scholarly journals The Amsterdam Sexual Abuse Case: What Scars did it Leave? Long-Term Course of Psychological Problems for Children Who have been Sexually Abused at a Very Young Age, and their Parents

2020 ◽  
Author(s):  
Vionna M. W. Tsang ◽  
Eva Verlinden ◽  
Esther M. van Duin ◽  
Jos W. R. Twisk ◽  
Sonja N. Brilleslijper-Kater ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Early Childhood ◽  
Behavioral Problems ◽  
Sexually Abused ◽  
Longitudinal Research ◽  
Young Age ◽  
Ptsd Symptoms ◽  
Abuse Case ◽  
Sexual Abuse Case

Abstract Longitudinal research of CSA in infancy and early childhood is scarce. The current study examined the long-term course of psychological outcomes (PTSD, dissociation and internalizing and externalizing behavioral problems) in children who were sexually abused in the early childhood. Additionally, we looked into the outcomes for their parents by assessing PTSD symptoms and negative emotional reactions towards the sexual abuse of their child. We examined the outcomes for five consecutive years in a sample of children (n = 45) who were sexually abused at a very young age (0–3) and their parents (n = 42), included in the Amsterdam Sexual Abuse Case-study. We found that outcomes following CSA in early childhood go beyond PTSD symptoms and can manifest in atypical symptoms such as behavioral problems. Parents experienced persistent PTSD in the years following CSA disclosure. CSA in very young children warrants long-term monitoring, as negative outcomes still present 8 years later.

scholarly journals Maternal History of Child Sexual Abuse and Maladaptive Outcomes in Sexually Abused Children: The Role of Maternal Mental Health

2021 ◽  
pp. 088626052110139
Author(s):  
Rachel Langevin ◽  
Martine Hébert ◽  
Audrey Kern
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Psychological Distress ◽  
Sexually Abused ◽  
Maternal Mental Health ◽  
Ptsd Symptoms ◽  
Abused Children ◽  
Maternal History ◽  
History Of ◽  
Sexually Abused Children

The effects of child sexual abuse (CSA) have been found to surpass generations as maternal history of CSA is associated with increased difficulties in sexually abused children. However, little is known about the mechanisms underlying this association. The present study aimed to test maternal mental health symptoms including psychological distress, post-traumatic stress disorder (PTSD) symptoms, and dissociation as mediators of the relationship between maternal CSA and children’s internalizing, externalizing, and dissociation symptoms in a large sample of sexually abused children. A total of 997 sexually abused children aged 3-14 years old and their mothers were recruited at five specialized intervention centers offering services to sexually abused children and their families. The children were divided into two groups depending on their mothers’ self-reported history of CSA. Mothers completed a series of questionnaires assessing their mental health and children’s functioning. Maternal history of CSA was associated with increased maternal psychological distress, PTSD symptoms, and dissociation following children’s disclosure of CSA. In turn, maternal psychological distress and maternal dissociation were associated with increased child internalizing, externalizing, and dissociation symptoms. Maternal PTSD symptoms were associated with child internalizing symptoms. Maternal mental health difficulties mediated the association between maternal CSA and sexually abused children’s maladaptive outcomes. Clinicians should assess for possible history of CSA in mothers of sexually abused children and determine how best to support them to cope with the aftermaths of their child’s disclosure and with their own traumatic past.

scholarly journals Allegiance Bias in Statement Reliability Evaluations Is Not Eliminated by Falsification Instructions

2020 ◽  
Vol 228 (3) ◽  
pp. 210-215 ◽  
Author(s):  
Melanie Sauerland ◽  
Henry Otgaar ◽  
Enide Maegherman ◽  
Anna Sagana
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Expert Witness ◽  
Expert Witnesses ◽  
Case File ◽  
Abuse Case ◽  
Sexual Abuse Case ◽  
The Given

Abstract. Are expert witnesses biased by the side (defense vs. prosecution) that hires them? We examined this issue by having students act as expert witnesses in evaluating interviews in a child sexual abuse case (Experiment 1, N = 143) and tested the value of an instruction to counteract such allegiance effects. The intervention concerned an instruction to consider arguments both for and against the given hypothesis (i.e., two-sided instructions; Experiment 2, N = 139). In Experiment 3 ( N = 123), we additionally provided participants with three different scenarios. Participants received a case file regarding a case of alleged sexual abuse. With the file, participants received an appointment letter emphasizing elements of the file that questioned (defense) or supported (prosecution) the veracity of the accusation. Participants displayed allegiance bias (Experiments 1–3), but two-sided instructions were not successful in eliminating allegiance bias (Experiments 2 and 3). The findings underscore the importance of legal safeguards in expert witness work.

Dyads and triads of abuse, bereavement and separation: a survey in children attending a child and family centre

1998 ◽  
Vol 15 (4) ◽  
pp. 131-134 ◽  
Author(s):  
Declan Sheerin
Keyword(s):  
Sexual Abuse ◽  
Sexually Abused ◽  
Clinical Presentation ◽  
Presentation Rate ◽  
Subjective Assessment ◽  
Parental Separation ◽  
Child Psychiatric ◽  
The Relationship ◽  
Over Time

AbstractObjectives: To determine the frequency with which abuse, parental separation and bereavement occur on their own or together in children attending child psychiatry services and to assess the relationship between these traumas and attendance and outcome.Method: A review of all case notes over a 12 month period (n = 435) was conducted and a proforma completed. Information was gathered on clinical presentation, rate of attendance, the presence of sexual abuse, non-sexual abuse including bullying, bereavement and parental separation and a measurement of outcome by subjective assessment was made.Results: Fifty-nine per cent of the children had experienced at least one of the specified traumas; 13% had experienced two and 2.5% had experienced three. The children who had been abused or bereaved were more likely to require fairly long-term work; those who were adjusting to parental separation required less intervention over time. The children who had been sexually abused had, relatively, the poorest outcome in contrast to those adjusting to bereavement where 87% were considered to have made significant improvement.Conclusions: Bereavement, abuse and parental separation are common in children referred to the child psychiatric services and these children often require long-term intervention. Increased resources will be required in order to continue to provide adequate intervention and treatment for these children.

scholarly journals Sexual abuse in very young children: a psychological assessment in the Amsterdam Sexual Abuse Case study

2018 ◽  
Vol 9 (1) ◽  
pp. 1503524 ◽  
Author(s):  
Esther M. van Duin ◽  
Eva Verlinden ◽  
Thekla F. Vrolijk-Bosschaart ◽  
Julia Diehle ◽  
Arnoud P. Verhoeff ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Young Children ◽  
Psychological Assessment ◽  
Abuse Case ◽  
Very Young Children ◽  
Sexual Abuse Case

scholarly journals Sexual abuse of the mentally handicapped: difficulties in establishing prevalence

1991 ◽  
Vol 15 (10) ◽  
pp. 601-605 ◽  
Author(s):  
Ann Buchanan ◽  
Robert Wilkins
Keyword(s):  
Sexual Abuse ◽  
Sexually Abused ◽  
Sexual Exploitation ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
Mental Health Legislation ◽  
Management Positions ◽  
The Right ◽  
Health Legislation

That adults with mental handicap∗ are particularly vulnerable to sexual exploitation is not new, although relatively unacknowledged or investigated. Indeed successive acts under the mental health legislation have sought to protect them, particularly those with severe mental handicap. With the growing awareness and identification of sexual abuse of children, and the growing knowledge of the long-term psychological effects (Jehu, 1989), which may be even more severe for people who have disabilities (Kennedy, 1990; Sinason, 1989), it has been acknowledged that not only are the mentally handicapped particularly vulnerable to abuse (Benedict et al, 1990), but the problem may well be seriously underestimated by those working in management positions (Brown & Craft, 1989). While it is recognised that the mentally handicapped have rights and need to express their sexuality, they also have the right not to be exploited or abused. We therefore need to know more about the numbers, indicators and circumstances where this group may be sexually abused and to develop policies, systems and training to protect them (Brown & Craft, 1989). This pilot study was a step in this process.

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