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.     

Scale 8 Elevations on the MMPI-2 among Women Survivors of Childhood Sexual Abuse: Evaluating Posttraumatic Stress, Depression, and Dissociation as Predictors

This paper investigated elevations on Scale 8 of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) in women survivors of childhood sexual abuse (CSA) in order to assess whether symptoms of posttraumatic stress disorder, depression, or dissociation account for such elevations. Participants were 73 women seeking outpatient treatment for CSA after-effects at a university-based community mental health center. A stepwise multiple regression analysis was conducted, including measures of commonly reported symptoms in CSA survivors: depression, posttraumatic stress, and dissociation. Regression analyses revealed that the Beck Depression Inventory (BDI) and Dissociative Experiences Scale (DES) accounted for the most variance in Scale 8 scores (59%), with the BDI as the best predictor. The Impact of Event Scale (IES) did not predict Scale 8 scores significantly above that achieved by the model above. Cross-validation results indicated good generalizability. Results suggest that depression and dissociation contribute most to scores on Scale 8. Implications of these findings for the clinical and empirical use of the MMPI-2 with CSA survivors are discussed.     

The Implications of Childhood Sexual Abuse on Adult Social Behavior

Research indicates that childhood sexual abuse creates many long-term psychological difficulties, which may impair social behavior. These problems include anxiety, fear, depression, self-hatred, alienation, and suicidal tendencies. It was hypothesized that childhood sexual abuse would produce impaired social behavior in adults sexually abused as children. Two hundred and twenty-two male and female introductory psychology students from the University of Manitoba completed the Rand Corporation's Social Health Battery amplpar1978amprpar;, Linn's Social Dysfunction Rating Scale (1969), and a shortened version of Finkelhor's Sexual Victimization Survey (1979). Participants who experienced childhood sexual abuse exhibited impaired social behavior, which included fewer friends and social contacts, and more social adjustment problems. The importance of early intervention for children who experienced sexual abuse was discussed.     

Histologic evidence of repetitive blunt force abdominal trauma in four pediatric fatalities

In cases of acute fatal child abuse, certain injuries, including cutaneous blunt force trauma, skull fractures, subdural hematomas, intra-abdominal hemorrhage, and retinal hemorrhages are common and well described in the pediatric and forensic literature. These gross findings at autopsy, when taken into consideration with scene investigation and interviews with caregivers, may indicate both a clear manner and cause of death. In such cases, the discovery of additional pathologic changes attributable to older abusive injuries helps support a conclusion of death due to inflicted trauma. We discuss four cases of fatal child abuse in which acute blunt force abdominal trauma was the cause of death. In each of these cases, careful examination with proper sectioning and microscopy of select abdominal tissues revealed that the acute tissue trauma was superimposed on a background of older, healing injury. This older trauma was characterized by classic histologic elements of tissue repair, including fibroblast proliferation, early scar formation, increased vascularity, and hemosiderin-laden macrophages. Iron and trichrome stains were used to confirm the presence of hemosiderin and fibrosis in all four cases, but the recognition of fibroblast proliferation and a reactive vascular pattern was best seen on routine hematoxylin and eosin stains. The gross and microscopic autopsy findings, along with available investigative information, established the diagnosis of chronic physical abuse.     

An unusual case of child head injury by coat hanger*

Traumatic brain injury is the leading cause of morbidity and mortality among children suspected of child abuse. Penetrating cranio-facial injuries are generally rare in the pediatric age group and are caused by both accidental and inflicted mechanisms. We report an unusual case of a 2-year-old female who was admitted to a pediatric emergency room with an industrial stainless steel coat hanger impaled in her skull. Pertinent clinical forensic medicine examination, coupled with home inspection and interviews by the local law enforcement, revealed a horrible episode of domestic violence.     

Intersex/variations of sex characteristics and DSD citizenship in the UK,Italy and Switzerland

ABSTRACT

Citizenship studies is highly relevant to understanding intersex, variations of sex characteristics (VSC), and Disorders of Sex Development (DSD), yet little scholarship exists to date about intersex citizenship. This article outlines and develops the foundations for a distinctive intersex citizenship studies, addressing health citizenship, children’s citizenship, legal rights, and breaches of human rights experienced by intersex people and those with DSD. The paper presents original qualitative data from research in the UK, Italy and Switzerland with intersex people and their advocates, medics, and policy stakeholders. It shows that asserting citizenship is crucial for intersex people and those with VSC or DSD. This extremely marginalised population require social, intimate, children’s and health citizenship. Intersex citizenship addresses both medical and human rights issues in an integrated way.     

Parental alienation (syndrome) in child custody cases: survivors’ experiences and the logic of psychosocial and legal services in Italy

ABSTRACT

Parental alienation (syndrome) is a controversial issue, criticized by experts in different fields. However, this concept is often used by professionals and is frequently cited in courtrooms. This qualitative study focuses on parental alienation and explores women’s experiences as well as legal and social services’ practices in child custody cases. Semi-structured interviews were conducted with separated mothers who were victims of intimate partner violence, and with social workers and psychologists/psychiatrists designated by courts to evaluate parenting skills. Expert reports, psychological assessments and legal documents were also analysed. Results show that professionals endorsed parental alienation and considered it a ‘feminine problem’. Women were often blamed and labeled as ‘engaging in parental alienation’ when they were trying to ensure their children’s safety. Children’s accounts were interpreted as being a result of their mothers’ manipulation. In contrast, fathers were treated as victims of vindictive women who want to keep children to themselves. Men’s violent behaviours were not considered, and their role as fathers was seen as ‘inviolable’. These practices seem to reflect the ‘good-enough father’ approach, according to which the presence of the father is essential for children’s development, regardless of his violent behaviours.     

Child sexual abuse within the Catholic Church: a review of global perspectives

Child sexual abuse by Catholic priests is a global issue. Reports of abuse proliferated in the US in 2002, giving the appearance that it was an American phenomenon. However, by 2010, it was clear that abuse in the Catholic Church had affected countries around the world. Scholars in the US have published reports evaluating the nature, scope, and causes of the problem. Similarly, public inquiries and commissions have investigated the crises in other western and English-speaking countries, and research is ongoing. The reports have produced similar findings and recommendations for preventing abuse in the future, including better education and training about abuse; the need to respond quickly and thoroughly to victim–survivors; transparency in response to abuse; and coordinated responses with civil authorities.     

“Keeping Children Safe”: the Child Sex Offender Disclosure Scheme in Scotland

Abstract

This article describes the Child Sex Offender Disclosure Scheme in Scotland known as Keeping Children Safe (KCS), and the wider community engagement strategy developed by the charity Stop it Now! Scotland. The author coordinated the disclosure scheme on behalf of Police Scotland from November 2011 to March 2014. He is employed by Stop it Now! Scotland as a project officer. In 2011, Stop it Now! Scotland took over responsibility for the coordination of the KCS scheme from the Police. This work is embedded within a community engagement strategy known as the Upstream Project. The Upstream Project provides information to “community-facing” agencies to use in their interface with groups or individual adults in the community. To achieve this, a prevention toolkit was developed which includes a range of practical information and resources which adults can use to identify potential risk and take steps to prevent sexual abuse from occurring.     

It Takes a Village: Using a Community-Defined Practice Approach to Develop a Tribal In-Home Services Model for Alaska Native Families

The current evidence base for in-home services in child welfare is limited, with insufficient research on the use of in-home services among ethnically diverse populations. This article describes a case study examining the use of a community-defined practice and evidence approach to develop tribally based in-home service models with Alaska Native communities. The models were co-created by tribal elders, community members, and service providers, with technical assistance provided by the Western and Pacific Child Welfare Implementation Center (WPIC). Research findings suggest that this is an effective approach to developing culturally appropriate child welfare practices while also building local support and ownership.