A concern in the intervention with sexually abused children is the support of their nonoffending guardians after disclosure of the abuse. Approximately a third of nonoffending guardians respond with vacillation in support, and these nonoffending guardians are at greater risk for having their children removed. This article reconceptualizes vacillation in support as an ambivalent response. Drawing on the interdisciplinary literature, this article suggests that ambivalence in support reflects the confluence between the nonoffending guardian's valence toward the child and perpetrator. This article further proposes that ambivalence is normative when the costs of disclosure are high and when the nonoffending guardian is ambivalent/preoccupied in attachment. Ambivalence may also be both a precursor to and an effect of the traumatic experience of the disclosure on the nonoffending guardian. In a study of 30 nonoffending mothers whose partners sexually abused their children, these relationships were supported.
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http://dx.doi.org/10.1177/0886260503260324 | DOI Listing |
J Trauma Stress
August 2020
Department of Psychological Sciences, University of Missouri-St. Louis, Louis, Missouri, USA.
Findings from studies of predominately school-aged children indicate that few children complete trauma-focused treatment; however, researchers have not specifically examined risk factors for dropout among young trauma-exposed children. The purpose of the present study was to investigate risk factors for attrition among young children receiving trauma-focused therapy. Study participants were 189 treatment-seeking children aged 3-5 years (M = 4.
View Article and Find Full Text PDFJ Forensic Nurs
November 2016
Case Report Editor: Dr. Brian McKenna, Auckland University of Technology, Author Affiliations: 1Women's College Research Institute, Women's College Hospital; 2Dalla Lana School of Public Health, University of Toronto; 3Ontario Network of Sexual Assault/Domestic Violence Treatments Centres; and 4The Suspected Child Abuse and Neglect (SCAN) Program, SickKids Hospital.
In circumstances in which child sexual abuse/assault is suspected, pediatric guidelines recommend referral to services such as multidisciplinary hospital-based violence treatment centers, for specialized medical treatment, forensic documentation, and counseling. As little is known about how such services are perceived, the objective of this case report was to measure the satisfaction of nonoffending guardians of child sexual abuse/assault victims who presented for care at Ontario's hospital-based sexual assault treatment centers. Of the 1,136 individuals who reported sexual abuse/assault and were enrolled in a province-wide service evaluation, 58 were 11 years old and younger.
View Article and Find Full Text PDFChild Abuse Negl
January 2016
Leonard Davis Institute of Health Economics, University of Pennsylvania, Colonial Penn Center, 3641 Locust Walk, Philadelphia, PA 19104, USA; Division of General Pediatrics, The Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, 12th Floor Northwest, Philadelphia, PA 19104, USA; Perelman School of Medicine, University of Pennsylvania, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA; PolicyLab, The Children's Hospital of Philadelphia, 3535 Market Street, Philadelphia, PA 19104, USA.
The objective of this study was to describe caregiver perceptions about mental health services (MHS) after child sexual abuse (CSA) and to explore factors that affected whether their children linked to services. We conducted semi-structured, in-person interviews with 22 non-offending caregivers of suspected CSA victims<13 years old seen at a child advocacy center in Philadelphia. Purposive sampling was used to recruit caregivers who had (n=12) and had not (n=10) linked their children to MHS.
View Article and Find Full Text PDFJ Trauma Dissociation
December 2016
b Department of Psychology and Human Development , Vanderbilt University, Nashville , Tennessee , USA.
Both mothers' and children's exposures to interpersonal violence-including betrayal traumas-are linked with heightened risk for children developing internalizing and externalizing symptoms. Despite this association, little research has examined additional factors that may explain this risk, such as emotion skills. The current study examined the relationship between mother-child emotion understanding abilities and use of emotion language on a behavioral facial affect perception task and betrayal trauma exposure in relation to child internalizing/externalizing symptoms.
View Article and Find Full Text PDFJ Child Sex Abus
December 2008
Griffith University, Brisbane, Australia.
Adolescent survivors of sexual abuse frequently report severe trauma, depression, anxiety, and low self-esteem. While cognitive-behavioral group interventions show promise, interpreting efficacy is problematic due to commonly high attrition. This article reports promising exploratory study findings relating to a 12-week multimodal abuse-specific group intervention with a nonoffending parent/caregiver component.
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