Group therapy for women sexually abused as children: mental health before and after group therapy

Forty-five female outpatients sexually abused in childhood were offered a 2-year phase-divided group therapy. Before and after treatment and at 12 months follow-up, they answered questionnaires designed to elicit responses concerning psychological symptoms (Symptom Checklist; SCL-90) and sense of coherence (SOC). Symptoms for posttraumatic stress disorder (PTSD) were assessed before and after treatment. Inpatient days and sick listing days were assessed during 2 years before and 2 years after treatment. The psychological and PTSD symptoms were significantly reduced after treatment, and the SOC was increased as well. Inpatient days were decreased, and sick listing days increased but not significantly. Compared to a similar short-term focused therapy group and a waiting-list group there were no significant differences between the groups. Trauma-focused group therapy for women who were sexually abused in childhood seems to have promising effects on mental health, both concerning long-term and short-term approaches.     

Pre-program attrition in batterer programs

The outcome of batterer programs has become a topic of research and clinical concern in recent years. There has been little assessment, however, of the input of these programs and its implications. This study analyzes the records of 200 inquirers to a batterer program during 1989–1990 to determine the attrition rates based on the initial number of inquirers. The attrition from inquiry to intake is 73%, from inquiry to counseling attendance is 86%, and from inquiry to 12 counseling sessions is 93%. Only 1% actually completed the contracted 8 months of counseling sessions. The only background and protocol variable significantly associated with intake attrition was marital status. Those inquirers referred from informal referral sources and paying high monthly fees were more likely to attend over 12 counseling sessions. The 1990 inquiry-to-counseling attrition rates were higher than the program rates in the early 80s and higher than a comparable program with no separate intake session. The implications of these findings for pre-program protocol are discussed.     

Differences in Family Functioning of Sexually Abused vs. Nonabused Enuretics

The present study examined self-reported maternal depression, children's somatic complaints, and perception of family functioning in sexually abused and nonabused enuretics. Forty children with primary nocturnal enuresis served as subjects. Half had documented histories of sexual abuse while the other half did not report a history of victimization. Results indicated that those children with a history of sexual abuse perceived and rated their families as significantly more conflictual and rigid than their nonabused counterparts. Variables such as type of abuse (intrafamilial vs. extrafamilial) and perpetrator did not affect the outcome. However, there were no significant differences in child somatic complaints or maternal depression between the two groups. These results suggest that primary nocturnal enuresis may manifest itself differently in families of sexually abused children than nonabused children. Implications of these findings with respect to intervention are discussed.     

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.     

Predicting multiple victim versus single victim sexual abuse: an examination of distal factors and proximal factors associated with the first abuse incident

Abstract

Official and confidential self-report data on 83 convicted adult male sexual abusers were analysed to examine whether sexual offending progression can be better predicted from distal antecedents, or from proximal antecedents and outcomes associated with the first sexual abuse incident. Fifty-six offenders who sexually abused more than one victim (multiple victim offenders; MVOs) were compared to 27 offenders who sexually abused a single victim only (single victim offenders; SVOs). MVOs were younger at the time of their first sexual abuse incident, and were more likely to first abuse male and non-familial children. With the exception of sexual attraction to male children, no differences were found between the two groups on distal antecedents. Proximal antecedents and outcomes associated with the first sexual abuse incident were significantly related to multiple victim offending. Logistic regression analysis identified the presence of sexual difficulties in the month prior to the first abuse incident, and sexual excitement immediately preceding the first incident, as significant unique predictors. Implications for risk assessment and risk management are discussed, and future research directions proposed.     

Prevalence of sexual abuse in organised competitive sport in Australia

Abstract

This article reports the first phase of a three-phase research programme investigating the prevalence and long-term sequelae associated with sexual abuse in a non-psychiatric sample of male and female Australian athletes. A cross-sectional, retrospective design, using a mailed survey, provided a quantitative assessment of sexual abuse prevalence in a national sample of elite athletes and a regional sample of club athletes. Results from the total sample (n = 370) revealed that 31% of female and 21% of male athletes reported experiencing sexual abuse at some time in their lives. Of these, 41% of females, and 29% of males had been sexually abused within the sports environment. It was also found that almost half, 46.4%, of the elite group reporting sexual abuse had been sexually abused by sports personnel. For the club group, this figure was 25.6%. Implications of these results and current initiatives for the prevention of sexual abuse of athletes in Australia are discussed.     

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.     

Stirred,Shaken, or Blended

Abstract

Research documents the variation in levels of offending and the official response to boys' and girls' misbehavior (see Chesney-Lind & Sheldon 2004 for a nice summary of this work). Our research questions develop from this literature. We first expect differences in girls and boys at intake to a residential program for low-to-medium risk offenders, and then we also expect differences in official responses to girls and boys during their aftercare experience. Our findings confirm the literature—girls and boys differ in seriousness of committing offenses. Additionally, girls and boys are treated differently during their time in juvenile justice programming. For example, girls are monitored more closely than boys and receive less serious penalties for similar levels of rule violations. We find no difference between boys and girls in their odds of receiving a serious sanction. While traditional theoretical attempts to explain girls' misbehavior are often described with the expression “add women and stir,” our findings suggest that both behavior of and official response to boys' and girls' activities show that girls are not simply stirred into the male mix but are responded to differently than boys and in ways that illustrate conventional gender socialization.     

Evaluation of a treatment program for battered wives

Research shows that of the abused wives who remained in a women's protective agency for a period of at least 2 weeks, 50% return to their abusive situation. Several theorists have advocated that battered women remain in their abusive situation because they lack skills necessary to extricate themselves. A program was developed to provide personal and vocational counseling for abused women. Over a 2-week period, abused women who volunteered for the experiment were given the opportunity to participate in group counseling which provided cognitive restructuring therapy, self-assertiveness and communication skills training, problem solving training, body awareness, and vocational counseling. Three groups participated in the experiment: a control group, a group with the COPSystem Interest Inventory and the Sixteen Personality Factors Questionnaire, and a group with the COPSystem Interest Inventory without the Sixteen Personality Factors Questionnaire. The group with the COPSystem Interest Inventory administration and interpretation showed significant improvement within group measures from pre- to post-treatment in anxiety, depression, hostility, assertiveness, and self-esteem. The group with the COPSystem Interest Inventory and the Sixteen Personality Factors Questionnaire utilization showed no significant improvement in any of the measures. It can be concluded that the women in the experimental group with the administration of the COPSystem Interest Inventory benefited from the therapy provided more than the women in the experimental group with both the COPSystem Interest Inventory and the Sixteen Personality Factors Questionnaire administration and interpretation. Limitations and directions for future research are discussed.     

Mediators of male violence toward female intimates

The purpose of this study was to compare perceived life stressors, alcohol usage, and perceived quality of the intimate relationship of a group of males who have abused their female intimate with a group who have no history of abuse toward their partner. Interviews were conducted with 42 men who were defined as violent and 50 men who were defined as nonviolent. Interviews consisted of various demographic and health questions as well as standardized instrumentation (Michigan Alcoholism Screen Test, Autonomy/Relatedness Scale, Life Experiences Survey, and Conflict-Tactics Scale). Student's t tests indicated that the two groups differed as a function of perceived life Stressors, perceived quality of the intimate relationship, race, and depression. Stepwise logistic regression indicated that higher perceived quality of the intimate relationship, black race, and greater depression were significant predictors of male violence toward female intimates.     

The State of the Debate About Children's Disclosure Patterns in Child Sexual Abuse Cases

In current research studies about the disclosure patterns of sexually abused children, experts agree that most victims delay disclosure for years, often until adulthood. Researchers disagree about disclosure rates and recantation rates among children during formal interviews. Studies of children who had not previously disclosed but are known through corroborative evidence to have been sexually abused show lower rates of disclosure than do studies of children who had disclosed prior to the formal interview. Gradual disclosures among children are common, and more than a single interview may be necessary in some cases. Prior disclosure, level of support by non‐offending parents, developmental level, and relationship to perpetrator affect children's rates of disclosure and their disclosure patterns. More research is necessary to clarify children's post‐disclosure recantation rates and predictors.     

Gender and Justice in the Progressive Era: An Investigation of Saint Louis Juvenile Court Cases, 1909–1912

There is increased interest in the history of the juvenile court and its role in the social control of youth. In this context, feminist scholars have emphasized the long‐standing legacy of the court's attempt to control girls' violations of gender images, particularly sexual behavior and status offenses. This perspective argues that girls are penalized more harshly than boys, despite being charged with less serious offenses. The present study tests hypotheses about the relationships between gender and charge, prehearing detention, and disposition using St. Louis juvenile court records for the years 1909–1912. Qualitative content analysis is used to probe more deeply the connection between gender and sexually based charges in the early history of the St. Louis juvenile court. Findings indicate that girls were subject to harsher forms of social control than boys, despite less serious charges, and that sexual behavior was described and treated much differently in girls' records than in boys'. Connections to contemporary practices are delineated.     

Little Women

Abstract

Despite the growing trend of waiving youth to adult/criminal court, little is known about how convicted youth experience adult prison. To date, no research has been published about girls in adult prisons. In this study, intensive interviews were conducted with 22 girls serving time in a women's prison in the Midwest, as well as four staff working in the girls ' unit. The findings describe the complex lives of girls housed in an adult women's prison, in particular, their difficulties in gaining access to adequate schooling, work training, counseling, and health care. We also address the girls' contact with adult women prisoners, as well as their relationships with staff at the prison. Beyond improving their conditions of confinement, our research highlights the need to consider the appropriateness of placing girls in adult institutions.     

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.     

Sexual abuse of vulnerable young and old men

During a 4-year period, aggregated data from Adult Protective Services case files in Virginia revealed 17 cases of sexually abused young, middle-age, and old men. The most common types of sexual abuse across age groups involved instances of sexualized kissing and fondling and unwelcome sexual interest in the individual men's bodies. The majority of alleged perpetrators were male; they typically were similar in age to the men and resided in the same residential facility. In none of the cases was the alleged perpetrator prosecuted. Only two of the men continued to be at risk of further sexual abuse by the alleged perpetrator. Implications of these data for future research and practice include a need for studies that focus on differences between male and female victims, especially concerning investigations and interventions, and for training on reporting and intervention for facilities and agencies and organizations working with victims and alleged perpetrators.     

Race and Demographic Factors in Treatment Attendance for Domestically Abusive Men

This study examined the influence of race and other demographic characteristics on session attendance and dropout from a cognitive-behavioral treatment program for male domestic abusers (N = 101). Multiple regression analyses revealed that lower session attendance was significantly predicted by unemployed status and African American (versus Caucasian) race. Other demographic factors could not account for the race differences in session attendance. Race was the strongest predictor of dropout and session attendance in all analyses. Racial composition of treatment groups was not significantly related to number of sessions attended for Caucasian or African American clients. Although the combined (interactive) effect of race and referral source on number of sessions was not statistically significant, the pattern of means suggested that self-referred African Americans were at the greatest risk for dropout. Results suggest that race differences in dropout, and the mechanisms that account for these differences, deserve more clinical and research attention in treatment for domestic abusers.     

Examining the Traumatic Effects of Sexual Victimization on the Health of Incarcerated Women

Data from the 2004 Survey of Inmates in State Correctional Facilities were used to examine the effects of sexual abuse on the physical and mental health of incarcerated women. This nationally representative sample consisted of a cross-section of 2,885 female inmates ranging in age from 16 to 74. Using bivariate analysis, we made comparisons between sexually abused (n = 1,205) and non–sexually abused (n = 1,680) inmates. Abused women were more likely to report increases in health problems and mental health diagnoses, as well as other self-reported mental health conditions, such as paranoia, depressive symptoms, anger, and lifestyle changes. Respondents with extensive sexual abuse histories (multiple and across the life cycle) were also more likely to suffer higher levels of paranoia, depression, chronic health problems, and attempted suicide.     

Intervention

When a child is sexually abused there are two immediate and strong reactions; the abuser must be punished, the child must be helped. If the abuser is a stranger, there is no problem. The child and her family can be worked with and the abuser can be sent to prison with no one else hurt, except of course for the abuser's own wife and children. But if the abuser is a parent of the child, a choice may have to be made. Either treat the child or punish the abuser, usually not both. If the abusing parent is put in jail, the abused child will feel guilty, a parent who may be otherwise a valuable member of the family is gone, the family loses a paycheck, its standard of living tumbles, the abused child may be blamed by the rest of the family. The best treatment requires the whole family, the abuser and the abused, the mother who may be an enabler, the other children who are necessarily involved. Without the abuser, the treatment circle is not complete, the problems cannot be fully resolved, the children may yet grow up to be abusers themselves. If, as is usual, the abuser is part of the family constellation, a policy decision must be made, and early: to punish the abuser or to have adequate treatment. The sooner treatment can be started, the more effective it will be. Conversely, the sooner the abuser is jailed and charged, the fresher the evidence will be.     

The spectrum of sexual abuse in daycare: An exploratory study

Findings from an exploratory study of 48 children sexually abused in daycare centers and daycare homes are presented. About two thirds were female and one third male. Approximately half of victims were maltreated by a single perpetrator and about half by more than one perpetrator, in the latter instance almost always by both men and women. On average, the children were subjected to 5.3 types of sexual abuse, experienced 2.1 different sorts of threats to obtain their cooperation or prevent disclosure of their victimization, and suffered from 3.7 symptoms regarded as sequelae of sexual abuse. Differences in the characteristics of offenders, victims, the sexual abuse, threats, and sequelae were found based upon the daycare context, that is, whether children were victimized in a center with multiple perpetrators, a center with a single perpetrator, or a daycare home.