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.     

Gender Differences in the Association of Intimate Partner Violence and Relationship Values among College Students

Although research has indicated that cognitions and situational factors play a role in relationship satisfaction and aggression, few studies have investigated the association between intimate partner violence (IPV) and relationship values. We addressed this gap by measuring college students’ perpetration of and victimization by four types of IPV; namely, physical violence, sexual violence, threats, and psychological aggression over the past year. One-way ANOVAs and multiple regression analyses were used to measure the association between IPV and the endorsement of relationship values. The results suggest that past IPV perpetration and victimization correlated with the current endorsement of relationship values for males more than females. In general, male perpetrators rated relationship values such as security, investment, others’ approval, and daily conflict as less important than non-perpetrators. Although male victimization explained significant variance in security, investment, and others’ approval, the results were somewhat mixed as to whether victimization related to higher or lower ratings of relationship values, with the majority of the results suggesting an inverse correlation between relationship value endorsement and IPV experience. Future research can investigate mediating factors in the relationship between IPV and relationship value endorsement, as well as look at how IPV and relationship values influence decisions concerning relationship maintenance.     

Parents Will Be Parents: Conceptualizing and Measuring Nonoffending Parent and Other Caregiver Support Following Disclosure of Sexual Abuse

A gap exists in the literature with regard to the theoretical conceptualization of nonoffending parental and other caregiver (NOC) support of sexually abused children. Measures need to be developed that appropriately capture this construct. The purpose of this article is to present a qualitative study that asked 17 NOCs in different ways how they supported their sexually abused children after the disclosure of the sexual abuse. The multiple different types of support were coded and, using grounded theory, the structure of NOC support emerged from the data. The final structure of NOC support had 8 dimensions, including basic needs, safety and protection, decision making, active parenting, instrumental support, availability, sensitivity to child, and affirmation.     

Consequences of Child and Adult Sexual and Physical Trauma among Deaf Adults

The purpose of this study was to evaluate the consequences of sexual and physical trauma among a sample of deaf adults. Thirty-two men and 45 women completed the Life Event Checklist (LEC), the Clinician Administered PTSD Scale (CAPS), the Trauma Symptom Inventory (TSI), the Somatoform Dissociation Questionnaire–20 (SDQ–20) and a sociodemographic questionnaire. In this sample, 40.6% of the male participants and 53.3% of the female participants had experienced some type of sexual trauma during their lifetimes. Physical trauma was reported by 75% of males and 71.1% of female participants. For those who had experienced childhood sexual trauma, the odds ratio of revictimization in adulthood was 6.69. Sexual trauma also rarely occurred by itself. Two thirds of all participants with sexual trauma histories also reported some type of physical abuse. Participants with sexual trauma histories displayed significantly more symptoms of PTSD and depression than people without such trauma history. Physical and sexual abuse represent significant problems in the deaf community. The authors include a call for the development of targeted intervention attempts to prevent further victimization in deaf child and adolescent populations.     

The religiosity-psychoticism relationship and the two factors of social desirability: A response to Michael W. Eysenck (1999)

This paper is based upon an interpretative phenomenological analysis (IPA) which investigated the experiences of twelve people who had been sexually abused by Roman Catholic priests or religious. The premise of the research was based upon a perceived assumption that distinct forms of sexual traumatology generate unique trauma characteristics not accounted for within the existing Post-Traumatic Stress Disorder (PTSD) conceptual frameworks (International Statistical Classification of Diseases and Related Health Problems ((DSM-IVTR 2000;) ICD-10 R, 2007). Recent developments in psychodiagnostics to support the relevance of religious concerns where incorporated into the Diagnostic and Statistical Manual of Mental Disorders DSM-IV edition (1994) which allowed a range of “religious” and “spiritual” problems to be explicitly identified as a focus for specific clinical attention. However, these appear quite vague in accounting for the range of trauma experiences experienced by this participant group. Evidence arose which indicated the majority of the research participants considered “God” to have been integral within the abuse, manipulated by design or default by the cleric or religious perpetrator. These idiosyncratic trauma characteristic created significant anxiety and distress in areas such as theological belief, crisis of faith, and fears surrounding the participant's own mortality. The IPA research identified six distinct, themed differences of which four will be discussed in more detail for the purpose of this paper. It will consider the attributes of these themes in relation to Roman Catholicism, celibacy and Canon law, and further question the sufficiency of the DSM-IV “V” Codes in accounting for the myriad of symptoms survivors of sexual abuse perpetrated by Roman Catholic Priests and Religious actually describe.     

Religiosity of young adults: does childhood maltreatment make a difference?

Previous research on the association between maltreatment in childhood and later religious beliefs and behaviours suggests that maltreatment may have either negative or positive influences on religiosity. However, methodological limitations of previous studies may limit their generalisability. The present study attempted to address these limitations. We examined associations between childhood physical, sexual, and emotional abuse and several dimensions of adult religiosity in a large sample of college students (N = 763). Associations between child maltreatment and religiosity were weak (rs ≤ 0.09). After controlling for possible demographic confounds, the only significant association was between childhood emotional abuse and religious questing.     

Researching Child Sexual Abuse in South Africa: Complexities in the Field

This study reports on my fieldwork experiences applying qualitative research strategies to study child sexual abuse in South Africa. It considers the challenges associated with, at three stages of data collection: ethical clearance, recruitment and data collection, followed by possible solutions. The study also considers the challenges from ethical and epistemological perspectives. I used a reflective self-study to analyse my experiences. My experiences revealed the following challenges: ethical process due to reasons not linked to the content of the research process would cause delays to the field-work. In addition, the use of [formal institutions] welfare institutions as sole research sites would result in a homogenous sample that does not permit comparison of experiences among the abuse cases. The costs to the researcher in terms of emotional and physical investment can be significant.     

Maternal Response to Father-Daughter Incest: Experiences of Mothers Following Disclosure

This study explored the impact of the disclosure of sexual abuse of the daughter by the father or father figure on the mother. Data were collected from seven mothers aged between 31 and 48 years whose daughters had a history of sexual abuse by the biological father, stepfather or live-in boyfriend. The children's ages ranged between 5 and 11 years with disclosure having taken place in the last two years before data collection. Data were collected using an interview schedule. The results obtained from the thematic content analysis indicate that the mothers were traumatized by the disclosure of the sexual abuse. The most prevalent symptoms were anger, anxiety, guilty, depression, insomnia, headache and fatigue. It is recommended that mothers be provided with psychological intervention in order to assist them deal with the trauma associated with the disclosure of the father-daughter incest.     

Science versus orthodoxy: Anatomy of the congressional condemnation of a scientific article and reflections on remedies for future ideological attacks

In July 1999 the U.S. Congress passed a formal resolution condemning our article on child sexual abuse (CSA), an article in which we concluded, based on 59 meta-analytically reviewed studies using college samples, that the assumed harmfulness of CSA had been overstated (Rind, Tromovitch, & Bauserman, 1998). The condemnation followed months of attacks by social conservatives and by mental health professionals specializing either in curing homosexuality or in treating patients by inducing them to recover memories of CSA. In this article, we detail the chronology behind the attacks. Then we discuss the science behind our meta-analysis, showing that the attacks were specious and that our study employed sound science, advancing the field considerably by close attention to issues of external, internal, and construct validity, as well as precision and objectivity. Next, we discuss orthodoxies and moral panics more generally, arguing that our article was attacked as vehemently as it was because it collided with a powerful, but socially constructed orthodoxy that has evolved over the last quarter century. Finally, we offer reflections and recommendations for fellow researchers, lest this kind of event recur. We focus on the need for greater cognizance of historical attacks on science to anticipate and deflate future attacks. We argue that our research should stand as another reminder among many that sacred-cow issues do not belong in science. We discuss nonscientific advocacy in the social sciences and the need to recognize and counter it. We discuss the failure of psychology to adequately deal with the study of human sexuality, a problem that enabled the faulty attacks on our article, and we suggest directions for becoming more scientific in this area. And last, we raise the issue of how professional organizations might deal more effectively with such attacks in the future.     

Ego-Identity Achievement and Perception of Risk in Intimacy in Survivors of Stranger and Acquaintance Rape

One hundred twenty-two women participated in a study of the relationship between acquaintance/stranger rape and the respective variables of ego-identity achievement (attainment of self-image during adolescence that integrates one's ideas of what one is and what one wants to be) and perception of risk in intimacy (perception of close interpersonal relationships as a risky proposition). Results showed that compared to women who had not been sexually assaulted, survivors of rape in general reported lower ego-identity achievement and greater perception of risk in intimacy. Focusing on acquaintance rape and stranger rape with age at the time of assault as possible moderator, it was found that lower ego-identity achievement was systematically related to acquaintance rape in women who had been raped during their adolescent years, but not in survivors of rape during adulthood. Perception of risk in intimacy was significantly higher among women who had been raped when adolescents compared to those who had been raped during adulthood, but only in relation to acquaintance rape.