Childhood Sexual Abuse

Abstract

Childhood sexual abuse is a problem that leads to serious psychological disturbances evidenced through the symptoms of post-traumatic stress disorder (PTSD). This article discusses the treatment of sexual abuse survivors within a psychoanalytic framework. Different theoretical perspectives including classical Freudian, ego-psychological, object-relational and self-psychological are presented. Several relational treatment models, including feminist psychodynamic approaches, are offered. Themes include the importance of developing a strong therapeutic alliance and analyzing transference responses.     

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.     

Sexual Abuse Litigation

Summary

Practicing psychologist Janet Sonne and attorney Julian Hubbard illuminate how the different aims and languages of psychotherapy and law can be either an asset or a liability in the emotionally-charged environment of sexual abuse litigation. Properly understood, these differences can optimize the ability of each professional to assist their common client, the sexual abuse survivor, in the litigation process and beyond. Dr. Sonne reviews the psychological and behavioral sequelae of childhood sexual abuse and identifies six elements of the client's psychological functioning key to the litigation process, as well as posing questions for the attorney's self-evaluation for the unique demands of sexual abuse litigation. Mr. Hubbard then addresses what survivors and therapists need to know about the litigation process, exploring dynamics of legal strategy that can exacerbate the client's psychological problems. In the final section, both offer tips to enhance professionals' focus on education and communication as a means to better serving the sexually abused client.     

Adult Re-collections of Childhood Sexual Abuse

A controversy exists regarding adults who come to bear memories of childhood sexual abuse. This debate in both the scientific literature and popular press has evolved into a dichotomous categorization which demands an identification of these memories as either "true" or "false." This paper will lend a theoretical foundation to the discussion, considering the phenomenon from a variety of perspectives, including: psychoanalytic, developmental and cognitive theories of psychology, folkloristic studies, and the sociology of knowledge. The goal of this consideration is to determine what can be said about "truth" in light of these memories. Implications for social work practice and research are provided.     

Victim Recantation in Child Sexual Abuse Cases

Summary

This article explores the reasons for victim recantation in child sexual abuse cases, problems that surface with a recantation, and practical steps multidisciplinary professionals can take to prevent the recantation of truthful allegations. Secondly, the article discusses the roles of investigative team members in the investigation and evaluation of a victim's recantation and in the trial which may follow. Finally, the article addresses possible final outcomes of criminal court intervention and the team's role in continued support for the child.     

Remembering and Forgetting Childhood Sexual Abuse

Out of a large number of university students who responded to a questionnaire about childhood sexual abuse (CSA), approximately a quarter reported that they had an experience in childhood that qualified. The majority of students who reported a CSA experience refused, elsewhere in the questionnaire, to classify themselves as ‘sexually abused’. Moreover, those who claimed lack of understanding of the event at the time it occurred also reported that they thought about the event less often in the intervening years and that they conceivably would have not remembered the event even if asked directly about it. Lack of understanding at the time of encoding leads to less reported memory. These observations are discussed in terms of possible mechanisms for how genuine sexual abuse experiences might be temporarily forgotten-even for extended periods-and subsequently remembered.     

Reality Monitoring for Sexual Abuse Memories

The reality monitoring model of Johnson and Raye proposes that the phenomenal characteristics of memories for real and imagined events are utilized in reality monitoring judgements. This study examined the reality monitoring strategies utilized by subjects when remembering sexual abuse, and compared them with the strategies utilized for other types of events. Thirty-one subjects described how they knew that four different autobiographical events (a sexual abuse experience, another unrelated trauma experience, a social occasion, and an imagined event) had, or had not, happened. Sexual abuse experiences were found to elicit a unique reality monitoring response profile. This profile suggests that the characteristics of memory for sexual abuse may be more vivid than other memories. In addition, the profile for sexual abuse shows fewer contextual supporting memories than other real memories, and more psychological reasoning responses. The finding that emotional rehearsal can cause fading of perceptual detail was not found to hold for the long-term autobiographical memories that were the object of this study. © 1997 John Wiley & Sons, Ltd.     

Sexual Abuse of Boys: Current Perspectives

Boys may be equally at risk for sexual victimization as girls, yet they are a unique clinical group whose needs have not been addressed significantly.     

Clericalism: Enabler of Clergy Sexual Abuse

Sexual abuse by Catholic clergy and religious has become the greatest challenge facing Catholicism since the Reformation. Violations of clerical celibacy have occurred throughout history. The institutional church remains defensive while scholars in the behavioral and social sciences probe deeply into the nature of institutional Catholicism, searching for meaningful explanations for the dysfunctional sexual behavior. Clericalism which has traditionally led to deep-seated societal attitudes about the role of the clergy in religious and secular society, explains in part why widespread abuse has apparently been allowed. Clericalism has a profound emotional and psychological influence on victims, church leadership, and secular society. It has enabled the psychological duress experienced by victims which explains why many have remained silent for years. It has also inspired societal denial which has impeded many from accepting clergy sexual abuse as a serious and even horrific crime. Thomas P. Doyle is a Canon Lawyer and Certified Addictions Specialist.     

Politicizing Survivors of Incest and Sexual Abuse

Abstract

As both a feminist therapist and a survivor of incest, moving myself beyond therapeutic issues into an area of public education has been crucial to my own healing process. Receiving positive responses to my workshops and discussion groups, it became apparent that using a similar approach with clients who were survivors might be beneficial to their healing. As a member of The Counseling Center for Women, a feminist therapy collective in Israel, I suggested we sponsor a public exhibition and a series of programs of the topic of incest and abuse. The Municipality of Tel Aviv was approached to be its governmental sponsor. Entitled “Silent No More,” the program moved therapists and clients from working in the privacy of therapy to a public forum. What began as an uncomplicated educational program became an emotional process and a politicizing of individuals to help others as well as themselves. Moving from a feeling of shame to a sense of empowerment, the exhibition gave us a new sense of self-esteem and strength in our own abilities and our recovery process.     

Critical Issues in the Assessment of Child Sexual Abuse

This article explores the feasibility of using standardized psychometric methods in the initial stages of an investigation of child sexual abuse; methods that are less intrusive and therefore less damaging to children and their families. We review the complex conceptual and research issues that arise from attempts to assess the many-sided aspects of child sexual maltreatment. Among those considered in both the clinical and research spheres are problems of definition and diagnosis; limitations of clinical interviews, and a variety of direct and indirect psychological instruments used for investigating sexual maltreatment and risk assessment; the inadequacies of experimental designs; and also the political, practical, and ethical restraints that hinder research in this area. It is argued that there is insufficient evidence based on controlled studies or standardized normative tests to advocate any simple, unidimensional methodology for the screening task. However, recommendations are put forward for the cautious, conjoint use of several procedures in a multidimensional approach to assessing child sexual abuse. Suggestions are also made for future research and development.     

Aftereffects in binocular rivalry

Five experiments are reported in which the aftereffect paradigm was applied to binocular rivalry. In the first three experiments rivalry was between a vertical grating presented to the left eye and a horizontal grating presented to the right eye. In the fourth experiment the rivalry stimuli consisted of a rotating sectored disc presented to the left eye and a static concentric circular pattern presented to the right. In experiment 5 rivalry was between static radiating and circular patterns. The predominance durations were systematically influenced by direct (same eye) and indirect (interocular) adaptation in a manner similar to that seen for spatial aftereffects. Binocular adaptation produced an aftereffect that was significantly smaller than the direct aftereffect, but not significantly different from the indirect one. A model is developed to account for the results; it involves two levels of binocular interaction in addition to monocular channels. It is suggested that the site of spatial aftereffects is the same as that for binocular rivalry, rather than sequentially prior.     

Child Sexual Abuse History and Feminine Gender-Role Identity

The association between child sexual abuse (CSA) and feminine gender-role identity was examined among 75 women with and 107 without a history of CSA. Undergraduates and hospital employees from a university in the Southern United States completed questionnaires on the internet. Three aspects of feminine identity were assessed, including how much participants identified with feminine versus masculine traits, endorsed stereotypes about women, and viewed themselves as meeting feminine self-standards. Participants with a history of CSA reported greater feminine self-discrepancy and endorsed more derogatory stereotypes about women than the comparison group. CSA was also linked to identifying with more feminine than masculine traits, but only among hospital employees. Results suggest that feminine identity is a meaningful construct to consider in the adjustment of CSA survivors.     

Beyond Crucifixion: Remaining Christian after Sexual Abuse

Abstract

Christian survivors have frequently likened their experiences of sexual abuse to crucifixion. While it is understandable that many cannot reconcile their experiences within their faith tradition, the question of how it is possible to move forward within a Christian framework which accommodates the experience of sexual abuse has tended to be overlooked. In doing so, this article considers why identifying with the crucified Christ may be an important step in the process of moving forward, and why the terminology "survivor" may be preferable to "victim." The challenge to move forward may require churches and church personnel to consider whether they need to do some things differently. Above all, this requires integrity for the individuals and communities involved rather than a one-size-fits-all approach.     

Cognitive Mechanisms Underlying Recovered-Memory Experiences of Childhood Sexual Abuse

ABSTRACT— People sometimes report recovering long-forgotten memories of childhood sexual abuse. The memory mechanisms that lead to such reports are not well understood, and the authenticity of recovered memories has often been challenged. We identified two subgroups of people reporting recovered memories of childhood sexual abuse. These subgroups differed dramatically in their cognitive profiles: People who recovered memories of abuse through suggestive therapy exhibited a heightened susceptibility to the construction of false memories, but showed no tendency to underestimate their prior remembering. Conversely, people who recovered memories of abuse spontaneously showed a heightened proneness to forget prior incidences of remembering, but exhibited no increased susceptibility to false memories. This double dissociation points to mechanisms that underlie recovered-memory experiences and indicates that recovered memories may at times be fictitious and may at other times be authentic.     

Child Sexual Abuse in India: Current Issues and Research

Child sexual abuse (CSA) is a serious and widespread problem in India as it is in many parts of the world today. The trauma associated with sexual abuse can contribute to arrested development, as well as a host of psychological and emotional disorders, that some children and adolescents may never overcome. When sexual abuse goes unreported and children are not given the protective and therapeutic assistance they need, they are left to suffer in silence. This article discusses the nature and incidence of the sexual abuse of minors in India and presents an overview of research findings to date. Socio-cultural and familial risk factors involved in CSA are discussed. Common symptoms and disorders associated with sexual abuse are outlined. Finally, some implications for counselors working with children in India who have been sexually abused are highlighted.