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Sex crimes.

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Adolescent↗

Trichotillomania.

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Anemia, Hypochromic↗

Childhood sexual experiences with adults reported by women with eating disorders: an extended series.

A total of 158 women presenting with clinical eating disorders have been investigated using a self-report questionnaire and subsequent interview concerning their recollections of sexual experiences with adults before the age of 16 and later adverse sexual experiences. About a third reported events in childhood and over half described some adverse experiences. It may be that these experiences are relevant to the subsequent illness in some cases, but greater certainty must await further research. In the meantime, inquiring about such matters would seem to be advisable in the assessment and therapy of eating-disordered patients.

Adaptation, Psychological↗

The significance of a history of childhood sexual abuse in bulimia nervosa.

BACKGROUND: Childhood sexual abuse (CSA) is found to have occurred to a substantial minority of women with bulimia nervosa. Its clinical significance is unclear. METHOD: We studied 87 bulimic women in a clinical trial. Structured interviews determined the presence of CSA, DSM-III-R disorders, global functioning, and depressive and bulimic symptoms. RESULTS: Forty-four per cent reported a history of CSA. Bulimic women with CSA reported earlier onset of bulimia, greater depressive symptoms, worse global functioning and more suicide attempts, and were more likely to meet criteria for bipolar II disorder, alcohol and drug dependence, conduct disorder and avoidant personality disorder. CONCLUSIONS: Although those with CSA had greater comorbidity, it was not an important modifier of bulimic symptoms.

Adolescent↗

WAIS-R and MMPI profiles of men who have sexually assaulted children: evidence of limited utility.

Wechsler Adult Intelligence Scale-Revised (WAIS-R) data were compiled on 101 male sexual offenders of children, and Minnesota Multiphasic Personality Inventory (MMPI) profiles were compiled for a subsample of 81 of these subjects in a replication and extension of the Hall, Maiuro, Vitaliano, and Proctor (1986) MMPI study. The MMPI profiles were heterogeneous and had multiple elevations. No significant relationships between the WAIS-R Full Scale IQ, WAIS-R Performance IQ Minus Verbal IQ Index, or the MMPI scales, and offense characteristics were obtained. These results support the hypothesis of Hall et al. (1986) that psychometric instruments may be of limited utility in characterizing or differentiating among sexual offenders on the basis of criminological variables.

Adolescent↗

Going to court: the experience of child victims of intrafamilial sexual abuse.

Concerned about the possible detrimental impact of the investigative process and court proceedings on child victims of sexual abuse, many child advocates have proposed extensive evidentiary and procedural revisions of the court process. As part of a long-term study of the effects of child sexual abuse on the victims' mental health, we observed child sexual abuse victims during juvenile and criminal court proceedings. Although it was clear to our observers that going to court was stressful for these children, it was not clear that the only effective way of reducing their stress would be to avoid "live" testimony. We propose that many simple improvements--for example, increasing the involvement of guardians ad litem, providing adequate time to prepare the child for court, reducing the number of continuances granted, and training attorneys and judges to deal effectively with child witnesses--would be less costly and less controversial to implement than closed-circuit or videotaped testimony, new hearsay exceptions, and other more extensive proposals for change.

Adolescent↗

Identifying the sexually abused deaf child: the otolaryngologist's role.

As a primary physician for most deaf children, the otolaryngologist must be able to identify signs and symptoms of sexual abuse. Child sexual abuse is a topic of national concern as epidemiologic data indicate more than 100,000 American children become victims annually. This paper provides an overview of the incidence, demographic characteristics, risk factors, and dynamics of child sexual abuse within both the general handicapped and, specifically, the hearing imparied populations. Strategies for identifying the sexually abused hearing impaired child are delineated including the physical appearance and behavioral manifestations of child victims, as well as the characteristics of abusive caretakers and perpetrators. Case summaries are presented which illustrate these characteristics. A national center specializing in the evaluation and treatment of abused handicapped children is described.

Adolescent↗

Sexual problems of sexual assault survivors.

Attempts to downplay the sexual component of sexual assault may actually result in an injustice to sexual assault survivors as it may desensitize professionals working with sexual assault survivors to the possible development of sexual problems. Of 371 sexual assault survivors evaluated, more than 40% reported that they were experiencing sexual problems as a result of their assaults. In addition, these assault-related sexual problems can be chronic, enduring for many years. The need to screen for and provide treatment when necessary for such sexual problems is apparent.

Adolescent↗

Partner abuse among women whose children have been sexually abused: an exploratory study.

To explore partner abuse among women in families in which a child has disclosed child sexual abuse, 102 mothers completed a measure of partner abuse and the Coping Responses Inventory. Results suggest that, like women in the general population, mothers of children who have been sexually abused have often experienced partner abuse. As expected, physical abuse in a current relationship was found to be related to the use of avoidance strategies in dealing with the sexual abuse disclosure. The implications for practitioners and for future research are discussed.

Adaptation, Psychological↗

Cultural and religious influences in maternal response to intrafamilial child sexual abuse:charting new territory for research and treatment.

The role of culture when providing services for families in the wake of child sexual abuse disclosure is a charged issue although surprisingly little attention has been given in the research literature to this. This article reports the findings of a grounded theory study exploring facets of maternal response, and aspects of more and less supportive responses, to children who were sexually abused by the mother's intimate partner. Ten mothers, chosen on the basis of theoretical sampling, provided information through in-depth interviews to understand how they responded emotionally and behaviourally to their child's disclosure. As well, three service providers were interviewed as key informants. The research revealed cultural and religious influences as affecting how mothers made meaning of the sexual abuse and the actions they took. Mothers from cultural backgrounds that adhere to rigid patriarchal norms identified themes of intense value conflicts regarding family preservation, loyalty binds between the perpetrating partner and child victim, and anxieties around being alienated from their extended family and ethnic community. They also reported that their cultural belief systems were not well understood by service providers. In parallel, helping professionals identified cultural issues as presenting barriers for engaging with some clients. Practice implications and research directions are discussed.

Adult↗

Remembering and forgetting childhood sexual abuse.

Twelve white middle-class women who had been severely sexually abused as children by a family member were asked to provide a narrative of their abuse and discuss their subsequent remembering and forgetting of these experiences. Most claimed they had undergone periods during which they had not recalled their abuse, but also claimed that they had never forgotten their experiences at another point during the interview. Nine of the women had actively tried to forget the abusive experiences, although 8 still experienced recurrent and often relentless intrusive memories. Our findings suggest that women with continuous memories may have longer and more coherent narratives than women without continuous memories. Implications of these findings for understanding the phenomenology of memory experiences and the concept of "recovered" memories of childhood sexual abuse are discussed.

Adult↗

Sexual molestation and rape reported by homosexual and heterosexual women.

Questionnaire returns for 225 homosexual and 233 heterosexual adult women revealed 115 cases of rape or attempted rape. Data from 78 follow-up questionnaires are summarized. About the same proportion of lesbians and heterosexuals, age 16 or over, were the object of rape. The lesbians tended to reject all men as sexual partners or companions, while the heterosexuals tended to blame themselves for not being careful. Some of the heterosexual women, age 16 to 18, interpreted the rape as a compliment to their sexual attractiveness. Girls under 16 whose assailant was a stranger are, as adults, as frequently homosexual as heterosexual. Sixteen of the 17 girls, age 4 to 16, molested or seduced (6 for a long time) by a relative or close family friend are lesbians as adults. The subjects' attitudes about the incient were highly determined by parental reactions. Inferences are drawn about the rapists' attitudes toward women.

Adolescent↗