Professionals' Perspectives on Viewing Child Sexual Abuse Images to Improve Response to Victims

The experiences of practitioners working with young people exposed to online sexual abuse

Introduction

This qualitative study explored healthcare professionals' current understanding of, and clinical practices related to, Online Child Sexual Abuse (OCSA).

Methods

Data were collected across two UK sites (Manchester and Edinburgh). Interviews and one focus group were held with 25 practitioners working in services offering clinical support to young people who have experienced OCSA. Thematic analysis of the data identified three overarching themes and 10 subthemes related to the research questions: (1) the breadth of the problem; (2) working with OCSA; and (3) the emotionally charged nature of OCSA.

Results

While practitioners recognized OCSA as problematic, they differed in how they conceptualized it. There was a heightened awareness of the role that sexual images played in OCSA and concerns about first-person-produced imagery by Children and Young People (CYP). Practitioners described a generational gap related to their technology use and that of the young people they worked with. Practitioners also described a paucity of referral pathways and concerns that there was no training available to them. Organizational barriers meant that questions about technology use were not routinely included in assessments and often there was reliance on young people making disclosures.

Discussion

Novel findings from this study were the psychological impacts that such cases had on practitioners, which may indicate a need for organizational support for staff as well as further training needs. Existing frameworks that help conceptualize and assess the role of technology as part of the ecology of the child may have great utility for practitioners.

Possible paths to increase detection of child sexual abuse in child and adolescent psychiatry: a meta-synthesis of survivors’ and health professionals’ experiences of addressing child sexual abuse

Background

Efforts are directed both towards prevention and early detection of Child sexual abuse (CSA). Yet, only about 50% of CSA survivors disclose before adulthood, and health professionals rarely are the first disclosure recipients. Increasing the detection rate of CSA within the context of Child and Adolescent Psychiatry (CAP) therefore represents a significant secondary prevention strategy. However, facilitating CSA disclosure when the survivor is reluctant to tell is a highly complex and emotionally demanding clinical task. We therefore argue that efforts to increase detection rates of CSA within CAP need to rest on knowledge of how both survivors and health professionals experience addressing CSA.

Method

Using meta-ethnography as method, we present separate sub-syntheses as well an overarching joint synthesis of how survivors and health professionals experience addressing CSA.

Results

Results show how both survivors and health professionals facing CSA disclosure feel deeply isolated, they experience the consequences of addressing CSA as highly unpredictable, and they need support from others to counteract the negative impact of CSA.

Conclusion

The results indicate that adapting the organization of CAP to knowledge of how the survivors and health professionals experience addressing CSA is critical to facilitate earlier disclosure of CSA within CAP.

Traumatic residue, mediated remembering and video evidence of sexual violence: A case study

This qualitative case study examines the impact of video evidence of violent crime in the tragic Canadian case of serial killers Paul Bernardo and Karla Homolka. Through in-depth interviews with those centrally involved in the case, interviews with criminal justice professionals currently working with video evidence of violent crime, and review of official documents and media reports, we explore the complex role video evidence played in this case and the legacy it continues to have in society, the justice system, and in the individual lives of those involved twenty-five years later. Two primary sources of harm arose in our analysis: critogenic harm related to the use of video evidence in the justice process; and harm arising from the media publicity surrounding the video evidence. Both of these sources of harm intensified the trauma for victims and their families, and contributed to distress and trauma reactions of criminal justice professionals and members of the jury. Given the global increase in the use of video-evidence in criminal justice processes, it is imperative that continuing harms to those involved in the process are considered and mitigated.

Views and Attitudes about Youth Self-Produced Sexual Images among Professionals with Expertise in Child Sexual Abuse

The proliferation of youth self-produced sexual images (SPSI) raises complex practice challenges for professionals supporting victims of sexual abuse. This paper examines the views and perspectives about youth SPSI among professionals with expertise in child sexual abuse, who in the course of a study on child sexual abuse images, commonly raised SPSI without prompting. Eighty-four participants from three professional sectors (Internet child exploitation law enforcement, child protection, and children's mental health) took part in 12 focus groups, the analysis of which indicates that most participants regarded youth SPSI as a complex social phenomenon, and had trouble fitting it into their existing professional expertise. Participants were immersed in larger cultural narratives about youth sexual agency, the dangers of constantly evolving technology, and the digital age compounding generational differences. Lack of clarity about when and whether a young person requires support and/or legal intervention arose from a tangled web of punitive, permissive, and ambivalent perspectives on youth SPSI. Professionals experienced with victims of sexual abuse focused on SPSI as opposed to child abuse images, and struggled to distinguish between what is normal versus problematic youth sexuality in the digital age, confounding efforts to settle on appropriate legal and support responses and interventions.

“Our Laws Have Not Caught up with the Technology”: Understanding Challenges and Facilitators in Investigating and Prosecuting Child Sexual Abuse Materials in the United States

With technological advances, the creation and distribution of child sexual abuse material (CSAM) has become one of the fastest growing illicit online industries in the United States. Perpetrators are becoming increasingly sophisticated and exploit cutting-edge technology, making it difficult for law enforcement to investigate and prosecute these crimes. There is limited research on best practices for investigating cases of CSAM. The aim of this research was to understand challenges and facilitators for investigating and prosecuting cases of CSAM as a foundation to develop best practices in this area. To meet these objectives, qualitative interviews and focus groups were conducted with participants throughout the western United States. Two major themes arose from this research: Theme 1: Challenges to investigating and prosecuting CSAM; and Theme 2: Facilitators to investigating and prosecuting CSAM. Within Theme 1, subthemes included technology and internet service providers, laws, lack of resources, and service provider mental health and well-being. Within Theme 2, subthemes included multidisciplinary teams and training. This research is a first step in understanding the experiences of law enforcement and prosecutors in addressing CSAM. Findings from this study can be used to support the development of best practices for those in the justice system investigating and prosecuting CSAM.