scholarly journals Purification, Punishment, and Control: Eating Disorders, Self-Harm, and Child Sexual Abuse

2021 ◽  
pp. 104973232110174
Author(s):  
Lisa Hodge ◽  
Amy Baker
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Eating Disorder ◽  
Child Sexual Abuse ◽  
Sexually Abused ◽  
Self Harm ◽  
And Control ◽  
Depth Interviews

Eating disorders continue to be viewed as curable diseases, forcing people into predetermined narratives of pathology that shape how they are viewed and treated. Situated in a feminist application of Bakhtin’s sociological linguistics, we were concerned with how participants understood eating disorders, the nature of their experiences, and the causes of their distress. Following a dialogical method, multiple in-depth interviews were conducted with seven women who experienced an eating disorder and who had been sexually abused previously, and participants’ own drawings and poetry were obtained to gain deeper insights into meanings and emotions. We found an eating disorder offered a perception of cleanliness and renewal that was attractive to participants who experienced overwhelming shame. It is critical that researchers use a range of visual and sensory methods to move eating disorder understandings and treatment beyond illness and pathology.

Father-perpetrators of child sexual abuse who commit suicide

1990 ◽  
Vol 7 (2) ◽  
pp. 144-145 ◽  
Author(s):  
Geraldine Walford ◽  
Marie-Therese Kennedy ◽  
Morna K. C Manwell ◽  
Noel McCune
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Sexually Abused ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Recent Letter ◽  
The Family ◽  
Sex Offences ◽  
The Guardian ◽  
The Impact

Two cases of fathers who committed suicide following the revelation that they had sexually abused their own or other children, are described. The importance of being alert to the possibility of suicide and suicidal acts by family members following a disclosure, is emphasised. Improved liaison and co-ordination between agencies working with these families may enable vulnerable cases to be more readily identified and consequently offered appropriate support and treatment.The revelation that the father in a family has sexually abused his own or other children often precipitates a crisis within the family. The distress suffered by the children themselves and by their mothers is well documented. (Browne and Finkelhor, Hildebrand and Forbes). Goodwin reported suicide attempts in 11 of 201 families, in which sexual abuse had been confirmed. Eight of the attempts were made by daughter-victims. In three of the five cases of mothers who attempted suicide, the abuse was intrafamilial. The impact on father perpetrators, previously a less well researched field, has been receiving more attention of late. Maisch, in a sample of 63 fathers convicted of incest reported that two fathers subsequently committed suicide. Wild has reported on six cases of suicide and three of attempted suicide by perpetrators following disclosure of child sexual abuse. The Cleveland Inquiry Report mentions one father, charged with several sex offences, who committed suicide while awaiting trial. A recent letter to The Guardian newspaper (18th February 1989) by 11 local paediatricians in that area suggests that there are now two such cases of suicide committed by alleged perpetrators.

Toluidine Blue in the Detection of Perineal Lacerations in Pediatric and Adolescent Sexual Abuse Victims

PEDIATRICS ◽  
1986 ◽  
Vol 78 (6) ◽  
pp. 1039-1043
Author(s):  
Jeanne McCauley ◽  
Richard L. Gorman ◽  
Gay Guzinski
Keyword(s):  
Sexual Abuse ◽  
Toluidine Blue ◽  
Sexually Abused ◽  
Blue Dye ◽  
Fisher Exact Test ◽  
Exact Test ◽  
Important Addition ◽  
Sexual Abuse Victims ◽  
And Control ◽  
Toluidine Blue Dye

Posterior fourchette lacerations are suggestive of sexual assault, and toluidine blue dye has increased the detection of these lacerations in adult rape victims. This study investigated the use of toluidine blue dye in the pediatric (0 to 10 years) and adolescent (11 to 18 years) patients to detect posterior fourchette lacerations in sexually abused and control populations. Application of toluidine blue dye increased the detection rate of posterior fourchette lacerations from 4% (1/25) to 28% (7/25) (P < .05, Fisher exact test) in adolescent sexually abused patients and from 16.5% (4/24) to 33% (8/24) (P = .318, Fisher exact test) in pediatric sexually abused patients. Posterior fourchette lacerations occurred with the same frequency in sexually abused adolescents and sexually active controls adolescents. In the pediatric aged population, 33% of the sexually abused group had lacerations detected, whereas none of the control patients had lacerations. The presence of posterior fourchette lacerations in the pediatric aged patient is strongly suggestive of sexual abuse. Toluidine blue increases the detection of posterior fourchette lacerations in children and adolescents (P < .001, Fisher exact test). The application of toluidine blue dye to highlight posterior fourchette lacerations is an important addition to tools already used in the evaluation of the sexually abused patient.

Child Sexual Abuse

2018 ◽  
pp. 229-258
Author(s):  
Shubham Thukral ◽  
Tania Debra Rodriguez
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Child Sexual Abuse ◽  
Sexually Abused ◽  
Familial Risk ◽  
The Status ◽  
Familial Risk Factors ◽  
Primary Focus ◽  
Intrafamilial Child Sexual Abuse ◽  
Child Evaluation

This chapter outlines briefly the dynamics of the interplay between Child Sexual Abuse and Family. Child abuse is a state of emotional, physical, economic and sexual maltreatment meted out to a person below the age of eighteen and is a globally prevalent phenomenon. Child abuse is a violation of the basic human rights of a child and is an outcome of a set of inter-related familial factors among other ones. The primary focus is on the issues of intrafamilial and extrafamilial child sexual abuse, familial risk factors for abuse and broadly some theories that contribute to the understanding of intrafamilial child sexual abuse. The chapter also explores reactions of the family to the sexually abused child, evaluation of the interventions suitable for the same and the status of psychotherapy with respect to the sexually abused child and their family.

Child Sexual Abuse

2019 ◽  
pp. 345-375
Author(s):  
Shubham Thukral ◽  
Tania Debra Rodriguez
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Child Sexual Abuse ◽  
Sexually Abused ◽  
Familial Risk ◽  
The Status ◽  
Familial Risk Factors ◽  
Primary Focus ◽  
Intrafamilial Child Sexual Abuse ◽  
Child Evaluation

This chapter outlines briefly the dynamics of the interplay between Child Sexual Abuse and Family. Child abuse is a state of emotional, physical, economic and sexual maltreatment meted out to a person below the age of eighteen and is a globally prevalent phenomenon. Child abuse is a violation of the basic human rights of a child and is an outcome of a set of inter-related familial factors among other ones. The primary focus is on the issues of intrafamilial and extrafamilial child sexual abuse, familial risk factors for abuse and broadly some theories that contribute to the understanding of intrafamilial child sexual abuse. The chapter also explores reactions of the family to the sexually abused child, evaluation of the interventions suitable for the same and the status of psychotherapy with respect to the sexually abused child and their family.

scholarly journals School Nurses Avoid Addressing Child Sexual Abuse

2016 ◽  
Vol 33 (2) ◽  
pp. 133-142 ◽  
Author(s):  
Lisbet Engh Kraft ◽  
GullBritt Rahm ◽  
Ulla-Britt Eriksson
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Sexually Abused ◽  
Secondary Analysis ◽  
Public Health Problem ◽  
School Nurses ◽  
Global Public Health ◽  
Abused Children ◽  
Group Interviews ◽  
The Individual

Child sexual abuse (CSA) is a global public health problem with major consequences for the individual child and society. An earlier Swedish study showed that the school nurses did not initially talk about nor mention CSA as one form of child abuse. For the child to receive adequate support, the disclosure is a precondition and is dependent on an available person prepared to listen. The aim of the study was to explore the ability of the school nurses to detect and support sexually abused children. It is a secondary analysis of focus group interviews with school nurses. Thematic analysis was performed. Results showed that the school nurses avoided addressing CSA due to arousal of strong emotions, ambivalence, and a complicated disclosure process. In order to detect CSA and support abused children, attentiveness of sexual abuse as a possible cause of physical and mental ill-health is crucial.

The Loss of the Sense of Reality in Incest and Child Sexual Abuse: A Psychoanalytic Perspective

1995 ◽  
Vol 29 (3) ◽  
pp. 415-423 ◽  
Author(s):  
Maurice Whelan
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Sexually Abused ◽  
Theoretical Explanation ◽  
Psychoanalytic Perspective ◽  
Sense Of Reality ◽  
Damaging Effects

This article takes a psychoanalytic perspective on incest and child sexual abuse. It concentrates on what could be called “the loss of the sense of reality” that is experienced by the victim of incest. The position in which a child of five is placed when she is sexually abused by her father is considered; this is followed by detailed material from the analysis of a woman who had an incestuous relationship with her brother. Transference and counter-transference difficulties that arise in work with abused patients are explored. A theoretical explanation of the damaging effects of an incestuous relationship is outlined.

History of childhood sexual or physical abuse in Japanese patients with eating disorders: relationship with dissociation and impulsive behaviours

1999 ◽  
Vol 29 (4) ◽  
pp. 935-942 ◽  
Author(s):  
T. NAGATA ◽  
N. KIRIIKE ◽  
T. IKETANI ◽  
Y. KAWARADA ◽  
H. TANAKA
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Physical Abuse ◽  
Traumatic Events ◽  
Japanese Patients ◽  
Physical Punishment ◽  
Sexual Crimes ◽  
Self Mutilation

Background. Empirical data regarding prevalence of sexual and physical abuse histories in Japanese patients with eating disorders is lacking, in contrast to Western countries. This study investigated the prevalence of traumatic events in Japanese patients with eating disorders, and examined the relationship between such traumatic events and clinical features.Methods. Subjects consisted of 33 patients with anorexia nervosa restricting type (RAN), 40 patients with anorexia nervosa binge eating/purging type (AN–BP), 63 patients with bulimia nervosa purging type (BN) and 99 healthy controls. All were female and diagnoses were based on DSM-IV. The Physical and Sexual Abuse Questionnaire (PSA), Eating Disorder Inventory (EDI) and Dissociation Experience Scale (DES) were administered to all of the subjects.Results. Paradoxically, victims of minor sexual abuse committed by Chikan (a Japanese word indicating a person who commits minor sexual crimes) were more prevalent among controls than among patients with RAN, AN–BP or BN. However, physical punishment histories tended to be more prevalent among patients with AN–BP or BN than among RAN or controls. Only AN–BP and BN patients with physical punishment histories had twofold higher scores for DES and significantly more frequent histories of self-mutilation (67% v. 33%) compared with patients without such histories.Conclusion. An abuse history is not essential or a prerequisite to developing an eating disorder in Japan.

Validity of a Short Measure of Child Sexual Abuse for Use in Adult Mental Health Surveys

1990 ◽  
Vol 66 (2) ◽  
pp. 449-450 ◽  
Author(s):  
Christopher Bagley
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Young Adults ◽  
Child Sexual Abuse ◽  
Social Service ◽  
Health Surveys ◽  
Sexually Abused ◽  
Apparent Absence ◽  
Adult Mental Health

An 18-yr. follow-up of 49 children for whom presence or apparent absence of sexual abuse was independently verified by social service reports in childhood, indicated partial validity for a recently developed measure of sexual abuse. Of 19 subjects known to have been sexually abused in childhood, 74% recalled details of such abuse when young adults.

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