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.     

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.     

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.     

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.     

The Satir Model with Female Adult Survivors of Childhood Sexual Abuse

Child sexual abuse is a recognized problem in the United States and Canada. There are several approaches to therapy with adult survivors of childhood sexual abuse. This article discusses Virginia Satir's model of therapy as it applies to sexual abuse. The emphasis of the Satir model is on transforming the impact of the abuse, no matter how the client chooses to process her relationship with the abuse, and is illustrated through a case study.     

Sexual abuse of children and youth in residential care: An international review

This paper reports the results of an international review of academic literature on sexual abuse in residential child and youth care, 1945–2011. The review focusses on questions related to the nature and scope of sexual abuse, on personal and institutional factors providing either protection or risk, and on how residential institutions have responded to signals of sexual abuse. Empirical research did not appear until the 1990s, and is still scarce. A variety of research designs and of definitions of sexual abuse obscure the prevalence of sexual abuse in residential care. Sexual abuse by peers is often overlooked, while this accounts for almost half of the known cases. Histories of sexual abuse prior to placement, group dynamics, institutional culture and insufficient knowledge of professionals on how to address issues of sexuality, appear to be crucial factors in peer abuse. Gender also plays a significant role: most, though not all, victims are females, most, though not all, perpetrators are males. Instead of understanding sexual abuse as a phenomenon related to individual characteristics, it is important to address both institutional factors (culture) and group dynamics in order to provide children in residential homes with the care they need.     

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.     

Childhood Sexual Abuse and Revictimization In Adolescence and Adulthood

Abstract

Childhood sexual abuse must be seen as a pervasive risk factor in children's lives: No demographic or family characteristics have as yet been identified to rule out the possibility that a child will be or has been sexually abused (Finkelhor, 1993). The adverse consequences of sexual abuse, both immediate and long term, have been documented by a large body of research. After a summary of the main findings from this research, the main objective of the present chapter is to examine the impact of childhood sexual abuse on a particular aspect of psychological functioning: the development of sexual behavior and sexual relationships. In this analysis, special consideration is given to the question of whether individuals who were sexually abused as children are at greater risk of experiencing sexual victimization in later life than individuals without experience of abuse. This question has generated a substantial body of evidence (see Messman & Long, 1996, for a review), and researchers are beginning to understand pathways from the experience of abuse in childhood to revictimization in adolescence and adulthood.     

Sexual Abuse Survivors: Identifying Symptoms and Special Treatment Considerations

Because of the prevalence of child sexual abuse, many adult counseling clients will have sexual abuse in their histories. Counselors should familiarize themselves with the symptoms of sexual abuse survivors to assist with disclosure. Failure to address the abuse will interfere with the success of the counseling process. Special sensitivity is required of counselors to provide a safe environment in which survivors can examine the pervasive impact of the abuse on their lives, explore and ventilate their feelings, and resolve the trauma so it ceases to block their development. An eclectic approach, including group counseling, is recommended.     

Perpetration of Sexual Coercion and Victim of Sexual Coercion Scales: development and validation

The purpose of this research was to create two scales, one to measure the tendency to perpetrate sexual coercion and one the tendency to be a victim of sexual coercion (Study 1), and to provide data validating the scales (Studies 2 and 3). Using the rational method of scale construction, two 13-item scales were constructed: the Perpetrator of Sexual Coercion Scale and the Victim of Sexual Coercion Scale. Construct validity (Study 2) was based on significant correlations with measures of engaging in promiscuous sex and abuse of alcohol. Support was found for the hypothesis (Study 3) that sexual coercion, being a victim of sexual coercion, alcohol abuse, and sexual promiscuity were associated with the pursuit of immediate pleasure through alcohol and sex.     

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.     

Comprehension of Sexual Consent as a Key Factor in the Perpetration of Sexual Aggression Among College Men

The comprehension of sexual consent is a crucial factor in healthy sexual relationships. This study examined the connection between the understanding of sexual consent and perpetration of sexual aggression. We surveyed 217 heterosexual male college students (M age = 20.9 years) using measures of sexual aggression, comprehension of sexual consent, rape myth acceptance, conformity to masculine norms, peer support of abuse, and attachment to abusive peers. We tested models examining factors related to comprehension of consent and the extent to which comprehension of consent was related to perpetration of sexual aggression. Rape myth acceptance, peer support of abuse, and conformity to masculine norms were found to predict comprehension of consent, which mediated the relationship between the social and cognitive variables and sexual aggression.     

Priests as Victims of Childhood Sexual Abuse: The Effects of Disclosure on Empathy

This study explores the effects of disclosing a history of childhood sexual abuse on empathy for Roman Catholic priests. The research design randomly selected priests in good standing in the Roman Catholic Church from 10 locations in the United States. Three groups of priests were identified based on self-report: (a) priests who report sexual abuse and no disclosure, (b) priests who report sexual abuse and disclosure, and (c) priests who report no sexual abuse. The three groups were compared using the Interpersonal Reactivity Index dimensions of perspective-taking, empathic concern, and personal distress as the dependent variable. The data was analyzed using hierarchical multiple regression to examine the incremental contributions for the different sets of independent variables. Results indicate that empathy was not exclusively associated with disclosing sexual abuse. The need for earlier intervention, education, and assistance for priests in disclosing childhood sexual abuse is discussed.     

Sexual trauma and personality: developmental vulnerability and additive effects.

Two types of sexual trauma, sexual abuse in childhood and rape in adulthood, were investigated in terms of possible effects on personality. Four groups of participants were studied: women who had experienced sexual abuse in childhood, women who had experienced rape as adults, women who had experienced both of these sexual traumas, and a control group of women who had experienced no sexual trauma. Personality functioning was assessed using the Dimensional Assessment of Personality Pathology. Groups who had experienced childhood sexual abuse displayed the highest degree of personality disturbance; however, the additive effects of repeated sexual trauma were limited. These findings may reflect the outcome of specific adversity in childhood on the psychobiological constructs underlying personality.     

Top Ten Questions Male Sexual Abuse Survivors Want to Know from Health Care Research

Sexual abuse is an often overlooked public health issue for boys and men. Given its prevalence and well-documented connection to mental and physical health disorders, the relevance of male survivor input and engagement in health care research is profound. Using a community-based participatory research design, an in-person focus group with male survivors of sexual abuse and researchers was conducted. This paper describes the top ten research questions male sexual abuse survivors would like to have answered. Survivors were most interested in knowing how sexual abuse and assault impact men’s emotional and sexual functioning, what factors are involved in preventing and treating sexual assault-related emotional distress, and what can be done to prevent sexual abuse of boys and men. The fact that some of the questions survivors expressed an interest in knowing about have actually previously been investigated by researchers suggests a disconnect in translating evidence-based findings. Clinical and research implications include designing outreach interventions and gender-specific psychoeducation to increase engagement and access to care for men.     

The Sexual Self-Perceptions of Young Women Experiencing Abuse in Dating Relationships

Though information about one's sexuality may be inferred from sexual interactions themselves, a sexual sense of self may also be derived from the quality of the intimate relationship more generally. In this study, we examined the sexual self-perceptions of young women in dating relationships (N=108) as a function of whether these relationships were characterized by abuse. Negative sexual self-perceptions were found to be more evident among women who were experiencing physical/psychological abuse or sexual coercion in their current relationships than among women who were not, even after controlling for self-esteem and depressive symptoms. However, positive sexual self-perceptions were unaffected by abuse, and hence may provide young women a basis for establishing healthier relationships in future.     

Counseling Child Sexual Abuse Victims: Myths and Realities

The goal of the authors is to (a) create an awareness among counselors about the nature and prevalence of child sexual abuse, (b) examine myths and realities about the topic, and (c) present recommendations for interviewing suspected victims of child sexual abuse.     

Hardiness as a Moderator of Shame Associated with Childhood Sexual Abuse

An adult female sample of childhood sexual abuse survivors (n = 195) were surveyed to determine if hardiness was effective in moderating the negative effects of the perceived trauma and severity of the sexual abuse and internalized shame on relationship intimacy. The results indicated that perception of abuse, severity of abuse, and shame were significantly and negatively related to hardiness. Hardiness was found to have a significant moderating effect on the negative impact of internalized shame and severity of abuse on marital/relationship intimacy.