Parting words: Trauma,silence and survival

Abstract

This article examines an enigma at the heart of Freud's work on trauma: the surprising emergence, from within the theory of the death drive, of the drive to life, a form of survival that both witnesses and turns away from the trauma in which it originates. I analyse in particular the striking juxtaposition, in Freud's founding work Beyond the Pleasure Principle, of his two primary examples of trauma: the repetitive nightmares of battle suffered by the soldiers of World War I, and the game of the child, faced with the loss of its mother, who plays fort and da (there and here) with his spool. My own understanding of Freud's insight did not emerge, however, simply through a reading of his text but began, in fact, in my encounter with a real child in Atlanta, a child whose best friend was murdered in the street and who is interviewed by the friend's mother. I thus read together the language of the nightmare and the language of the child in Freud's text, and then attempt to understand how Freud's text and the language of the real child shed light upon each other.     

Free to Fantasize: The Impact of Psychoanalytically Informed Psychotherapy on the Fantasy Life of Adult Survivors of Childhood Sexual Abuse

ABSTRACT

One legacy of childhood sexual abuse is the adult survivor's deep alienation from his/her own fantasy life which is accompanied by a profound distrust of the imaginings of others, including the therapist's. This article explores the nature of the survivor's fantasy life; it elucidates recurrent themes and explicates the patient's attitude towards fantasy. Further, it suggests ways in which psychoanalytically informed psychotherapy can liberate the survivor's capacity to engage freely in fantasy, perhaps for the first time.     

Victim to Victimizer: The Psychology of Isomorphism in a Case of a Recidivist Pedophile in Finland

ABSTRACT

An extreme case of a six victim, 38-year-old recidivist sex offender was selected for examining the isomorphic relationships between child sexual abuse trauma and adult sex offenses. This sex offender had victimized children of both sexes and an adult woman. Life history, letter, file, and the Adult Attachment Interview information were analyzed to seek the relations between childhood abuse experiences and adult offending. Both subjective reports and file data revealed that the man had experienced severe physical, psychological, and sexual abuse in childhood. His pattern of sexual offending against children was similar to his own experiences of sexual abuse by his father. The age of the child victims fell in the range of his age at the time of the childhood sexual abuse. Moreover, the use of coercion to gain victim compliance resembled the way his father had acted towards him. The pedophile's offending behavior was interpreted using the isomorphic and attachment perspectives.     

Freud s Sisters A Fantasia on a Photograph

This psychoanalytically based imaginative inquiry into the role of Freud's sisters in shaping the meanings of Femaleness and gender difference for Freud starts from the author's study of a photograph in the Library of Congress Freud exhibit, “Portrait of the Jakob Freud Family ca. 1876,” which shows Sigmund Freud, age 20, with his live then adolescent sisters. Freud's Dream of the Botanical monograph, especially as reconsidered by Didier Anzieu, is used as a window into Freud's early childhood relations with his sisters and the registration of gender difference in his psychic reality. A peculiarity in the photograph in the presentation of Freud's half-brother, Emmanuel, leads the author's reverie to another dream of Freud's, the “nonvixit dream.” especially as reconsidered by Didier Anzieu and by Max Schur. The non-vixit dream is thought to bear traces of Freud's experience of the death of his infant brother Julius. New suggestions are made with regard to Freud's difficulties with depressive-position anxieties in relation to his mother; it is suggested that these difficulties led to his concept of girls' genitals as “castrated” becoming dominant over another stratum of psychic experience in which girls' genitals, and femininity, were viewed with erotic wonder as intact in their own right. This idea is linked with Freud's difficulties in construing woman as subject.     

Evaluating Allegations of Child Sexual Abuse Within Complex Child Custody Cases

SUMMARY

This article provides a framework for identifying and assembling the interdependent elements of a child custody evaluation with allegations of child sexual abuse. The identification of several myths regarding child sexual abuse (CSA) introduces the subject matter of this article. A forensic evaluation model (Heilbrun, 2001) is then used to organize the custody evaluator's tasks into the following sequential classifications: (a) preparation; (b) data collection; (c) data interpretation; and (d) communication of results. Through this model, the entwined tasks of evaluating the child's needs and the parents' capacities to meet the child's needs, while simultaneously examining the question of child sexual abuse, are addressed.     

Undergraduate Students' Reactions to Analogue Male Disclosure of Sexual Abuse

ABSTRACT

Anecdotal evidence indicates that male sexual abuse survivors fail to disclose for fear of others' reactions. This study investigated undergraduates' reactions toward a hypothetical male survivor's disclosure whose abuse occurred at age 5, 15 or 25, with a male or female offender. When age at incident was higher, the survivor was seen as less masculine, more responsible for his abuse, and the male sex role and rape myths were more strongly applied to him. Generally, women's reactions were more positive than men's. Less positive reactions were associated with disclosing to other men, abuse occurring at an older age, and a female offender.     

Young Children's Problematic Sexual Behaviors,Unsubstantiated Allegations of Child Sexual Abuse,and Family Boundaries in Child Custody Disputes

ABSTRACT

Allegations of child sexual abuse are sometimes alleged based on a child's problematic sexual behaviors. When the allegations are unsubstantiated, child custody evaluators are asked to make recommendations regarding custody. Historically, it has been believed that if a child engages in problematic sexual behaviors it is strong evidence of child sexual abuse. Recent research finds that there are many reasons, other than overt sexual abuse, for children to engage in problematic sexual behaviors. This article outlines these reasons and provides a methodology for the evaluation of the boundaries in both parents' homes to assist in determining the possible etiology of the problematic sexual behaviors of the child. Suggestions are made regarding visitation and reunification if boundary concerns are found.     

Child Sexual Abuse Intervention: An Exploratory Study of Policy Concerns and Implications for Program Development

ABSTRACT

This exploratory study was designed to determine public opinion regarding intervention options for intrafamilial child sexual abuse offenders, victims, and families. The study investigated the public's willingness to support strategies of victim protection, offender control, and treatment services in various types of child sexual abuse intervention strategies. The respondents to the statewide survey generally supported established, adversarial intervention strategies, and had mixed reactions lo several of the diversion program strategies. The findings suggest that policy makers may have to compromise lo obtain public support when designing and implementing intervention programs for intrafamilial child sexual abuse. The article addresses policy issues and concludes with implications for program development.     

Science or Propaganda? An Examination of Rind,Tromovitch and Bauserman (1998)

SUMMARY

An article, “A Meta-analytic” Examination of Assumed Properties of Child Sexual Abuse Using College Samples, published in the July 1998 edition of the Psychological Bulletin resulted in an unprecedented amount of media attention and became the first scientific article to be formally denounced by the United States House of Representatives. The study's authors analyzed the findings of 59 earlier studies on child sexual abuse (CSA) and concluded that mental health researchers have greatly overstated CSA's harmful potential. They recommended that a willing encounter with positive reactions would no longer be considered to be sexual abuse; instead, it would simply be labeled adult-child sex. The study's conclusions and recommendations spawned a debate in both the popular and scholarly press. A number of commentators suggested that the study is pedophile propaganda masquerading as science. Others claimed that the authors are victims of a moralistic witch-hunt and that scientific freedom is being threatened. After a careful examination of the evidence, it is concluded that Rind et al. can best be described as an advocacy article that inappropriately uses science in an attempt to legitimize its findings.     

Illusions of Intimacy

Summary

Gay men share the common human need for meaningful intimate contact in which the connection is genuine, open and honest. This need can be frustrated, complicated and undermined by a sexual trauma history. The child's sense of personal boundaries, of sexual integrity and of affectional relationships is deeply impacted by a sexual trauma. The child learns that his needs become secondary to the offender's and as a result the victim learns to barter with his sexuality to get those needs met. The offender may foster a sense of isolation in the child, creating a perspective of the world that is harsh and dangerous, so that the child becomes terrified of abandonment. Homophobia is understood to be a “sexuality abuse” and as a result gay men often come in contact with other survivors. As a result, distinguishing between sex and love and recognizing genuine intimacy become difficult. This creates a spiral of difficulties whereby gay men may take enormous risks to “belong” or to avoid abandonment, often with profound consequences in terms of health and self-esteem.     

A Review of Alcoholism Screening Instruments and Their Appropriateness for Women

Abstract

The purpose of this paper is to review empirical data on currently used alcoholism screening instruments. It is the contention of this article that current established instruments have incorporated items significantly more characteristic of males' alcoholism or late stage problem drinking of women. They omit areas more germane to women's life course experiences, such as reproductive health issues and exposure to physical and sexual abuse. Indicators more appropriate for detecting problem drinking in women are proposed.     

Free Symbolic Play and Assessment of the Nature of Child Sexual Abuse

ABSTRACT

This article highlights the potential value of free symbolic play to the field of sexual abuse. The following two points are argued: (1) free symbolic play is a modality well suited to the expression, reworking and mastery of psychic trauma and therefore offers sexually abused children a channel for communication; (2) free symbolic play is a potential source of information to mental health professionals when attempting to understand the context of a child's experience of sexual abuse. Preliminary guidelines are suggested regarding the appropriate use of free symbolic play to gain information about possible sexual abuse. In addition, a case study is presented illustrating application. Furthermore, the potential impact of research comparing the free symbolic play of sexually abused and nonabused children is considered.     

Community Corrections Officers' Attributions for Sexual Offending Against Children

ABSTRACT

The present research examined gender differences in community corrections officers' (CCOs') attributions for child sexual offending. Eighty-five CCOs were asked to write down the reasons why they thought men sexually abused children, and then rate their reasons using Benson's Attributional Dimensions Scale. The results found that CCOs' reasons regarding why men sexually abuse children strongly paralleled current scientific theories on the etiology of child sexual abuse. Also, significant gender differences were found regarding the frequency with which participants cited certain types of reasons for child sexual abuse. Female CCOs were more likely to cite power and control as a reason, while male CCOs were more likely to cite psychopathology as a reason for child sexual abuse. No other gender differences were found. The research, clinical, and educational implications pertaining to these findings are discussed.     

Introduction: Exposing Misinformation Concerning Child Sexual Abuse and Adult Survivors

SUMMARY

This article introduces a special volume on misinformation about child sexual abuse. Despite extensive research findings on the long-term effects and consequences of child sexual abuse, misinformation on this topic is widespread. Several forces have worked to support and disseminate this erroneous information. Because it is difficult to comprehend the horror of sexual crimes against children, society's denial and disbelief have often unwittingly supported the agendas of those who want to discount or minimize the impact of these crimes. The media has also contributed to the aura of skepticism surrounding claims of sexual abuse and its mental health impact, and has reported favorably on controversial and unproven claims such as the “false memory syndrome”. In the hope of countering misinformation and thus raising the level of discourse to the engagement of real scientific issues, a number of well known and respected researchers and clinicians examine various facets of the problem.     

A Critical Appraisal of the 1998 Meta-Analytic Review of Child Sexual Abuse Outcomes Reported by Rind,Tromovitch, and Bauserman

SUMMARY

The goal of this article is to present a methodological critique of the 1998 meta-analysis of child sexual abuse outcomes by Rind, Tromovitch, and Bauserman. Seven major concerns are addressed. Rind et al.'s view is, at best, extremely limited. By restricting a supposedly broad meta-analysis to only some of the population in question, the conclusions they drew regarding this complex topic, primarily that adult-child sex is not necessarily harmful, are invalid.     

When sorry is not enough: Archbishop Cardinal Bernard Law's image restoration strategies in the statement on sexual abuse of minors by clergy

In January 2002, the Boston Globe ran a two-part story on sexual abuse of minors by clergy in the Archdiocese of Boston that sparked the biggest crisis in the history of the American Catholic Church. Two days after the articles appeared, Archbishop Cardinal Bernard Law held a press conference to respond to the Globe's charges. This study examines Law's image restoration strategies in his press conference and proposes that even though Law failed to restore his image, he provided a fitting response. The study proposes that one may attribute Law's failure to restore his image to his relational history with his audience and to the perceived offensiveness of his actions.     

Theoretical Perspectives of Male Sexual Abuse: Conceptualization of a Case Study

The purpose of this article is to demonstrate the traumatic impact that sexual abuse can have on a young male's development by addressing mediating dispositions that can render a child vulnerable to the effects of sexual abuse. Consideration is given to three different theoretical perspectives that are not exclusive to male victims but shed light on the impact that sexual abuse can have on the development of a young boy. These perspectives include early family relationships and attachment theory, developmental psychopathology, and trauma theory. These theoretical lenses provide a conceptual understanding into why some victims are vulnerable to the effects of sexual abuse. Each theoretical view is applied to a case study of an adolescent male with a history of early trauma and sexual abuse. Clinical implications are discussed.     

Exploring the Relations Among the Nature of the Abuse,Perceived Parental Support,and Child's Self-Concept and Trauma Symptoms Among Sexually Abused Children

ABSTRACT

This study examined two resiliency factors: self-concept and perceived parental support, in conjunction with abuse factors that impact psychological functioning. Data were collected on 61 sexually abused children prior to treatment. Findings indicate that a child's self-concept was associated with all the trauma symptoms except sexual concerns and did account for a significant amount of variance in relation to trauma symptomatology. Parental support was only associated with the Dissociation and was not found to account for variance in relation to trauma symptoms. Factors specific to the sexual abuse found that when a child endured a lengthy abuse period, their self-concept was more negative.     

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.