Order for HIV testing affirmed for incestuous sex offender.
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The article gives an overview of various aspects of sexual abuse of female and also male children and adolescents in their families. Exposure, frequency and definition and also questions regarding the psychic consequences of sexual abuse are discussed. Special psychodynamic aspects in the families and therapeutic possibilities are also dealt with.
At present there is no consensus of opinion about the short-term or long-term effects of child sexual abuse, although there is a growing body of literature on the subject. Definitions of what constitutes child sexual abuse vary enormously and, even where agreed, include a wide range of behaviours. Most clinical reports are retrospective in nature and based on self-report. Many authors agree that effects can be classified into four general areas, however, emotional/psychological; sexual adjustment; interpersonal relationships; and social functioning. There are considerable implications for treatment of those who have been abused and for the protection of their children.
Included in this article is a summary of the information gathered during 1989, after conducting a community project dealing with the prevention and care for abused children in Cantón de la Unión, Provincia de Cartago. Sixty-five cases of child abuse were cared for during this period 58.5% dealt with physical harm while 41.5% included diverse forms of sexual abuse. Cases of physical abuse were equally represented in both sexes while a higher incidences of female victims was seen in cases of sexual abuse. We found that there was a greater number of types of abusers among the females (totalling 12) than among the male children (totalling 6). In over half of the cases, the children came from homes where both a paternal as well as a maternal figurehead was represented, only in 12% of the cases were the mothers single.
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Alleged sexual abuse among preschoolers is often difficult to substantiate, and is rarely criminally prosecuted. Yet very young children are vulnerable when abuse is suspected but cannot be proven. These cases call for a special form of structured therapeutic management that seeks to inhibit the possibility of abuse while buying time for these very young children so that potential later abuse can be reported more accurately.
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Although under-reported, sexual abuse is an increasingly critical problem facing adolescents and their care providers. All care providers must consider the possibility of abuse in their clinical practice. This paper will address the significance of the problem and offer suggestions for immediate nursing intervention.
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By analyzing two groups of sexual delinquents: those which have committed rape, attempted rape or committed rape with murder (the first group) and the commiters of indecent acts (the second group), it was established that the named groups are substantially different in relation to some of the studied parameters. In the first group of delinquents, there is considerably less of those who are married (35.48%), in relation to the second group (73.68%). Indecent acts are most often committed in the apartment of the sexual offender (63.16%), while this is the case in 22.58% of the offences from the first group. The victims of indecent acts were only minors. In both groups the most frequent psychiatric diagnosis was psychopathy. Alcoholic state at the time of committing the offence was considerably greater in the first group (87.10%), in relation to the other one (47.37%). There were no important differences relating earlier criminal offences, as well as the psychiatric estimates of accountability between the groups.
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