Sexual offenses against children: Patterns and motives

Children are the quintessential innocent victims; therefore, special opprobrium is reserved for offenders who sexually abuse them. This article describes the more prominent typologies of pedophilic sex offenders and discusses the role of child pornography in child sexual abuse of actual children. It next examines the often overlooked population of women offenders who sexually abuse children. Attention then turns to the sexual abuse of children in child care settings and by members of the clergy; practical recommendations are provided for reducing the risk of this kind of institutional child sexual abuse. Theoretical conceptualizations of child sexual abuse are considered, in the three main categories of cognitive–psychodynamic theories, neuropsychological conceptualizations, and contributions from the emerging field of evolutionary psychology. Finally, recommendations are made for developing a way of handling sex offenders, including sexual offenders against children, that balances the fair administration of justice with society's obligation to protect vulnerable potential victims.     

Child Sexual Abuse

Summary

Children who are recent victims of sexual abuse may initially present to their primary care health provider. Often, the outward manifestations of sexual abuse are somatic complaints or nonspecific behavioral changes. Retrospective reports of adults suggest that about 20-30% of women were sexually abused as children, with figures for men ranging from 10-15%. Interview guidelines for children and adolescents emphasize the need for sensitivity to cognitive development and emotional issues while simultaneously being focused on eliciting specific behavioral data. The use of anatomically detailed dolls, in the context of a comprehensive assessment, is discussed. Health care providers are mandated reporters and must disclose suspected child sexual abuse to the state's child protective service department. Guidelines for reporting as well as addressing this issue with parents are discussed.     

The Psychological Impact of Domestic Violence on Spanish Women1

This study examined the psychological impact of partner violence on 240 Spanish women who were identified as abused, comparing them to a control group of 240 non‐abused women. The abused women suffered more long‐lasting anxiety and insomnia, severe depression, and somatic symptomatology, and also had lower self‐esteem than did the non‐abused women. The severity of the psychological abuse was correlated positively with the severity of the physical abuse, while the number of years of abuse endured correlated with the women's age and number of children. The most relevant variable for predicting severe depression, social dysfunction, anxiety and insomnia, and somatic symptoms was low self‐esteem.     

”I Know What It Means But It's Not How I Feel”

The use of the term survivor is widespread in the feminist therapy community. While the term survivor has been described in primarily positive terms in the abuse literature, this article examines some of the conflicting meanings it holds for women who have been sexually abused. Drawing from the words of clients, the authors argue that women's experiences with abuse are diverse and complex. This paper outlines the dangers of labeling in the therapeutic context, and advocates for approaches to working with women which acknowledge women's experiences of violation while not reducing women to those experiences. Finally, the authors encourage a therapeutic process which offers women an opportunity to explore language and acquire control over the naming of their realities.     

Research Concerning Children of Battered Women

SUMMARY

Although the negative impact on children exposed to spouse abuse is well documented, little empirical research is available to guide clinical interventions. A brief review of the research literature describing these detrimental influences on children's adjustment is presented. Factors are discussed which mediate the consequences for children exposed to spouse abuse. These variables include those that are child-related as well as factors which are situational/contextual. Next, several theoretical/conceptual models are presented to assist with an understanding of how this impact on youngsters' psychological and emotional functioning takes place. These models suggest both direct and indirect mechanisms of influence. Finally, recommendations regarding clinical interventions are delineated based on these models as well as the available literature on the treatment of children of battered women. Suggestions related to appropriate types of treatment, including symptom-and mechanism-specific interventions, are made.     

Definitions of physical abuse: A preliminary inquiry into children's perceptions

Research and policy-makers have frequently called for operational definitions of child abuse, however neither group has considered including children's perceptions of what constitutes abuse. The purpose of this study was to expand the discussion on definitions of child abuse by examining children's perceptions of physical abuse. This was done by collecting data to begin to document abused children's ratings of the seriousness of various abusive acts and to begin to examine gender and age differences in children's perceptions. The data revealed significant differences in children's perceptions of the seriousness of specific acts of abuse and a significant interaction between age and type of abuse. Although young children generally produced lower seriousness ratings than older children, their ratings were significantly lower on only a few types of abuse. When children's ratings were compared to similar ratings reported in earlier studies of adolescents, community members, and mental health professionals, the children in this study rated the abusive acts as less serious than the adolescents or community members, but very similar to the professionals who work in the area of child abuse and neglect. Although this must be considered a preliminary investigation, the potential implications for various legal and social contexts are discussed.     

An Analysis of the Impact of Prison on Women Survivors of Childhood Sexual Abuse

Summary

The prevalence of child abuse histories among incarcerated women has fundamental implications for understanding women's well-being during incarceration. This review of the literature on child sexual abuse and women in prison suggests that incarcerated survivors are likely to be frequently reexposed to the powerful traumatizing processes associated with their early abuse, including traumatic sexualization, powerlessness, stigmatization, and betrayal (Finkelhor & Browne, 1985). Reexposure to these traumagenic dynamics has the potential to trigger traumatic reJivings of imprisoned survivors' pasts, to which survivors respond with a variety of coping strategies often seen in prison, including substance abuse, violence, self-injury, and suicide. The implications of these dynamics and women's responses to them for those who work with incarcerated women, for prison policy, and for research are discussed.     

Self-Esteem as a Predictor of Attitudes Toward Wife Abuse Among Muslim Women and Men in Canada

Abstract

This study was designed (a) to assess attitudes toward wife abuse in a sample of Muslim women and men in Canada and (b) to assess whether those attitudes were influenced by self-esteem. Results suggested that, as in general North American samples, the Muslim women and men did not differ from each other on levels of self-esteem. Also consistent with general North American samples, the Muslim women's and men's attitudes toward wife abuse were related to their self-esteem, with higher self-esteem scores predicting stronger attitudes against wife abuse, independent of gender. However, the results also revealed that the Muslim men had significantly more lenient attitudes toward wife abuse compared with the Muslim women and with North American norms.     

Domestic violence against women: Understanding social processes and women's experiences

The prevalence of domestic abuse against women has been estimated as high as one in four. The risk is particularly high for women who are younger, economically dependent, unemployed and with children. Research about the factors that maintain situations of abuse has generally focused separately on the coping strategies of women, barriers to leaving the relationship and the perpetrators' means of abuse. In this study we used a community psychology perspective to seek a broader understanding of what maintains situations of abuse, in order to suggest interventions in a rural County in the North of England. Twelve women who had experienced domestic abuse and had used voluntary sector services agreed to be interviewed about their experiences and the resources and strategies available to them. Using grounded theory we generated four themes: (1) Commonalities and contradictions in the experience of abuse; (2) living with abuse; (3) the response of systems reinforced or challenged the abuse and (4) dealing with abuse beyond the relationship. These findings illustrate how situations of domestic abuse can be prolonged by limited options available to victims for support and protection, and a lack of active public acknowledgement that domestic abuse is unacceptable. Copyright © 2009 John Wiley & Sons, Ltd.     

A Group Design for Adult Female Survivors of Childhood Incest

This paper will describe short term groups for women sexually molested as children. The goals of such a group were to provide an atmosphere in which women could discuss the experience of sexual abuse, explore the consequences of incest, be exposed to the probably phases of recovery and discuss practical coping skills. The design of the group is detailed, as are recommendations and relevant issues for therapists. Women's responses to the group, such as increase in self-esteem, trust level, assertiveness and confrontation with the abuser, are also discussed.     

The abused child as parent: Perception of self and other

Although not all abused children grow up to be abusive parents, it is well known that people who were severely mistreated by their parents as compared to those who were not are at higher risk for mistreating their children. It has also been shown that abusive parents often have unrealistic expectations for their children—expectations based on distorted perceptions of their children's needs, feelings, and abilities. In this paper, we examine the utility of new methods developed in social psychology to study: (1) the impact of abuse on the structure and content of interpersonal and self-perception and (2) the interrelationships among an abused mother's social and self-perception, the quality of her interactions with her child, and the child's development. Case studies will be presented to illustrate how these new methods reflect risk for abuse as predicted independently by clinicians treating the cases.     

A Behavioral Treatment of Child Abuse:

The following case presents the behavioral analysis and treatment of abuse in an 18-year-old unmarried mother. Both her children were being abused. Treatment involved teaching child management techniques, thought-stopping, programming activities incompatible with abuse, and increasing the mother's sources of reinforcement. A foster home was also arranged for use in emergencies and types of behavior and levels of attainment expected from children at various ages were outlined. Combined instances of abuse decreased from 10 in the week prior to intervention to 0 by week nine and remained at this level for the rest of the 21 week treatment period. A follow-up 18 months later indicated no further occurence of abuse.     

Detecting children's true and false denials of wrongdoing: Effects of question type and base rate knowledge

One common and unfortunately overlooked obstacle to the detection of sexual abuse is non-disclosure by children. Non-disclosure in forensic interviews may be expressed via concealment in response to recall questions or via active denials in response to recognition (e.g., yes/no) questions. In two studies, we evaluated whether adults' ability to discern true and false denials of wrongdoing by children varied as a function of the types of interview question the children were asked. Results suggest that adults are not good at detecting deceptive denials of wrongdoing by children, even when the adults view children narrate their experiences in response to recall questions rather than provide one word answers to recognition questions. In Study 1, adults exhibited a consistent “truth bias,” leading them toward believing children, regardless of whether the children's denials were true or false. In Study 2, adults were given base-rate information about the occurrence of true and false denials (50% of each). The information eliminated the adults' truth bias but did not improve their overall detection accuracy, which still hovered near chance. Adults did, however, perceive children's denials as slightly more credible when they emerged in response to recall rather than recognition questions, especially when children were honestly denying wrongdoing. Results suggest the need for caution when evaluating adults' judgments of children's veracity when the children fail to disclose abuse.     

Dark Side of the Mothering Role: Abuse of Mothers by Adolescent and Adult Children

Mothering is generally considered women’s major source of identity and satisfaction. But mothering can also bring misery when children develop anti-social behaviors. The rather limited literature on this topic refers to by the term “parent abuse,” with mothers reportedly the usual victims. The present study analyzed the types of abuse by adolescent and adult children reported by women in a community sample. The data come from in-depth life review interviews with 60 women aged between 40 and 65 when initially interviewed, and re-interviewed 5 years later. All women lived in the lower-income western suburbs of Sydney, Australia. Two major categories of abuse were identified: acting-out (including physical attacks and threats) and psychological. Seventy percent of perpetrators were male. Mothers’ explanations for the behavior included family dysfunction, child’s personality, child’s mental illness, social and cultural influences, and gender power imbalance. Strategies used to handle the behaviors were related to these explanations. Compared to older mothers, those aged in their 40s were likely to see the problem as belonging to the child rather than themselves, and were more proficient in accessing community services.     

Coping with Intimate Partner Violence: Battered Women's Use and Perceived Helpfulness of Emotion-Focused Coping Strategies

This study investigated intimate partner violence (IPV) victims' emotion-focused coping efforts, as well as their retrospective ratings of the perceived helpfulness of these efforts, in the context of a longitudinal study of battered women's experiences over time. Four hundred and six primarily African American, low-income battered women who had experienced IPV within the previous 12 months were interviewed. Patterns of coping use and perceived helpfulness were explored. The correlation between prevalence of use of emotion-focused coping strategies and perceived helpfulness of these strategies was examined, and results showed that the strategies used by more battered women were less helpful in dealing with feelings about abuse. Implications for clinical interventions with battered women are discussed.     

Maternal correlates of 2‐year‐old American Indian children's social‐emotional development in a Northern Plains tribe

The developmental experiences of very young American Indian children today are not well documented in the current literature. The present study sought to explore the social‐emotional development of American Indian toddlers living on a Northern Plains reservation, as a function of maternal variables. Mothers completed self‐report questionnaires about their experiences and their children's development. Observer ratings of children's development also were conducted. Maternal stress, substance use/abuse, perceptions of stress in the mother–child relationship, social support, and American Indian cultural identity were significantly related to children's social‐emotional development. This study is the first to explore these relationships in a Northern Plains American Indian sample of young children and their mothers. Results suggest possible points of intervention for improving the developmental outcomes of very young American Indian children.     

Female sexual offenders: Five Italian case studies

Women who sexually abuse children are rare and case histories are scarce; even less is known about sexually abusive mothers. Due to the number of cases in which women sexually abuse minors, more in-depth studies on this subject are needed. This article examines the clinical files of five women who are currently serving time in Italian prisons for the sexual abuse of children. Records of the abuse cases and other records were utilized. The cases involved varying degrees of participation in the abuse by the mothers, and ranged from active sexual engagement to allowing others to abuse their children. Female perpetrators are likely to be experiencing problems in many areas of their life, including relationship dysfunction and psychological impairment. In three cases women revealed an antisocial personality disorder (ASPD), while in two cases a borderline personality disorder (BPD) was diagnosed according with DSM-IV criteria. Possible motivations for women who molest their children are explored and discussed. The current review shows that most female sex offenders fall into several suggested typology models. Therefore, the existing typologies used to classify female child sex offenders may be insufficient, and more comprehensive exploration of this offender population is needed.     

Helping South Asian Immigrant Women Use Resilience Strategies in Healing from Sexual Abuse: A Call for a Culturally Relevant Model

This article calls for the counseling and psychological field to construct a culturally relevant model for working with South Asian immigrant women survivors of sexual abuse to support their resilience and healing. Patriarchal norms of South Asian culture and acculturative stressors in the United States are examined to understand how they influence survivors' abuse experiences. The literature on South Asian women's experiences of intimate partner violence is reviewed in addition to resilience studies with women of color who have survived sexual abuse. Practice and research implications are presented.     

Selecting outcomes for intimate partner violence intervention trials: Overview and recommendations

Intimate partner violence (IPV) is endemic in societies around the world and detrimental to women's wellbeing. Abused women are frequent users of health services. Despite the recent World Health Organization guidelines on IPV and sexual violence, we need more evidence on effective responses to women in health care settings. Developing robust evidence with potential to inform policy and clinical practice requires greater clarity and consistency across studies in the selection and use of outcomes to evaluate interventions. Drawing on systematic reviews and individual trials aimed at reducing abuse and improving women's health, we discuss critical issues in respect of outcomes. We discuss primary, secondary, intermediate and proxy outcomes and measures used to evaluate interventions for women who experience IPV. We offer recommendations about which outcomes to assess and approaches to doing so within the context of trials in health care settings.