Directions of Effects between Adolescent Psychopathic Traits and Parental Behavior

The present study examined the directions of effects between adolescent psychopathic traits and parental behaviors. The data are from a community-based cohort-sequential study. Data were collected annually over 4 years. Participants were 875 adolescents, aged 13-15 at Time 1, and we analyzed their reports of negative and positive parental behavior, delinquency, and psychopathic traits. In results from cross-lagged models, adolescent psychopathic traits predicted changes over time in all of the parental behaviors at nearly all of the time intervals, whereas the prediction from parental behaviors to psychopathic traits was inconsistent across parenting measures and time intervals. These findings suggest that parental behavior is more a reaction than a predictor of psychopathic traits in adolescence.     

Trajectories of Adolescent Psychopathic Traits

There is growing evidence that psychopathic traits are stable across the adolescent developmental period. Yet, no previous studies have examined the longitudinal course of these traits across adolescence. In this study, we examined joint developmental trajectories of grandiose-manipulative traits, callous-unemotional traits, and impulsive-irresponsible behavior and how these trajectories were related to changes in parental behavior and delinquency over time. Participants were 1,068 adolescents from a community sample, who were followed annually over 4 years. Overall, our results showed that a four-class latent class growth model best represented the developmental pattern of adolescent psychopathic traits. Although the majority of adolescents showed low or moderate initial levels that also decreased over time, there was a small group of adolescents who, despite significant decreases in two out of three dimensions, still maintained relatively high levels on all three dimensions. We also found that parental behavior and delinquency developed differently for the groups over time, with the high-decreasing group engaging in more delinquent behavior over time and experiencing more negative parental behavior than any other group. In sum, our findings suggest that there is a group of adolescents at particular risk for negative development.     

Social and emotional outcomes of childhood sexual abuse: A review of recent research

A total of 41 articles examined the social and emotional outcomes of childhood sexual abuse. The outcomes examined included suicide and substance use, gang involvement, pregnancy, running away, post-traumatic stress disorder (PTSD), risky sexual behavior, and behavioral problems. Results for each of these outcomes tended to vary by developmental period. However, problems of internalizing and externalizing behavior appeared to be specific to sexually abused children of all age groups. Some studies found differences in outcome according to gender, race, and age. Although findings related to abuse characteristics were found to vary from study to study, severity of the abuse, use of force, and victim's relationship to the perpetrator were found to be especially important. Other factors, such as family support and parental monitoring, were found to mitigate a negative outcome. Limitations are discussed along with suggestions for future research.     

Counselling in Action: Sexual abuse in an Asian family

This case study concerns a family of three generations of Asians living in London. It involves three children (two boys and a girl) who were sexually abused by one of the members of the extended family, for a period exceeding 5 years. Attempts to deal with the problem within the secrecy of the family conspiracy failed. It led to a breakdown of communications within the family network. Subsequently, the problem came under police investigation. The perpetrator was found guilty and sentenced to a term of imprisonment. Of the three young victims, the girl was extremely traumatized. Initially, she refused to meet with the therapist, but gradually, at the gentle persuasion of her parents, she relented. The case study is an account of the therapist's culturally relevant use of indigenous techniques to successfully deal with the trauma, thus helping in the rehabilitation of the victim.     

Psychopathy in Italian female murderers

Over the years, the number of homicides in Italy has progressively decreased, ultimately becoming one of the lowest rates in Europe (357 = 0.7 per 100,000 inhabitants in 2017, according to ISTAT 1 ISTAT: Italian Institute of Statistics.
). The number of homicides committed by women was about 9% of the total number of homicides during our study period. The percentage has increased in recent years because the total number of homicides has decreased without a proportionate decrease in the number of female homicides. Indeed, murder is an unusual type of crime for a woman and is often associated with a mental disorder, so when a woman committed a homicide, a psychiatric assessment was often performed. A forensic psychiatry expert was assigned to investigate the offender's psychopathology and mental state at the time of the offense. The root causes of the crime remained unexplained, however, due to the lack of a psychiatric precedent to justify this kind of assessment. The role of psychopathy in homicide has seldom been studied in female offenders, even though psychopathy has an important role in violent crimes. The investigators examined, clinically and historically, a sample of women who committed murder with different levels of criminal responsibility (female homicide offenders found not guilty by reason of insanity, having partial criminal responsibility, and convicted as criminally responsible and sentenced to prison) to identify the prevalence of the psychopathic dimension and its possible role in this sample. Prevalence and degree of psychopathic traits were examined in these female offenders using the Psychopathy Checklist‐Revised. This study showed that females who had committed homicide were likely to suffer from mental illness; most of the homicidal acts were committed impulsively; and most female homicides occurred within the family, especially among women who were psychotic, but less so if they were psychopathic. Psychopathy tended to co‐occur more with personality disorders than with psychotic psychopathology. Psychopathy was more evident among female homicide offenders who had been abused or traumatized. Psychopathic women who killed had high factor F1 scores and low antisocial component of factor F2.     

Family Functioning Moderating the Effects of Childhood Sexual Abuse on Memory Specificity

The main goal of this study was to investigate if adults sexually abused as children who were raised in a functional family are more able to generate specific autobiographical memories and suffer fewer depressive symptoms than sexually abused adults who were raised in a dysfunctional family. We found that abused males retrieved fewer specific memories than nonabused males, abused females, and nonabused females. The three latter groups did not differ from each other. Further, childhood sexual abuse did not predict depression among males and females. After accounting for family functioning, there were no group differences regarding memory specificity. Functional families appear to have beneficial effects on the adjustment of male victims of childhood sexual abuse.     

Child abuse: Prognostic factors in therapy effectiveness

We have attempted to define the problem of child abuse by separating the abusers into two categories. Pattern abusers seem to be primarily a social issue in that the abuse is an outgrowth of the parental charge to control her/his child. However, another abuser is seen as a borderline or psychotic individual when the abuse is an outgrowth of a transferential distortion on the part of the parent. It was suggested that family therapy for the latter may be the preferential mode of intervention.     

Help-Seeking Behaviors in Non-Offending Caregivers of Abused Children in the Philippines

The help-seeking process among non-offending caregivers (NOCs) of abused children particularly in the non-Western context has yet to be elucidated. The objective of the current study was to investigate what proportion of Filipino NOCs of abused children sought professional support services within 12 months following child abuse disclosure (T1) and at 12 months (T2) follow-up in the Philippines. Two further aims were to investigate NOCs’ preferred service providers and settings and to explore barriers to help-seeking. A comparison group of Filipino parents without an abused child were also recruited to compare preferences and potential barriers to help seeking for child and family problems. A total of 47 NOCs and 70 comparison parents/guardians completed questionnaires, which assessed help-seeking preferences and barriers as well as parental stress. The majority of NOCs reported seeking help, which was perceived to be helpful. Almost two thirds of NOCs indicated preference for in-person counseling relative to the comparison group of parents. The majority of NOCs preferred seeking help from social workers and psychologists. Almost one third of both parental samples reported being judged as an unfit parent as a key barrier to seeking help for family problems. The findings have implications for psychological and allied health service providers in facilitating the adjustment for families of recently abused children.     

Even When You Win You Lose: Targeted Parents' Perceptions of Their Attorneys

The author attempts to deal with three important issues in relation to child sex abuse allegations. These are (1) some potential signs in the behavior of children who might have suffered sexual abuse; (2) how an evaluation of an allegedly sex abused child can be carried out; (3) the possible long term affects on a child who has suffered from being sexually abused. The complexity of drawing the right conclusions are considered when there are false positives due to the overlap of evidence between sexually abused and non abused children.     

Nonfatal Suicidal Behavior Among Chinese Women Who Have Been Physically Abused by Their Male Intimate Partners

Three hundred fifty‐three women (median age = 32 years) admitted to the emergency rooms of nine general hospitals serving rural areas in China were interviewed for nonfatal suicidal behavior. Spousal conflict was the most commonly reported cause for their suicidal behavior and one third of respondents reported being victims of physical abuse by their spouses. Compared to non‐abused women, abused women were younger, had more disturbed family relationships, and experienced less financial hardship and more divorce. No differences were found between the groups in the proportion who reported psychiatric symptoms or in the level of suicidal intent; however, abused women were less impulsive and expressed more sadness at not having been successful in ending their lives.     

A profile of young adolescents attending a teen family planning clinic.

The purpose of this study was to assess the client records of adolescents attending a teen family planning clinic to determine the reported episodes of sexually transmitted diseases, sexual abuse, alcohol and drug use, and other dysfunctional situations in the family. In addition, information about the initiation of sexual activity and sexual partners was assessed in the record review. Data were obtained from a county health department located in a metropolitan area of a southeastern state. A review of the records of 183 adolescents 15 years of age or younger provided information on ethnicity, grade in school, and assessment data from the clinic interviews and exams. Twenty-five clients said they were not sexually active when they came to the family planning clinic for the first time, and were brought to the clinic by a parent (usually the mother). Those clients who came without parents said they were sexually active. Forty-one percent had their first sexual experience between 12 and 13 years of age, 18% between the ages of 14 and 15, and the remainder before the age of 12. While over 7% specifically stated that they had been sexually abused or raped, an additional 19% described situations in the home or exhibited symptoms associated with a history of sexual abuse. Eleven percent had a history of two to three different sexually transmitted diseases, and 26% had three or more diseases. Seventy-two percent indicated that there was conflict in the home; several had left home because of abuse. Fourteen percent admitted using drugs, mostly cocaine or marijuana, and 17% reported that they used alcohol at least occasionally.     

Histories of sexual abuse in adolescent male runaways

In this study, data on sexual victimization in the histories of 89 Canadian male runaways as well as information on physical victimization, family structure, family financial stability, delinquent and criminal activities, and reasons for running away from home were evaluated. The population of male runaways evidenced dramatically higher rates of sexual and physical abuse than did randomly sampled populations. Sexually abused and nonsexually abused male runaways shared characteristics noted in the literature as common to runaways: problem families, high rates of delinquency, depression, tension, low self-image, and history of physical abuse. Sexually abused male runaways differed from nonsexually abused runaways in their reactions to their runaway event, with sexually abused male runaways responding in highly avoidant patterns coupled with extreme withdrawal from all types of interpersonal relationships. These differences are explained as consistent with known sequelae of sexual abuse, and the implications for treatment by runaway shelters and for further research are suggested.     

Predictors of Externalizing Behavior Problems in Early Elementary-Aged Children: The Role of Family and Home Environments

As children enter elementary school they display behavioral orientations that reveal potential developmental trajectories. Developmental transitions offer unique opportunities for examining developmental pathways and the factors that influence emerging pathways. The primary goal of this investigation was to examine characteristics of family and home contexts in predicting externalizing behavior problems among children transitioning into elementary school. Dimensions of the family and home environments of maltreated and nonmaltreated children (N = 177) were examined and used to predict externalizing behavior problems. Maltreatment was assessed using case file information, characteristics of the family and home environment were rated by interviewers, and externalizing behavior was assessed by mother's ratings on the Child Behavior Checklist. Relative to nonmaltreated children, the family environments of physically abused children were characterized by higher levels of negative social interactions. Also, in comparison to nonmaltreated children, the home environments of children who experienced neglect were characterized as less organized and clean. Hierarchical regression analyses revealed that physical abuse was the strongest predictor of externalizing behavior. After controlling for the contribution of physical abuse, mother's negative behavior toward the focal child, aggression between siblings, and the lack of an organized and clean home were each predictive of externalizing behavior.     

Childhood physical and emotional abuse by a parent: transference effects in adult interpersonal relations

Extending research on transference and the relational self (Andersen & Chen, 2002), female undergraduates with or without a history of physical and emotional abuse by a loved parent participated in an experiment manipulating parental resemblance and threat-relevant interpersonal context in a new person. Transference elicited differences not evident in the control condition between abused and nonabused participants' responses, with greater rejection expectancy, mistrust, dislike, and emotional indifference reported by abused participants. Immediate implicit affect was more positive in transference than in the control condition regardless of abuse history. Yet, abused participants in transference also reported increased dysphoria that was markedly attenuated when interpersonal threat was primed, and no such pattern occurred among nonabused participants. Evidence that interpersonally guarded and affectively complex responses are triggered in transference among previously abused individuals suggests that this social-cognitive process may underlie long-term interpersonal difficulties associated with parental abuse.     

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.     

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.     

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.     

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.     

Problems of maltreated runaway youth

Research has shown that physical and sexual maltreatment precipitate runaway behavior in adolescents. However, there have been few large-scale examinations of the family, school, and personal problems of maltreated adolescents. In the present paper, an 85-item Client Information Record was completed on 2,019 runaways by shelter staff from eight southeastern states. There were significant differences in the problems reported by physically abused and sexually abused runaways when compared to their nonabused runaway peers. Runaways who were both physically and sexually maltreated were significantly more vulnerable and much worse off than those who only experienced either physical or sexual abuse. Implications for the treatment of maltreated runaways are discussed.