The Effect of Child Sexual Abuse Allegations/ Investigations on the Mother/Child Relationship

This investigation evaluated a theoretically specified model of associations among mothers’ history of child sexual abuse (CSA), a helpless state of mind (SOM) with regard to the mother–child relationship, and increased behavior problems in the next generation. Moreover, we evaluated the moderating influence of child gender on predicted relations between mothers’ CSA severity and helpless SOM (i.e., moderated mediation). Participants were 225 biological mother–preschooler dyads (48% female; 46.4% Latinx) drawn from an ongoing, longitudinal study of representation and regulation in child development. Mothers’ history of CSA was assessed when their children were 4 years old and emerged as a prominent risk factor in this diverse, high-risk community sample with 40% of mothers reporting contact-based sexual abuse prior to age 18. Mediation analyses revealed a significant indirect pathway from a continuous rating of mothers’ CSA severity to increased externalizing behavior problems from ages 4 to 8 in the next generation via mothers’ helpless SOM at age 6. Further, this indirect path was significant for mother–daughter dyads, but not for mother–son dyads. This investigation contributes to the neophyte literature on intergenerational CSA effects by revealing the impact of a mother’s CSA history on her SOM regarding the mother–child relationship, particularly when parenting daughters. Clinical interventions that enhance survivors’ awareness of and reflection on their SOM regarding the parent–child relationship may attenuate intergenerational CSA effects on child adaptation.

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Breastfeeding in Women Having Experienced Childhood Sexual Abuse

Journal of Human Lactation ◽

10.1177/0890334416680789 ◽

2017 ◽

Vol 33 (1) ◽

pp. 119-127 ◽

Cited By ~ 16

Author(s):

Constanze Elfgen ◽

Niels Hagenbuch ◽

Gisela Görres ◽

Emina Block ◽

Brigitte Leeners

Keyword(s):

Sexual Abuse ◽

Childhood Sexual Abuse ◽

Well Being ◽

Lactation Period ◽

Potential Health ◽

Child Relationship ◽

History Of ◽

Mother Child Relationship ◽

Self Administered Questionnaire

Background: Childhood sexual abuse (CSA) can have a serious effect on general and obstetric health. Breastfeeding includes several triggers for memories of abuse experiences, which will likely influence decisions about breastfeeding and its implementation in daily life. This is important since breastfeeding improves maternal well-being and bonding with the child. Research aim: As breastfeeding strongly influences the long-term health of children, we investigated experiences with breastfeeding in women with a history of CSA. Methods: Data on breastfeeding were collected within a research project designed to compare labor and delivery experiences in women with a history of CSA to women without such antecedents. Data from 85 women having experienced CSA and 170 controls pair-matched for maternal age, children’s age, and nationality were evaluated. The clinical record of pregnancy and a self-administered questionnaire were used to collect data. Results: Although the prevalence of breastfeeding was similar in women with and without CSA experiences (96.5% vs. 90.6%), women exposed to CSA more often described complications associated with breastfeeding (77.7% vs. 67.1%, p = .08). Mastitis (49.4% vs. 27.6%, p < .01) and pain (29.4% vs. 18.8%, p = .15) were reported significantly more often by women after CSA. For 20% of women after CSA, breastfeeding was a trigger for memories of CSA. Furthermore, 58% of women with CSA reported dissociation when breastfeeding. Conclusion: In addition to the growing list of potential health consequences of CSA experience, this experience seems to be associated with an increased number of problems when breastfeeding. However, most women with a history of CSA intend to breastfeed despite particular challenges related to CSA. A support protocol tailored to the specific needs of these women during pregnancy and the lactation period may help to improve breastfeeding and the early mother–child relationship.

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Parenting Among Mothers Who Experienced Child Sexual Abuse: A Qualitative Systematic Review

Qualitative Health Research ◽

10.1177/1049732319882914 ◽

2019 ◽

Vol 30 (1) ◽

pp. 146-161 ◽

Cited By ~ 2

Author(s):

Brittany C. L. Lange ◽

Eileen M. Condon ◽

Frances Gardner

Keyword(s):

Systematic Review ◽

Sexual Abuse ◽

Child Sexual Abuse ◽

Data Extraction ◽

Public Health Problem ◽

Adverse Outcomes ◽

Child Rearing ◽

Child Relationship ◽

Full Text Review ◽

Significant Public Health

Child sexual abuse (CSA) represents a significant public health problem. While CSA is associated with several adverse outcomes, recent attention has been given to its effect on maternal parenting. Despite a growing literature on this topic, a comprehensive systematic review has not been conducted. Thus, this review aimed to fill this gap. Several search strategies were used, including searches in academic databases. Two reviewers completed screening, full-text review, data extraction, and quality determinations. Extracted qualitative data were synthesized for the 108 studies meeting inclusion criteria. The primary themes emerging from women’s accounts of the effects of CSA on their current parenting included abuse of child, breastfeeding, child-rearing practices, coping related to parenting, mother–child relationship, perceptions of child, perceptions of motherhood, and protection of children from abuse. Given the current lack of interventions designed for these mothers, the results of this review may aid in the development of evidence-based interventions.

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Malpractice & Negligence: State Supreme Courts Limit Therapists’ Duties to Third Parties

The Journal of Law Medicine & Ethics ◽

10.1017/s1073110500012985 ◽

1999 ◽

Vol 27 (2) ◽

pp. 204-205

Author(s):

Megan Cleary

Keyword(s):

Sexual Abuse ◽

Child Sexual Abuse ◽

Supreme Court ◽

New Hampshire ◽

Third Parties ◽

State Supreme Courts ◽

Recovered Memories ◽

Supreme Courts ◽

Repressed Memory ◽

University Of Colorado

In recent years, the law in the area of recovered memories in child sexual abuse cases has developed rapidly. See J.K. Murray, “Repression, Memory & Suggestibility: A Call for Limitations on the Admissibility of Repressed Memory Testimony in Abuse Trials,” University of Colorado Law Review, 66 (1995): 477-522, at 479. Three cases have defined the scope of liability to third parties. The cases, decided within six months of each other, all involved lawsuits by third parties against therapists, based on treatment in which the patients recovered memories of sexual abuse. The New Hampshire Supreme Court, in Hungerford v. Jones, 722 A.2d 478 (N.H. 1998), allowed such a claim to survive, while the supreme courts in Iowa, in J.A.H. v. Wadle & Associates, 589 N.W.2d 256 (Iowa 1999), and California, in Eear v. Sills, 82 Cal. Rptr. 281 (1991), rejected lawsuits brought by nonpatients for professional liability.

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