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Behavior patterns of child molesters.

Despite intense interest in the problem of child sex abuse, base rates for different offense characteristics are poorly defined. The likelihood of otherwise uncorroborated allegations of sexual abuse could be assessed in light of known frequencies of alleged behaviors, if such were available. This paper reviews the current literature on the topic of the specific behaviors of child molesters, along with other epidemiological characteristics, and provides new data drawn from experience with 229 convicted child molesters.

Adult↗

Sex among siblings: a survey on prevalence, variety, and effects.

In a survey of 796 undergraduates at six New England colleges and universities, 15% of the females and 10% of the males reported some type of sexual experience involving a sibling. Fondling and touching of the genitals were the most common activities in all age categories. One-fourth of the experiences could be described as exploitative either because force was used or because there was a large age disparity between the partners. Reactions to the experiences were equally divided among those who considered them positive and those who considered them negative. Females were more likely than males to have been exploited and feel badly about it. Few participants of either sex ever told anyone. The research finds evidence that such experience may have long-term effects on sexual development. Females who report sibling sexual experiences, both positive and negative, have substantially higher levels of current sexual activity. Their level of sexual self-esteem may also have been affected, but more selectively. Those with positive sibling experiences after age 9 have more sexual self-esteem. However, experiences with much older siblings taking place before age 9 are associated with generally lower levels of self-esteem and no increase in current sexual activity.

Adolescent↗

Self-reports of "positive" childhood and adolescent sexual contacts with older persons: an exploratory study.

An exploratory, descriptive study of 37 male and 26 female subjects reporting childhood or adolescent intergenerational sexual contacts about which subjects maintained, at least in part, "positive" feelings is reported. An informal comparison group of 7 female victims of sexual abuse also participated. Subjects were administered a 21-page, 130-item questionnaire designed to explore and evaluate childhood functioning and development, the nature of the sexual experience, and its possible impact on adult life. Eight subjects also participated in subsequent in-depth telephone interviews. A wide range of characteristics and possible effects of the experiences were reported, suggesting that intergenerational sexual contacts may represent a continuum of experience rather than a unitary and discrete pathological phenomenon.

Adolescent↗

Therapy groups for women sexually molested as children.

A neglected class of sexual assault victims consists of women who were molested as children. In response to their unmet needs, therapy groups composed solely of women who were sexually abused in their childhood have been established. The goals of these groups are twofold: (1) the alleviation of sexual guilt and shame and (2) the clarification of emotional and behavioral consequences of molestation. Ten groups have been conducted, each containing four to six members, comprising an overall total of 50 women. In 97% of the cases, a prior relationship had existed between perpetrator and victim. Treatment consisted of a four-session format. During session I, each group participant described her molestation experiences in detail. Sessions II and III focused on how these experiences have affected the women. Session IV dealt with individual stages of recovery and further treatment plans. Clinical findings included feelings of guilt and depression, negative self-image, and problems in interpersonal relationships associated with an underlying mistrust of men, inadequate social skills, and difficulties in sexual functioning. Evaluations of the therapy groups by the participants indicated that the primary curative component was the sense of identification and emotional closeness instilled by a warm and supportive environment where a common bond was shared.

Adaptation, Psychological↗

From benign mirror to demon lover: an object relations view of compulsion versus desire.

This article addresses the terrifying power of the father as a dynamic force within the psyche of the female. Its particular focus is on how the psychodynamic form of father internalization within the female effects her creative process and her creative work. Two cases vignettes of female writers are used to illustrate the interaction of traumatizing parental behavior and the daughter's incestuous desire on promoting compulsions and inhibitions in creative work. Writing blocks will be seen as a symptom of trauma and psychic conflict that has taken place in the oedipal and post oedipal years, as opposed to the creative compulsions that result from primal stage preoedipal trauma.

Compulsive Behavior↗

Eye movement desensitization: three unusual cases.

Three complex cases are presented to document further the broad applicability of eye movement desensitization (EMD) for post traumatic stress disorder (PTSD). In the first subject this disorder was combined with panic attacks; in the second, sexual dysfunction was an additional consequence of childhood sexual abuse; and in the third the causative directly resulted in profound impairment of occupational and social function. In all three cases treatment produced rapid resolution of symptoms and functional recovery.

Adult↗

Incorporating routine screening for history of childhood sexual abuse into well-woman and maternity care.

Despite a rapid expansion in the understanding of the incidence and effects of childhood sexual abuse in the mental health disciplines, health care disciplines have only begun to look at the effect of an abuse history on women's health. Little is known from research about its influence on a woman's gynecology care or childbearing experience. The literature across disciplines advocates for routine screening for history of childhood sexual abuse. Asking about childhood sexual abuse will benefit women who have been abused and will help build a database from which to gain clinical knowledge about their care. This review presents clinical reasons to screen, discusses barriers and benefits, and emphasizes manageable ways to incorporate asking about childhood sexual abuse into practice.

Adolescent↗

Child sex abuse treatment: some barriers to program operation.

A treatment program for sexually abusing families is described, which illustrates the complexities in the families, in the treatment required to assist them, and in the interrelations of agencies with whom they come into contact. The program used a multi-therapist, multi-modality treatment model in conjunction with expert consultants in medicine, psychology, art therapy, law, criminology, and research. The article discusses the formidable barriers to creating a treatment program that stem from the necessity of establishing linkages with other agencies and systems in the society. These barriers include the difficulty other service providers may have in recognizing the problem; the trouble doctors, lawyers, and policemen have in interviewing the young victims; the problems in the criminal justice system with obtaining justice for the victim by arresting and prosecuting the offender while protecting his rights; and the conflict of the schools caught between their responsibility as mandated reporters of abuse and the legal rights of the parent-offender. Questions are raised which may assist others embarked on developing similar programs.

Adolescent↗

The sexual nature of sexual abuse. A review of the literature.

The growing literature on sexual abuse within the family is reviewed within the context of a simple model which emphasises the role of sexual factors and de-emphasises some of the more "dynamic" factors which many other authors have stressed. Evidence from a number of studies is quoted and found to support the view that fathers engaging in sexual activity with their daughters often have unfulfilled sexual needs. They often find the child or children sexually attractive and use a variety of strategies both to deal with their own inhibitions against sexual involvement with the child and to overcome the child's own potential resistance. Furthermore, these parents often find themselves in situations which provide a special opportunity for undetected abuse and they also strive to arrange such circumstances. A view of sexual abuse as primarily fulfilling sexual needs could well lead to a significant change in the management of cases in which sexual abuse has already occurred or is seen as likely to occur.

Child↗

The incidence and prevalence of intrafamilial and extrafamilial sexual abuse of female children.

Data obtained from a random sample of 930 adult women in San Francisco provide the soundest basis heretofore available for estimating the prevalence of intrafamilial and extrafamilial sexual abuse of female children. This article describes the methodology of this survey, as well as some of the key findings. For example: 16% of these women reported at least one experience of intrafamilial sexual abuse before the age of 18 years; 12% reported at least one such experience before the age of 14 years; 31% reported at least one experience of extrafamilial sexual abuse before the age of 18 years; and 20% reported at least one such experience before the age of 14 years. When both categories of sexual abuse are combined, 38% reported at least one experience before the age of 18 years; and 28% reported at least one such experience before the age of 14 years. Only 2% of the cases of intrafamilial and 6% of the cases of extrafamilial child sexual abuse were ever reported to the police. A plea is made for the urgent need to recognize the magnitude of the problem of child sexual abuse, and to act to prevent it.

Adolescent↗

Sexual abuse of children in the United Kingdom.

Questionnaires were circulated to 1,599 family doctors, police surgeons, paediatricians, and child psychiatrists to determine the frequency and nature of child sexual abuse in the United Kingdom. At least three per 1,000 children are currently being recognized as sexually abused sometime during their childhood. The majority of cases reported involved actual or attempted intercourse, and 74% of the perpetrators were known to the child. Family disturbance was noted in 56% of the cases. The most common outcome (43%) was criminal prosecution of the perpetrator. Area Review Committees had no clear policy for the management of sexual abuse. Before it is possible to protect children and to develop therapeutic services for the family, it will be necessary to acknowledge that sexual abuse is part of the child abuse spectrum.

Adolescent↗