Service Patterns of Adult Survivors of Childhood Versus Adult Sexual Assault/Abuse

This analysis compared the characteristics and service patterns of adult survivors of childhood sexual assault/abuse and adult survivors of adult sexual assault/abuse. Utilizing data from sexual assault crisis centers serving survivors in a Midwestern state over a six year period and controlling for revictimization, we describe and compare the demographic characteristics, referral sources, and service patterns of the two groups. Results indicate that paths into service differ for the two groups. Furthermore, adult survivors of childhood sexual assault/abuse obtain significantly more hours of service and service contacts on average than adult survivors of adult sexual assault/abuse. Implications for policy and practice are discussed.     

Attributions of Blame among Victims of Child Sexual Abuse: Findings from a Community Sample

ABSTRACT

According to the attribution theory, negative outcomes of child sexual abuse (CSA) are thought to vary depending on whether CSA victims attribute the abuse to internal or external factors, respectively, self-blame and perpetrator-blame. Therefore, the purpose of this study was to identify abuse characteristics and attitudes that influence blame attributions among CSA victims from a community sample. Data from respondents with a history of CSA (N = 1,496) have been used in predicting blame attributions; perpetrator-blame, self-blame, or both. Results from a multinomial logistic regression analysis showed that attitudes toward gender roles had a significant effect on blame: victims were more likely to blame themselves when they endorsed more conservative gender attitudes than victims with more liberal attitudes. Implications for this finding are discussed.     

Adverse Childhood Experiences and Healthcare Costs in Adult Life

ABSTRACT

The current study aims to present the prevalence of adverse childhood experiences and examine the healthcare costs associated with primary, allied, and specialist healthcare services. The Australian Longitudinal Study on Women’s Health is a general health survey of four nationally representative age cohorts. The current study uses 20 years of survey and administrative data (1996–2015) from the cohort born 1973–1978. Overall, 41% of women indicated at least one category of childhood adversity. The most commonly reported type of childhood adversity was having a household member with a mental illness (16%), with the most commonly reported ACES category being psychological abuse (17%). Women who had experienced adversity in childhood had higher healthcare costs than women who had not experienced adversity. The healthcare costs associated with experiences of adversity in childhood fully justify a comprehensive policy and practice review.     

Age Variation in Performance Among Preschool Children in a Sexual Abuse Prevention Program

The purpose of this study was (a) to determine whether preschool age children could be taught sexual abuse prevention skills and concepts, and (b) to determine if any variation in performance exists as a function of the age of the child. Over 1300 preschool children ages 3-to-6-years were pretested and either participated in the prevention program or a control program. Children were posttested on knowledge and skill gains. Children who participated in the prevention program demonstrated greater knowledge of prevention skills and concepts compared to age matched controls. The benefits of participation in prevention program varied across age groups. Multiple comparison of posttest means indicated that trained 4-, 5-, and 6-year-olds demonstrated significantly greater knowledge of prevention skills and concepts than 3-year-olds. Trained 6-year-olds demonstrated significantly greater knowledge than trained 4-year-olds. The results indicate that preschool age children can be taught prevention skills and concepts. However, benefit from participation in prevention programs varies with age.     

Treatment of Adult Sexual Offenders: A Therapeutic Cognitive-Behavioural Model of Intervention

SUMMARY

Recent research indicates that, of the various forms of treatment available to sexual offenders, cognitive-behavioural methods are likely to have the greatest impact in reducing rates of sexual re-offending. Cognitive-behavioural treatment typically targets attitudes that support sexual offending, anger management, victim empathy, deviant sexual arousal, and relapse prevention. More recently, treatment has targeted cognitive processes more generally, management of other emotional states in addition to anger, intimacy deficits, and risk self-management (Marshall, Anderson, & Fernandez, 1999; Yates, Goguen, Nicholaichuk, Williams, & Long, 2000). This article describes the components of cognitive-behavioural treatment with sexual offenders, including recent developments, assessment, treatment methods, and the importance of therapist characteristics on the therapeutic process and on treatment outcome.     

Not All Alike

Abstract

Most published research regarding same-sex relationship abuse experienced by lesbian, gay, bisexual, and transgender (LGBT) people notes a need for services. However, the LGBT community is quite heterogeneous, and useful support may vary based on demographic characteristics. This research examined within group differences regarding type of support sought and its usefulness. Eighty nine percent (n = 677) of a diverse sample of LGBT people (N = 760) experienced abuse in a same-sex relationship. Of those who experienced some type of emotional, physical, and /or sexual abuse, differences in help sought and its usefulness were found based on age, income, gender, sexual orientation, and ethnicity.     

Sexual assessment and the epidemiology of AIDS

Research on the transmission dynamics of AIDS necessitates an extraordinarily rigorous sexual science. Thus, the purpose of the present paper is to isolate sexual parameters which are crucial to the epidemiology of AIDS. Several representative mathematical models of the proliferation of HIV are described. From these models, three consistent sexual parameters emerge (sexual orientation, anal intercourse, and selection of sexual partners). Consequently, each parameter is examined for the feasibility of assessment and the reliability of existing data. However, as the present review suggests, the relevant data on sexual parameters are either marginal or nonexistent. Therefore, alternatives are described, and the broader implications of measurement error on epidemiological predictions is developed.     

Prevalence of classes of risk behaviors for HIV infection in a randomly selected Australian population

A random, geographically stratified sample of over 2,600 individuals aged 16 and over was interviewed in all states and territories of Australia to determine the prevalence of classes of behaviors which are associated with HIV infection. Returns from the anonymous risk behavior questionnaire (60.2% return rate) suggested that the prevalence of both male and female homosexual behavior, and contact with prostitutes, was substantially lower than that estimated by Kinsey et al. (1948, 1953). Data suggest that prevalence of classes of behaviors which place Australian individuals at risk of HIV infection may be lower than American estimates. However, the proliferation of HIV into the Australian homosexual community may be more extensive than previously assumed. The implications of these data for HIV preventive education programs and their targeting are discussed.     

Equity vs. Invisibility: Sexual Orientation Issues in Social Work Ethics and Curricula Standards

The responsibility of the social work profession to be inclusive and equitable in its service provision is reviewed via policies relating to professional training regarding sexual orientation issues. A comparative review of Canada, the United Kingdom (UK) and the United States of America (USA) and international standards regarding sexual orientation issues in social work codes of ethics and curricula standards was undertaken. A consistency exists in the USA between its ethics code and curriculum standards further backed by a mandated approach, but it is weak in the area of ethically principled practice skills. Both Canada and the UK are less consistent and comprehensive and lack a mandated approach. The results speak to where consistencies exist and where they need to be established in order to develop an infrastructure that properly trains social workers in cultural competency for these populations.