"A Very Steep Climb": Therapists' Perspectives on Barriers to Disclosure of Child Sexual Abuse Experiences for Men.

Abstract:

:Recent studies indicate that men experience unique barriers to disclosure of child sexual abuse. Blind spots held by mental health providers and social service agencies may inadvertently help produce and sustain these barriers. However, therapists who specialize in treating this population may also hold important insights into the barriers clients face. Because delayed and nondisclosure of child sexual abuse have been associated with negative mental health outcomes for adult survivors, understanding these barriers is critical to improve clinical practice and facilitate help-seeking. Using conventional content analysis, this study examined the perceptions of nine therapists who specialize in the treatment of men who were sexually abused in childhood, many of whom are considered pioneers in the field. Analyses identified nine types of barriers, which were organized into three categories: intrapersonal experience (difficult feelings, lack of language, and self-engagement), social milieu (internalized social stigma, negative responses, social loss or judgment, and masculine identity dissonance), and health care environment (structural barriers, relational challenges with therapists, and unhelpful therapeutic strategies). Implications for future research, clinical training, and clinical practice are discussed.

journal_name

J Child Sex Abus

authors

Gruenfeld E,Willis DG,Easton SD

doi

10.1080/10538712.2017.1332704

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

731-751

issue

6

eissn

1053-8712

issn

1547-0679

journal_volume

26

pub_type

杂志文章
  • Conceptualization of the complex outcomes of sexual abuse: a signal detection analysis.

    abstract::Eighty-five New Zealand based practitioners experienced in treating adults with a history of child sexual abuse participated in an online judgment study of child sexual abuse outcomes using signal detection theory methodology. Participants' level of sensitivity was assessed independent of their degree of response bias...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2011.627418

    authors: Pechtel P,Evans IM,Podd JV

    更新日期:2011-11-01 00:00:00

  • Does Having Children Moderate the Effect of Child Sexual Abuse on Depression?

    abstract::Nearly 1 in 5 girls and 1 in 20 boys under the age of 18 will be the victim of child sexual abuse. As adults, these individuals are more likely to report myriad mental illnesses including depression. Testing the hypothesis that having children would moderate the depressive effects of child sexual abuse, the authors us...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2015.1057664

    authors: Zeglin RJ,DeRaedt MR,Lanthier RP

    更新日期:2015-01-01 00:00:00

  • A study of the cycle of abuse among child molesters.

    abstract::The current study was designed to determine whether there is support for the cycle of abuse theory among child molesters. A group of 147 sex offenders on probation were used in this study. The victims of 32 of these offenders were under the age of 10, and 19 of these offenders reported a history of childhood sexual ab...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:

    authors: Coxe R,Holmes W

    更新日期:2001-01-01 00:00:00

  • Clinical correlates and repetition of self-harming behaviors among female adolescent victims of sexual abuse.

    abstract::This study investigated self-harming behaviors in 149 female adolescent victims of sexual abuse, first, by determining the rates of nine types of self-mutilating behavior at intake and nine months later and, second, by investigating comorbidity of clinical correlates associated with these behaviors. The adolescents we...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1300/J070v14n02_03

    authors: Cyr M,McDuff P,Wright J,Thériault C,Cinq-Mars C

    更新日期:2005-01-01 00:00:00

  • Posttraumatic Stress Disorder and Suicidal Ideation Among Sexually Abused Adolescent Girls: The Mediating Role of Shame.

    abstract::Sexual abuse is associated with a host of negative repercussions in adolescence. Yet the possible mechanisms linking sexual abuse and negative outcomes are understudied. The purpose of this study was to investigate the relationships among self-blame, shame, coping strategies, posttraumatic stress disorder, depressive ...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2017.1280577

    authors: Alix S,Cossette L,Hébert M,Cyr M,Frappier JY

    更新日期:2017-02-01 00:00:00

  • Effects of group therapy on female adolescent survivors of sexual abuse: a pilot study.

    abstract::Treatment interventions for female sexual abuse survivors was explored through a pilot study examining the relationship between group treatment and adolescent self-image. Self-image was defined as body image, self-reliance, self-control, and impulse-control. An experimental pre-post design was utilized. Participants w...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1300/j070v11n04_01

    authors: Thun D,Sims PL,Adams MA,Webb T

    更新日期:2002-01-01 00:00:00

  • An exploratory study of domains of parenting concern among mothers who are childhood sexual abuse survivors.

    abstract::This study conducted an exploratory factor analysis and initial validation of Ruscio's (2001) parenting attitudes questionnaire, which assessed parenting concerns among child sexual abuse survivors. Child sexual abuse survivor mothers (N = 60) reported on their abuse experiences and completed the parenting attitudes q...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2014.960636

    authors: Allbaugh LJ,O'Dougherty Wright M,Atkins Seltmann L

    更新日期:2014-01-01 00:00:00

  • Differentiating youth who sexually abuse: applying a multidimensional framework when assessing and treating subtypes.

    abstract::Recent empirical research has shown that children with sexual behavior problems and adolescents who offend sexually are diverse populations consisting of several subtypes (Hall, Mathews, & Pearce, 2002; Pithers, Gray, Busconi, & Houchens, 1998; Worling, 2001). This article reviews the descriptive and empirical researc...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章,评审

    doi:10.1300/j070v13n03_04

    authors: Rasmussen LA

    更新日期:2004-01-01 00:00:00

  • Sentencing Male Sex Offenders Under the Age of 14: A Law Reform Advocacy Journey in Hong Kong.

    abstract::The common law presumption that a boy under the age of 14 is incapable of sexual intercourse has provoked controversial debates in Hong Kong. This article describes a 6-step advocacy journey to examine how community efforts have helped modify this law so that juvenile male sexual offenders under the age of 14 who have...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2015.1022292

    authors: Ng WC,Cheung M,Ma AK

    更新日期:2015-01-01 00:00:00

  • Teacher Outcomes from the Second Step Child Protection Unit: Moderating Roles of Prior Preparedness, and Treatment Acceptability.

    abstract::Teachers play a critical role in child sexual abuse (CSA) prevention and intervention efforts. We examined the impact of the Second Step Child Protection Unit (CPU) on improving teacher awareness, attitudes, and teacher-student relations for 161 teachers. Teacher baseline scores and treatment acceptability were examin...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2019.1620397

    authors: Kim S,Nickerson A,Livingston JA,Dudley M,Manges M,Tulledge J,Allen K

    更新日期:2019-08-01 00:00:00

  • Child Sexual Abuse Victimization Prevention Programs in Preschool and Kindergarten: Implications for Practice.

    abstract::With the alarming rates of child sexual abuse in the United States, there have been several attempts to develop and implement child abuse victimization programs in elementary schools across the country. Many programs have targeted older school-age children, but research shows that these programs can be effective for c...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章,评审

    doi:10.1080/10538712.2019.1627687

    authors: Manheim M,Felicetti R,Moloney G

    更新日期:2019-08-01 00:00:00

  • Heterogeneous symptom patterns of sexually abused children in treatment: understanding the complexity of the problem.

    abstract::A major challenge for clinicians and researchers is the heterogeneity of the severity and type of symptoms presented by sexually abused youth, including those who are subclinical on traditional clinical measures but still present to treatment. Most research continues to treat sexually abused youth as a single populati...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2014.964439

    authors: Sawyer GK,Hansen DJ

    更新日期:2014-01-01 00:00:00

  • Keeping Students Out of Harm's Way: Reducing Risks of Educator Sexual Misconduct.

    abstract::Sexual misconduct by school staff, which we refer to as educator sexual misconduct (ESM), is a serious and damaging violation of the trust that parents and students put in the educational system. After reviewing the prevalence and consequences of ESM for all parties involved, the authors propose standards of practice ...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2018.1486933

    authors: Wurtele SK,Mathews B,Kenny MC

    更新日期:2019-02-01 00:00:00

  • News coverage of child sexual abuse and prevention, 2007-2009.

    abstract::News media coverage of child sexual abuse can help policymakers and the public understand what must be done to prevent future abuse, but coverage tends to focus on extreme cases. This article presents an analysis of newspaper coverage from 2007 to 2009 to describe how the daily news presents and frames day-to-day stor...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2012.692465

    authors: Mejia P,Cheyne A,Dorfman L

    更新日期:2012-01-01 00:00:00

  • Prevalence of Child Sexual Abuse in the Nordic Countries: A Literature Review.

    abstract::This review examined child sexual abuse in the Nordic countries focusing on prevalence rates and victims' age and relationship to the perpetrator. The results show a prevalence of child sexual abuse (broadly defined) between 3-23% for boys and 11-36% for girls. The prevalence rates for contact abuse were 1-12% for boy...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2015.1108944

    authors: Kloppen K,Haugland S,Svedin CG,Mæhle M,Breivik K

    更新日期:2016-01-01 00:00:00

  • Attitudes Toward Juvenile Sex Offender Legislation: The Influence of Case-Specific Information.

    abstract::This study examined attitudes toward the application of adult sex offender legislation to juvenile sex offenders. Participants were randomly assigned to one of nine conditions. In the generic condition, the participants were asked to envision a generic juvenile sex offender, whereas in the manipulated conditions, part...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2016.1153558

    authors: Campregher J,Jeglic EL

    更新日期:2016-05-01 00:00:00

  • Perceptions of the Role of Mothers in the Disclosure and Nondisclosure of Child Sexual Abuse: A Qualitative Study.

    abstract::One of the aims of this research was to develop an understanding of the role mothers were perceived to play during the process of disclosure of child sexual abuse. Using narrative inquiry methodology, face-to-face in-depth interviews were conducted with 22 men and women who had an early sexual experience. Even though ...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2015.1092005

    authors: Hunter SV

    更新日期:2015-01-01 00:00:00

  • Treatment for juveniles who sexually offend in a Southwestern state.

    abstract::A 25-item questionnaire was mailed to sex offender treatment providers from counties with 60 or more reported juvenile sex offenders in a Southwestern state to determine the most effective treatment for juvenile sex offenders. Results indicated that cognitive behavioral therapy was the most successful reported approac...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10926770903307914

    authors: Ikomi PA,Harris-Wyatt G,Doucet G,Rodney HE

    更新日期:2009-11-01 00:00:00

  • Prevention of child sexual abuse: analysis and discussion of the field.

    abstract::Prevention of child sexual abuse is complicated, challenging, and highly necessary as sexual abuse of children and youth represents an extensive problem across the world. This article reviews the existing preventive interventions targeting children, parents, and professionals. An alternative way of organizing the chil...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章,meta分析,评审

    doi:10.1080/10538712.2013.811136

    authors: Zeuthen K,Hagelskjær M

    更新日期:2013-01-01 00:00:00

  • Creative Interventions for Preparing and Disclosing Trauma Narratives in Group Therapy for Child Sexual Abuse.

    abstract::Group therapy is a widely utilized and empirically supported treatment for victims of child sexual abuse (CSA). An important aspect of trauma-focused groups for CSA is the composition and presentation of a trauma narrative as part of a gradual exposure process. One challenge in the creation of a trauma narrative in gr...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2020.1801931

    authors: Shuman T,Johnson K,Lively Cookson L,Gilbert N

    更新日期:2020-08-26 00:00:00

  • Shadows into Light: The Investigative Utility of Voice Analysis with Two Types of Online Child-Sex Predators.

    abstract::Over 390,000 child sexual abuse victims in the United States have not yet been identified. Due to the increased prevalence of Internet-driven child-sex offenders (e.g., child pornographers and travelers), detection becomes more elusive, and disclosure elicitations are more challenging for law enforcement. The current ...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2019.1697780

    authors: Stathis MJ,Marinakis MM

    更新日期:2020-01-03 00:00:00

  • Can Legislation Alone Protect Devadasi Girls from Child Sexual Abuse and Exploitation?

    abstract::Girls in India continue to be sexually abused/exploited under the veil of traditional practices such as Devadasi dedication despite the existence of legislation meant to protect them from child sexual abuse. This study recounts the experiences of 30 Devadasi girls who were dedicated, initiated into sexual activity, an...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2020.1774696

    authors: Wilson B

    更新日期:2020-07-01 00:00:00

  • Child sexual abuse suspicions: treatment considerations during investigation.

    abstract::This article addresses what, if any, psychotherapeutic interventions should be provided to meet the emotional and clinical needs of alleged child victims of sexual abuse while they await judicial determinations from the family, dependency, or criminal courts. The discussion emphasizes that to minimize iatrogenic outco...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2010.512554

    authors: Kuehnle K,Connell M

    更新日期:2010-09-01 00:00:00

  • University Students' Perceptions of Child Sexual Offenders: Impact of Classroom Instruction.

    abstract::Research with the public suggests that knowledge about sexual offenders, especially child sexual offenders, is limited and often inaccurate. In general, the public tends to believe that adults who commit sex crimes against children are pedophiles or monstrous strangers who cannot be rehabilitated. However, there is so...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2018.1435598

    authors: Wurtele SK

    更新日期:2018-04-01 00:00:00

  • The Fears and Futures of Boy Victims of Sexual Abuse: An Analysis of Narratives.

    abstract::Qualitative analysis of boys' narratives about child sexual abuse revealed several themes, including memories of the abuse, the disclosure and subsequent events, the healing journey, and a meta-theme titled "fear and safety." In this article, boys' (N = 19) experiences related to fear and safety and the healing journe...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2017.1339223

    authors: Foster JM

    更新日期:2017-08-01 00:00:00

  • Effect of student vulnerability on perceptions of teacher-student sexual involvement.

    abstract::This study explored whether the vulnerability of an adolescent student affected perceptions of teacher sexual misconduct. Respondents (150 male and 150 female undergraduates) read scenarios depicting teacher sexual misconduct varied by respondent gender, gender dyad (male teacher-female student and female teacher-male...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2010.495700

    authors: Fromuth ME,Mackey AL,Wilson A

    更新日期:2010-07-01 00:00:00

  • The Stability of Retrospective Child Sexual Abuse Reports and its Association With Problem Avoidance.

    abstract::Due to reliability problems, use of retrospective measurement to assess child sexual abuse has long concerned researchers. Possible psychosocial causes of these reliability issues-including problem avoidance-have not been thoroughly studied. We tested the reliability of retrospective child sexual abuse measurement in ...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2017.1307892

    authors: Okeke NL,Wilkinson AV,Roberts RE

    更新日期:2017-08-01 00:00:00

  • An Investigation of Socially Advantaged and Disadvantaged Turkish Mothers' Views About Training on Preventing Children From Sexual Abuse.

    abstract::This study aims to investigate the views of socially advantaged (N = 8) and disadvantaged mothers (N = 8) whose children are aged between 48 and 66 months old about the issue of sexual abuse before and after the training provided to them. The views of mothers in both groups were investigated before and after the 5-wee...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2017.1292338

    authors: Sanberk İ,Emen M,Kabakçı D

    更新日期:2017-04-01 00:00:00

  • Post-traumatic stress disorder and quality of life in sexually abused Australian children.

    abstract::The study used publicly available data on post-traumatic stress disorder in a sample of the Australian population with a history of sexual abuse to demonstrate how this evidence can inform economic analyses. The 2007 Australian Mental Health Survey revealed that 8.3% of 993 adolescents experienced childhood sexual abu...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1080/10538712.2013.743953

    authors: Gospodarevskaya E

    更新日期:2013-01-01 00:00:00

  • Non-abusive mothers of sexually abused children. The role of rumination in maternal outcomes.

    abstract::This study of 125 mothers examined the role of rumination in maternal emotional and behavioral outcomes subsequent to discovery of the sexual abuse of their children. Abuse severity, a maternal history of child abuse experiences, and life hassles were examined as predictors of negative outcomes. The central finding wa...

    journal_title:Journal of child sexual abuse

    pub_type: 杂志文章

    doi:10.1300/J070v15n02_07

    authors: Plummer CA

    更新日期:2006-01-01 00:00:00