The Sexual Well-Being of Women Who Have Experienced Child Sexual Abuse

2008 ◽  
Vol 32 (2) ◽  
pp. 126-144 ◽  
Author(s):  
Suzanne R. Lemieux ◽  
E. Sandra Byers
2016 ◽  
Vol 32 (3) ◽  
pp. 423-445 ◽  
Author(s):  
Patrick O’Leary ◽  
Scott D. Easton ◽  
Nick Gould

Child sexual abuse (CSA) is a trauma that affects males in substantial numbers, sometimes in ways that are gender-specific (e.g., compromised masculine identity, confusion regarding sexuality). Much of the identification of the male-specific outcomes has been derived from practitioner experience and small qualitative studies. The current study explores gender-specific outcomes and describes the development of a scale to measure the effects of CSA on men. First, qualitative interviews with 20 men who were sexually abused in childhood were thematically analyzed. The emergent themes of sexuality, self-concept, psychological and emotional well-being, and social functioning were used to construct a 30-item instrument which was later completed by 147 men with histories of CSA. The dimensionality of the 30 items was then assessed for suitability as scales using confirmatory factor analysis (CFA). The final instrument, the Male Sexual Abuse Effects Scale (MSAES), combines three subscales: Negative Identity, Guilt and Self-Blame, and Psychological and Emotional Well-Being. Items concerning masculine identity were shown to be valid in the scale. MSAES scores were compared with the General Health Questionnaire–28 (GHQ-28) and found to be significantly correlated. GHQ-28 clinical thresholds were applied to differentiate clinical from nonclinical cases; an independent-samples t test showed that the clinical cases from the GHQ-28 had high scores on the MSAES. The new scale has the potential to help clinicians and researchers identify men who have been severely affected by CSA and who should be of clinical concern.


2021 ◽  
Author(s):  
Sarah Napier ◽  
Coen Teunissen

This study analysed chat logs obtained for seven offenders who committed 145 child sexual abuse (CSA) live streaming offences against 74 victims. The study found that offenders accessed victims online or by forming relationships with Filipino locals during trips to the Philippines, which would then move online and lead to CSA live streaming. A facilitator was involved in approximately 35 percent of offences. Facilitators were often female family members of victims (eg mothers and sisters). Some facilitators appeared to have experienced child sexual abuse as well. Although some offenders intentionally targeted children, it was also common for offenders to receive unsolicited offers of CSA live streaming from facilitators and victims. This suggests that some CSA live streaming offenders are ‘opportunistic’, and may be responsive to situational crime prevention and primary prevention measures such as messaging campaigns and online warning messages posted on specific sites where victims are targeted.


Child Sexual Abuse (CSA) constitutes a severe threat to the social well-being of not only children but extends to their families, societies. In response to the global challenge of reducing the growing effect of CSA, this study investigated the use of information sources on child sexual abuse in Ogun State. The study further tested two hypothesis to find out if communication channels for child sexual abuse education has no significant influence on the knowledge of the residents of Ogun State as well as Communication channels for child sexual abuse has no significant influence on the perception of residents of Ogun State. The study revealed that residents of Ogun state Nigeria depended on the internet as an information source for child sexual abuse. In addition, it was revealed that communication channels for child sexual abuse has significant influence on the knowledge and perception of the residents of Ogun State. Consequent upon these findings, the study recommends an urgent development of advocacy messages against CSA in form of edutainment, drama, songs that will fit the new media platform


2020 ◽  
Vol 104 ◽  
pp. 104401 ◽  
Author(s):  
Brittany C.L. Lange ◽  
Anders Malthe Bach-Mortensen ◽  
Eileen M. Condon ◽  
Frances Gardner

1996 ◽  
Vol 17 (7) ◽  
pp. 236-249
Author(s):  
Kent P. Hymel ◽  
Carole Jenny

Multiple obstacles can hinder the medical evaluation of suspected child sexual abuse in pediatric primary care. The need for diagnostic accuracy is high. Knowledge of sexual abuse risk factors, an understanding of the victimization process, and awareness of the varied clinical presentations of sexual abuse can be of assistance. Open-ended questioning of the suspected victim is the most critical component of the evaluation. Skillful medical interviewing requires time, training, patience, and practice. Pediatricians lacking any of these four requirements should defer interviewing in sexual abuse cases to other professionals. Abnormal physical findings from sexual abuse are uncommon. Colposcopy has assisted pediatricians greatly in reaching consensus regarding diagnostic physical findings. Cases of acute sexual assault require familiarity with the forensic rape examination, STD screening and prophylaxis, and pregnancy prevention. Victimization from sexual abuse continues long after the abusive acts end, often requiring long-term therapeutic intervention. An emerging standard of care for medical evaluations of suspected child sexual abuse recognizes the requirement for patience and compassion while retaining objectivity. The pediatrician's primary concern must be for the child's physical and emotional well-being.


2021 ◽  
Vol 50 (7) ◽  
pp. 527-535
Author(s):  
Magdalene HM Lee ◽  
Sashikumar Ganapathy ◽  
Soo Mei Low ◽  
Christine LQ Chua ◽  
Shu-Ling Chong ◽  
...  

Introduction: Child sexual abuse (CSA) adversely affects a child’s growth and well-being. This study aimed to describe the profile of children presenting to a tertiary paediatric emergency department (ED) with CSA. Methods: Children 0–16 years old presenting to KK Women’s and Children’s Hospital ED from June 2016 to August 2020 with sexual abuse were retrospectively reviewed. We performed a secondary analysis on girls and stratified them by age <13 and ≥13 years o ld. Results: There were 790 patients who made 833 visits for CSA. Victims were predominantly girls (747, 94.8%) and perpetrators were predominantly men (763, 96.6%). The abuse first occurred before the age of 13 years in 315 victims (39.9%). For 468 (59.2%), more than one incident occurred before presentation. Compared to girls ≥13 years old, girls <13 years old were more frequently abused by a family member (47.7% versus 8.0%, P<0.001) and abused in their own home (55.7% vs 21.0%, P<0.001). Among all children, parental divorce and the absence of one or both biological parents in the household were prevalent, with 287/783 (36.7%) having divorced parents, and only 374/784 (47.8%) residing with both biological parents. Conclusion: The findings highlight common characteristics of CSA cases, and can aid the future identification and protection of vulnerable children. The fact that most children presented after more than one incident suggests the need to more closely monitor and protect potentially at-risk children. Keywords: Child abuse, child sexual abuse, child welfare, sexual abuse


2005 ◽  
Vol 5 ◽  
pp. 759-766 ◽  
Author(s):  
Søren Ventegodt ◽  
Joav Merrick

Suicide has been honoured and respected in the eastern culture, especially in Japan with the famous tradition of Hara-kiri, or seppuku, while in most western societies suicide has been seen negatively and many contemporary physicians tend to consider suicide the most self-destructive and evil thing a human being can do and something that should be avoided at all cost. Religions also have different viewpoints on suicide, but from a philosophical point of view we believe that considering the choice of life and dead to be extremely relevant for a good living. The choice of life and dead is real, since responsibility for life is necessary in order to live life and even the best physician cannot keep a patient alive, who deep inside wants to die. In this chapter, we present parts of a story of a young girl who had experienced child sexual abuse. In holistic existential therapy, it is our experience, when the patient is well supported in the confrontation of the fundamental questions related to assuming responsibility for the coherence, that this confrontation will almost always lead to a big YES to life. Without confronting the fundamental question of “to be or not to be”, life can never be chosen 100% and thus never be lived fully.


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