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.     

Prior interpersonal trauma: The contribution to current PTSD symptoms in female rape victims.

The purpose of the current study was to disentangle the relationship of childhood sexual abuse and childhood physical abuse from prior adult sexual and physical victimization in predicting current posttraumatic stress disorder (PTSD) symptoms in recent rape victims. The participants were a community sample of 117 adult rape victims assessed within 1 month of a recent index rape for a history of child sexual abuse, child physical abuse, other adult sexual and physical victimization, and current PTSD symptoms. Results from path analyses showed that a history of child sexual abuse seems to increase vulnerability for adult sexual and physical victimization and appears to contribute to current PTSD symptoms within the cumulative context of other adult trauma. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Child abuse in Hong Kong revisited after 15 years: characteristics of victims and abusers

The purpose of this paper was to examine the characteristics of the victims and abusers of child abuse cases on the Child Protection Registry in Hong Kong as of March 1995 and to compare findings with a similar community report of child abuse in Hong Kong conducted approximately 15 years earlier. As of March 31, 1995, there were 457 active cases of child abuse or suspected child abuse (44% male and 56% female) on the computerized Child Protection Registry. Fifty percent of the victims were grade school age children between 7-12, and 62.4% suffered physical abuse. The abusers or suspected abusers were 52% male and 48% female with nearly half (49%) in their thirties. The majority of abusers were married/cohabiting (75%) with only a grade school education (60%). As compared to 1979, there was an increase of sexual child abuse cases, female victims of child abuse, and an increase in male abusers or suspected abusers.     

Childhood abuse, body image disturbance, and eating disorders

Studies have suggested that women who experience child sexual abuse are at risk for developing symptoms related to anorexia nervosa and bulimia. The purpose of the present study was to examine the relationships among childhood sexual and physical abuse, body image disturbance, and eating disorder symptomatology. Of 670 female college students screened for childhood abuse, 29 sexually abused, 32 physically abused, and 29 nonabused women completed measures of eating disorder symptoms, psychological factors thought to be related to eating disorders, and body image distortion. Contrary to previous reports, there was no evidence that child sexual or physical abuse was associated with the development of body image disturbance. Furthermore, the results did not support the hypothesis that child sexual and physical abuse are related to eating disorder symptomatology. It is suggested that subjects who are victims of child sexual abuse and who are receiving psychotherapy manifest higher rates of a number of different types of psychopathology, including eating disorders.     

Quantitative analysis and isolation of Escherichia coli O157:H7 in a food matrix using flow cytometry and cell sorting

Until recently, very little attention has been paid to male victims of sexual abuse in childhood and male victims of rape and sexual assault in adulthood. Increasingly, researchers and clinicians are turning their attention to the particular problems encountered by male victims of abuse and sexual assault. Recent changes in British Law have acknowledged the existence of rape of male victims and have highlighted the need to identify the number of male victims of sexual assault and plan appropriate clinical services. A review of the literature reveals very little British empirical research on the psychological impact of rape upon male victims, although the studies that have been carried out provide clear evidence of a wide range of psychological consequences, both in the immediate period following the assault and in the long-term. Differences and similarities with female victims of rape are discussed. The particular problems encountered by male victims mean that they are even less likely than female victims to report an assault; when they do seek help the most pervasive themes that emerge from the literature concern their problems in reconciling their masculine identity with their experience of being a sexual victim. Issues concerning treatment of male victims are also discussed.     

Self-definition as a survivor of childhood sexual abuse among Navy recruits.

This study explored how specific childhood sexual experiences (CSEs) might be related to self-identification as a victim of sexual abuse and to gender differences in self-defined victimization. Hierarchical logistic regression was used to estimate the relationship of demographic and CSE characteristics with self-definitions. The characteristics most strongly associated were threats--force, incest, and younger age at the time of the experience. Men were less likely than were women to acknowledge abuse and to report CSE characteristics indicative of abuse. Women were more likely to identify themselves as victims the more CSEs they reported involving sexual penetration. Finally, in an analysis of familial abuse, men were more likely to define themselves as victims if the perpetrator was also male. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of childhood sexual abuse and family functioning on four dimensions of women's later parenting

OBJECTIVE: While child sexual abuse and its negative effects have been of increasing interest to researchers and practitioners, more empirical focus has been given to measuring mental health consequences rather than other areas of life functioning such as parenting. Furthermore, recent questions have been raised about whether documented negative effects of abuse stem from the abuse itself or the more general negative family environment which often accompanies it. The aim of the current study was to examine the impact of a history of child sexual abuse and more general family relationship quality on the parenting of a sample of low-income mothers. METHOD: The current study was a secondary analysis of archived data collected by Zuravin (1996) on 518 low-income mothers. Parenting was assessed using measures such as frequency of worry about child problems, views of self as a parent, and how child discipline problems were handled. RESULTS: Child sexual abuse was associated with more negative views of self as a parent and the greater use of physical punishment strategies even after accounting for differences in family-of-origin relationship quality. CONCLUSIONS: The findings indicate that sexual abuse may be a risk factor for more negative views of self as a parent beyond differences between abused and nonabused samples in more general assessments of family-of-origin quality. Implications for future research and intervention are discussed.     

Measuring abuse stress and negative cognitive appraisals in child sexual abuse: validity data on two new scales

The validity of two measures assessing degree of stress associated with sexual abuse was examined in a sample of 48 girls who had been sexually abused. The Checklist of Sexual Abuse and Related Stressors (C-SARS) assessed negative life events that were part of or were related to the abuse, and the Negative Appraisals of Sexual Abuse Scale (NASAS) assessed negative cognitive appraisals of threat, harm, or loss associated with the abuse. Total scores for victim reports of both stressful events and negative appraisals were positively and significantly related to two other measures of abuse severity: therapist ratings of abuse stress and the number of types of sexual abuse reported. Stressful event scores were also related to aggressive behavior problems, sexual concerns, and total symptom scores on the Child Behavior Checklist. Negative cognitive appraisal scores were related to victims' self-reports of depression, anxiety, and posttraumatic stress symptoms, and to parents reports of child depression and total symptoms. Regression analyses indicated that there were significant effects of negative appraisals on internalizing symptoms when controlling for the level of stressful events experienced. The results suggest that negative life events and negative appraisals associated with sexual abuse are valid constructs that help account for variability in mental health outcomes among child victims. The implications of these results and future research directions in examining variable outcomes among sexual abuse victims are discussed.     

Reactions to rape victims: Effects of rape circumstances, victim's emotional response, and sex of helper.

Case reports purported to have come from the records of a sexual abuse care center were presented to 98 female and 107 male undergraduates who then judged the impact of the rape experience on the victims' psychological adjustment and indicated their likely counseling goals for her. Three types of rape circumstances (home blitz, outside blitz, acquaintance) were varied with 3 types of postrape manifest emotional reactions (upset–anger, upset–guilt, calm) and S sex. Upset victims were seen as having more serious and more long-lasting problems, were more likely to be encouraged to try and forget the incident, and were less likely to be encouraged to accept personal responsibility for the assault than were calm victims. Ss, especially men, evaluated victims' degree of emotional upset as a function of rape circumstances, with blitz-type assaults perceived as most upsetting. Consistent sex differences indicated that women were more sympathetic with and more willing to talk with rape victims than were men. Results are discussed in terms of popular assumptions about rape victims and sex differences in identification with and empathy for female rape victims. Implications for training of professional and paraprofessional counselors are noted. (33 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual abuse histories of adolescent male sex offenders: Differences on the basis of the age and gender of their victims.

Childhood sexual abuse has often been implicated in the etiology of adolescent sex offending behavior. Victimization rates in the literature vary according to whether data are collected prior (22%) or subsequent (52%) to treatment. Previous research suggests that the incidence of sexual abuse varies as a function of victim age and gender. Sexual abuse histories were collected from 87 adolescent male sex offenders following an average of 13 months of clinical interactions. Offenders were categorized according to the age and gender of their victims; groups were comparable in age and socioeconomic status. It was found that 75% of adolescent offenders who ever assaulted 1 male child reported sexual abuse in comparison to only 25% of those who assaulted female children, peers, or adults. Results suggest that sexual victimization may be an important explanatory variable for adolescent sexual assaults against male children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Young school-age sexually aggressive children.

As the full spectrum of sexual abuse sequelae is becoming known, a subset of child victims has been noted to exhibit sexually aggressive behavior. Their sexual behavior far exceeds the mutual exploratory behavior normally seen in young children and resembles more closely the behavior of older sex offenders. We present data from the psychological evaluation of twenty-two 4- to 11-year-old children referred for sexually aggressive behavior, including intellectual, behavioral, projective, and parent–child relational quality. Behavior problem data from these children are contrasted with data from twenty-two 5- to 13-year-old boys who completed a sexual abuse treatment program. Some differences appear related to the development of sexual aggression (e.g., aggression level, nature of the abuse, and family functioning) and are discussed. (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)     

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)     

The impact of child sexual abuse on the children of survivors. Implications for forensic nursing

1. Assuming that dysfunctional familial patterns arise from child sexual abuse experiences and that they are learned by the victims' children, there is a potential risk conferred to the children of becoming victims of child sexual abuse. 2. Certain physical manifestations, psychosocial behaviors, and relational patterns typify the personae of adults who experienced sexual abuse as children. 3. Roles of the nurse that might be used to meet the needs of this risk group are varied and target the victims, their children, and the community at large.     

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.     

Impact of child sexual abuse on developing sexuality.

This article reviews theoretical and empirical literature on sexual abuse and focuses on the effects of child sexual abuse on developing sexuality. The issues addressed include (a) prominent family qualities associated with sexual socialization, (b) theoretical formulations that account for the effects of sexual abuse on developing sexuality, and (c) research findings on the impact of child sexual abuse on the sexuality development of child victims and adult survivors. Directions for future research and implications for practitioners are also discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental retardation and sexual abuse. 65 mentally retarded men submitted to forensic psychiatric examination because of sex offences

65 mentally impaired men charged with different sexual crimes were submitted to judicial psychiatric examination. 37% of these men had previously stayed in institutions for the mentally impaired, two thirds had worked for a period. Half of the charged men were functionally retarded and the rest were assessed as functioning at an even lower level. Approximately every third man suffered from serious behavioural symptoms and personality disturbances. Most of the abuse was towards acquaintances or persons in the local environment. Almost half of the men used violence in connection with the abuse. Two thirds of the victims were under the age of 16 years. About half of the men were charged with sexual abuse of minors, and a few with rape. The majority were charged, and almost half were placed under preventive detention.     

Assessment of sexual abuse allegations in child custody cases.

Family courts frequently rely on the expertise of mental health professionals to assess allegations of sexual abuse within the context of child custody evaluations. Such evaluations are complex and require knowledge of techniques used in sexual abuse and sexual offender evaluations, as well as knowledge of child custody practices. Preliminary findings from a national survey of 84 psychologists indicated that respondents tend to adhere to the child custody guidelines of the American Psychological Association. However, few practitioners followed formal models, protocols, or guidelines when evaluating alleged victims or alleged perpetrators of sexual abuse in conjunction with child custody disputes. Implications for professional practice are discussed, along with a proposed comprehensive model for assessing sexual abuse allegations in child custody cases. (PsycINFO Database Record (c) 2010 APA, all rights reserved)