Making Sense of Abuse: Case Studies in Sibling Incest

This case study focused on the process of making sense of abuse in two Latino families experiencing sibling incest. Participants included five male children ranging in age from 8 to 15 that were members of two families dealing with the issue of sibling incest. The purpose of this study was to build understanding of how families experience sibling incest and its role in their families. Clinical data from therapy sessions was analyzed to reveal that families made sense of the incest in different ways including abuse as normal and abuse as a mistake. Central concepts that explained how the families responded to the sibling incest included (1) level of family cohesion, (2) role of secrecy, and (3) view of outside systems. The findings suggest that treatment needs to include an in-depth assessment regarding these issues.     

A Latent Class Analysis of Childhood Maltreatment: Identifying Abuse Typologies

Multiple forms of abuse may co-occur, resulting in specific abuse typologies. A stratified random probability survey was conducted in Denmark with 4,718 participants, aged 24, from the 1984 birth cohort. A total of 2,980 interviews were successfully conducted. Latent class analysis was implemented using 20 categorical abuse experience items across four domains of childhood maltreatment. Logistic regression was conducted to ascertain whether abuse typologies could be differentiated by child protection status and gender. Four distinct abuse typologies were revealed: a non-abused group, a psychologically maltreated group, a sexually abused group, and a group experiencing multiple abuse types. Child protection status and female gender were predictive of group membership in certain abused groups compared to a non-abused group.     

Child Maltreatment,Emotion Regulation,and Posttraumatic Stress: The Impact of Emotional Abuse

This study examined the relationship of emotion regulation to multiple forms of child abuse and subsequent posttraumatic stress. Particular consideration was given to emotional abuse, which has received less attention in the literature. Results from a survey of 912 female college students revealed that women who reported a history of sexual, physical, or emotional abuse endorsed greater emotion regulation difficulties compared to women without abuse histories. Notably, emotional abuse was the strongest predictor of emotion deregulation. Mediation analyses indicated that emotion dysregulation partially explained the relationship between physical and emotional abuse and symptoms of posttraumatic stress, suggesting that intervention efforts aimed at improving emotion regulation strategies might be beneficial in decreasing posttraumatic stress among women with child maltreatment histories.     

Sibling Child Sexual Abuse Research Review and Clinical Implications

SUMMARY

Although sex play is a part of normal childhood development, some sexual activity may be coerced or forced and may have negative long-term consequences and, thus, be considered abusive. However, childhood sexual abuse perpetrated by siblings, cousins, or peers receives relatively little attention from either researchers or practitioners. In the present article, the literature on sibling child sexual abuse is critically reviewed, and particular attention is focused on defining sibling sexual abuse, and determining its scope and effects. Clinical Implications are derived as well. Although the article focuses on sibling sexual abuse, the concepts considered here also apply to other forms of same-age (or near same-age) child sexual relationships.     

Emotional Abuse Questionnaire (EAQ): A New Scale for Measuring Emotional Abuse and Psychological Maltreatment1

Emotional abuse is the core of all other kinds of child abuses and maltreatments. The significant and serious outcomes of other kinds of abuses are often due to the emotional aspects. Moreover, emotional abuse has several forms, and each form may lead to different adverse outcomes for children and adolescents. Unfortunately, there is not a comprehensive instrument to assess all categories of emotional abuse. A 30-item self-report questionnaire was developed for ages 12 years and older. The sample included 328 students aged 12 to 19 years selected randomly from students referred to different student counseling centers. Exploratory factor analysis categorized the scale into six subscales. Confirmatory factor analysis revealed that all items were fitted with the subscales significantly. Content and concurrent validity demonstrated good validity and reliability for each subscale. Overall reliability was also significantly acceptable.     

Mandated Reporting of Abuse/Maltreatment of Older Adults: A Primer for Counselors

Maltreatment of older adults is a serious and underrecognized problem. Every state and 6 Canadian provinces have enacted legislation to protect vulnerable older adults from abuse, and many require that mental health professionals report disclosures of abuse to authorities. However, these laws have received little attention in the counseling literature. This article examines the scope of maltreatment of older persons and describes the content of elder abuse and elder maltreatment laws, with special focus on counselors' responsibilities to report maltreatment to authorities. It concludes with strategies for assessing maltreatment and with implications of these laws for confidentiality and informed consent.     

Meditation: The Forgotten Western Tradition

In this article we discuss aspects of the history of the demise of meditation in the West and its recent re-emergence as an Eastern system. Reasons for this phenomenon will be explored. The differences between Eastern and Western meditation, the psychology of meditation, research in the field, as well as applications of meditation to counseling will be discussed.     

Caregiving: The Forgotten Element in Attachment

In attachment theory, an attachment behavioral control system in the child and a complementary caregiving system in the parent act together to protect the young. The attachment account, however, fails to supply a motivation for caregiving. As a result, it cannot give a theoretical explanation for the responsive and attentive behaviors empirically observed in caregivers of secure children. In this article, we present an account of caregiving that places emotion at the center of caregiving (the connection theoretical orientation). In this account, the dyadic emotion of caring serves as an autonomous motivation to see that the needs of a specific dependent are met. Unlike the "on-off" caregiving in attachment theories, connection caring is conceptualized as enduring and variable: Caregivers experience different levels of caring over the course of a relationship. Through the emotional concepts of caring, empathy, and responsibility, the connection theoretical orientation is able to provide the coherent account of caregiving that the attachment theoretical orientation's cybernetic concepts have been unable to supply.     

The Forgotten Ones: Siblings of Substance Abusers

Although factors shaping sibling relationships and the developmental dynamics of such consanguinity have been addressed by various scholars, investigations questioning how the risky behaviors of one sibling, specifically substance abuse, may impact brothers versus sisters are few. The current study explored non–substance-abusing siblings’ reports of their mood, attitudes, feelings of social support, and emotions if one of their brothers or sisters was perceived to be a substance abuser. Surprisingly, 22% of a college-aged convenience sample (N = 312) described one or more of their siblings as a substance abuser and reported being exposed to drugs at an earlier age than their non–substance-abusing counterparts, in addition to other differences. Sisters, more than brothers, were also affected. These exploratory findings, although limited by potential sampling bias, highlight potential areas for future research that could clarify and perhaps improve the experience of the “forgotten” siblings in a risky family constellation.     

The Sibling Resource Dilution Theory: An Analysis

In this study, I examined relationships between sibling variables and children's family educational resources at different levels of family social status and children's intellectual ability. Data were collected from 900 eleven-year-old Australian children (450 boys, 450 girls) and their parents. Relationships among the variables were examined by plotting regression surfaces generated from models that included terms to test for possible linear, interaction, and curvilinear associations. Although results from some of the regression models provided tentative support for the sibling resource dilution theory, overall results suggest that acceptance of the theory must be treated with some caution. In general, the analysis indicated the possible complexity of relationships between sibling variables and family educational resources.     

The humanities and gross anatomy: Forgotten alternatives

Researchers in medical education have extensively studied negative reactions to gross anatomy, sometimes grouped under the term “the cadaver experience.” Although there has been disagreement about the extent and importance of such phenomena, several attempts at curricular reform have been designed to “humanize” the student-cadaver encounter. However, some obvious sources linking gross anatomy and the humanities have been consistently overlooked. Such sources—from the history of art, the history of anatomy, and autobiographical and imaginative literature—not only bear witness to the “cadaver experience” for anatomists of the past, but also offer forgotten alternatives for placing present-day reactions in perspective. Former methods of teaching which used such material might serve as models for reintegrating the humanities into the study of gross anatomy as a possible humanizing force.     

Compromise: The Forgotten Dimension of Career Decision-Making

The study of compromise in career decision-making has been neglected. Out of Pryor's adoption of Gottfredson's compromise formulation, a programme of research was undertaken to investigate the basic dimensions of career compromise. The results of four separate studies are reported, investigating compromise conceptions, compromise plans, compromise choices and compromise interventions. These data support the importance of the three Gottfredson dimensions — psychological characteristics, prestige and sex-type-in the process of career compromise. The major deficiency of the Gottfredson compromise model is the need for elaboration of several of its aspects, such as sex differences in compromise strategies, 'refusal to compromise', the existence of more than one compromise paradigm and the interrelatedness of the compromise dimensions.     

Breast and Ovarian Cancer: The Forgotten Paternal Contribution

Five to 10% of all cases of breast and ovarian cancer are attributed to a heritable genetic predisposition. Transmission of BRCA1 and BRCA2 mutations is equally likely through maternal or paternal lineage; however, fewer referrals to cancer genetics clinics appear to be made for a paternal, than maternal, family history of breast and/or ovarian cancer. To examine this potential bias, a retrospective review of 315 patient and family charts was conducted by one familial cancer clinic in Toronto, Canada. Referral letters, risk estimates, and family histories were analyzed to identify significant differences between patients referred with maternal and paternal family histories. It was determined that patients are approximately five times more likely to be referred with a maternal family history of breast and/or ovarian cancer as compared to those with a paternal family history (p = <.0001). Individuals with a paternal family history were found to have a different, and higher, pattern of risk estimates (p = .00064). No significant difference was seen between the type of referrals sent by general practitioners, oncologists, and gynecologists. Recommendations to increase the awareness of paternal family history in assessing cancer risk are provided.     

The Fate of the Forgotten: Chamberlain''s Work Reconsidered

This article discusses the early psychological traditions developed at Clark University under the guidance of G. Stanley Hall. Anthropology and cultural psychology are both rooted in the notion that humans are social beings. That idea constituted a brief moment of theoretical unity between psychology and anthropology in the study of human language in its psychological functions. In that context, the work of Alexander Chamberlain is explored as a major contribution. Chamberlain--if viewed in the jargon of our contemporary social scientists--was deeply "interdisciplinary" in his work. Despite the positive meaning of the term "interdisciplinary" in contemporary discourse about the social sciences, the realities of social organization of any science entail separation rather than integration. Chamberlain's work took place in parallel in anthropology and in developmental psychology under the interdisciplinary emphasis of "child study" as set up by G. Stanley Hall. Hall made child study the distinctive feature of the "Clark tradition" of psychology. Chamberlain's work constituted both the beginning and the end of the (miniscule) "Clark tradition" in anthropology.