Multimethod Assessment of Depression in Sexually Abused Girls

This study measured depression in sexually abused Black girls using the Children's Depression Inventory (Kovacs & A. T. Beck, 1977), the Internalization scale of the Child Behavior Checklist (Achenbach & Edelbrock, 1983), and the Rorschach Depression Index (Exner, 1986). There were no significant correlations between these self-report, behavior observation (by parental report), and projective measures. The abused subjects had high scores on the behavior observation and Rorschach scales. Consistent with past research, negative results were obtained with the self-report instrument. We suggest that the low scores on self-report measures of distress produced by sexually abused children may be the result of guardedness or defensiveness rather than a genuinely low level of dysphoria in this population. There were no significant relations between abuse characteristics and scores on the depression measures. Scores on Rorschach measures of organizational activity (Zf) and available coping resources (EA) were generally positively related to depression within the abuse group and negatively related to depression within the control group.     

Pathways to Adolescent Substance Use Among Sexually Abused Girls

This study examined the link between childhood sexual abuse and adolescent substance use among girls, and evaluated depressive self-concept and behavioral under-control (BUC) as pathways to substance use for sexually abused girls. Participants (n = 150) were drawn from a longitudinal study of the impact of domestic violence on the lives of women and children. Structural equation modeling revealed that girls childhood sexual abuse was associated prospectively with their later substance use. This relationship persisted when age, co-occurring forms of child abuse (physical, exposure to domestic violence), childhood depression and aggression, family income, maternal substance use, and parenting practices were controlled. Behavioral under-control mediated the relationship between childhood sexual abuse and later substance use, but depressive self-concept did not. Implications, limitations, and directions for future research are discussed.     

Group Treatment of Sexually Abused Adolescent Girls: A Review of Outcome Studies

Abstract

This paper considers factors that make children “at risk” for postdivorce maladjustment. The risk factors include (a) demographic variables of sex, age and socioeconomic status; (b) predivorce family functioning; (c) postdivorce relationship with the ex-spouse; (d) postdivorce parentchild interaction; and (e) social support systems. Treatment programs incorporating these factors are briefly described. Recommendations are provided for the clinician and researcher.     

Counseling Sexually Abused Children

Cases of sexual abuse of children are being reported in increasing numbers. A large percentage of child sexual abuse occurs in or around the home. Family members, family friends, or known adults are most often the offenders. There are certain family factors likely to be operating in a child's sexual abuse and these factors must be explored with all family members. Sexual abuse can have many disturbing consequences for the child and the family. A counseling approach should be to help an abused child and the offender feel that they are still worthwhile individuals. Underlying issues in the family should also be explored. Paula Slager-Jorné is director of training at the Children's Center in Detroit, Michigan.     

The Development,Process, and Evaluation of Group Psychotherapy With Sexually Abused Preschool Girls

The development, process, and evolution of group psychotherapy specifically designed for sexually abused preschool aged females is presented. Utilization of male and female cotherapists, group structure, individual and family dynamics, the role of children's mothers in treatment, and process of treatment are examined. Issues regarding countertransference phenomena, cotherapy relations, in-depth involvement of the children's mothers, and specifics related to structuring of a time-limited group are beyond the initial intent and scope of this paper, and are not discussed here.

The cotherapists conclude that group psychotherapy for children of this age group is both clearly valuable and highly indicated as an adjunct treatment modality. In future group psychotherapy with sexually abused preschool aged children, based upon clinical experience and evaluation, the cotherapists advocate a time-limited approach whereby each session would focus upon specific issues as illustrated in Table 1, and include structured and purposeful involvement of the girls' caretakers.     

Multidimensional Self-Perception of Sexually Abused Girls: Factor Models and Differences Between Sexual Abuse and Comparison Groups

This study investigated the multiple dimensions of self-perception in a sample of sexually abused and nonabused comparison girls (n = 140), with particular attention to self-perception in the scholastic, social, athletic, physical (appearance), and behavioral conduct domains. First, this study examined whether the five dimensions of self-perception were psychologically discrete. Second, the relationships between the self-perception factors and childhood sexual abuse were investigated using structural equation modeling. The results supported the multidimensionality of self-perception and suggested the presence of two distinct second-order self-perception factors: academic- and social-self. While the sexually abused girls indicated less positive perception for the academic-self than the comparison group, the two groups did not differ regarding the social-self. The findings highlight the importance of a multidimensional approach to self-perception in assessing and treating sexually abused children.     

Exploration of Recovery Trajectories in Sexually Abused Adolescents

Abstract

This study documents recovery status and symptom changes in a one-year follow-up of sexually abused adolescent girls in child protection services in the province of Québec, Canada. Sixteen French-speaking participants completed questionnaires assessing symptoms, types of maltreatment endured, and services received and were interviewed using the Multidimensional Trauma Recovery and Resiliency Interview (MTRR-I), which was in turn rated by interviewers using the companion rating scale, the MTRR. Analyses of one-year follow-up data revealed statistically significant changes towards better functioning on multiple domains and less symptomatology for a majority of the girls interviewed. The recovery status of a minority of research participants seems to have worsened in the interval. The discussion considers these findings and addresses relevancy of the MTRR measures in cases of sexually abused adolescents.     

Current Treatment Strategies for Sexually Abused Children

SUMMARY

Given the disturbingly high prevalence of child sexual abuse, the expertise of medical and mental health professionals in treating child sexual abuse victims is essential. Relevant issues in treating these children include the mindfulness of developmental considerations, incorporation of a multi-modal therapeutic evaluation approach, clarification of treatment goals, appropriate use of and integration of various treatment modalities, and effective treatment termination. This article provides an introduction aid overview of treatment of sexually abused children of all ages, from preschoolers to adolescents, with special emphasis on the importance of developmentally linked evaluation and treatment strategies. Treatment is discussed in terms of goals, stages from evaluation to termination, and formats and modalities including individual psychotherapy, family psychotherapy, group psychotherapy and hypnotherapy, to provide a comprehensive overview of current treatment strategies for sexually abused children.     

Questioning Children Who May Have Been Sexually Abused

Summary

This article derives from an Open Forum on Leading Questions sponsored by the American Professional Society on the Abuse of Children. It represents the thoughts of participants in the Open Forum, and the article attempts to integrate analogue research that relates to questioning children about past events into questioning practice with children who may have been sexually abused. It proposes a continuum of questions that includes four categories: most preferred, preferred, less preferred, and least preferred.     

Sexually abused girls and their Rorschach responses

Exner's scoring (1990) was used on the responses by 46 sexually abused girls (6 to 14 years old) and 46 nonsexually abused girls (6 to 14 years old). Subjects were matched for age, race, family income, and family constellation. Sexually abused children exhibited significantly more unusual content, e.g., sex and blood, in their protocols as well as more frequent coping deficits.     

Expectancies for Sexually Abused Children: Evidence of Perceiver Bias

We investigated perceiver bias in relation to children labeled as sexually abused. Building on recent research indicating that adults perceive children with such a label as having more behavioral problems and lower achievement, we replicated and expanded upon an earlier study. We tested undergraduate students (N = 699), who judged a six-year old child's aggressive behavior in vignettes that varied on severity of the aggressive behavior, child gender, and family history (sexually abused, mother dying of cancer, normal). Perceiver bias was related to family history label for internalizing behavior problems and competence issues and child gender for internalizing behavior problems and externalizing behavior problems. Implications for educators and practitioners are discussed as well as routes for future research.     

Me and My Shadow: Therapy with Sexually Abused Pre-Adolescents

The purpose of this paper is to describe the use of solution focused techniques with preadolescent children who have been sexually abused and to present a therapeutic model that: 1) represents a blending of traditional psychological theoretical ideas with the more recent solution focused techniques; 2) presents a unique time-limited group format for assisting children to come to know and like their authentic selves; and 3) provides the therapist with the opportunity to expand his or her roles. In this model, the path from false self to authentic self is conceptualized as an interplay among abuse events, family relationships, and other life contexts.     

Color and Psychological Functioning

ABSTRACT— Color is a ubiquitous perceptual experience, yet little scientific information about the influence of color on affect, cognition, and behavior is available. Accordingly, we have developed a general model of color and psychological functioning, which we present in this article. We also describe a hypothesis derived from this model regarding the influence of red in achievement contexts. In addition, we report a series of experiments demonstrating that a brief glimpse of red evokes avoidance motivation and undermines intellectual performance, and that it has these effects without conscious awareness or intention. We close with thoughts on the need for rigorous scientific work on color psychology.     

Measuring Psychological Development With the Rorschach

The aim of this study was to develop and to provide an initial validation of a Rorschach index measuring developmental progress and growth. The Developmental Index (DI) was created in a 3-step, sequential strategy with adult and child data in which we (a) selected potential DI variables from quantitative research literature and from data available to us, (b) identified an optimal group of DI variables and created the DI equation using an independent nonpatient sample, and (c) provided an initial cross-validation of the DI using an independent clinical sample. Age and age rank categorization groups from normative data associated with the Wechsler intelligence scales (Wechsler, 2003, 2008) and contrasts between adults and children served as criteria for development. These samples include a large amount of data from a diverse international subject pool using the Comprehensive System of the Rorschach. Interim validity checks were undertaken to ensure the analytic strategy was sound. The DI includes 12 variables with individual weights determined by regression analysis. The initial independent cross-validation of the DI with a clinical sample revealed that it discriminated well between children and adults. Thus, initial support for this scale as a measure of psychological development across cultures and geography was established, but future research is needed. Clinical implications and specific research needs are presented.     

Fetal Testosterone Predicts Sexually Differentiated Childhood Behavior in Girls and in Boys

ABSTRACT— Mammals, including humans, show sex differences in juvenile play behavior. In rodents and nonhuman primates, these behavioral sex differences result, in part, from sex differences in androgens during early development. Girls exposed to high levels of androgen prenatally, because of the genetic disorder congenital adrenal hyperplasia, show increased male-typical play, suggesting similar hormonal influences on human development, at least in females. Here, we report that fetal testosterone measured from amniotic fluid relates positively to male-typical scores on a standardized questionnaire measure of sex-typical play in both boys and girls. These results show, for the first time, a link between fetal testosterone and the development of sex-typical play in children from the general population, and are the first data linking high levels of prenatal testosterone to increased male-typical play behavior in boys.     

A Rorschach Comparison Between Best and Least Adjusted Girls in a Training School

Abstract

Editorial Note: The following article uses the traditional Rorschach scoring including Binder's shading categories. It affords a valuable opportunity to compare the efficiency of the different scoring systems. To enhance this opportunity the interpretations of the two cases following this article utilize every nuance in the refined scoring system and combine that procedure with the most careful response-by-response analysis, adding significant symbolic meanings of the content to the formal nuances of the scoring system. It may be emphasized that this procedure should not be confused with an unbridled misuse of Rorschach records for analytical interpretations without knowledge of or reference to the Rorschach method of personality diagnosis.     

Economic Pressure and Children's Psychological Functioning

We examined the mediating role of family dynamics (marital quality, parental depression) in the link between economic pressure and child psychological functioning using the data from the National Survey of Family and Households (NSFH). From the initial multiethnic probability sample, we used a subsample of 2998 parents with a focal child 5 to 17 years of age. We used structural equation modeling using AMOS 4.0 to test the model. The results indicated support for associations among economic pressure, marital quality, parental depression, parenting strategies and children outcomes. Economic pressure was associated with lower marital quality and higher depression. Higher conflict and psychological distress was associated with frequent use of harsh discipline techniques and lower psychological functioning in children.