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To Tell or To Hide? Factors Influencing Child Victims' Disclosures of Sexual Abuse

Year 2022, , 991 - 1008, 29.07.2022
https://doi.org/10.33417/tsh.1022021

Abstract

Childhood sexual abuse is a complex life experience that is the subject of great community concern and has become the focus of many legal and professional initiatives. It has been documented in various studies in the literature that child sexual abuse, which is a global public health problem, has negative and long-lasting effects on subsequent mental health and psychosocial functioning, and has devastating consequences for the lives of those exposed to this type of abuse. For this reason, the explanation of the abuse to which the child has been exposed plays a critical role in ensuring that the protection and justice system implements child protection and intervention procedures and initiates therapeutic intervention. However, children and young people often prefer to hide their sexual abuse, which causes the abuse to continue and prevents the child from accessing support systems. So, a detailed understanding of the obstacles and facilitators in the way of explanation is of great importance for professionals and researchers working in the field. This literature review focuses on information, theoretical approaches and research findings aimed at explaining the sexual abuse suffered by children. In addition, practical implications and recommendations for experts and researchers working in the field are presented in the study.

References

  • Alaggia, R. (2010). An ecological analysis of child sexual abuse disclosure: Considerations for child and adolescent mental health. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19(1), 32–39.
  • Alaggia, R., Collin-Vézina, D., & Lateef, R. (2017). Facilitators and barriers to child sexual abuse (CSA) disclosures. Trauma, Violence, & Abuse, 152483801769731.
  • Altan-Aytun, Ö. (2019). Kendine zarar verme davranışı: Özellikleri, işlevleri ve travmatik yaşantılar, çocukluk örselenmeleri, kişilik özellikleri ve baş etme tutumlarının rolü. Doktora tezi. İstanbul Üniversitesi, Cerrahpaşa Adli Tıp Enstitüsü, İstanbul.
  • Arata, C. M. (1998). To tell or not to tell: Current functioning of child sexual abuse survivors who disclosed their victimization. Child Maltreatment, 3(1), 63–71.
  • Azzopardi, C. Madigan, S., & Kirkland-Burke, M. (2014). Sexual abuse forensic evaluation with young children: Program outcomes and predictors of disclosure. Journal of Child Custody, 11, 304-324.
  • Breckenridge, J., Salter, M., & Shaw, E. (2012). Use and abuse: Understanding the intersections of childhood abuse, alcohol and drug use and mental health. Mental Health and Substance Use, 5(4), 314–327.
  • Burgess, A. W., & Holmstrom, L. L. (1978). Accessory-to-sex: Pressure, sex, and secrecy. In A. W. Burgess, A. Groth, L. L. Holmstrom, & S. M. Sgroi (Eds.), Sexual assault of children and adolescents (pp. 85–98). Lexington, MA: Lexington Books
  • Bussey, K., & Grimbeek, E. J. (1995). Disclosure processes: Issues for child sexual abuse victims. In: K. J. Rotenberg (Ed.), Disclosure processes in children and adolescents (pp. 166 – 203). Cambridge: Cambridge Univ. Press.
  • Campbell, R., Dworkin, E., & Cabral, G. (2009). An ecological model of the impact of sexual assault on women’s mental health. Trauma, Violence & Abuse, 10(3), 225–246.
  • Chen, L. P., Murad, M. H., Paras, M. L., Colbenson, K. M., Sattler, A. L., Goranson, E. N., ... Zirakzadeh, A. (2010). Sexual abuse and lifetime diagnosis of psychiatric disorders: Systematic review and meta-analysis. Mayo Clinic Proceedings, 85(7), 618–629.
  • Chin, D., & Kroesen, K. W. (1999). Disclosure of HIV infection among Asian/Pacific Islander American women: Cultural stigma and support. Cultural Diversity & Ethnic Minority Psychology, 5(3), 222–235.
  • Chouliara, Z., Karatzias, T., & Gullone, A. (2014). Recovering from childhood sexual abuse: A theoretical framework for practice and research. Journal of Psychiatric and Mental Health Nursing, 21(1), 69–78.
  • Clark, R. E., Clark, J. F., & Adamec, C. (2007). The encyclopedia of child abuse. New York: Facts on File.
  • Coles, J., Lee, A., Taft, A., Mazza, D., & Loxton, D. (2015). Childhood sexual abuse and its association with adult physical and mental health. Journal of Interpersonal Violence, 30(11), 1929–1944.
  • De Voe, E.R., & Faller, K.C. (1999). The characteristics of disclosure among children who may have been sexually abused. Child Maltreatment, 4, 217-227.
  • DiPietro, E. K., Runyan, D. K., & Fredrickson, D. D. (1997). Predictors of disclosure during medical evaluation for suspected sexual abuse. Journal of Sexual Abuse, 6, 133–142.
  • Easton, S. D. (2014). Masculine norms, disclosure, and childhood adversities predict long-term mental distress among men with histories of child sexual abuse. Child Abuse & Neglect, 38(2), 243–251.
  • Easton, S. D., Kong, J., Gregas, M., Shen, C., & Shafer, K. (2018). Child sexual abuse and depressive symptoms in late life for men: A population-based, longitudinal analysis. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences.
  • Erel, Ö., ve Gölge, Z.B. (2015). Üniversite öğrencilerinde riskli davranışlar ile çocukluk çağı istismar, dürtüsellik ve riskli davranışlar arasındaki ilişki. Anadolu Psikiyatri Dergisi, 16, 189-97.
  • Faller, K.C. (2015). Forty years of forensic interviewing of children suspected of sexual abuse, 1974-2014: Historical benchmarks. Social Sciences, 4, 34-65.
  • Faller, K. C. (2020). The child sexual abuse disclosure controversy: New perspectives on an abiding problem. Child Abuse & Neglect, 99, 1–7.
  • Farrell, L. G. (1988). Factors that affect a victim’s self-disclosure in father–daughter incest. Child Welfare, 67, 462–468.
  • Finkelhor, D. (1984). Child sexual abuse: New theory and research. New York: Free Press
  • Finkelhor, D., & Browne, A. (1985). The traumatic impact of child sexual abuse: A conceptualization. The American Journal of Orthopsychiatry, 55(4), 530–541.
  • Flåm, A. M., & Haugstvedt, E. (2013). Test balloons? Small signs of big events: A qualitative study on circumstances facilitating adults’ awareness of children’s first signs of sexual abuse. Child Abuse & Neglect, 37(9), 633–642.
  • Gagnier, C., & Collin-Vézina, D. (2016). The disclosure experiences of male child sexual abuse survivors. Journal of Child Sexual Abuse, 25(2), 221–241.
  • Goldman, R., & Goldman, J. (1982). Children’s sexual thinking: A comparative study of children aged 5 to 15 years in Australia, North America, Britain, and Sweden. Boston, MA: Routledge & Kegan Paul.
  • Goodman-Brown, G. S., Edelstein, R. S., Goodman, G. S., Jones, D. P. H., & Gordon, D. S. (2003). Why children tell: A model of children’s disclosure of sexual abuse. Child Abuse & Neglect, 27, 525–540.
  • Gries, L. T., Goh, D. S., Andrews, M., Gilbert, J., Praver, F., Stelzer, D. N. (2000). Positive reaction to disclosure and recovery from child sexual abuse. Journal of Child Sexual Abuse, 9, 29–51.
  • Gries, L. T., Goh, D. S., & Cavanaugh, J. (1996). Factors associated with disclosure during child sexual abuse assessment. Journal of Child Sexual Abuse, 5, 1–19.
  • Güneş-Aslan, G. (2020). Çocuğa yönelik cinsel istismarın açığa vurulma süreci hakkında bir derleme. Toplum ve Sosyal Hizmet, 31(4), 1886-1912.
  • Hébert, M., Tourigny, M., Cyr, M., McDuff, P., & Joly, J. (2009). Prevalence of childhood sexual abuse and timing of disclosure in a representative sample of adults from Quebec. The Canadian Journal of Psychiatry, 54(9), 631–636.
  • Hemenover, S. H. (2003). The good, the bad, and the healthy: Impacts of emotional disclosure of trauma on resilient self-concept and psychological distress. Personality & Social Psychology Bulletin, 29(10), 1236–1244.
  • Hershkowitz, I., Lamb, M.E., & Katz, C. (2014). Allegation rates in forensic child abuse investigations: Comparing the revised and standard NICHD protocols. Psychology, Public Policy, and Law, 20, 336-344.
  • Hershkowitz, I., Lanes, O., & Lamb, M.E. (2007). Exploring the disclosure of child sexual abuse with alleged victims and their parents. Child Abuse & Neglect, 31, 111-124. Homma, Y., Wang, N., Saewyc, E., & Kishor, N. (2012). The relationship between sexual abuse and risky sexual behavior among adolescent boys: A meta-analysis. Journal of Adolescence Health, 51, 18–24.
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Söylemek Mi Gizlemek Mi? Çocuk Mağdurların Cinsel İstismarı Açıklamalarını Etkileyen Faktörler

Year 2022, , 991 - 1008, 29.07.2022
https://doi.org/10.33417/tsh.1022021

Abstract

Çocuklukta cinsel istismar, büyük bir topluluk endişesi konusu olan ve birçok yasal ve profesyonel girişimin odağı haline gelen karmaşık bir yaşam deneyimidir. Küresel bir halk sağlığı sorunu olan çocuk cinsel istismarının, sonraki ruh sağlığı ve psikososyal işleyiş üzerinde olumsuz ve uzun süreli etkileri olduğu ve bu istismar türüne maruz kalanların yaşamları için yıkıcı sonuçları bulunduğu literatürde çeşitli çalışmalarda belgelenmiştir. Bu nedenle çocuğun maruz kaldığı istismarı açıklaması; koruma ve adalet sisteminin çocuk koruma ve müdahale prosedürlerini uygulamasını sağlamak ve terapötik müdahaleyi başlatmak üzere kritik bir rol oynamaktadır. Ancak çocuklar ve gençler maruz kaldıkları cinsel istismarı çoğunlukla gizlemeyi tercih eder, bu da istismarın devam etmesine neden olur ve çocuğun destek sistemlerine erişimini engeller. Bu sebeple açıklamanın önündeki engellerin ve kolaylaştırıcıların ayrıntılı bir şekilde anlaşılması, alanda çalışan profesyoneller ve araştırmacılar için büyük önem taşımaktadır. Bu literatür incelemesi çocukların maruz kaldığı cinsel istismarı açıklamalarına yönelik bilgilere, kuramsal yaklaşımlara ve araştırma bulgularına odaklanmaktadır. Ayrıca çalışmada alanda çalışan uzmanlar ve araştırmacılar için pratik çıkarımlar ve öneriler sunulmaktadır.

References

  • Alaggia, R. (2010). An ecological analysis of child sexual abuse disclosure: Considerations for child and adolescent mental health. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19(1), 32–39.
  • Alaggia, R., Collin-Vézina, D., & Lateef, R. (2017). Facilitators and barriers to child sexual abuse (CSA) disclosures. Trauma, Violence, & Abuse, 152483801769731.
  • Altan-Aytun, Ö. (2019). Kendine zarar verme davranışı: Özellikleri, işlevleri ve travmatik yaşantılar, çocukluk örselenmeleri, kişilik özellikleri ve baş etme tutumlarının rolü. Doktora tezi. İstanbul Üniversitesi, Cerrahpaşa Adli Tıp Enstitüsü, İstanbul.
  • Arata, C. M. (1998). To tell or not to tell: Current functioning of child sexual abuse survivors who disclosed their victimization. Child Maltreatment, 3(1), 63–71.
  • Azzopardi, C. Madigan, S., & Kirkland-Burke, M. (2014). Sexual abuse forensic evaluation with young children: Program outcomes and predictors of disclosure. Journal of Child Custody, 11, 304-324.
  • Breckenridge, J., Salter, M., & Shaw, E. (2012). Use and abuse: Understanding the intersections of childhood abuse, alcohol and drug use and mental health. Mental Health and Substance Use, 5(4), 314–327.
  • Burgess, A. W., & Holmstrom, L. L. (1978). Accessory-to-sex: Pressure, sex, and secrecy. In A. W. Burgess, A. Groth, L. L. Holmstrom, & S. M. Sgroi (Eds.), Sexual assault of children and adolescents (pp. 85–98). Lexington, MA: Lexington Books
  • Bussey, K., & Grimbeek, E. J. (1995). Disclosure processes: Issues for child sexual abuse victims. In: K. J. Rotenberg (Ed.), Disclosure processes in children and adolescents (pp. 166 – 203). Cambridge: Cambridge Univ. Press.
  • Campbell, R., Dworkin, E., & Cabral, G. (2009). An ecological model of the impact of sexual assault on women’s mental health. Trauma, Violence & Abuse, 10(3), 225–246.
  • Chen, L. P., Murad, M. H., Paras, M. L., Colbenson, K. M., Sattler, A. L., Goranson, E. N., ... Zirakzadeh, A. (2010). Sexual abuse and lifetime diagnosis of psychiatric disorders: Systematic review and meta-analysis. Mayo Clinic Proceedings, 85(7), 618–629.
  • Chin, D., & Kroesen, K. W. (1999). Disclosure of HIV infection among Asian/Pacific Islander American women: Cultural stigma and support. Cultural Diversity & Ethnic Minority Psychology, 5(3), 222–235.
  • Chouliara, Z., Karatzias, T., & Gullone, A. (2014). Recovering from childhood sexual abuse: A theoretical framework for practice and research. Journal of Psychiatric and Mental Health Nursing, 21(1), 69–78.
  • Clark, R. E., Clark, J. F., & Adamec, C. (2007). The encyclopedia of child abuse. New York: Facts on File.
  • Coles, J., Lee, A., Taft, A., Mazza, D., & Loxton, D. (2015). Childhood sexual abuse and its association with adult physical and mental health. Journal of Interpersonal Violence, 30(11), 1929–1944.
  • De Voe, E.R., & Faller, K.C. (1999). The characteristics of disclosure among children who may have been sexually abused. Child Maltreatment, 4, 217-227.
  • DiPietro, E. K., Runyan, D. K., & Fredrickson, D. D. (1997). Predictors of disclosure during medical evaluation for suspected sexual abuse. Journal of Sexual Abuse, 6, 133–142.
  • Easton, S. D. (2014). Masculine norms, disclosure, and childhood adversities predict long-term mental distress among men with histories of child sexual abuse. Child Abuse & Neglect, 38(2), 243–251.
  • Easton, S. D., Kong, J., Gregas, M., Shen, C., & Shafer, K. (2018). Child sexual abuse and depressive symptoms in late life for men: A population-based, longitudinal analysis. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences.
  • Erel, Ö., ve Gölge, Z.B. (2015). Üniversite öğrencilerinde riskli davranışlar ile çocukluk çağı istismar, dürtüsellik ve riskli davranışlar arasındaki ilişki. Anadolu Psikiyatri Dergisi, 16, 189-97.
  • Faller, K.C. (2015). Forty years of forensic interviewing of children suspected of sexual abuse, 1974-2014: Historical benchmarks. Social Sciences, 4, 34-65.
  • Faller, K. C. (2020). The child sexual abuse disclosure controversy: New perspectives on an abiding problem. Child Abuse & Neglect, 99, 1–7.
  • Farrell, L. G. (1988). Factors that affect a victim’s self-disclosure in father–daughter incest. Child Welfare, 67, 462–468.
  • Finkelhor, D. (1984). Child sexual abuse: New theory and research. New York: Free Press
  • Finkelhor, D., & Browne, A. (1985). The traumatic impact of child sexual abuse: A conceptualization. The American Journal of Orthopsychiatry, 55(4), 530–541.
  • Flåm, A. M., & Haugstvedt, E. (2013). Test balloons? Small signs of big events: A qualitative study on circumstances facilitating adults’ awareness of children’s first signs of sexual abuse. Child Abuse & Neglect, 37(9), 633–642.
  • Gagnier, C., & Collin-Vézina, D. (2016). The disclosure experiences of male child sexual abuse survivors. Journal of Child Sexual Abuse, 25(2), 221–241.
  • Goldman, R., & Goldman, J. (1982). Children’s sexual thinking: A comparative study of children aged 5 to 15 years in Australia, North America, Britain, and Sweden. Boston, MA: Routledge & Kegan Paul.
  • Goodman-Brown, G. S., Edelstein, R. S., Goodman, G. S., Jones, D. P. H., & Gordon, D. S. (2003). Why children tell: A model of children’s disclosure of sexual abuse. Child Abuse & Neglect, 27, 525–540.
  • Gries, L. T., Goh, D. S., Andrews, M., Gilbert, J., Praver, F., Stelzer, D. N. (2000). Positive reaction to disclosure and recovery from child sexual abuse. Journal of Child Sexual Abuse, 9, 29–51.
  • Gries, L. T., Goh, D. S., & Cavanaugh, J. (1996). Factors associated with disclosure during child sexual abuse assessment. Journal of Child Sexual Abuse, 5, 1–19.
  • Güneş-Aslan, G. (2020). Çocuğa yönelik cinsel istismarın açığa vurulma süreci hakkında bir derleme. Toplum ve Sosyal Hizmet, 31(4), 1886-1912.
  • Hébert, M., Tourigny, M., Cyr, M., McDuff, P., & Joly, J. (2009). Prevalence of childhood sexual abuse and timing of disclosure in a representative sample of adults from Quebec. The Canadian Journal of Psychiatry, 54(9), 631–636.
  • Hemenover, S. H. (2003). The good, the bad, and the healthy: Impacts of emotional disclosure of trauma on resilient self-concept and psychological distress. Personality & Social Psychology Bulletin, 29(10), 1236–1244.
  • Hershkowitz, I., Lamb, M.E., & Katz, C. (2014). Allegation rates in forensic child abuse investigations: Comparing the revised and standard NICHD protocols. Psychology, Public Policy, and Law, 20, 336-344.
  • Hershkowitz, I., Lanes, O., & Lamb, M.E. (2007). Exploring the disclosure of child sexual abuse with alleged victims and their parents. Child Abuse & Neglect, 31, 111-124. Homma, Y., Wang, N., Saewyc, E., & Kishor, N. (2012). The relationship between sexual abuse and risky sexual behavior among adolescent boys: A meta-analysis. Journal of Adolescence Health, 51, 18–24.
  • İnhanlı, D. (2016). Madde kullanımı ile çocukluk örselenme yaşantıları ve algılanan sosyal destek arasındaki ilişki. Yüksek lisans tezi. İstanbul Üniversitesi, Adli Tıp Enstitüsü, Sosyal Bilimler Ana Bilim Dalı.
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There are 81 citations in total.

Details

Primary Language Turkish
Subjects Sociology (Other)
Journal Section Articles
Authors

Tuğba Türkkan 0000-0002-3955-6597

Hatice Odacı 0000-0002-2080-6269

Publication Date July 29, 2022
Submission Date November 11, 2021
Published in Issue Year 2022

Cite

APA Türkkan, T., & Odacı, H. (2022). Söylemek Mi Gizlemek Mi? Çocuk Mağdurların Cinsel İstismarı Açıklamalarını Etkileyen Faktörler. Toplum Ve Sosyal Hizmet, 33(3), 991-1008. https://doi.org/10.33417/tsh.1022021