestinian Refugee Youth in Jordan

The role of parenting (adolescent‐perceived maternal solicitation of information and control), and child‐driven processes (adolescent disclosure and secrecy) in parental knowledge of adolescents' activities, norm‐breaking, and anxiety were examined among 498 poor Palestinian youth (M = 15 years) living in refugee camps in Jordan. With family relationships and demographic background controlled, greater adolescent disclosure and less secrecy about activities, but also more maternal control and solicitation, were associated with greater maternal knowledge. Greater dispositional secrecy was associated with greater norm‐breaking and generalized anxiety, but parental control and parental solicitation were not. In addition, both gender and maternal control moderated the effects of disclosure on norm‐breaking. Differences between these findings and research with Western samples are discussed.     

The Gratification of Psychological Needs and Well‐Being Among Turkish Adolescents: An Examination of Direct and Indirect Links

Based on the self‐determination theory (SDT), the present study tested a mediational model in a cross‐sectional data and found that gratification of basic psychological needs (GBPN; autonomy, relatedness, and competence) in adolescents’ relationships with their mother and father is linked with wellness (life satisfaction, problem‐solving confidence, and anxiety), through family cohesion, and disclosure and secrecy from mother. Adolescents (N = 1,097; 61.6% girls, M_age = 15.12, SD = 0.64; range = 14–16 years) were from nine public schools in Istanbul, Turkey. Findings showed that GBPN in the relationship with each parent has unique contribution to family cohesion, adolescent disclosure and secrecy from parents, and wellness. Findings also supported SDT’s claim that GBPN is conducive to well‐being cross‐culturally.     

Irish child sexual abuse victims attending a specialist centre

We profiled a cohort of CSA cases referred for assessment to a specialist child sexual abuse (CSA) centre in a national paediatric hospital in Ireland. Historical and clinical data were drawn from records of 171 cases. The majority of cases were referred by social workers following purposeful disclosure of CSA. Three quarters of the cases were female with a mean age of 9 years. They were from a wide spectrum of socioeconomic groups and many had suffered a range of family adversities. In most cases, the abuse involved masturbation of the child by the abuser. Almost all of the perpetrators were male with a mean age of 28 years and in 60% of cases extrafamilial abuse had occurred. In 23% of cases, the perpetrator had a history of previous sexual offending. Anxiety was the most common emotional problem before disclosure and after disclosure the most common emotional problem was guilt. Before disclosure school refusal was the most common behavioural problem and after disclosure fighting was the most prevalent behavioural difficulty. The most common factors supporting the credibility of CSA allegations were labile mood, the child's ability to differentiate fact from fantasy and a detailed disclosure of contextual details. More adolescents showed deterioration in schoolwork after disclosure and for more pre school children clinginess following disclosure was a significant emotional problem. More primary school aged children were abused by perpetrators who had abused a number of children. For children abused by such perpetrators, vaginal intercourse was less common. Vaginal intercourse was more common in 6–11‐year‐old victims and those who were abused on a daily basis. The threat that disclosure posed to the integrity of the family structure was more often a factor hindering disclosure in victims abused by father figures and abused very frequently. Copyright © 2003 John Wiley & Sons, Ltd.     

Changing methods of disclosure. Literature review of disclosure to children with terminal illnesses,including HIV

More than 30 years after the first discovery of the deadly HIV virus, and in the wake of increased knowledge of transmission, treatment and behavioral intervention development, parents are still faced with the difficult task of whether, when and how to inform their child about her or his HIV status. Except for some general ethical considerations, there are no national or international guidelines available for handling HIV status disclosure to a child by parents and health professionals. Most studies on disclosure address the problem of stigma and the barriers to disclosure of HIV-positive status by adults to their sexual partners, caretakers, families and communities, but very few studies focus on disclosure to HIV-positive children. The majority of the studies that address disclosure to children limit themselves to stipulating reasons for barriers to such disclosure instead of the skills and knowledge necessary for effective disclosure to a child. Increasing availability of therapy for HIV across the world presses the issue of disclosure to the child. Even so, disclosure for children who are HIV-positive due to vertical transmission continues to be very difficult. There is a lack of interventions that consider guidelines for healthcare professionals, parents or persons involved with taking care of HIV-positive children. These interventions should be designed in an understanding manner towards the culture where they might be implemented and be as appropriate in the view of integrating different family structures and the child's development.     

Mormon Mixed-Orientation Marriages: Variations in Attitudes and Experiences by Sexual Orientation and Current Relationship Status

ABSTRACT

Interest in mixed-orientation marriages has been growing among both scholars and the general public. Members of conservative religions such as Mormonism may be particularly willing to enter a mixed-orientation marriage given the faith's emphasis on heteronormativity. Analyzing survey data from a sample of sexual minorities (n = 160) and heterosexuals (n = 80) who are or have been Mormon and in a mixed-orientation marriage, we explore variations in reasons for marriage, the disclosure experience, and levels of attraction and attitudes toward sex by current relationship status. Previously married sexual-minority individuals report more external pressure and belief their same-sex attraction might change as reasons to marry, as well as less desire for their spouses following disclosure. Currently married sexual-minority partners are less likely to report being counseled to marry, and report feeling more relief, approval, and desire in their relationship following disclosure. Currently married heterosexual spouses are more likely to report spiritual confirmation as a reason to marry, as well as more affection for and greater attraction to spouses, but also report feeling less secure about their attractiveness following disclosure. Previously married heterosexual individuals report the most negative feelings following disclosure, and stronger attitudes about the importance of sharing similar sexual interests, desire, and levels of attraction.     

The Longitudinal Influence of Self‐Efficacy,Communication, and Parenting on Spontaneous Adolescent Disclosure

This study involving 463 adolescents examined the impact of parent, teen, and parent–teen interaction processes on spontaneous disclosure to mothers. High openness in communication and stronger disclosure self‐efficacy beliefs were associated with more disclosure at follow‐up. Although a positive relationship was also found for maternal warmth/responsiveness when it was considered together with other parenting attributes, its unique contribution to the disclosure process was attenuated once openness and self‐efficacy beliefs were taken into account. Domain‐specific predictors of disclosure were also explored. Open communication was important for disclosure across all domains, while self‐efficacy beliefs were critical for revealing difficult information. These findings underscore the importance of fostering an open environment in families that nurtures adolescents' confidence to engage in disclosure with parents.     

Parental knowledge trajectory and its relationships with parental warmth and adolescent disclosure for Korean adolescents

The purpose of this study was to expand the knowledge base on parental knowledge by assessing a developmental trajectory and factors that might predict parental knowledge among Korean adolescents. To address this purpose, the current study assessed changes in parental knowledge during the transition to adolescence using hierarchical linear modeling (HLM). In addition, parental warmth and adolescent disclosure were considered as time-variant predictors of knowledge. The data from Korea Youth Panel Survey (KYPS) of Grade 4 students who were followed for five years was analyzed. The results indicated that there was a significant average increase followed by a slight decrease in parental knowledge over time; that is, the data followed a quadratic trend. Controlling for gender and family structure, the study found that parental warmth and adolescent disclosure had significant effects on parental knowledge over time. The study's results suggest that parental warmth and adolescent disclosure are important elements to be emphasized in prevention and intervention programs that promote parental knowledge.     

The Continuum of Disclosure: Exploring Factors Predicting Tentative Disclosure of Child Sexual Abuse Allegations During Forensic Interviews and the Implications for Practice,Policy, and Future Research

When a child sexual abuse investigation ensues, many children do not disclose readily to professionals. Defining disclosure beyond the disclosure versus nondisclosure dichotomy is essential, yet little research exists on factors associated with a continuum of disclosure, including active and tentative disclosure. Through the coding of 196 forensic interviews using content analysis and subsequent regression analysis, findings suggest that children of color, children abused by adults, unintentional initial disclosure, and those lacking family support were more likely to tentatively disclose in this study. Implications include a need to understand tentative disclosure as part of a normal continuum of disclosure within court proceedings and investigations of abuse allegations.     

Adolescent Children of Alcoholics on Disclosure,Support, and Assessment of Trustworthy Adults

The aim of this study is to describe adolescent children of alcoholics’ (COA) perspectives on disclosure and support. COA reported assessing the trustworthiness of adults before disclosing their home situation. Before disclosure they may have raised their own level of consciousness, told a peer, told an adult stranger, or in-directly communicated with an adult. These findings are the result of interviews with 27 adolescents attending support groups for COA in Sweden. Adults, who ask questions, listen carefully and cooperate with the child/adolescent, and who are knowledgeable about families with alcohol problems, are considered as supportive and trustworthy. The adolescents reported psychological, communicative, environmental, and generational aspects of the disclosure process.     

SCHOOL QUALITY AND INFORMATION DISCLOSURE: EVIDENCE FROM THE HOUSING MARKET

In this article, we investigate the relationship between school quality and information disclosure in housing markets. When presented with the option of identifying their local public school in a real estate listing, we find that sellers with homes assigned to higher‐performing schools are more likely to provide this information. We find more evidence of selective disclosure in 2001–2002 than in 2006–2007, when the costs of gathering and disclosing information on school assignments and quality were lower. Furthermore, we find more evidence of strategic behavior among sellers of large single‐family units that presumably appeal to families with children. After controlling for school quality, information disclosure does not appear to affect housing prices. Taken together, our results support the findings of the education literature on the importance of school quality capitalization in residential real estate and they provide the first evidence of strategic information disclosure in housing markets. (JEL L15, I20, R31)