Jurors' perceptions of hearsay in child sexual abuse cases.

The authors examined jurors' perceptions of child victims who testified in court and adult witnesses who repeated children's hearsay statements. Data were collected from criminal courts in 2 major U.S. cities (42 juries and 248 jurors). After deliberating in child sexual abuse trials, jurors completed a detailed questionnaire concerning their perceptions of the main child victim involved in the case and the adult who spoke with the child prior to trial about abuse and who testified about what the child disclosed (the adult-hearsay witness). In all trials, a child victim and adult-hearsay witness testified. Results are discussed in relation to trial outcome, child credibility, and adult-hearsay witness credibility. Implications for use of hearsay evidence in child abuse cases are also addressed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of perceived child physical and sexual abuse history on Native American women's psychological well-being and AIDS risk.

The impact of perceived child abuse history on 160 adult, Native American women's emotional well-being (i.e., depressive mood and anger) and AIDS risk was examined. How sense of mastery and social support might lead to women's greater resiliency was also investigated. Child physical-emotional abuse was found to have greater impact on depressive mood and anger and AIDS risk than did child sexual abuse. This finding was independent of current stress in women's lives. Women who were physically- emotionally abused as children had 5.14 times greater odds of having a sexually transmitted disease in their lifetimes than did women who experienced only marginal or no physical- emotional abuse. Moreover, consistent with the communal culture of Native Americans, social support was found to contribute more to resilience than sense of mastery did. Reasons for the greater predictive power of child physical- emotional abuse compared with child sexual abuse in a growing number of studies are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual fantasies of child molesters.

Investigated the mood accompanying sexual fantasies, and the way in which the other person in the fantasy was perceived, by 21 child molesters, 19 rapists, and 19 non-sexual offenders. Child molesters did not differ from other Ss in their perceptions of adults in their fantasies, and the adult fantasy was perceived more positively than the child fantasy. Child molesters were more likely to fantasize about children when in a negative emotional state than when in a positive mood, and these fantasies were likely to produce a negative mood state. Child molesters may fantasize about a child as an inappropriate way of coping with dysphoric moods, thus enhancing that dysphoria and leading to further inappropriate fantasies. Results suggest that sexual fantasy monitoring should become an important component in the treatment of child molesters. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Institutional management of child sexual abuse]

In the years 1992-94 the Child Protection Centre Kiel carried out the first investigation of how various institutions (nursery schools, schools, advisory offices, children's specialists, youth welfare departments, police, judicial authorities etc.) in the German-speaking area deal with suspected cases of sexual child abuse. A special comprehensive questionnaire and a personal interview were drawn up to find out details concerning knowledge, experiences, attitudes and concrete measures of the employees. The particulars were evaluated of about 900 persons from three differently structured districts in Schleswig-Holstein. The institutions (with the exception of the police and judicial authorities) do not have any clear concepts regarding the handling of suspected cases of sexual child abuse. The reactions of the institutions usually depend on the level of knowledge, experience and subjective assessment of individual employees. Roles are not clearly defined and there is not enough cooperation between the institutions. The employees require more practice-orientated training and case-specific supervision. There are not enough coordination bodies for those concerned, therapeutic places and accommodation possibilities for children and youths as well as effective offers of assistance for adults and youths who have abused children.     

Decisions and attitudes concerning child sexual abuse: does the gender of the perpetrator make a difference to child protection professionals?

OBJECTIVE: An investigation was conducted into whether child protection investigators, specifically social workers and the police, are as likely to take seriously a case of child sexual abuse if it had been perpetrated by a female rather than a male. Also, to examine whether the decisions relating to female-perpetrated abuse were predicted by participants' sex role perceptions of women and their attitudes concerning women's sexualized behavior towards children. METHOD: Participants advocated decisions in response to four hypothetical case of child sexual abuse in which the perpetrator was either male or female. The female perpetrators were then rated on femininity and masculinity characteristics and attitudes concerning women's sexualized behavior toward children were assessed. RESULTS: Following male--rather than female--perpetrated sexual abuse, case registration and imprisonment of the perpetrator was considered more appropriate by all participant groups; male social workers also considered social services involvement and investigation as more appropriate. A substantial number of decisions concerning female perpetrated abuse were predicted by participants' attitudes. CONCLUSION: While child protection professionals considered child sexual abuse perpetrated by females to be a serious issue warranting intervention, a number of advocated decisions suggested that they did not consider female-perpetrated abuse to be as serious as male-perpetrated abuse. The implication is that victims of sexual abuse perpetrated by a woman may be less likely to receive the protection afforded victims of male-perpetrated abuse. Furthermore, professionals' practices may be inadvertently perpetuating the view that female child sexual abuse is rare or less harmful than abuse carried out by males.     

Parent-child relationships in stepparent families.

Compared college students' perceptions of parent–child relationships in stepfamilies with those in continuously intact families. 47 students from stepfamilies and 130 from intact families completed a parent–child relationship survey developed by M. A. Fine et al (see record 1984-01194-001). Results suggest that adult stepchildren perceived relationships with their noncustodial biological mothers and stepmothers less positively than adult children from intact families perceived relationships with their biological mothers. No significant differences were found between adult children's perceptions of father–child and stepfather–child relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual contacts: experiences, thoughts, and fantasies of adult male survivors of child sexual abuse

This study examined the past sexual experiences, as well as the prevalence of sexual thoughts and fantasies concerning the sexual contacts of 35 adult men who were sexually abused during their childhoods. More specifically, their past sexual contacts, thoughts and fantasies of desired sexual contacts, and perceptions of sexual contacts were investigated. A group of 33 adult men with no history of sexual abuse was included for the purpose of comparison. A 72-item questionnaire was used to collect data. The results indicated that male childhood sexual abuse may contribute to the prevalence of sexual thoughts and fantasies about sexual contact with male children and adolescents. Despite the prevalence of sexual thoughts and fantasies about sexual contact with boys, the adult male survivors surveyed claimed not to be accepting of sex between adults and children.     

The believability of children and their interviewer's hearsay testimony: When less is more.

Hearsay testimony from children's interviewers is increasingly common in sexual abuse trials, but little is known about its effects on juries. In 2 studies, the authors examined college students' perceptions of 3 types of hearsay testimony (an actual interview with a child or an adult interviewer providing either the gist of what that child had said or a verbatim account of the interview). Interviewers were rated as more accurate and truthful than the children. The interview was rated as higher quality, and children's statements, including their false statements, were sometimes rated as more believable in the interviewer gist hearsay condition. Mock jurors reacted differently to various types of hearsay testimony, and interviewer gist testimony may favor a child's case. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Teaching personal safety skills to young children: an investigation of age and gender across five studies

OBJECTIVE: To determine the extent to which preschool-aged boys and girls can benefit from instruction in personal safety. METHOD: Data compiled from five previous studies were employed. Four hundred and six preschoolers were pretested and participated in either the Behavioral Skills Training program (BST; Wurtele, 1986) or a control program. Children were posttested on skill and knowledge gains. RESULTS: Preschoolers who had participated in the BST program demonstrated greater knowledge and higher levels of personal safety skills compared with controls. Boys and girls reacted similarly to the program, as did children from younger and older age groups. CONCLUSIONS: These results provide support for the assertion that most preschool-aged children can benefit from participating in a developmentally appropriate personal safety program. Suggestions for expanding the efforts to prevent child sexual abuse are offered, so that children do not shoulder the full responsibility for prevention.     

Pathways from child sexual abuse to adult depression: The role of parental socialization of emotions and alexithymia.

Objective: Depression is common among adult survivors of child sexual abuse (CSA), but the intervening processes responsible for this outcome have not yet been fully delineated. The present study investigated the mediating role of perceived parental emotion socialization and alexithymia (difficulties identifying and describing feelings) in explaining the link between CSA and adult depressive symptoms in female veterans. Method: Cross-sectional data were collected from 110 female veterans who completed self-report questionnaires measuring demographics, sexual victimization history, perceived parental emotion socialization, and current symptoms of alexithymia and depression. Results: Linear regression analyses showed that CSA predicted greater depression, which was partly accounted for by alexithymia. Less positive socialization practices by both parents fully mediated the relationship between CSA and alexithymia. When these factors were examined together in a path model, greater CSA severity predicted perceptions of fewer positive socialization practices by mothers, which, in turn, was associated with greater alexithymia and depression. Conclusions: Perceptions of early positive emotion socialization and current alexithymia may contribute to experience of depression among sexually victimized female veterans. Interventions aimed at targeting emotion regulation skills and perceptions associated with other salient childhood experiences such as emotion socialization by parents could help reduce adult depression among CSA survivors. Furthermore, encouraging positive parenting practices for caregivers of abused children could allay subsequent affective symptoms. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Symptoms of female survivors of child sexual abuse

Women who suffered sexual abuse as children often experience a variety of physical and psychosocial symptoms as adults. Identifying this pattern of symptoms might assist health professionals in recognizing and treating nonreporting survivors of child sexual abuse. In this study, the Adult Survivors of Incest (ASI) Questionnaire (Brown & Garrison, 1990) was used to determine the symptoms and contributing factors for 22 adult survivors of child sexual abuse. Six physical symptoms were experienced by 50% of the subjects, and over 75% of the subjects experienced 11 psychosocial symptoms. The number of physical symptoms correlated significantly with other victimizations (r = .59) and number of psychosocial symptoms (r = .56). The findings suggest that the ASI Questionnaire was effective in identifying patterns of symptoms and contributing factors of adult survivors of child abuse. Additional study is needed to determine the usefulness of this questionnaire in identifying nonreporting survivors in clinical situations.     

Factors associated with sexual behavior problems in young sexually abused children

OBJECTIVE: To identify variables associated with the presence of sexual behavior problems in young sexually abused children. METHOD: Data were gathered from the clinical records of 100 sexually abused boys and girls ages 3-7 years enrolled in two treatment programs. Information was coded systematically on approximately 350 areas related to the child and family's history and functioning, the sexual abuse experience, and treatment outcome. The children were grouped and compared according to their presenting sexual behavior into three categories: (1) developmentally "expected"; (2) "sexualized/self-focused"; and (3) problematic "interpersonal" sexual behavior. RESULTS: Bivariate and multivariate analyses highlighted five variables which were predictive of sexual behavior problems among sexually abused children. Sexual arousal of the child during his/her sexual abuse, the perpetrator's use of sadism, and a history of physical and emotional abuse differentiated between those children with and without "interpersonal" sexual behavior problems. Who the child blamed for his/her sexual abuse further contributed to the distinction between children whose sexual behavior was exclusively "self-focused" (sexualized) versus "interpersonal." CONCLUSIONS: The five major predictor variables, as well as other variables identified in this study, have potential utility in assessing child risk for negative outcomes and determining referral priorities for sexual abuse treatment. Given that sexual arousal and who the child blames for the abuse are prominent variables associated with sexual problems and self-blame, clinicians will need to ensure that sexually abused children and their caregivers are given specific opportunities to deal with these areas in the supportive context of treatment. Children with sexual behavior problems differ not only in the type and level of sexual behavior they exhibit but in most other areas as well, suggesting a need for differential assessment and individualized treatment approaches.     

Intellectual stability in children with unilateral brain lesions

Developmental differences in behavior and self-perception were examined in a group of 44 preschool and school-age children referred for evaluation of sexual abuse and 41 comparison children with no history of sexual abuse, matched on age and gender, and from a similar socioeconomic background. Children suspected of having been sexually abused were rated by their parents as having more internalizing and externalizing problems than comparison children. When children rated their self-competence and social acceptance, there were no group differences between children based on their abuse status; however, there was significant within-group variation among the children suspected of having been sexually abused. Preschool children had elevated scores of perceived competence and social acceptance, and school-age children had depressed scores. There were no age differences among the children in the comparison group. The results suggest that among children suspected of abuse, not only does their self-perception vary by their developmental level, but preschool children may respond with elevated perceptions of themselves. Focusing on individual differences in children's response to suspicions of sexual abuse enables us to identify risk and protective factors that contribute to the psychological outcomes of child sexual abuse.     

Cognitive readiness to parent and intellectual-emotional development in children of adolescent mothers.

Seventy adolescent mother-child dyads were assessed longitudinally to determine relationships among prenatal maternal knowledge and attitudes about parenting, evaluated in the 3rd trimester; postnatal maternal perceptions of parenting stress and child temperament as well as maternal interactional style, evaluated when children were 6 months of age; and intellectual, linguistic, and behavioral development at 3 years of age. Mothers who were more cognitively prepared for parenting had children who displayed better intellectual development and fewer internalizing and externalizing behavioral difficulties. Mothers who were less cognitively prepared for parenting prenatally perceived their parenting role as more stressful and their children as more difficult. Although maternal interactional style did not act as a mediator, perceptions at 6 months were found to mediate the relationship between prenatal cognitive readiness and child intelligence and internalizing behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relation between sexual abuse in childhood and adult depression: case-control study

OBJECTIVE: To examine the association between sexual abuse in childhood and adult depression in women. DESIGN: Two stage, case detection and case identification design, using the 30-item general health questionnaire and the Beck depression inventory for screening and the affective items relating to current functioning on the schizophrenia and affective disorders schedule to identify depressed cases. Details of sexual abuse in childhood were elicited retrospectively by semistructured interview, and social problems by the social problems questionnaire. SETTING: Three general practices, in middle class suburban, deprived inner city, and rural areas. SUBJECTS: 1189 women were screened and 237 subsequently interviewed; 132 were depressed. RESULTS: 49 (37%) of the depressed interviews and 24 (23%) of the non-depressed interviews reported experience of sexual abuse when they were aged under 16 years. A positive association existed between the more severe abuse and depression--all those who had experienced penetration were depressed as adults. A relation was also found between sexual abuse in childhood and sexual problems, housing problems, and problems with their children at school. CONCLUSION: A positive association between child sexual abuse and depression was confirmed, but this was confined to more severe abuse (penetration or attempted penetration).     

What are we teaching about lifting and transferring patients?

Parents' perceptions of how they were told that their child has special needs were examined. Thirty-nine families on the Isle of Wight completed a structured interview. Participants formed two groups. The first group comprised of 23 families who had a child aged from birth to 5 years with special needs. In the second group there were 16 families who had a child aged between 15 and 20 years with special needs. Parents were asked about their perceptions of how their child's special needs were disclosed, their satisfaction with how they were told and what improvements they would have liked. Differences between the two cohorts were examined, and changes in how services were perceived were investigated. Overall, parents in the group with younger children were more satisfied about the way in which they were told that their child had special needs than those with older children. Implications for service delivery and future research are considered.     

Sexual abuse victimization and the child witness in Canada: Legal, ethical, and professional issues for psychologists.

The Canadian legal system has made a number of significant reforms in the last few decades regarding the rights of child witnesses and, in particular, the rights of those who have disclosed sexual abuse. This paper provides an overview of the law in Canada as it pertains to child sexual abuse victims and witnesses, and reflects on the role and responsibilities of psychologists who work with child witnesses. It reviews the effects of protection reforms and preparation programs on children who must testify, examines some of the current major issues in the research literature in the area of interviewing and assessing sexually abused children, and considers the role of the psychologists as expert witness in court. In addition, it discusses potential ethical dilemmas for psychologists who work with child witnesses, and proposes recommendations for research and clinical practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Contrasting perspectives on the nature of sexual assault provided by a service for sexual assault victims and by the law courts.

Examined data on 1,236 cases responded to during a 5-yr period by a sexual assault service (SSAV) and 116 cases during the same period that appeared before the courts, 58 of them involving abuse of children under 16 yrs old. Large numbers of adult women had been sexually assaulted while persuing normal heterosexual social activities, and children had been abused primarily in their own home by family members. The profiles of victims in the court cases reflected the more traditional views of sexual assault that still appear to hold sway in the legal system. In the courts, adult female victims tended to have been violently assaulted by disturbed men, and child victims tended to be those who were abused outside the family. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pediatric acquired immunodeficiency syndrome. Barriers to recognizing the role of child sexual abuse

The only reportable exposure categories for human immunodeficiency virus (HIV) infection of children are vertical transmission from an HIV-infected mother or receipt of infected blood or blood products. Although sexual transmission of HIV among adults is the subject of intense concern, sexual transmission of HIV to children during child sexual abuse has received almost no investigative attention. This review discusses factors contributing to the exclusion of sexual transmission of HIV to children from studies of the epidemiology of HIV infection. Difficulties occur in screening and confirming abuse in nonselected populations of children, perceived and real barriers exist to the evaluation for HIV of sexually abused children, and problems occur in the assessment for child sexual abuse of HIV-infected children. Impediments to the understanding of the relationship between sexual abuse and HIV infection in sexually abused, HIV-infected children are considered, and measures that can allow these barriers to be overcome are discussed.     

Graduate-level education and training in child sexual abuse.

The purpose of this article is to further graduate-level education and training in child sexual abuse. Two graduate-level courses that focus on child sexual abuse are considered as well. The following points are made: (a) Training in child sexual abuse should be incorporated into professional training programs; (b) research and theory courses on child sexual abuse are indicated; (c) the topic of child sexual abuse should be mainstreamed into existing practica; (d) the multidisciplinary nature of the field necessitates consideration of resources and references beyond those specific to psychology as well as professional engagement with individuals from many disciplines; and (e) training in child sexual abuse elicits strong emotional responses in trainees and others. (PsycINFO Database Record (c) 2010 APA, all rights reserved)