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

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.

1989 ◽  
Vol 13 (10) ◽  
pp. 547-547
Author(s):  
Bisa Haeger

There is now an extensive literature on benzodiazepines (over 18,400 publications since 1966), particularly regarding their addictive potential (Feely, 1988). The importance of this finding lies in prescribing as well as in the treatment of existing addiction. However, psychological factors are also important in the maintenance of addictive behaviour and one should not assume that all are recognised. For example, it is known that drugs are used to reward children employed by the pornographic industry and that sexually abused children can develop drug addiction (Burgess et al., 1984). There are now over 300 publications on child sexual abuse but none linking it with benzodiazepine addiction specifically. This is the first one.


2021 ◽  
Author(s):  
Syed Saleem Abbas

Abstract Current policy response towards issue of child sexual abuse in Pakistan is not strategic and evidence-informed but incidents based and populist. Moreover, socio-economic, cultural and political factors influences also influence the policy response for addressing the problem of child sexual abuse (CSA). This study is an attempt to suggest the evidence-informed best practices regarding preventive and curative aspects of child sexual abuse in a policy framework. Using ICAST-R tool, 18-24 years old 274 university students were asked about their experiences of sexual abuse during childhood. After critical analysis of policy a rational and evidence-informed policy based on child rights framework and community development approach is proposed for identification of CSA, its prevention, addressing cultural barriers, responding to reported cases and other aspects. Overall, 41.69% respondents were sexually abused with one or other form of sexual abuse. Experience of CSA was reported more frequently by boys than girls. Only 34.21% of sexually abused children disclosed to someone and 65.78% victims of sexual abuse never disclosed the experience of sexual abuse to anyone. Among the victims of abuse who disclosed the abuse to someone only 12.82% disclosed within a day. Majority of disclosures (50.98%) were made to friend/peer, followed by parents (11.76%) and siblings (7.84%). Very small percentage of victims reported the abuse to doctor (3.92%), police (1.96%) or a counselor / social worker (1.96%).


2002 ◽  
Vol 27 (1) ◽  
pp. 28-37 ◽  
Author(s):  
Juliette D G Goldman ◽  
Usha K Padayachi

Using a state-wide sample of 122 school counsellors (52 males and 70 females) in Queensland, Australia, factors which influenced their decision not to report child sexual abuse were examined. These factors were a lack of evidence; lack of confidence in the authorities to accurately evaluate or protect sexually abused children; adverse effects on the family's social standing in the community; potential to break up the family; and the fear of breaking counsellor-client confidentiality. Further, school counsellors were not likely to report all cases of child sexual abuse when they suspected it, thus confirming the popular belief that child sexual abuse is under-reported by them.


2021 ◽  
pp. 1-12
Author(s):  
Amélie Tremblay-Perreault ◽  
Martine Hébert ◽  
Laetitia Mélissande Amédée

Abstract Researchers face an important challenge when assessing peer victimization in children, since self-reports are often discrepant with parent-reports. A latent class analysis identified patterns of response to items assessing peer victimization, which were either divergent or convergent between the parent and the child. Classes were then compared on the child sexual abuse status and on various behavioral and social outcomes. Participants were 720 school-aged child victims of sexual abuse and a comparison group of 173 nonvictims and their caregivers. We identified two discordant subgroups (self-identified and parent-identified) and two concordant groups (nonvictims and concordant victims of peer victimization). Compared to children of the comparison group, sexually abused children were five times more likely to be identified as targets of peer victimization solely by their parent than the contrary. Sexually abused children with concordant reports of peer victimization showed the poorest adjustment on all studied outcomes assessed 6 months later. Children who discounted experiencing peer victimization while their parent reported it were also at risk of maladjustment. Results underscore the importance of supplementing self-reports with other available sources of information, especially in young and vulnerable populations who may be inclined to discount their victimization experiences.


2009 ◽  
Vol 17 (4) ◽  
pp. 501-506 ◽  
Author(s):  
Quitéria Clarice Magalhães Carvalho ◽  
Marli Teresinha Gimeniz Galvão ◽  
Maria Vera Lúcia Moreira Leitão Cardoso

Domestic violence affects all members in a family and children are considered the main victims. This qualitative study aimed to grasp the perception of mothers whose daughters were sexually abused. Data were collected between February and March 2007 in a governmental facility in Fortaleza-CE, Brazil through semi-structured interviews with ten mothers of sexually abused children. Data were submitted to the Collective Subject Discourse Technique from which three themes emerged: Guilt is rooted in the motherhood myth, unhealable pain and despair as a consequence of a feeling of powerlessness. Results evidenced that mothers experience a range of feelings in which pain, revulsion and powerlessness are highlighted. Society should be engaged in the subject and interested in understanding violence, its magnitude and the whole affected chain, otherwise, only good intentions will remain, lost in the void from the lack of action.


PEDIATRICS ◽  
1989 ◽  
Vol 84 (2) ◽  
pp. 317-322 ◽  
Author(s):  
Martin A. Finkel

Physical findings, when identified, lend powerful support to the validation and prosecution in child sexual abuse cases. Because of the frequent delay between the alleged molestation, disclosure, and examination, there is a need for a systematic method of identifying and interpreting the residual of anal and genital trauma after the acute signs have disappeared. The case findings of seven children who experienced acute genital and anal trauma and were observed until their injuries healed are reported.


1998 ◽  
Vol 4 (2) ◽  
pp. 89-95
Author(s):  
Danya Glaser

This paper examines the complex relationship between the process of investigation and the provision of treatment in cases of child sexual abuse. Child sexual abuse is now a well-recognised and documented phenomenon, the deleterious sequelae of which have been studied, initially in survivors presenting in adulthood (Wyatt & Powell, 1989) and (more recently) during childhood (Briere, 1992; Kendall-Tackett et al, 1993). Following the recognition of sexual abuse from the accounts of adult survivors, and in order to reduce the harm caused to sexually abused children by providing earlier protection and treatment, attention began to be directed to the earlier recognition of child sexual abuse, during childhood.


2021 ◽  
Vol 12 ◽  
Author(s):  
Fritjof von Franqué ◽  
Peer Briken

Child sexual abuse is associated with multiple and often severe consequences for people who are affected by it. From the perspective of indicative prevention, the treatment of people who have sexually abused children represents one important strategy, with the assumption that there is often a risk for sexual recidivism. However, there is still very limited knowledge about how men who have not been convicted of child sexual abuse but participate in voluntary treatment (here called non-forensic clients) differ from those who have been convicted and undergo mandated treatment (here called forensic clients). This study compared 22 forensic and 22 non-forensic clients regarding pedophilic interests, static and dynamic risk factors, responsivity features, and treatment progress during an individualized treatment based on the principles of risk, need, and responsivity. We found neither differences in the rates in the DSM-5 diagnosis of pedophilic disorder, nor in risk and responsivity associated scores at the beginning of treatment. In both groups, a low to moderate risk for sexual re-offending was estimated. Both groups improved their functioning on dynamic risk and responsivity factors under treatment, while age at the beginning of therapy also had a positive effect on all outcomes. Non-forensic clients had a higher amount of responsivity associated resources than forensic clients during treatment. The limitations of these results and their implications for further research and prevention approaches are discussed.


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