TITLE: Managed
Care and Child Welfare: Challenges to Implementation.
AUTHOR: Embry,
R. A.; Buddenhagen, P.; Bolles, S.
PUBLICATION YEAR: 2000
JOURNAL TITLE: Children
and Youth Services Review
AUTHOR AFFILIATION: California
Univ., Berkeley. School of Social Welfare.
SOURCE: 22(2):
pp. 93-116; Elsevier Science Ltd., New
York, NY., February 2000; p. 158
ABSTRACT: This
article reviews the managed care evaluation literature and information gathered
from child welfare administrators in California to illustrate that there is
little empirical support for the wholesale adoption of managed care principles
to child welfare. Numerous reasons for concern including a lack of
understanding of the essential features of managed care by public sector
administrators, limited child welfare risk assessment capabilities, and the coercive nature of child welfare services are highlighted. a more
incremental approach to evaluating the promise of managed care principles in
child welfare settings is urged. Essential policy and administrative issues are
identified for further debate. 45 references and 1 figure. (Author abstract)
KEY TERMS: managed
care; child welfare services; program administration; program development; program evaluation; policy formation; california; state
programs
PUBLICATION TYPE: Journal
Article
TITLE: Relations
Between Coercive Strategies and MMPI-2 Scale Elevations
Among Women Survivors of Childhood Sexual Abuse.
AUTHOR: Lucenko,
B. A.; Gold, S. N.; Elhai, J. D.; Russo, S. A.; Swingle, J.
M.
PUBLICATION YEAR: 2000
JOURNAL TITLE: Journal
of Traumatic Stress
AUTHOR AFFILIATION: Nova
Southeastern Univ., Fort Lauderdale, FL.
SOURCE: 13(1):
pp. 169-177; Kluwer Academic-Plenum
Publishers, Dordrecht (The Netherlands)., January 2000; p. 379
ABSTRACT: The
relationship between coercion strategies used by perpetrators of
childhood sexual abuse (CSA) and elevations of CSA survivors on the Minnesota
Multiphasic Personality Inventory-2 (MMPI-2) was investigated in this study.
Participants+; were 151 women survivors of CSA in outpatient treatment at a
university-based community mental health center. Scores on the MMPI-2 clinical
scales and the Keane posttraumatic stress disorder (PTSD) scale were examined.
Main effects were found for +; promised or received rewards on several clinical
scales and the PTSD scale of the MMPI-2, independent of the use of force.
Specifically, the presence of such rewards was associated with significantly
higher levels of symptomatology on Paranoia (Pa), +; Psychasthenia (Pt),
Schizophrenia (Sc), and PTSD (Pk). There were no main or interaction effects
noted for the presence of actual or threatened force on any of the scales. 18
references, 1 figure, and 2 tables. (Author abstract)
KEY TERMS: adults
abused as children; sexual abuse; female victims; characteristics of abuser;
personality disorders; personality
patterns; sequelae; child abuse research
PUBLICATION TYPE: Journal
Article
INTERNET URL: http://www.wkap.nl
TITLE: Prediction
of Recidivism in Extrafamilial Child Molesters Based on Court-Related
Assessments.
AUTHOR: Firestone,
P.; Bradford, J. M.; McCoy, M.;
Greenberg, D. M.; et al.
PUBLICATION YEAR: 2000
JOURNAL TITLE: Sexual
Abuse: A Journal of Research and Treatment
AUTHOR AFFILIATION: Ottawa
Univ., ON (Canada). School of Psychology.
SOURCE: 12(3):
pp. 203-221; Kluwer Academic-Plenum
Publishers, Dordrecht (The Netherlands)., 2000; p. 435
ABSTRACT: One
hundred ninety-two convicted extrafamilial child molesters were followed for an
average of 7.8 years after their conviction. The percentage of men who had
committed a sexual, a violent, or any criminal offense by the 12th year was
15.1, 20.3, and 41.6, respectively. The sexual recidivists, compared with the
nonrecidivists, demonstrated more problems with alcohol and showed greater
sexual arousal to assaultive stimuli involving children than to mutually
consenting stimuli with children. The violent recidivists, compared with the
nonrecidivists, were more likely to have a history of violence in the families
in which they were raised and were rated significantly more psychopathic on the
Psychopathy Checklist Revised (PCL-R). They also showed more sexual arousal to
stimuli depicting mutually consenting sexual interactions with children than to
adult stimuli. In terms of any criminal recidivism, recidivists were younger,
had completed fewer years of school, and were raised in psychologically more
harmful family environments compared with nonrecidivists. They also reported
that, before 16 years of age, they were more likely to have been physically abused
and were more likely to have been removed from their homes compared to those
that did not recidivate. In addition, recidivists demonstrated more general
hostility on the Buss-Durkee Hostility Inventory and were rated significantly
more psychopathic on the PCL-R. The phallometric assessments revealed that the
criminal recidivists, compared to the nonrecidivists, showed more sexual
arousal to stimuli depicting coercive
sexual activity with children than consenting sexual activities with children.
In addition, they showed more sexual arousal to scenes depicting adult rape
than adult mutually consenting sex. Finally, the recidivists also had more
charges or convictions for violence and any criminal acts. The small number of
significant differences between recidivists and nonrecidivists in the sexual
and violent categories precluded an attempt to determine which combination of
factors meaningfully predicted reoffending. However, for criminal recidivism, a
stepwise discriminant function analysis to assess the combination of factors
that most successfully distinguished between groups in terms of criminal
recidivism was significant, with subjects' age, total number of criminal
convictions, and pedophile assault index
KEY TERMS: predictor
variables; recidivism; sex offenders; risk factors;
assessment; characteristics of
abuser; child abuse research; psychopathology being retained for optimal
prediction. The procedures correctly classified 70.6 percent ofthe original
group, 82.8 percent of the nonrecidivists, and 52.6 percent of the recidivists.
PCL-R Total Score alone was equally successful in a similar discriminant
function. 61 references, 1 figure, and 3 tables. (Author abstract)
PUBLICATION TYPE: Journal
Article
INTERNET URL: http://www.wkap.nl
TITLE: Developmental
Antecedents of Sexual Coercion in Juvenile Sexual Offenders.
AUTHOR: Johnson,
G. M.; Knight, R. A.
PUBLICATION YEAR: 2000
JOURNAL TITLE: Sexual
Abuse: A Journal of Research and Treatment
AUTHOR AFFILIATION: Brandeis
Univ., Waltham, MA. Dept. of Psychology.
SOURCE: 12(3):
pp. 165-178; Kluwer Academic-Plenum
Publishers, Dordrecht (The Netherlands)., 2000; p. 441
ABSTRACT: Previous
research has linked adult sex offending behavior to a multiplicity of
variables, including juvenile delinquency and the experience of childhood
abuse. The purpose of this study was to explore developmental pathways among
childhood abuse, juvenile delinquency, and personality dimensions possibly
conducive to adolescent sexual coercion.
Using a retrospective self-report inventory, the extent to which juvenile
sexual offenders experienced childhood trauma, engaged in adolescent
delinquency, and exhibited particular dispositions and cognitive biases was
measured. The effects of childhood and adolescent antecedents on sexual coerciveness were then analyzed through simultaneous
multiple regression path analyses. Resultssuggest that sexual compulsivity and
hypermasculinity, through misogynistic fantasy behavior, significantly
discriminate verbally and physically coercive
juvenile offenders from those offenders who do not report using force in their
offenses. Results also suggest that alcohol abuse may play a more salient role
in the expression of coercive juvenile sexual coercion than previously hypothesized. 30 references, 2 figures,
and 2 tables. (Author abstract)
KEY TERMS: adolescent
sex offenders; sex offenses; predictor variables; child development; child abuse history;
juvenile delinquency; alcohol
abuse; psychological characteristics
PUBLICATION TYPE: Journal
Article
INTERNET URL: http://www.wkap.nl
TITLE: Development
of the Stay Safe Programme.
AUTHOR: MacIntyre,
D.; Carr, A.; Lawlor, M.; Flattery, M.
PUBLICATION YEAR: 2000
JOURNAL TITLE: Child
Abuse Review
AUTHOR AFFILIATION: Eastern
Health Board and Child Abuse Prevention Programme.
SOURCE: 9(3):
pp. 200-216; John Wiley and Sons, Inc.,
New York, NY., 2000; p. 810
ABSTRACT: The
development and implementation of the Stay Safe program, a comprehensive sexual
abuse prevention program implemented in a majority of primary schools in the
Republic of Ireland since 1991, is reviewed in this article. The program
ismulti-systemic in that it includes modules for teachers, parents, and
children; it also involves liaison with local child protection and child health
professionals as an integral part of implementation. The program employs
multimedia-based instruction to facilitate multimodal learning. The broad
curriculum covers topics such as bullying and child abuse as two related forms
of victimization. Disclosure training, assertiveness training, and coercion management training are included in the curriculum, which
also focuses on enhancing self-esteem and promoting peer support. Teachers were
trained first, followed by parents, then children. A controlled evaluation of
the program, involving 772 children, 374 parents, and 28 teachers showed that
it led to significant gains in knowledge and skills for children, teachers, and
parents, and that for children, these gains were maintained at 3 months
follow-up. Three tables, 29 references. (Author abstract modified)
KEY TERMS: child
abuse; prevention programs; ireland;
curricula; professionals role; victimization; self esteem; peer
relationships
PUBLICATION TYPE: Journal
Article
INTERNET URL: http://www.wiley.com
TITLE: Childhood
Sexual Abuse and Dating Experiences of Undergraduate Women.
AUTHOR: Banyard,
V. L.; Arnold, S.; Smith, J.
PUBLICATION YEAR: 2000
JOURNAL TITLE: Child
Maltreatment
SOURCE: 5(1):
pp. 39-48; Sage Publications, Inc.,
Thousand Oaks, CA., February 2000
ABSTRACT: This
study examined the relationship between the experience of childhood sexual
abuse and later victimization of psychological aggression, physical violence,
or sexual coercion in a dating relationship. Participants
were 219 female college undergraduates. Child sexual abuse was significantly
related to having experienced both physical and psychological dating aggression
even after controlling for the presence of conflict in the family of origin.
Child sexual abuse was not significantly related to sexual coercion or reports of silencing oneself in relationships. 39
references and 2 tables. (Author abstract)
KEY TERMS: adults
abused as children; sexual abuse; sequelae;
interpersonal relationships;
nonmarital violence; battering; sexual assault; child abuse research
PUBLICATION TYPE: Journal
Article
INTERNET URL: http://www.sagepub.com/
TITLE: ANTI-SOCIAL
BEHAVIOR AS A RESULT OF ABUSE: Selected Articles.
PUBLICATION YEAR: 2000
SOURCE: NCCAN
Annotated Bibliographies; 2000
KEY TERMS: kinship
care; drug exposed infants; sequelae;
child placement; outcomes; prevalence;
behavior problems; child welfare
research; longitudinal studies; violence;
symptoms; adolescents; school surveys; ethnicity; urban
environment; risk factors; physical abuse; corporal punishment;
child abuse research;
china; sexual behavior; child behavior; predictor variables;
spouse abuse; child witnesses of
family violence; child
development; research methodology; data collection; measures; sexual
abuse; etiology; sexually abusive children; differential diagnoses; case studies; adolescent; adults abused
as children; attachment behavior; nonmarital violence; aggressive behavior; juvenile delinquency; homicide;
psychological characteristics;
family violence; suicide; antisocial behavior; impulsive behavior; mothers;
posttraumatic stress disorder;
battered women; community violence; emotional problems; child abuse history; adoption;
foster care; school
children; family relationships; family support systems
PUBLICATION TYPE: Annotated
Bibliography
INTRODUCTION: This
annotated bibliography is a product of the National Clearinghouse
on Child Abuse and Neglect Information. The references have been selected
from thousands of materials available in our database to provide you with
the most up-to-date information related to child victims, witnesses, and
perpetrators of violence.
This bibliography looks at prevention, intervention and treatment issues
in relation to the impacts of violence on children. It is presented in
three sections: children as victims of violence, children as witnesses of
violence, and children and adolescents as perpetrators of violence.
Although many references cover more than one subject area, each citation
is listed only once in this bibliography, primarily under its major
subject heading.
All documents in this bibliography are contained in the Clearinghouse
library and are referenced following the format of the American
Psychological Association (APA). Authors, titles, publication dates and
publishers are provided within this format for each reference. We are
not, however, able to provide photocopies of all materials due to
copyright restrictions. Copies of publications that are not copyrighted,
such as Government publications, grant reports, or unpublished papers,
are available from the Clearinghouse for a reproduction fee of $0.10 per
page. Journal articles and chapters in books are copyrighted and may be
found at research or university libraries.
Information Specialists can answer questions about copyright status and
ordering information, as well as guide you in selecting materials from
this bibliography or suggest other materials that may be useful to you.
In addition, Specialists are available to conduct customized searches
of Clearinghouse databases for a base fee of $5.00 plus $.20 per record.
For more information, please contact
National Clearinghouse on Child Abuse and Neglect Information
330 C St., SW
Washington, DC 20447
Tel.: (800)394-3366 or 703-385-7565
Fax: 703-385-3206
E-mail: nccanch@calib.com
INTERNET URL: http://www.calib.com/nccanch
TITLE: OUT
OF HOME CARE: RESIDENTIAL CARE AND GROUP HOMES: Selected Articles.
PUBLICATION YEAR: 2000
SOURCE: NCCAN
Annotated Bibliographies; 2000
KEY TERMS: orphanages; orphans;
social policies; policy
formation; child welfare reform; family preservation; outcomes;
adoption; funding; child welfare services; institutional abuse and neglect; foster care drift; judicial role; permanency
planning; florida; historical perspective; deinstitutionalization; model programs; program descriptions;
program development; residential
care institutions; welfare reform; political factors; private sector;
poverty; therapeutic
effectiveness; child placement; economic disadvantage; attitudes;
child development; research
reviews; psychological
characteristics; research
methodology; maternal deprivation; foster care; incidence; statistical
data; predictor variables; social workers attitudes; public opinion; government role;
discipline; state statutory law; federal statutory law; vocational training; state laws;
licensing; standards; state surveys; personnel; treatment
programs; program models; federal aid; grants; religious
organizations; family characteristics; family life; program costs; cost effectiveness; costs;
operating expenses; program
planning; federal laws; sequelae;
residential care; michigan; child welfare research; managed care; residential treatment;
program administration; out of
home care; foster children; direct service providers; emotionally disturbed children; behavior modification; therapeutic intervention; intervention strategies; service delivery; program evaluation;
family programs; shared family
care; adolescent sex offenders; sex offenders therapy; hispanics;
american indians; african
americans; models; parenting;
group dynamics; control; interviews;
adolescents; focus groups; family therapy; canada; cultural
conflicts; residential schools; environmental stress; trauma;
counselors; disclosure; mental health services; social services; mental disorders;
institutions
PUBLICATION TYPE: Annotated
Bibliography
INTRODUCTION: This
annotated bibliography is a product of the National Clearinghouse
on Child Abuse and Neglect Information. The references have been selected
from thousands of materials available in our database to provide you with
the most up-to-date information related to child victims, witnesses, and
perpetrators of violence.
This bibliography looks at prevention, intervention and treatment issues
in relation to the impacts of violence on children. It is presented in
three sections: children as victims of violence, children as witnesses of
violence, and children and adolescents as perpetrators of violence.
Although many references cover more than one subject area, each citation
is listed only once in this bibliography, primarily under its major
subject heading.
All documents in this bibliography are contained in the Clearinghouse
library and are referenced following the format of the American
Psychological Association (APA). Authors, titles, publication dates and
publishers are provided within this format for each reference. We are
not, however, able to provide photocopies of all materials due to
copyright restrictions. Copies of publications that are not copyrighted,
such as Government publications, grant reports, or unpublished papers,
are available from the Clearinghouse for a reproduction fee of $0.10 per
page. Journal articles and chapters in books are copyrighted and may be
found at research or university libraries.
Information Specialists can answer questions about copyright status and
ordering information, as well as guide you in selecting materials from
this bibliography or suggest other materials that may be useful to you.
In addition, Specialists are available to conduct customized searches
of Clearinghouse databases for a base fee of $5.00 plus $.20 per record.
For more information, please contact
National Clearinghouse on Child Abuse and Neglect Information
330 C St., SW
Washington, DC 20447
Tel.: (800)394-3366 or 703-385-7565
Fax: 703-385-3206
E-mail: nccanch@calib.com
INTERNET URL: http://www.calib.com/nccanch
TITLE: Child
Abuse Crimes: Child Pornography (Current through December 31, 1999): Louisiana.
INST. AUTHOR: U.S.
DEPARTMENT OF HEALTH AND HUMAN SERVICES;
NATIONAL CLEARINGHOUSE ON CHILD ABUSE AND NEGLECT INFORMATION; NATIONAL CENTER FOR PROSECUTION OF CHILD
ABUSE
PUBLICATION YEAR: 2000
JOURNAL TITLE: Crimes
Number 30
AUTHOR AFFILIATION: U.S.
DEPARTMENT OF HEALTH AND HUMAN SERVICES, Administration for Children and
Families, Administration on Children, Youth and Families, Children's
Bureau; NATIONAL CLEARINGHOUSE ON CHILD
ABUSE AND NEGLECT INFORMATION, 330 C Street, SW, Washington, DC, 20447, (703)
385-7565, Outside Metropolitan Area: (800) FYI-3366; NATIONAL CENTER FOR PROSECUTION OF CHILD ABUSE, 99 Canal Center
Plaza, Suite 510, Alexandria, VA, 22314, (703) 739-0321
SOURCE: In:
Child Pornography
KEY TERMS: Statute; Louisiana;
Abuse; Child; Child Abuse; Child Abuse Crimes; Child
Pornography; conduct; juvenile;
sexual conduct; solicit; solicitation
PUBLICATION TYPE: Statutes
INTERNET URL: http://www.ndaa-apri.org
TITLE: Child
Abuse Crimes: Sexual Offenses (Current through December 31, 1999): Minnesota.
INST. AUTHOR: U.S.
DEPARTMENT OF HEALTH AND HUMAN SERVICES;
NATIONAL CLEARINGHOUSE ON CHILD ABUSE AND NEGLECT INFORMATION; NATIONAL CENTER FOR PROSECUTION OF CHILD
ABUSE
PUBLICATION YEAR: 2000
JOURNAL TITLE: Crimes
Number 35
AUTHOR AFFILIATION: U.S.
DEPARTMENT OF HEALTH AND HUMAN SERVICES, Administration for Children and
Families, Administration on Children, Youth and Families, Children's
Bureau; NATIONAL CLEARINGHOUSE ON CHILD
ABUSE AND NEGLECT INFORMATION, 330 C Street, SW, Washington, DC, 20447, (703)
385-7565, Outside Metropolitan Area: (800) FYI-3366; NATIONAL CENTER FOR PROSECUTION OF CHILD ABUSE, 99 Canal Center
Plaza, Suite 510, Alexandria, VA, 22314, (703) 739-0321
SOURCE: In:
Sexual Offenses
KEY TERMS: Statute; Minnesota;
Abuse; Child; Child Abuse; Child Abuse Crimes;
circumstances; conduct; penetration; relationship; sexual
conduct
PUBLICATION TYPE: Statutes
INTERNET URL: http://www.ndaa-apri.org
TITLE: Questioning
Children Who May Have Been Sexually Abused: An Integration of Research Into
AUTHOR: Faller,
K. C.
PUBLICATION YEAR: 1999
JOURNAL TITLE: Journal
of Aggression, Maltreatment and Trauma
AUTHOR AFFILIATION: Michigan
Univ., Ann Arbor. School of Social Work.
SOURCE: 2(2):
pp. 37-59; Haworth Press, Inc.,
Binghamton, NY., 1999; p. 320
ABSTRACT: This
article derives from an Open Forum on Leading Questions sponsored by the
American Professional Society on the Abuse of Children. It represents the
thoughts of participants in the Open Forum, and the article attempts to
integrate analogue research that relates to questioning children about past
events into questioning practice with children who may have been sexually
abused. It proposes a continuum of questions that includes four categories:
most preferred; preferred; less preferred; and least preferred. General and
invitational questions are most preferred, while presumptive questions and use
of coercion are least preferred methods of
interviewing. 37 references and 1 table. (Author abstract modified)
KEY TERMS: interviews; sexual abuse; child abuse research;
leading questions; assessment; child witnesses; suggestibility; best
practices
PUBLICATION TYPE: Journal
Article
INTERNET URL: http://www.haworthpressinc.com
TITLE: Sequential
Analyses in Coercive Mother-Child Interaction: The
Predictability Hypothesis in Abusive Versus Nonabusive Dyads.
AUTHOR: Cerezo,
M. A.; D'Ocon, A.
PUBLICATION YEAR: 1999
JOURNAL TITLE: Child
Abuse and Neglect
AUTHOR AFFILIATION: Valencia
Univ. (Spain). Dept. of Basic Psychology.
SOURCE: 23(2):
pp. 99-113; New York, NY, Elsevier
Science, February 1999
ABSTRACT: This
study tested the sequential relationship between the child's aversive behavior
and both the predictability and the compliance episodes, as well as the
sequential relationship between these two mothering episodes proposed by the
new predictability hypothesis (Wahler, Williams, and Cerezo, 1990). The compliance
hypothesis explains that instructional behaviors by the mother precipitate
oppositional and aversive behavior by the child, which the mother avoids by
conceding to the child. The predictability hypotheses attributes a child's
deviant behavior to the mother's erratic behavior as a way of achieving a
predictable response from the mother. The new predictability hypothesis
proposed by Wahler, et al suggests that inconsistent behavior by the mother to
enforce her demand leads to a pattern of interpersonal conflict between the
mother and child. The study also explored whether or not these patterns are
specific to dysfunctional dyads by using a nonabusive comparison group. Fifty
mother child dyads, including 25 abusive and 25 nonabusive pairs, participated in
the study. Lag sequential analyses were carried out on 302 hours of direct
observation, 178 on the abusive group, and 124 in the nonabusive group. Results
of the sequential analyses showed that the predictions derived from the
compliance and predictability hypotheses were supported in both groups. The
only difference between the groups lies in the new predictability hypothesis,
so the two mothering reactions are not sequentially related in the nonabusive
group. 35 references, 4 figures and 5 tables. (Author abstract modified)
KEY TERMS: predictor
variables; mother child
relationships; interpersonal
relationships; etiology; child behavior; behavior problems;
discipline; sequelae
PUBLICATION TYPE: Journal
Article
TITLE: Pathways
in the Offending Process of Extrafamilial Sexual Child Molesters.
AUTHOR: Proulx,
J.; Perreault, C.; Ouimet, M.
PUBLICATION YEAR: 1999
JOURNAL TITLE: Sexual
Abuse: A Journal of Research and Treatment
AUTHOR AFFILIATION: Montreal
Univ., Quebec (Canada). School of Criminology.
SOURCE: 11(2):
pp. 117-129; New York, NY, Kluwer
Academic-Plenum Publishers, April 1999
ABSTRACT: This
study investigated specific pathways in the offending process of extrafamilial
sexual child molesters. Forty-four Canadian men who had committed at least one
sexual offense against a nonfamilial prepubescent child were included in this
study and were classified using cluster analysis. Thirty subjects using the coercive pathway had generally used psychoactive substances before
their offenses. Furthermore, they had sexually abused a female victim without
perceived vulnerability and whom they had already known. These offenders had
not planned their offense, which was of short duration (less than 15 minutes),
and involved coital activities and coercion
(verbal and/or physical). Fourteen subjects using the noncoercive pathway had
generally used pornography and deviant sexual fantasies before their offenses.
Moreover, they had molested a male victim, in whom they perceived a
psychosocial vulnerability and who was not familiar to them. These molesters
had planned their offense, which was of longer duration (more than 15 minutes)
and involved noncoital activities without coercion.
These 2 pathways were compared. 6 tables and numerous references. (Author
abstract modified)
KEY TERMS: sex
offenders; sexual abuse; male victims; female victims;
pornography; canada
PUBLICATION TYPE: Journal
Article
INTERNET URL: http://www.wkap.com
TITLE: Relationship
Between Childhood Sexual Abuse Characteristics and Dissociation Among Women in
Therapy.
AUTHOR: Gold, S.
N.; Hill, E. L.; Swingle, J. M.; Elfant, A. S.
PUBLICATION YEAR: 1999
JOURNAL TITLE: Journal
of Family Violence
AUTHOR AFFILIATION: Nova
Southeastern Univ., Fort Lauderdale, FL. Center for Psychological Studies.
SOURCE: 14(2):
pp. 157-171; New York, NY, Kluwer
Academic-Plenum Publishers, June 1999
ABSTRACT: This
study investigated the relationship between 10 characteristics of childhood
sexual abuse and dissociation in adulthood. A structural clinical interview,
the Dissociative Experiences Scale, and the Dissociation Subscale of the
Symptoms Checklist 90-Revised were administered to 118 women survivors seeking
psychotherapy. Separate stepwise multiple regression analyses were conducted
for each dissociation scale to determine which abuse characteristics were
predictive of dissociation. In both analyses, the same 4 variables were
significantly related to dissociation: age at onset, coercive sexual acts, objectifying sexual acts, and concurrent
multiple perpetrators. Implications of findings for future research and
clinical practice are explored. Sexual abuse characteristics that have been
examined thus far do not account for the majority of variance in dissociative
symptomatology in adulthood. Studies of childhood sexual abuse that draw
conclusions about severity based on typical abuse characteristics such as
duration, age at onset, frequency, and the presence or absence of penetration,
are limited. The authors recommend that the findings of this study be
replicated with other populations and that the relationship of other variables
to dissociation besides childhood sexual abuse characteristics be explored. 7 tables
and numerous references. (Author abstract modified)
KEY TERMS: sexual
abuse; dissociation; adults abused as children; psychotherapy; interviews;
characteristics of abused;
guidelines
PUBLICATION TYPE: Journal
Article