Child sexual exploitation, poly-victimisation and resilience

Purpose This paper aims to examine the prevalence of child sexual exploitation (CSE) and factors connected in a young adult population, through a series of connected studies. Each study considered exposure to poly-victimisation. The series of studies focussed on a number of factors felt to impact vulnerability and protective factors towards CSE. Specifically caregiver bonds, resilience and attachment style, adolescent risk-taking, quality of caregiver bonds, level/type of supportive relationships and positive schemas, as well as the impact of CSE disclosure and links to attachment style and maladaptive schemas. Design/methodology/approach These studies looked at a young adult population, mainly women. Study one (n = 263), study two (n = 138) and study three (n = 211), predominantly collected via a series of online measures. Findings Findings demonstrated that around half of children under 16 years had been approached sexually by an adult, with approximately one in four children subsequently exploited. Various results were noted, such as experiencing a primary caregiver as lacking in warmth and affection was associated with those reporting CSE, with further exposure to poly-victimisation contributing to a less functional coping style and insecure attachments. CSE was not associated with higher levels of adolescent risk-taking, poor bonds with the primary caregiver, fewer important childhood relationships and positive schemas. Practical implications This paper notes the importance of addressing the functions of behaviours for victims, to reduce re-victimisation risk. It noted the importance of applying theory when working with this population. It introduced the protect and vulnerability model against CSE and has practical applications for professionals working with victims of CSE. This paper argues the importance of individualised assessments for children who are deemed to be “at-risk” of CSE. Originality/value Findings were combined to propose the protection against the CSE model and the application of this to intervention and future research is acknowledged.

Positive schemas in schema therapy with older adults: clinical implications and research suggestions

Background:Schema therapy is an effective treatment for borderline personality disorder and other complex disorders. Schema therapy is feasible in older adults, and the first empirical support for its effectiveness in later life was provided in older patients with a cluster C personality disorder. The central concept of the schema therapy model is the early maladaptive schema (EMS). Early adaptive schemas (EAS) give rise to adaptive behaviour, and they also emerge during childhood, when core emotional needs are adequately met by primary caregivers.Aims:To examine the concept of EAS and its application in schema therapy with older adults.Method:Literature review and case example: the role of EAS in schema therapy with older adults is discussed and suggestions for integrating EAS in schema therapy in later life are proposed.Results:Directing attention in therapy to EAS may help strengthen the healthy adult mode, and it might also help change a negative life review. Working with positive schemas may be an important avenue for re-awakening positive aspects of patients, reinforcing the therapeutic relationship, creating a positive working atmosphere, and also for facilitating the introduction of experiential schema therapy techniques.Conclusions:This review suggests that positive schemas may be important vehicles of therapeutic change when working with older people. There is a need for validating the Young Positive Schema Questionnaire (YPSQ) in older adults, and for examining whether integrating EAS in schema therapy with older adults indeed has a positive effect on therapy outcome.

Development and Validation of the Positive Parenting Schema Inventory (PPSI) to Complement the Young Parenting Inventory (YPI) for Schema Therapy (ST)

The factor structure of an initial item pool of 207 positive parenting items was investigated (Manila; n = 520, 538) to develop the Positive Parenting Schema Inventory. Single group and multigroup confirmatory factor analyses of the Positive Parenting Schema Inventory showed invariance of the factor structure in six out of the seven levels on two other independent samples (Eastern, Indonesia; n = 366, 383; Western, the United States; n = 204, 214). Good values for reliability were obtained for its seven subscales (50 items) using coefficient omegas (.71 to .95). Evidence of validity based on test content, response processes (item responses to desired inferences), internal structure (exploratory and confirmatory factor analyses), relations to other variables (correlations with other instruments), and consequences of testing (correlations with positive schemas) were demonstrated. A core tenet of schema therapy theory was supported in that recall of past positive parenting patterns were associated with current levels of positive schemas.