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The purpose of this paper is to examine adult survivors’ of childhood sexual abuse (CSA) retrospective reflections on their motives for not disclosing their abuse. The aim was to identify factors that might facilitate early disclosure in order to both enhance the future safety of young people who have experienced sexual victimisation and to offer a means of reducing the numbers of future victims.

This was a retrospective web-based, mixed-methods survey which was completed by 183 adult survivors of CSA. The data presented here is in relation to answers offered in response to an open-ended question which were thematically analysed.

In all, 75 per cent of the survivors of CSA indicated that they had not told anyone of the abuse whilst they were a child. Analysis of the responses revealed five barriers to disclosure which included: a lack of opportunity, normality/ambiguity of the situation, embarrassment, concern for others and a sense of hopelessness. Additionally, some respondents highlighted implicit attempts to disclose and others reported later regret over non-disclosure.

A timely disclosure of CSA, which is appropriately responded to, has the potential to reduce the risk for subsequent sexual exploitation/revictimisation, and to foreshorten the predations of offenders. To achieve this, responsible and trusted adults in the lives of children need to learn how to invite a genuine disclosure of CSA.

This paper offers practical suggestions for parents and teachers on what signs indicate that an invitation might be warranted and for creating the right context for their invitation to be accepted.

Few studies assess how child abuse and neglect (CAN) affects adolescents’ mental health. Further, the majority of studies conducted to date discount the individual CAN items and report overall prevalence rates for different types of abuse and neglect. The purpose of this study was to examine the levels of and gender differences in CAN subtypes, lifetime prevalence of individual CAN items and the contribution of different CAN subtypes for explaining depression, anxiety and irritability.

The sample included Jamaican (n = 7,182, 60.8% female) and Ugandan (n = 11,518, 52.4% female) youths. The authors used a population-based cross-sectional study design. Youths completed an anonymous survey in school settings.

The authors found gender differences in the levels of CAN subtypes. Maltreatment behaviors of lesser severity were more commonly endorsed by the youths than those of greater severity. Neglect and emotional abuse were the strongest correlates of depression (e.g. neglect: ß = 0.23, among Jamaican youths; emotional abuse outside-the-home: ß = 0.23, among Ugandan girls), anxiety (e.g. neglect: ß = 0.17, among Ugandan girls; emotional abuse outside-the-home: ß = 0.27, among Ugandan girls) and irritability (e.g. emotional abuse in-the-home: ß = 0.17, among Jamaican boys; emotional abuse outside-the-home: ß = 0.17, among Ugandan girls) in most samples.

These findings will inform policymakers and professionals working with youths in Jamaica and Uganda, providing comprehensive contemporary insights beyond existing research in these regions.

This narrative review explored the efficacy of school-based child sexual abuse prevention programmes between 1990 and 2002. There were 22 efficacy studies that met clear inclusion criteria. Results covered both methodological design and the range of outcome measures. Methodology was analysed through four dimensions (target population, prevention programme implementation, evaluation methodology and cost-effectiveness). Outcomes for children covered nine categories (knowledge, skills, emotion, perception of risk, touch discrimination, reported response to actual threat/abuse, disclosure, negative effects and maintenance of gains). The studies had many methodological limitations. Prevention programmes had a measure of effectiveness in increasing children ' s awareness of child sexual abuse as well as self-protective skills. Beyond minimal disclosure rates, there was no evidence to demonstrate that programmes protected children from intra-familial sexual abuse. For a small number of children prevention programmes produced minimal negative emotional effects. Recommendations for future research, policy and practice, include realistic outcomes for child participants and locating programmes within wider abuse prevention measures.

The purpose of this paper is to identify the demographic characteristics, psychological and mental health difficulties, victimisation histories, and offending behaviours of New Zealand child pornography offenders (CPOs) who presented to community-based treatment. Findings are compared with national and international research, and with population norms. Such comparisons can help identify factors that may play a role in the development of child pornography (CP) consumption and potential treatment needs for this population.

A file audit of assessment information and service exit reports was conducted of 46 CPOs who were referred to community-based treatment service in New Zealand.

CPOs were predominantly male, European, and unemployed. Most CPOs were single or separated/divorced, and had no friends or one to five friends, which indicates possible social functioning difficulties, including intimacy. Mental health issues, such as depression and anxiety, loneliness, and childhood abuse appear to be elevated among CPOs in comparison with general population norms. Prior to referral, one-third had engaged in contact sexual offending and most had no non-sexual offending history. CP was often in the form of photos or images, and contained European pre-pubescent females. CPOs’ mental health, social isolation, intimacy deficits, and childhood abuse could be treatment targets for this population.

Limited research has been conducted concerning New Zealand CPOs. Furthermore, studies often do not compare findings with general population norms, which can help identify factors prevalent among the CPOs and treatment needs for this population.

This case study illustrates the rehabilitation of a woman who suffered chronic sexual, physical and emotional abuse throughout childhood that resulted in 20 years of secure psychiatric care and a ‘psychopathic personality’ diagnosis. Rehabilitation used a survivor‐orientated approach to resolve symptoms of posttraumatic stress disorder, institutionalisation and a dysfunctional narrative.

This review aims to focus on men who access, download, and circulate child abuse images across the internet as the most frequently occurring type of internet sex offender.

Some of the misconceptions associated with this behaviour are outlined and the extent to which internet offenders display some of the criminogenic factors thought to be associated with the multi‐factorial theories of sexual offending are reviewed.

One conclusion from this is paper is the general impression that internet offenders show many of the characteristics of paedophiles. Their theoretical importance is that they appear to be “desisters” from acting out their sexual interest in children by hands‐on offending.

It is argued that there is a need for more research to stimulate our understanding of this type of offender. Furthermore, what of those who both download material and offend directly against children? They present a dilemma for the literature as some research would suggest that they are not entirely like the internet or the contact sexual offenders in their psychological make‐up; they are the group most in need of reappraisal.

This paper explores sexual health, the problems faced by women with severe and persistent mental illness (SPMI) in attaining sexual health, and concerns about sexual vulnerability. It goes on to look at the difficulties faced by women detained in a medium secure unit. It describes the development, running and evaluation of a pilot sexual health group aimed at meeting some of the needs highlighted in the literature.

There have been many studies that demonstrated an association between sexual trauma and psychotic disorders or psychotic symptoms. Limited attention has been paid to gender differences regarding this association. A recent study evidenced that the trauma-psychosis association may be moderated by gender and that the effect may be specific for females. However, there have been many methodological limitations, particularly that low prevalence of psychosis and sexual trauma for males leads to low statistical power, that have made this hypothesis difficult to test. The paper aims to discuss these issues.

This study sought to estimate the association between sexual trauma and psychosis, and to determine if the association was moderated by gender using data from the Survey of Psychiatric Morbidity among Prisoners in England and Wales (n=3,142).

Bivariate analysis showed that sexual trauma predicted probable psychosis for both females (OR=4.13) and males (OR=4.72). After controlling for confounding variables the odds ratios for males and females did not differ significantly (the shared odds ratio was 2.60) indicating that the association was not moderated by gender.

The relationship between sexual abuse and psychosis may neither be specific to, nor moderated by, gender.

In this chapter, the authors focus on a range of Australian news articles selected for their relevance to key themes in the area of child abuse and examine two high profile cases of child abuse deaths that were extensively reported on by the media and led to system reform. Challenges for media reporting on child abuse in Australia including a changing media landscape, lack of available child abuse data and lack of publicly available serious case reviews are discussed. The authors argue that there is a need for attention to be paid to children's resistance and agency in the context of violence and abuse to counter the objectification of children and uphold their rights. Following Finkelhor (2008), the authors argue that media reporting on child abuse in Australia reflects a general approach to child abuse that is fragmented, with different types of abuse viewed as separate from one another, and call for a more integrated understanding of child abuse. The authors highlight the complexity of media responses to child abuse in Australia, noting that while the social problem of child abuse can be misrepresented by the media, media reporting has also triggered significant systemic reform and advocated for children in cases where other systems failed them.

The increasing rate of imprisonment of women in the United States and the over‐representation of women victims of violence in the corrections system confirms that there are long‐term, often substantially debilitating consequences to women victims of intimate partner violence, sexual violence and youth maltreatment and injury, including incarceration. As part of a study funded by the National Institute of Justice, the authors pursued an exploration of the personal risks, resiliencies and life opportunities that make a difference in the lives of women who have ended up incarcerated. The findings of this study about the prevalence and consequences of youth maltreatment and adult victimization and the mitigating factors, which may have had an impact on the life trajectories of adult incarcerated women will be reviewed. Recommendations will be given for preventive and interventive policy and practice measures that stand to reduce the negative consequences of victimization, particularly those that can prevent incarceration.