Sex-typed role in male adolescent sexual abuse survivors

Confusion and conflicts regarding sexual identity have been identified by clinicians as sequelae of sexual abuse in male adolescents. The empirical evidence supporting this assertion is limited, however. The purpose of this study was to examine the relationship between sexual abuse of male adolescents and their sexual self-concept in comparison to other clinical and nonclinical adolescent populations. The Bem Sex-Role Inventory (BSRI) was administered to 31 sexually abused male adolescents, 14 nonabused, psychiatrically treated male adolescents, and 35 nonabused, nonpsychiatric male adolescents. A significant difference in sex-typed roles was found between sexually abused male adolescents and nonabused, nonpsychiatric male adolescents.     

Do parents blame or doubt their child more when sexually abused by adolescents versus adults?

Although the importance of parental support for child sexual abuse victims is well documented, the nature of parental support for victims sexually abused by adolescents is less understood. In this exploratory study, we examine whether parents differ in their levels of blame or doubt for their child when sexually abused by adolescents versus adults. Data included 161 reports of child sexual abuse. Parental blame toward their child was higher when sexually abused by an adolescent versus an adult suspect. In the bivariate and multivariate analysis, parental blame was significantly higher as victim age increased, for Black, non-Hispanic children, and when there was an adolescent suspect. Practitioners need to recognize that high levels of blame and doubt could exist for adolescent victims of sexual abuse and when children are sexually abused by adolescents.     

Characteristics of children with problem sexual behaviour and adolescent perpetrators of sexual abuse: a systematic review

ABSTRACT

People who commit sexual offences are a heterogeneous group, with research suggesting that children and young people commit a large proportion of all sex offences, especially those committed against other children. This systematic review provides a synthesis of literature concerning the characteristics of children and adolescents who exhibit harmful sexual behaviour. There is a particular focus in this review on studies that examine the characteristics of children and young people exhibiting these behaviours within institutional and organisational settings or which take a situational and/or developmental approach to understanding sexually abusive behaviour. Using a developmental and life-course criminology lens, this review explores implications from the literature for the prevention and response to child sexual abuse, with a particular focus on institutional contexts where the perpetrators are children and adolescents.     

Do Jurors “Know” What Isn’t So About Child Witnesses?

Are expert witnesses needed in child sexual abuse cases to educate jurors about children’s memory, suggestibility, and reactions to abuse, or do jurors already know what such experts could tell them? To cast light on this question, we surveyed jurors and jury-eligible college students and compared their beliefs with what is known via scientific research regarding children’s memory and ability to testify, reactions to interrogation, and reactions to sexual abuse. We also asked participants to infer results of four widely cited studies of children’s suggestibility. Participants’ beliefs were consistent with findings from research on some issues (e.g., that children can be led to claim that false events occurred) but diverged from the scientific consensus on other issues (e.g., whether children can remember painful events in infancy). Similarly, participants sometimes overestimated and sometimes underestimated the level of suggestibility observed in empirical studies. Individual differences in accuracy were related to participants’ gender, education and ethnicity, and there was considerable disagreement among participants on many questions. Implications of findings for the admissibility of expert testimony in child abuse cases are discussed.     

Medical Evidence and Expert Testimony in Child Sexual Abuse

Expert medical testimony in child sexual abuse cases can be critical to the outcome of a legal case. This article will review the development of the medical knowledge and clinical expertise in child sexual abuse. Since the passage of mandatory child abuse reporting laws, the forensic medical examination of a child for evidence of sexual abuse has become standard. Until recently, many myths regarding female genital anatomy existed but were based primarily on dogma and lack of empirical research. Over the past 25 years, many research studies and accumulating clinical evidence have expanded medical knowledge and debunked old myths. Physical evidence, even in cases of alleged genital or anal penetration is rare. Sexually transmitted infections are also uncommon and often require medical interpretation as to their significance in a prepubertal child. Specialized medical knowledge, training, and clinical expertise have developed in order to evaluate children presenting with allegations of sexual abuse. Such medical expertise provides invaluable service to courts. We review criteria for evaluating such expertise in light of current medical practice.     

The Relationship of Personal, Family, and Abuse-Specific Factors to Children’s Clinical Presentation Following Childhood Sexual Abuse

Past literature has proposed potential variables (e.g., age, gender, attributional style) that may relate to clinical presentation following childhood sexual abuse (CSA). However, few studies have tested these relationships. The current study examined multiple factors related to clinical presentation following CSA in 101 children and adolescents presenting for treatment at Project SAFE, a parallel group treatment for children/teens and their nonoffending parents. Using clusters developed in a previous study, relationships between proposed variables and pretreatment clinical presentation were examined. Results indicated that attributions about the abuse, parental mental health, and severity of abuse related to the differentiated clinical presentation. These results are important because pinpointing correlates to clinical presentation following CSA helps elucidate differences among those with a history of CSA and gives greater insight into the impact sexual abuse has on children. Knowing these differences may also benefit treatment providers in the development of individual treatment goals during therapy.     

Significance of Family Risk Factors in Development of Childhood Animal Cruelty in Adolescent Boys with Conduct Problems

The literature suggests that physical child abuse, sexual child abuse, paternal alcoholism, paternal unavailability, and domestic violence may be significant in development of childhood animal cruelty. Two groups of early- to late adolescent boys (CTA and N-CTA) in residential treatment for conduct disorder were compared in the current study on histories of these family risk factors. The adolescents in Group 1 were comprised of boys who had conduct problems with documented histories of animal cruelty (n = 50; CTA). Group 2 consisted of adolescent boys (n = 50; N-CTA) with conduct problems, but without documented histories of animal cruelty. Results showed that children in the CTA group had significantly greater histories of physical and/or sexual child abuse and domestic violence in comparison to children in the N-CTA group. These results suggest that physical and/or sexual abuse to a child, and exposure to domestic violence, may be significant in the development of childhood animal cruelty.     

The Abuse Problem

The sexual abuse of children is not new, it's newly uncovered. The authorities are receiving more complaints. The media is showing interest. The public is becoming aware. Its details are not pretty, they can repel and disgust and bring on demands for retribution. The numbers are large, Patterns are beginning to take shape showing who the victims are and who the abusers, and why. The impact is becoming known and it is huge. What one father does to his three children can grow in geometric proportions as those children each do the same to their three children, and these to theirs. The impact on crime is just becoming known: sexually abused children are prone to criminal activities and may well be a major cause of crime. The impact of false reports is also becoming know. The Salem witch trials are always before us. The possibilities of false accusation out of revenge or on a dare, or in a pique are not new, accusations satisfy a child's need for attention and status, and other children may see the possibilities for themselves. But where the sexual abuse is within the family, a hard choice must be made: to punish the offender heavily or to work with the abuser and the family to prevent future abuse. You cannot do both. It appears that the courts can bring highly beneficial results: they can provide comfort for a child victim, but more, they can provide treatment for that child and reduce the pain and guilt and fears and for that child break the cycle of abused children abusing their children who abuse their children who abuse. The courts can provide comfort for a family, but more, they can provide rehabilitation for most families where there has been abuse, restoring their strength and security. The courts can prosecute the abuser and punish him, but more, they can instead often provide rehabilitation for the abuser which is a surer way of preventing a recurrence than the disgrace of a prison. Much needs to be discovered. But from what is now know, the courts and the police and the social agencies need to be sensitized to the problem in all of its aspects. The opportunities for positive accomplishment are great.     

Getting to Grips with Sexual Grooming? The New Offence under the Sexual Offences Act 2003

In recent years, there has been increased societal concern regarding the dangers posed to children by sexual abuse and other related acts. For the main part, this article examines the new offence of meeting a child following sexual grooming under Section 15 of the Sexual Offences Act 2003. I will address the question of whether the introduction of this offence is likely to meet the Government's aim of providing greater protection for children against behaviour associated with sexual abuse. In particular, I will consider how difficult it will be to prove the existence of a harmful ulterior intent in order to make out the offence and why the Government has opted to create this specific offence rather than utilise the existing law of criminal attempt. I will argue that the new offence is a step in the right direction and that the current protection offered to children will be significantly extended by its introduction.     

Sentencing in child sexual assault cases: factors influencing judicial decision-making

Abstract

To date, there has been limited examination of variables that influence sentencing in child sexual abuse cases. This study examines the extent to which offence characteristics (such as the number of offences, number and age of victims), the behaviour and perceived credibility of the victim impact upon both sentence length and the setting of earliest parole dates. Analyses conducted using data from 66 adjudicated cases of child sexual assault from the County Court of Victoria, Australia revealed that longer sentences were handed down to offenders who had perpetrated multiple offences, or who had committed offences against younger children. Lower levels of victim credibility were associated with shorter sentences and earlier parole dates for offenders, which were also associated with the presence of more harmful behavioural indicators of abuse. The findings are discussed regarding the importance of presenting evidence about the behaviour of victims following sexual abuse in criminal trials.     

Unaccompanied refugee children and adolescents: the glaring contrast between a legal and a psychological perspective

Unaccompanied refugee children and adolescents are a vulnerable group: they live not only in a relatively difficult situation as minor refugees staying in another country, but also face other risks due to the absence of their parents, such as traumatic experiences, exploitation or abuse. The difficult living situation of these unaccompanied refugee children and adolescents might therefore threaten their emotional well-being, resulting in important emotional and behavioural problems. This 'psychological' perspective shows the necessity of a strongly elaborated reception and care system for these children and adolescents in order to meet their specific situation and needs. Nevertheless, the case study of unaccompanied refugee minors living in Belgium, as explored in this paper, shows that the legal perspective on these youths - considering them as 'refugees' and 'migrants', not as 'children' - is predominantly the starting point to build the care system on. Moreover, this legal perspective contrasts sharply with the psychological perspective, as such that these children and adolescents do not receive appropriate support and care as they need.     

Child sexual abuse: an Italian perspective

The problem of child sexual abuse is a growing reality in Italy. The experience of over 200 children seen by the SVS (Soccorso Violenza Sessuale) Centre in Milan (the first Italian large-scale study) may give more information on the European situation. This study is a retrospective study based on information contained in the files of children beneath the age of 14 seen at the SVS Centre between May 1996 and May 2003, who arrived with a suspicion of child sexual abuse. Over 80% of all cases fell within the normal-aspecific category according to Adams' 2001 classification. This first Italian survey, though not based on substantiated cases but only on cases of suspected sexual abuse, supplies a perspective on a large northern European city such as Milan. Data seem similar to those published in other non-European studies, particularly as regards clinical signs observed. Thus, the results of this study, with all their limitations, start to give a perspective on the frequency and type of child population reaching this Italian center, what the scenarios are, what signs the children present and how infrequent it is to find clinical anogenital signs concerning for sexual abuse.     

Behavior Problems in Sexually Abused Children of Depressed Versus Nondepressed Mothers

Children's psychological adjustment following stressors, such as sexual abuse, is impacted by environmental variables. One such factor is parental support, which can be hampered when a caregiver suffers from psychopathology. The purpose of this study was to determine whether maternal depression would impact the children's adjustment to sexual abuse. It was hypothesized that depressed mothers would report more behavior difficulties for their sexually abused children than nondepressed mothers. Participants were 58 children (and their mothers) who were referred for trauma symptoms related to sexual abuse. Mothers completed the Beck Depression Inventory as a measure of their depression and rated their children's behaviors on the Revised Behavior Problem Checklist. The children completed the Children's Depression Inventory and the Revised Children's Manifest Anxiety Scale. Results revealed that depressed mothers reported more conduct problems, inattention/immaturity, and psychotic behavior than nondepressed mothers. Differences were not observed for mothers' report of depressive or anxious behaviors across groups. The children of depressed mothers reported increased levels of depression, but not anxiety, when compared to children of nondepressed mothers. Although both groups of mothers reported symptoms to be clinically significant, the children did not endorse their symptoms in clinically significant ranges.     

Childhood sexual abuse, gender, and depression among incarcerated youth

This study examined whether sexual abuse was related to higher levels of psychological distress among incarcerated youth and if the effects were invariant across gender. Participants were male and female adolescents, aged 11 to 20 years, incarcerated in six juvenile correctional institutions in five states. Using data from a national study of juveniles confined to secure institutions, this study assessed the relationship between gender, sexual abuse, and depression. Adolescents who were sexually abused during childhood compared to adolescents who were not report higher levels of depression. Sexually abused girls and boys report higher levels of depression compared to boys not sexually abused. These findings suggest the importance of understanding the relationship between childhood sexual abuse and depressive symptoms among incarcerated youth. Additionally, the findings suggest that the effects of childhood sexual abuse are similar for males and females among a high-risk sample of institutionalized juvenile delinquents. Implications for treatment of incarcerated youth are discussed.     

Identification and trauma: An integrative-developmental approach

The present paper addresses the effects of sexual abuse trauma on the developmental process of identification. Childhood victims of family violence often experience profound character changes as adults. One primary adaptation utilized by survivors of sexual abuse trauma is termed identification with the aggressor.Both pathological and adaptive manifestations of this operation exist in children and adults. Clinical case material is presented which clarifies the impact of trauma on the process of identification in children and adults. Individual, group, and family dynamics all provide important contextual information for the processing of sexual abuse trauma in psychotherapy. Clients may co-create, with their therapist, interactions which resemble their original traumatizations. During these therapeutic re-creations, clients exhibit behavior which represents an identification with their offender, hence expressing unresolved aggression toward the therapist. The effective psychotherapist is able to tolerate her own aggression, and remain empathically connected to her client.     

Recruiting Participants for Child Abuse Research: What Does It Take?

Recruiting participants for child abuse research and tracking them over time require extensive efforts and perseverance. This paper documents the results of strategies used in a longitudinal study of child abuse. The study sample consisted of a group of school-age abused children and their mothers and a matched comparison group of nonabused children and their mothers. Consent rates were lower for abusing families than for nonabusing comparison families. Among abusing families, those in the sexual abuse group were more difficult to recruit than those in the physical abuse or neglect groups. Even after obtaining consent, successfully completing interviews required persistence, particularly for the abuse group. Retention over time was highly successful as a result of considerable efforts to maintain contact with respondents. Researchers would benefit from more published accounts of study procedures regarding sample recruitment and maintenance.     

Sensory information in children’s statements of sexual abuse

The credibility of children’s statements of sexual abuse is a controversial issue in forensic psychiatry and psychology. Neurobiological and clinical laboratory studies show that real memories contain more information regarding sensory details than false memories. The goal of the present field study was to evaluate whether sensory information was present in children’s statements of sexual abuse, and whether this information was more often present in credible statements compared with non-credible statements. Sensory details were extracted from a sample of 96 statements of sexual abuse from children; 62 statements were considered credible and 34 statements were considered non-credible. This study showed that sensory information was present in 79% of children’s reports of child sexual abuse. Sensory information was significantly more often present in statements considered credible compared with non-credible statements (85.5%, P < 0.001), but there were large variations in the sense involved. Logistic regression analysis showed that the presence of at least one sensory detail may be a good predictor of credibility (odds ratio, OR = 23.484, P < 0.05). It seems appropriate to include sensory details when assessing the credibility of children’s statements of child sexual abuse, but it has not yet been demonstrated that use of such details significantly improves the validity of credibility assessments.KEYWORDS: Forensic sciences, forensic psychiatry, forensic psychology, credibility, sensory information, children’s statements, sexual abuse