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Victims and Perpetrators of Child Sexual Abuse

Published online by Cambridge University Press:  02 January 2018

M. R. Hilton  and
G. C. Mezey
G. C. Mezey
Affiliation:
Section of Forensic Psychiatry, St George's Hospital Medical School, London SW17 0RE
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Abstract

Background

This article aims to inform clinicians of current thinking in the area of victims and perpetrators of child sexual abuse. It covers prevalence data as well as identification, effects and interventions with victims, and also characteristics, assessment and treatment of perpetrators.

Method

The review is based on manual searches and the authors' own clinical experience.

Results

All clinicians should be aware of signs and symptoms that raise the possibility that someone has been or is being sexually abused and also of the possibilities of abuse of boys and of women as abusers. Methods of intervening are discussed, both in relation to victims and perpetrators. The importance of thoroughness when assessing perpetrators is emphasised because of their tendency to deny and/or minimise their offending. The demands of this work are underlined in a section on the necessary qualifications and characteristics of therapists working in this area.

Conclusions

Despite the lack of agreement in definitions and outcome measures used in research there are some positive findings in relation to clinical efficacy. In particular, the need for long-term treatment with those offenders who are more seriously deviant has been supported by recent research. There is a need for continuing attempts to standardise definitions and measures to aid realistic comparison of research results.

Type
Review Article
Information
The British Journal of Psychiatry , Volume 169 , Issue 4 , October 1996 , pp. 408 - 415
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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References

Abel, G. G., Becker, J. V., Mittleman, M. S., et al (1987) Self-reported sex crimes of non-incarcerated paraphiliacs. Journal of Interpersonal Violence, 2, 3–25.Google Scholar
Abel, G. G., Mittleman, M. S. & Becker, J. V. (1988) Predicting child molesters' response to treatment. Annals of the New York Academy of Sciences, 528, 223–234.Google Scholar
Bagley, C. & Ramsay, R. (1986) Sexual abuse in childhood: psychological outcomes and implications for social worker practices. Journal of Social Work or Human Sexuality, 4, 33–47.Google Scholar
Baker, A. W. & Duncan, S. P. (1985) Child sexual abuse: a study of prevalence in Great Britain. Child Abuse and Neglect, 9, 457–467.CrossRefGoogle ScholarPubMed
Beckett, R., Beech, A., Fisher, D., et al (1994) Community-Based Treatment for Sex Offenders: An Evaluation of Seven Treatment Programmes. London: HMSO.Google Scholar
Bentovim, A. (1991) Clinical work with families in which sexual abuse occurred. In Clinical Approaches to Sex Offenders and their Victims (eds Hollin, C. R. & Howells, K.), pp. 179–208. London: Wiley & Sons.Google Scholar
Bradford, J. M. W. (1990) The anti-androgen and hormonal treatment of sex offenders. In Handbook of Sexual Assault. Theories and Treatment of the Offender (eds Marshall, W. L., Laws, D. R. & Barbaree, H. E.), pp. 297–310. New York: Plenum Press.Google Scholar
Briere, J. (1988) The long-term clinical correlates of childhood sexual victimisation. In Human Sexual Aggression: Current Perspectives (ed. Prentky, R.), pp. 327–334. New York: Annals of the New York Academy of Sciences.Google Scholar
Briere, J. (1989) Therapy for Adults Molested as Children: Beyond Survival. New York: Springer.Google Scholar
British Psychological Society (1995) Recovered Memories. Leicester: British Psychological Society.Google Scholar
Bryer, J. B., Nelson, B. A., Miller, J. B., et al (1987) Childhood sexual and physical abuse as factors in adult psychiatric illness. American Journal of Psychiatry, 144, 1426–1430.Google Scholar
Butler-Sloss, E. (1988) Report of the Enquiry into Child Abuse in Cleveland (1987). London: HMSO.Google Scholar
Carmen, E. H., Rieker, P. P. & Mills, T. (1984) Victims of violence and psychiatric illness. American Journal of Psychiatry, 141, 378–383.Google Scholar
Carson, D. K., Council, J. R., & Volt, M. A. (1989) Temperament as a predictor of psychological adjustment in female adult incest victims. Journal of Clinical Psychology, 45, 330–335.Google Scholar
Cautela, J. (1967) Covert sensitization. Psychological Reports, 20, 459–468.Google Scholar
Davis, G. E. & Leitenberg, H. (1987) Adolescent sex offenders. Psychological Bulletin, 101, 417–427.Google Scholar
Deblinger, E., Mcleen, S. V., Atkins, M. S., et al (1989) Posttraumatic stress in sexually abused, physically abused and non-abused children. Child Abuse and Neglect, 13, 403–408.Google Scholar
Finkelhor, D. (1979) Sexually Victimised Children. New York: Free Press.Google Scholar
Finkelhor, D. (ed.) (1984) Child Sexual Abuse: New Theory and Research. New York: Free Press.Google Scholar
Finkelhor, D. (1986) A Source Book on Child Sexual Abuse (pp. 129). London: Sage.Google Scholar
Finkelhor, D., Hotaling, G. T., Lewis, I. A., et al (1989) Sexual abuse and its relationship to later sexual satisfaction, marital status, religion and attitudes. Journal of Interpersonal Violence, 4, 379–399.Google Scholar
Giaretto, H. (1981) A comprehensive child sexual abuse treatment programme. In Sexually Abused Children and their Families (eds Mrazek, P. B. & Kemp, C. H.), pp. 179–198. Oxford: Pergamon Press.Google Scholar
Hall, L. & Lloyd, F. (1989) Surviving Child Sexual Abuse. London: Fahner Press.Google Scholar
Jehu, D. (1988) Beyond Sexual Abuse: Therapy with Women who were Childhood Victims. Chichester Wiley & Sons.Google Scholar
Johnstone, T. C. (1988) Child perpetrators: children who molest other children: preliminary findings. Child Abuse and Neglect, 12, 219–229.CrossRefGoogle Scholar
Kendall-Tackett, K. A., Meyer-Williams, L. & Finlelhor, D. (1993) Impact of sexual abuse of children: a review and synthesis of recent empirical findings. Psychological Bulletin, 113, 164–180.Google Scholar
Knopp, S. H. (1984) Retraining Adult Sex Offenders: Methods and Muddles. Syracuse, New York: Safer Society Press.Google Scholar
Laws, D. M. (1989) Relapse Prevention with Sex Offenders. London: Guilford Press.Google Scholar
Launay, G. (1994) The phallometric assessment of sex offenders: some professional and research issues. Criminal Behaviour and Mental Health, 4, 48–70.Google Scholar
Lindberg, F. H. & Distad, L. J. (1985) Post-traumatic stress disorders in women who have experienced childhood incest Child Abuse and Neglect, 9, 329–334.CrossRefGoogle ScholarPubMed
Marquis, J. N. (1970) Orgasmic reconditioning: changing sexual object choice, through controlling masturbation fantasies. Journal of Behaviour Therapy and Experimental Psychiatry, 1, 263–271.Google Scholar
Marshall, W. L. (1979) Satiation therapy: a procedure for reducing deviant sexual arousal. Journal of Applied Behaviour Analysis, 12, 10–22.Google Scholar
Marshall, W. L. & Barbaree, H. E. (1990) Outcome of comprehensive cognitive–behavioural treatment programs. In Handbook of Sexual Assault. Issues, Theories and Treatment of the Offender (eds Marshall, W. L., Laws, D. R. & Barbaree, H. E.), pp. 363–385. New York: Plenum Press.Google Scholar
Mezey, G. C., Vizard, E., Hawkes, C., et al (1991) A community treatment programme for convicted child sex offenders: a preliminary report Journal of Forensic Psychiatry, 2, 12–25.Google Scholar
Mezey, G. C., & King, M. B. (1992) Male Victims of Assault. Oxford: Oxford University Press.Google Scholar
Mullen, P. E., Martin, J. C., Anderson, S. E., et al (1993) Childhood sexual abuse and mental health in adult life. British Journal of Psychiatry, 163, 721–732.Google Scholar
Ogata, S. N., Silk, K. R., Goodrich, S., et al (1990) Childhood sexual and physical abuse in adult patients with borderline personality disorder. American Journal of Psychiatry, 147, 1008–1013.Google ScholarPubMed
Oppenheimer, R., Howells, K. J., Palmer, R. L., et al (1985) Adverse sexual experiences in childhood and clinical eating disorder: a preliminary description. Journal of Psychiatric Research, 19, 357–361.Google Scholar
Palmer, R. L., Coleman, L., Chaloner, D., et al (1993) Childhood sexual experiences with adults. A comparison of reports by women psychiatric patients and general practice attenders. British Journal of Psychiatry, 163, 499–504.Google Scholar
Perkins, D. (1991) Clinical work with sex offenders in secure settings. In ClinicaL Approaches to Sex Offenders and their Victims (eds Hollin, C. R. & Howells, K. J.), pp. 151–178. Chichester Wiley.Google Scholar
Pithers, W. D. (1990) Relapse prevention with sexual aggressors: a method for maintaining therapeutic gain and enhancing external supervision. In Handbook of Sexual Assault. Issues, Theories and Treatment of the Offender (eds Marshall, W. L., Laws, D. R. & Barbaree, H. E.). New York: Plenum Press.Google Scholar
Roundy, L. M. & Horton, A. L. (1990) Professional and treatment issues for clinicians who intervene with incest perpetrators. In The Incest Perpetrators: A Family Member No One Wants to Treat (eds Horton, A. L., Johnson, B. L., Roundy, L. M., et al), pp. 164–189. London: Sage Publications.Google Scholar
Runtz, M. & Briere, J. (1986) Adolescent ‘acting out’ and childhood history of sexual abuse. Journal of Interpersonal Violence, 1, 326–334.Google Scholar
Russell, D. E. H. (1984) Sexual Exploitation. Beverly Hills, California: Sage Publications.Google Scholar
Russell, D. E. H. (1986) The Secret Trauma: Incest in the Lives of Girls and Women. New York: Basic Books.Google Scholar
Salter, A. C. (1988) Treating Child Sex Offenders and Victims. London: Sage Publications.Google Scholar
Sanderson, C. (1990) Counselling Adult Survivors of Child Sexual Abuse. London: Jessica Kingsley.Google Scholar
Shearer, S. L., Peters, C. P., Quaytman, M. S., et al (1990) Frequency and correlates of childhood sexual and physical abuse histories in adult female borderline inpatients. American Journal of Psychiatry, 147, 214–216.Google Scholar
Vizard, E., Bentovim, A. & Tranter, M. (1987) Interviewing sexually abused children. Adoption and Fostering, 11, 21–25.Google Scholar
Watkins, B. & Bentovim, A. (1992) Male children and adolescents as victims: a review of current knowledge. In Male Victims of Sexual Assault (eds Mezey, G. C. & King, M. D.), pp. 27–66. Oxford: Oxford University Press.Google Scholar
Wolfe, V. V., Gentile, C. & Wolfe, D. A. (1989) The impact of sexual abuse on children: a P.T.S.D. formulation. Behaviour Therapy, 20, 215–228.Google Scholar
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