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Hunt GR, Higgins DJ, Willis ML, Harris L. Scoping Review of the Definitions Used to Describe and Understand Harmful Sexual Behaviors in Children and Young People. TRAUMA, VIOLENCE & ABUSE 2024; 25:2569-2583. [PMID: 38153115 PMCID: PMC11370191 DOI: 10.1177/15248380231218294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2023]
Abstract
There is a growing body of evidence that adolescents, and other children, are responsible for a significant proportion of sexual abuse against children. However, there are substantial differences in how this phenomenon is defined and conceptualized between and within sectors. This scoping review explored the current definitions of harmful sexual behaviors (HSB), and other similar terms, used across a range of stakeholder groups. In all, 141 papers were reviewed from both empirical and gray literature sources, including key policy and practice documents. Included papers needed to list a clear definition for the behavior of interest. There was disagreement and inconsistency across the included papers in their conceptualization of harmful, abusive, or problematic sexual behavior (PSB) in children and adolescents. Although the term HSB has been adopted as an umbrella term or continuum in many policy, practice, and research settings, there is a large variance in behaviors, treatment needs, etiology, and harms present across different types of sexual behavior. Relying solely on one term to describe a wide range of sexual behaviors in children and young people may limit the understanding of this issue and imply similarities between groups that are not present. We suggest that clearly defined subsets of HSB, such as sexual abuse, technology-assisted HSB, and PSB, may give more context to the behavior of concern and may be helpful in informing further research, prevention, and best practice approaches.
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Affiliation(s)
| | | | | | - Lottie Harris
- Australian Catholic University, Banyo, QLD, Australia
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Theimer K, Miller M, Owen K, Taylor E, Silovsky J. Impressions of child advocacy center leaders: How problematic sexual behavior in children and adolescents is perceived by community professionals. CHILD ABUSE & NEGLECT 2023; 146:106456. [PMID: 37738824 DOI: 10.1016/j.chiabu.2023.106456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 09/02/2023] [Accepted: 09/07/2023] [Indexed: 09/24/2023]
Abstract
BACKGROUND Consistent with the goals of National Children's Alliance, Children's Advocacy Centers (CACs) are optimal for addressing needs related to problematic sexual behavior (PSB) of youth due to their multidisciplinary approach and emphasis on community-level evidence-based interventions (Kelley et al., 2019). To promote child well-being and safety, decisions of the CAC's multidisciplinary team must be based on an accurate understanding of youth with PSB, child sexual development, and best-practice responses. However, misperceptions about youth who have engaged in PSB appear to broadly persist (Hackett, Masson, et al., 2013), leading to obstacles for CACs in addressing PSB. OBJECTIVE To better understand and address the training and service needs of CACs across the country, the goal of this study was to assess CAC community professionals' (e.g., MDT members) perceptions of children and adolescents with PSB, as reported by CAC leaders. PARTICIPANTS AND SETTING Participants were 351 CACs from 47 US states, a representative sample based on regional and community distributions. METHOD A designated point-of-contact (e.g., the Director) for each CAC completed an online survey reflecting on their CAC's professional community's perceptions of youth with PSB. RESULTS Findings suggested that a number of misperceptions about youth with PSB, particularly adolescents, are commonly reported for CAC professional communities. Prevalent misperceptions surrounded the etiology of PSB, treatment-related needs, and differences between youth with PSB and adults. CONCLUSIONS Results can be used to inform policy, practice, training, and resource utilization to address youth with PSB in CACs, with specific recommendations provided to enhance an evidence-based approach.
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Affiliation(s)
- Kate Theimer
- University of Oklahoma Health Sciences Center, 949 NE 13th Street, Nicholson Tower, 4N, 4900, Oklahoma City, OK 73104, United States.
| | - Michelle Miller
- National Children's Alliance, 921 Pennsylvania Ave SE, Washington, DC 20003, United States
| | - Kaitlin Owen
- University of Oklahoma Health Sciences Center, 949 NE 13th Street, Nicholson Tower, 4N, 4900, Oklahoma City, OK 73104, United States
| | - Erin Taylor
- University of Oklahoma Health Sciences Center, 949 NE 13th Street, Nicholson Tower, 4N, 4900, Oklahoma City, OK 73104, United States
| | - Jane Silovsky
- University of Oklahoma Health Sciences Center, 949 NE 13th Street, Nicholson Tower, 4N, 4900, Oklahoma City, OK 73104, United States
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Chan HC(O. Youth sexual offending in Hong Kong: examining the role of self-control, risky sexual behaviors, and paraphilic interests. Front Psychiatry 2023; 14:1143271. [PMID: 37377476 PMCID: PMC10292797 DOI: 10.3389/fpsyt.2023.1143271] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 05/23/2023] [Indexed: 06/29/2023] Open
Abstract
Introduction Little is known about the nature and prevalence of sexual offending among youth in Hong Kong. Methods Testing self-control theory and sexual health risk factors (i.e., risky sexual behaviors [general and two subtypes] and paraphilic interests [general and 14 subtypes]), the prevalence of self-reported sexual offending behaviors (i.e., threat of sexual assault, penetrative sexual assault, and nonpenetrative sexual offense) was examined in a community-based sample of 863 young people (aged 17 to 20) in Hong Kong. Results In this study, men reported significantly higher levels of threat of sexual assault and of general and 12 subtypes of paraphilic interests than women; and women reported a significantly higher level of a specific paraphilic interest subtype (i.e., transvestic fetishism) than men. Logistic regressions found that, in general, a low level of self-control and high levels of risky sexual behaviors and paraphilic interests were important factors in the participants' likelihood of issuing threats of sexual assault and engaging in penetrative and nonpenetrative sexual assault. Discussion Important practical implications for reducing the tendency of young people to engage in sexual offending behavior can be derived from this study.
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Fite PJ, Díaz KI, Baca SA. Peer Victimization and Risk for Specific Charges Among Detained Youth. CHILD & YOUTH CARE FORUM 2023. [DOI: 10.1007/s10566-022-09727-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Kolko DJ, Foster KT, Torres E, Hart J, Rounds J, Rumbarger K. Sexual Offense Disclosure Assessment in Youth Referred to Community Treatment: A Latent Class Analysis. SEXUAL ABUSE : A JOURNAL OF RESEARCH AND TREATMENT 2022:10790632221139165. [PMID: 36426875 DOI: 10.1177/10790632221139165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
This study seeks to extend research evaluating tools to assess the disclosure of sexually abusive behavior. The subjects were 239 male youth (ages 10-20 years) who were court-ordered to participate in a community-based collaborative intervention for sexual offending that includes outpatient and probationary services. All youth participated in an interview to capture referral incident details about admission, responsibility, empathy, and remorse at intake, during intervention, and at discharge. Intake, treatment, discharge, and recidivism measures were also collected from multiple sources. Latent class analysis identified three classes based on the intake interview: Empathetic Admitters (22%), Unempathetic Admitters (38%), and Unempathetic Deniers (40%). Significant class differences were found on intake (e.g., use of physical force, caregiver denial of youth responsibility), treatment (e.g., any sanctions/violations), and discharge measures (e.g., successful treatment, probation officer ratings), but not in recidivism rates. The findings extend efforts to identify and target different disclosure patterns whose clinical monitoring may support a comprehensive intervention.
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Affiliation(s)
- David J Kolko
- Department of Psychiatry, 6614University of Pittsburgh, Pittsburgh, PA, USA
| | - Katherine T Foster
- Department of Psychology, 7284University of Washington, Seattle, WA, USA
| | - Eunice Torres
- UPMC Western Psychiatric Hospital, Pittsburgh, PA, USA
| | - Jonathan Hart
- UPMC Western Psychiatric Hospital, Pittsburgh, PA, USA
| | - Jeff Rounds
- UPMC Western Psychiatric Hospital, Pittsburgh, PA, USA
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Craig E. Child's Play or Sexual Abuse? Reviewing the Efficacy of the Justice Framework in Dealing with Child on Child Sexual Abuse in the United Kingdom. JOURNAL OF CHILD SEXUAL ABUSE 2020; 29:734-748. [PMID: 32286188 DOI: 10.1080/10538712.2020.1719448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Revised: 01/02/2020] [Accepted: 01/08/2020] [Indexed: 06/11/2023]
Abstract
This literature review appraises how the justice system of the United Kingdom deals with child on child sexual abuse allegations. It is crucial to consider the impact of minor sexual abuse within the community. Sensationalized reporting of sex crimes demonizes offenders and unintentionally hides some perpetrators by not representing children can cause harm. Cases where children demonstrate sexual agency are confusing and uncomfortable to appropriate blame. A freedom of information request to the Metropolitan Police uncovered 5,500 minor sex abuse allegations in England and Wales between 2011 and 2014, including, 4,000 physical assaults and 600 rape allegations. Officials caution these figures only represent a small proportion of known sexual abuse cases but the full extent of the problem is yet to be seen. Children are being exposed to explicit imagery far beyond their developmental age causing a blurring of the lines between normal sexual curiosity, harmful behavior, sexual deviance, and abuse. Evidence suggests societal failings and technological advances have created vulnerabilities from which new and dangerous sexual norms have evolved. Therefore, this paper reviews the justice, welfare, and restorative justice frameworks to explore the efficacy of the justice system in dealing with child on child sexual abuse in the UK.
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Affiliation(s)
- Elaine Craig
- Manchester Metropolitan University , Manchester, UK
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TIDEFORS INGA, INGEVALDSON SARA, GOULDING ANNELI. Recidivism in criminal behavior—A 10-year follow-up study of 45 adolescent boys identified as sex offenders. NORDIC PSYCHOLOGY 2018. [DOI: 10.1080/19012276.2018.1514644] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- INGA TIDEFORS
- Department of Psychology, University of Gothenburg, Gothenburg, Sweden
| | - SARA INGEVALDSON
- Department of Psychology, University of Gothenburg, Gothenburg, Sweden
| | - ANNELI GOULDING
- Department of Psychology, University of Gothenburg, Gothenburg, Sweden
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Eisen E, Berman Y. Situational Factors Related to Childhood Sexual Abuse in the Orthodox Jewish Community Among Adult and Juvenile Offenders. JOURNAL OF CHILD SEXUAL ABUSE 2018; 27:537-553. [PMID: 29985778 DOI: 10.1080/10538712.2018.1483993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2018] [Revised: 05/13/2018] [Accepted: 05/18/2018] [Indexed: 06/08/2023]
Abstract
In recent years, increasing attention has been paid to situational factors associated with childhood sexual abuse (CSA) to explain incidence of CSA, as well as to provide potential targets for prevention efforts. However, very few studies have examined situational factors associated with juvenile perpetration, despite juveniles composing a substantial proportion of offenders. In addition, no studies to our knowledge have applied a situational framework to CSA research in the Orthodox Jewish community (OJC). In the present study, we obtained data from therapists regarding 80 victims of CSA in the OJC from both the United States and Israel. We hypothesized that (a) more abusers' first perpetration would be between ages 12 and 17 than between any other age range, which corresponds to increased sexual urges, as well as increased unsupervised access to minors; (b) among juvenile offenders, the time of day of the abuse would depend on the relationship of the offender to the victim; and (c) age of the victim and grooming strategies would be associated with the frequency of abuse. Our first two hypotheses were confirmed, and our third hypothesis was partially confirmed, as younger victims tended to have higher frequency of abuse. Additionally, we discuss possible implications of significant correlations found during exploratory analyses. Our results generally support the importance of considering culturally specific situational factors when studying or developing prevention efforts for CSA.
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Affiliation(s)
- Ethan Eisen
- a School of Social Work , Bar Ilan University , Ramat Gan , Israel
- b Lamdenu , Bet Shemesh , Israel
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Ohlert J, Seidler C, Rau T, Fegert J, Allroggen M. Comparison of Psychopathological Symptoms in Adolescents Who Experienced Sexual Violence as a Victim and/or as a Perpetrator. JOURNAL OF CHILD SEXUAL ABUSE 2017; 26:373-387. [PMID: 28350242 DOI: 10.1080/10538712.2017.1283652] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Research on sexual violence victims and perpetrators indicates that victims in general are found to report higher levels of psychopathological symptoms, especially internalizing behavior, whereas perpetrators often show externalizing behavior. Little is known, however, about the psychopathology of perpetrators of sexual violence who have also experienced sexual victimization (victim-perpetrators). Thus, the aim of the current study was to examine this group within a sample of adolescents living in residential care or federal boarding schools. Participants reported their lifetime experience with sexual violence (both as victim and perpetrator) and completed the Youth Self Report. Results indicate that all three groups of adolescents with sexual violence experience report higher total problem scores than adolescents without this experience. Victim-perpetrators show results more similar to those of perpetrators only than those of victims only. The discussion deals with the implications of our findings for the treatment of victims of sexual violence.
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Affiliation(s)
- Jeannine Ohlert
- a Department of Child and Adolescent Psychiatry and Psychotherapy , University Hospital Ulm , Ulm , Germany
- b Institute of Psychology , German Sport University Cologne , Cologne , Germany
| | - Corinna Seidler
- a Department of Child and Adolescent Psychiatry and Psychotherapy , University Hospital Ulm , Ulm , Germany
| | - Thea Rau
- a Department of Child and Adolescent Psychiatry and Psychotherapy , University Hospital Ulm , Ulm , Germany
| | - Jörg Fegert
- a Department of Child and Adolescent Psychiatry and Psychotherapy , University Hospital Ulm , Ulm , Germany
| | - Marc Allroggen
- a Department of Child and Adolescent Psychiatry and Psychotherapy , University Hospital Ulm , Ulm , Germany
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