Intrafamilial Child Sexual Abuse Research Articles

L'expérience subjective des femmes de diverses origines ethniques victimes d'agressions sexuelles intrafamiliales pendant l'enfance: Deux études de cas

IntroductionChild sexual abuse (under 18 years old) in women is a widespread problem in all communities, with many serious consequences. Although there are several studies concerning victims of sexual assault, few focuses on their experiences by taking ethnocultural aspects into account. Moreover, although internal attribution is common among victims, i.e., feelings of guilt and shame, few studies explore this aspect in victims from different ethno-cultural backgrounds. However, specific values in different cultures can influence the emotions victims feel and, thus their experiences. ObjectiveThis article aims to explore the experiences of victims of intrafamilial child sexual abuse from different ethno-cultural backgrounds. MethodTwo case studies were carried out. Data were collected through individual semi-structured interviews with two women from different ethnocultural backgrounds who were victims of intrafamilial child sexual abuse. ResultsThe results reveal some similarities between the experiences of these two volunteers, despite their diverse backgrounds, notably concerning the relationship with their mother, gender roles, cultural differences, identity issues, sexuality, feelings of shame and guilt, and consequences of sexual assault. ConclusionThis study highlights the importance of conducting more research on the subject to understand their experiences better. This will enable us to assess their needs better and provide appropriate support.

It’s More Than a Matter of Trust: What Parents and Young Children Need to Know to Prevent Intrafamilial Child Sexual Abuse

ABSTRACT Programs aimed at preventing child sexual abuse typically focus on skilling up young children and, to a lesser extent, parents by imparting a range of protective messages. Many sexual abuse prevention programs include a focus on identifying or vetting “safe” or “trustworthy” people. The authors qualitatively analyzed the content of narratives from individuals with childhood experience of intrafamilial sexual abuse, an under-represented voice in the development of child sexual abuse prevention programs. The analysis of impediments to protection indicated that, within the family context, reductionistic judgments of familiar individuals’ perceived safety or trustworthiness impaired child safety. In addition to adults and children being unable to recognize sexually abusive behavior and warning signs, child-victim survivor narratives highlighted the barriers for prevention in family environments characterized by maltreatment, a lack of child rights or that were unsupported by external authorities. Implications for the content of messages young children and their parents need to prevent child sexual victimization in the context of everyday family life are discussed.

“I read about it in that book” – towards a child safe approach to literature

ABSTRACT A reluctance to speak about child sexual abuse that occurs in domestic settings complicates the dissemination of accurate prevention information to families. Fiction can provide context that assists to translate evidence-based prevention strategies in everyday ways, but to do so safely necessitates careful consideration of ethics. Five modern works of fiction were analysed to determine how intrafamilial child sexual abuse was elucidated and how the novels aligned with empirical findings. The results are considered with respect to developing a child safe approach to literature – a framework for critiquing literature that prioritises children's rights to safety over authorial rights to creative expression. Consideration is also given to how child welfare organisations, practitioners, policy makers and researchers might harness a child safe approach to fiction to disseminate accurate prevention information. PRACTICE IMPACT STATEMENT This review of modern works of fiction about intrafamilial child sexual abuse considers how the abuse is represented by contemporary authors. Reviewing fiction through a child safe lens permits critical examination of the myths reinforced or dispelled by the work. Adopting a child safe approach to fiction potentially affords practitioners, researchers, agencies and advocates an avenue to disseminate accurate prevention information that can reach individuals in everyday settings.

“Stigmatization and perceived dangerousness for intrafamilial child sexual abuse of fathers with a history of sexual offenses and paraphilic interests: Results from a survey of legal psychological experts”

BackgroundIntrafamilial child sexual abuse (ICSA) is a puzzling phenomenon that is not well understood by researches. Nevertheless, psychologists are demanded to assess the risk for child maltreatment by family courts regarding male caregivers with a history of sex offenses and/or paraphilic interests. ObjectiveThe aim of this study was to assess legal psychological experts' perspective on risk assessment in family court proceedings regarding ICSA, their opinions regarding the necessity of contact limitations between fathers/stepfathers who might impose a risk for ICSA, and experts' stigmatization of minor-attracted persons. Participants and setting153 psychological experts working in family court proceedings were assessed via an online survey. MethodJahnke's Stigma Inventory was used as well as a questionnaire tapping into different contact limitations, the perception of child maltreatment risk, and parental capacity. Network analysis was conducted to multivariately investigate item intercorrelations. ResultsFathers/stepfathers with a diagnosed pedophilic disorder are being regarded as most dangerous, 71 % of the experts agreed with the necessity of a complete contact ban. Reduced parental capacity and increased risk for child maltreatment was observed with regard to sexual offending history and paraphilias. ConclusionsPsychological experts in family court proceedings hardly discriminate between sexual offending and paraphilic interests which might be associated with stigmatizing attitudes and lack of experience. An increasing cooperation between family psychologists and experts of forensic risk assessment might reduce the risk of stigmatization and may contribute to more adequate risk assessments for ICSA thus aiding to prevent children from sexual victimization or misinformed risk management interventions.

Differential Profiles of Sexually Abused Adolescent Boys

ABSTRACT Victims of child sexual abuse (CSA) are a heterogeneous population. Several characteristics may influence the outcomes associated with this adverse childhood experience, including personal (e.g. age) and CSA characteristics (e.g. relationship to the perpetrator). This study relied on a person-centered approach to account for this heterogeneity and focused on adolescent boys, an understudied population. Data were drawn from a representative sample of high school students aged 14 to 18 years old in Quebec, Canada. A total of 3.9% (n = 138) of boys reported CSA. Various CSA characteristics (severity, relationship to the perpetrator, and number of events) were used as indicators to derive classes. A four-class solution emerged from the latent class analysis: CSA in a sports context (6%), intrafamilial CSA (8%), extrafamilial CSA (52%) and multiple CSA (34%). The multiple CSA profile included boys who were sexually abused in multiple situations by different perpetrators and who were victims of acts involving penetration. The exploration of correlates associated with class membership revealed that adolescent boys included in the multiple CSA profile were distinguished by higher rates of delinquent behaviors and alcohol and drug use. They were more likely than members of other latent classes to belong to sexual minorities. This exploratory study sheds light on sexually victimized adolescent boys and the deleterious consequences that may affect them, particularly boys who have experienced multiple CSA events. We conclude that prevention efforts should focus on the demystification of sexual trauma among boys and on using trauma-informed care approaches for adolescent externalizing behaviors.

“I screamed but then realized nobody was listening”: Exploration of the presence of others during intrafamilial child sexual abuse through survivors' testimonies from the Israeli Independent Public Inquiry

AbstractIntrafamilial child sexual abuse (IFCSA) is perceived as a crime perpetrated without witnesses. Nevertheless, researchers have explored two main aspects of the others present during abusive incidents: bystanders in extra‐familial child sexual abuse and bystanders' decisions of whether to become involved. However, there is a lack of knowledge regarding how children and survivors perceive and experience the presence of others during abusive incidents. The current study examined survivors' experiences and perceptions concerning the presence of others during IFCSA based on their written testimonies for an independent inquiry. Of the more than 500 written testimonies sent to an independent Israeli inquiry, 16 addressed IFCSA and the others present. Inductive thematic analysis was conducted, and four main themes were identified: survivors' perceptions of others, others' responses to the abuse, familial dynamics with others during abuse, and acceptance. The discussion addresses the phenomenon of the presence of others during IFCSA and related theories of trauma and family dynamics. The findings challenge the social perception of IFCSA as a secret, highlighting the awareness that characterizes it in reality, as illustrated in the survivors' testimonies. This emphasizes the urgent need for policy‐makers and professionals to promote the publicness of IFCSA instead of maintaining its secrecy.

Children’s perspectives on family members’ needs and support after child sexual abuse

Intra-familial child sexual abuse is acknowledged to have wide-reaching impacts within the family environment; impacts that can affect both non-abusing family members’ own wellbeing and their capacity to support the child who has been abused. Yet research also demonstrates the important role that can be played by family members, in the aftermath of the identification of abuse, when appropriately supported. This article builds on this existing evidence base (that is primarily drawn from research with parents/carers and professionals) through analysing a unique qualitative data set, developed using interviews and a creative ‘toolkit’ approach with 53 children and young people (aged 6–19 years), who had experienced sexual abuse in the family environment. The article explores their perspectives on the wider family impacts of identification of abuse, their perceptions of the associated support needs of other family members and their understanding of how this relates to their own recovery. The findings firstly suggest the need to recognise children’s relationships with non-abusing family members as a fundamental and interdependent aspect of their recovery in the aftermath of sexual abuse in the family environment. Secondly, they demonstrate the need to recognise the high levels of (self-perceived) responsibility that child victims experience for impacts on their non-abusing family members. Finally, they highlight how professional support to non-abusing family members is explicitly identified as an unmet need by children themselves, and how crucial it is to alleviate what children describe as the ‘ripple effect’ of additional challenges and harms emanating after abuse is identified. The article concludes by considering the implications of these findings, further strengthening arguments around the importance of viewing children’s needs relationally and the unique and critical insights to be gained from involving children in research addressing child sexual abuse.

Recovering the Lost Soul: Older Women's Reflections on Past Intrafamilial Child Sexual Abuse.

Intrafamilial child sexual abuse (IFCSA) is a social problem with longstanding effects on victims' lives. While scholarly literature has focused on the adverse aftermath of sexual abuse, only a few studies have acknowledged older women's perspectives on their experience of IFCSA and their journey of healing and recovery. The aim of the present study was to explore how older survivors of IFCSA construct and shape their experience of healing in later life and the meaning they assign to this process. Narrative inquiry was selected to explore the narratives of 11 older women survivors of IFCSA. Participants were interviewed using a biographical narrative interviewing method. The narratives were then transcribed and analyzed using thematic, structural, and performance analyses. Four major themes emerged from the participants' narratives: Achieving closure; Spiritual framing of IFCSA as a platform for self-growth; Becoming whole in old age; and Looking to the future after IFCSA. During the aging years, IFCSA survivors may redefine their identity and their place in the world. Using life review processes, older women in this study were striving to heal and reconcile with their past.

Syndemic Profiles and Sexual Health Risks Among Sexually Exploited Adolescent Girls in Taiwan: A Latent Class Analysis.

Sexually exploited adolescent girls are disproportionately affected by adverse psychosocial conditions, such as intra-familial child physical and sexual abuse, extra-familial violence and sexual assault, alcohol and drug use, and suicide. Syndemic theory suggests that these adverse psychosocial or syndemic conditions are concentrated and co-occurring in socially marginalized populations, including sexually exploited adolescents, and increase their sexual health risks, including pregnancy, abortion, and the acquisition of sexually transmitted diseases (STDs). To examine clusters of syndemic conditions, latent class analysis (LCA) was conducted to classify 335 sexually exploited girls in Taiwan into subgroups based on their probability of experiencing each syndemic condition. We used syndemic class membership to predict their sexual health outcomes, specifically pregnancy, abortion, and the acquisition of STDs. The results of LCA revealed three classes, which were "low-risk syndemic," "moderate-risk syndemic," and "high-risk syndemic." The risk of acquisition of STDs among sexually exploited girls in the "high-risk syndemic class" and "moderate-risk syndemic class" was 239% and 135% higher, respectively, than the risk of acquisition of STDs among sexually exploited girls in the "low-risk syndemic class." Differences between these three classes in pregnancy and abortion were not significant. Our findings support the syndemic theory that a pattern of syndemic conditions is associated with an increased risk of acquiring STDs. Interventions aimed at reducing the acquisition of STDs among sexually exploited girls in Taiwan should adopt a comprehensive approach to address co-occurring conditions.

The lifetime prevalence of child sexual abuse assessed in young adults in Lithuania

ObjectiveWe examined the prevalence of different types of childhood sexual abuse (CSA) in Lithuania focusing on how these experiences were related to victim's age and relationship to the perpetrator. MethodsThe participants came from a representative household survey of youth aged 18–29 and the sample consisted of 2000 participants (47.7 % women) with a mean age of 23.9 years (SD = 3.6). The ISPCAN Child Abuse Screening Tool Retrospective version (ICAST-R, Dunne et al., 2009) for young adults was used to investigate childhood exposure to CSA. Both current sociodemographic information and information on circumstances during childhood (e.g., number of siblings, family members with whom the participant lived between 7 and 12 year of age) were collected. ResultsThe prevalence of any CSA experience before the age of 18 was 15.9 %, with higher rates for women (13.5 % and 18.5 % for men and women, respectively). Being spoken to in a sexual way or sexual things being written about the person was the most prevalent form of CSA. In contrast, number of victims that reported sexual intercourse was much lower. The most common type of perpetrator was another young person. Intrafamilial CSA was rare with higher risk in step-relationships. ConclusionsOur study provides representative prevalence estimates of the CSA in a region for which such estimates were not previously available. These Lithuanian estimates correspond well with previous literature. Importantly, the findings point to peers being an important perpetrator group in CSA cases. This and other findings can inform the planning of relevant policy measures and actions to both prevent CSA and investigate cases effectively.

Improving professional practice in the investigation and management of intrafamilial child sexual abuse: Qualitative analysis of serious child protection reviews

BackgroundLocal multi-agency case reviews are regularly held in England when children have suffered significant harm from abuse or neglect, including from child sexual abuse (CSA). Most CSA takes place within families, is common but under-reported and can cause long-term harm. ObjectiveThe aim was to analyse English child protection reviews relating to intrafamilial CSA to identify improvements for professional practice. Participants and settingLocal Child Safeguarding Practice Reviews (LCSPRs) and Serious Case Reviews (SCRs) relating to serious incidents of intrafamilial CSA occurring between 01 April 2017 and 31 March 2020. MethodsLCSPRs and SCRs were obtained from the National Case Review Repository and thematically analysed. ResultsThere were 243 reviews, of which 25 featured intrafamilial CSA. The main themes related to perpetrators, vulnerable families, and professional practice. Half of perpetrators were known by services to have previously abused children, but issues with professional practice enabled them to continue. Most children did not disclose CSA verbally showing challenging or sexualised behaviour; but professionals lacked knowledge and confidence on how to intervene without verbal disclosure, which limited safeguarding actions. Non-engagement by families with services was common, with some non-abusing parents complicit in abuse and deception. Significant neglect occurred in half the families, which diverted professional attention away from CSA. ConclusionCSA is deliberate abuse of children involving considerable deception by perpetrators in contrast to some other types of child abuse. This difference in abuser behaviour makes child protection more difficult, particularly when professionals do not recognise and respond to children's non-verbal disclosures.

Not a happy story. A love story: Professional perceptions of love in families with child sexual abuse in two US mid-Atlantic Child Advocacy Centers

BackgroundAlthough research on child sexual abuse (CSA) has greatly evolved, studies revealing survivors' conflicting feelings towards their perpetrators and family members are scarce. Professionals' perceptions of love in intrafamilial CSA are often overlooked. ObjectiveThe current study examined the perceptions of professionals working on CSA multidisciplinary teams (MDT). The research questions were: (1) How do professionals define love in families with CSA? (2) What are professionals' perceptions of parental love in families with CSA? (3) What are professionals' perceptions of love from the abused child towards their parents and siblings? (4) What are the differences between professionals' perceptions of love and those of the families they serve, and how do professionals deal with these different perceptions during interventions? MethodFive focus groups with a total of 34 child advocacy center (CAC) and MDT professionals from two CACs in the US mid-Atlantic region were conducted virtually and analyzed using a thematic approach. ResultsThe findings indicated that professionals recognized parental love at the center of familial child sexual abuse (FCSA) cases and its range from benevolent and healthy to maladaptive, offensive love. Professionals also recognized the mechanisms enabling children's love for both offending and non-offending parents and complex expressions of love between siblings, even when one sibling sexually abused another. ConclusionsThis study highlights the importance of promoting discourse on love in cases of intrafamilial CSA. Recognizing and embracing the complexity of love bonds may empower the abused child and support their need to believe in their parents' love.

"Our family sleeps deeply": The Presence of Others During Intrafamilial Child Sexual Abuse as Conveyed By Girls From Diverse Communities in Israel.

Child sexual abuse (CSA) is generally perceived as a crime perpetrated out of sight, without witnesses. Nevertheless, several researchers have explored the presence of others during incidents of abuse in regards to two main aspects: bystanders in extrafamilial CSA and bystanders' decisions whether or not to get involved. However, there is a dearth of knowledge regarding how children who experience abuse perceive and experience the presence of others during abusive incidents. The current study was designed to examine the experiences and perceptions of girls who experienced intrafamilial CSA (IFCSA) with respect to the presence of others, as conveyed during their forensic interviews. A thematic analysis of 24 forensic interviews was conducted with secular Jewish, ultra-Orthodox Jewish, and Muslim Arab girls, aged 4-14. The analysis identified four main themes: (a) the girls' perceptions of others' awareness of them being abused, (b) the girl's experiences of loneliness, (c) the girls' experiences of disclosing to the others present during the abuse, and (d) family dynamics. The discussion highlights the unique, multifaceted and elusive dynamics of IFCSA, calling into question the commonly held view that it happens only in secret. The girls' narratives highlighted their distress and pointed to the abusive and unbearable daily routine in which they live. In spotlighting their encounters with IFCSA, the girls focused on the feelings of guilt, shame, and isolation they experienced.

“She was willing to send me there”: Intrafamilial child sexual abuse, exploitation and trafficking of boys

BackgroundBoys subject to intrafamilial child sexual exploitation and abuse (CSEA) - in particular, cases which begin as incest and later evolve into child trafficking for sexual exploitation - face many barriers in disclosing their exploitation, often leaving victims and survivors feeling isolated from society and dismissed or mishandled by service providers such as law enforcement officers, child protection specialists, medical staff and mental health professionals. ObjectiveThis study explores the unique characteristics of intrafamilial CSEA through the sex trafficking of boys, and the barriers to disclosure and recovery experienced by male victims and survivors. Participants and settingTen adult male survivors of intrafamilial child trafficking for sexual exploitation were interviewed multiple times to gain a deeper understanding of intrafamilial CSEA and how it compares and contrasts with non-familial CSEA. Participants in this study primarily came from North America. MethodologyMultiple semi-structured online interviews were conducted with these 10 adult male survivors because they experienced 1) intrafamilial CSEA and 2) being trafficked by their families to be sexually exploited by non-familial perpetrators. The participants were then asked to compare and contrast intrafamilial and non-familial CSEA. The research team employed a descriptive phenomenological approach and interview transcripts were coded, analyzed, and compared to identify patterns of non-verbal CSEA indicators and thematic narratives. The study also explored the internal and external barriers to disclosure reported by participants. Trauma-informed, person-centered practices were used throughout the entirety of the study to minimize harm to participants. The research team employed a co-productive approach using participants' initial interviews and feedback to formulate new questions for later rounds of interviews and by having the participants confirm the accuracy of their respective quotes and case summaries. Results and discussionThis study highlights several CSEA modalities, such as “boy-swap” events and local/national/transnational trafficking rings engaged in CSEA of boys. It also discusses how survivors' experiences differed between intrafamilial and non-familial CSEA and trafficking, and how familial settings may facilitate concealment of CSEA. Participants described various modus operandi used by abusers, traffickers, and buyers of all genders. While all 10 intrafamilial CSEA cases included male perpetrators, female perpetrators were also present in nine of them. In addition, participants identified various psychological and physiological CSEA and trafficking indicators that evidenced their victimization during their childhood years. All 10 survivors reported long-term health consequences into adulthood and scored highly on Adverse Childhood Experiences (ACEs) questionnaires. Recommendations and conclusionFindings underscore the importance of trauma-informed practices for identifying, liberating, and rehabilitating victims and survivors. Participants reported receiving more effective assistance from service providers that exhibited trauma-informed practices. Traditional gender stereotypes may hinder the ability of service providers to recognize and provide support to boys victimized and trafficked by their families for CSEA. Consequently, service providers may stand to benefit from training on 1) trauma-informed, person-centered practices and 2) conscious and unconscious biases, particularly those related to gender. Survivors in recovery require expanded support services, such as the provision of safe housing, online/in-person support communities, and professional/life skill training. Co-productive research methods that integrate the views and experiences of CSEA and trafficking survivors are also recommended.

CRIMINAL JUSTICE DATA ANALYSIS FOR UNDERSTANDING CHARACTERISTICS OF PERPETRATORS IN CHILD SEXUAL ABUSE WITHIN THE FAMILY- A STUDY ON REPORTED CASES IN A DISTRICT OF DELHI

It may be discerned that the responsibility of the abuse lies fully with the adult (the perpetrator or the offender) who sexually victimizes the child. All the explanations regarding why and who engages in sexual activity with children revolves mostly around the psychology of the offender indicated in various related texts. The personality of the offenders who indulge in sexual activity with children was thought to be inflicted with psychological abnormalities, which may result in an inappropriate sexual interest in children. The perspective in terms of the profile of offender in such cases become important for understanding the social reality surrounding the problem of incest against children. Criminal Justice data indeed helps providing an insight into the nature of such cases reported and relating factors. The present work entails the information constellated from the actual incidences in one of the districts in Delhi (India), with the knowledge base for developing clarity on the problem of intra-family child sexual abuse. The author also uses Routine Activity Theory as theoretical framework for criminological insights into the problem under study. Lastly, the author presents the findings for mechanizing the possibilities towards prevention of such offences in context of offenders.

Reactions to the disclosure of intrafamilial childhood sexual abuse: Findings from the National Sexual Assault Online Hotline

IntroductionFor child sexual abuse (CSA) victims, disclosure can be helpful or harmful depending on how recipients respond. Despite a growing body of literature examining reactions to disclosure, little is known about the experiences of current CSA victims, particularly those abused by family. ObjectiveWe aimed to describe and explore the initial disclosure experiences of intrafamilial CSA victims, and whether reactions varied based on the type of disclosure recipient. Participants and settingThis study utilized anonymous, archival data from the US-based National Sexual Assault Online Hotline (NSAOH), and focused on a sample of 224 intrafamilial CSA victims who had previously disclosed to one type of recipient. MethodsNSAOH staff summarized children's disclosure experiences via an open-ended survey field. Data were independently coded using the Social Reactions Questionnaire. ResultsNearly three-fourths (73%) of children described receiving a negative reaction to disclosure. Negative reactions included distracting or dismissing the victim (33%), not believing the victim (29%), or retaliating or responding violently following disclosure (10%). Children most frequently disclosed abuse to non-offending family (66%), friends (17%), and formal support providers (12%). Relative to friends and intimate partners, victims were more likely to discuss negative reactions from family (49% v 87%, respectively, Cramer's V = 0.33, p < 0.001). ConclusionsDisclosing to non-offending family may be unproductive and potentially harmful for some children. This study has implications for disclosure-related planning protocols on anonymous hotlines. Findings underscore the importance of educating the public, and parents in particular, about how to respond to CSA disclosures.

The environment of intrafamilial offenders – A systematic review of dynamics in incestuous families

The aim of this study was to identify family characteristics and dynamics relevant to the initiation and maintenance of intrafamilial child sexual abuse. An understanding of essential characteristics of the affected families could help to prevent such crimes. In order to provide an overview of the current state of research, a literature review based on the PRISMA criteria was conducted. For the research in the databases PsycInfo and PSYNDEX, predetermined criteria and search terms were used. Fifteen relevant articles from 1991 to 2020 were identified. The studies examined perpetrator-victim relationships, the role of the mother, the relationship between the parents and characteristics of the families in which child sexual abuse took place. Relevant core characteristics of incestuous families are dysfunctional, violent, and conflictual relationships between the parents, and between parents and children. However, these factors are often not specific to intrafamilial abuse. Only six articles published after 2000 were identified. Little evidence for each individual construct was found, so the effects should not be overestimated. Further research on intrafamilial child sexual abuse is necessary.

Factors affecting disclosure time of sexual abuse in children and adolescents.

The aim of this study is to determine the factors affecting early and delayed disclosure time of child sexual abuse (CSA). Early disclosure of CSA is considered to be crucial for child protection. A total of 125 sexually abused children and adolescents, who had been evaluated by child adolescent psychiatry and forensic medicine specialists, were enrolled in this study. Files of medical and criminal data were analyzed retrospectively and synchronously by child adolescent psychiatrist and forensic medicine specialist authors who had evaluated victims using the standard procedures of Düzce University Faculty of Medicine Child Abuse Assessment Council. Univariate and multivariate logistic regression analyses were conducted to evaluate predictors. Delayed disclosers were found to be younger than early disclosers. Among the delayed disclosers, there were also more victims of intrafamilial CSA, fewer victims of penetration, and fewer voluntary disclosures. Multivariate logistic regression revealed that "younger age" and "intrafamilial CSA" were independent predictors of delayed disclosure of CSA. The results of our study contribute to an understanding of the factors related to delayed disclosure and underline the need for age-appropriate education and prevention programs targeted to increase the awareness of sexual abuse, particularly intrafamilial abuse, and to promote voluntary disclosure in children and adolescents, especially for younger age groups. The education of potential recipients of CSA and further education of professionals is extremely important in order to support children and adolescents' voluntary disclosure of CSA.

“We took turns”: How do child victims of intrafamilial child sexual abuse perceive and experience their siblings?

ObjectiveIntrafamilial child sexual abuse (IFCSA) is a traumatic experience that occurs within the family system. Although it is recognized with respect to its widespread epidemiology, dynamic and adverse consequences, little is known about the sibling subsystem. The current study was designed to examine the way child victims of IFCSA experience and perceive their siblings. MethodA thematic analysis was carried out on 60 forensic interviews with children aged 10–14 who were sexually abused by a parental figure. Each child had at least one sibling and referred to his or her siblings during the interview in the context of the abuse they experienced. It is important to note that in all cases more than one sibling was being abused by the parent. ResultsThe children’s narratives provided a unique glance into three interrelated domains in their lives: the “normal” routine in which no abusive incidents occurred, the abusive routine in which the abuse occurred, and the disclosure process. These three domains identified two family profiles. The first described IFCSA that occurred in the family context, where the perpetrator ruled in terror and the sibling unit became unified, despite the consequences. The second was a profile of family chaos in which the abusive parents acted alongside abusive siblings and the sibling unit was often damaged with the children sharing their loneliness in this tumultuous setting. ConclusionsThe current study spotlights the central role that the sibling subsystem has in the context of IFCSA. Furthermore, the conclusions point to an urgent need to promote efforts to support non-abused and abused siblings following disclosure.

"And Then Cinderella Was Lying in My Bed": Dissociation Displays in Forensic Interviews With Children Following Intrafamilial Child Sexual Abuse.

Child sexual abuse (CSA) has been implicated in dissociative peritraumatic and post-traumatic symptoms and disorders. Although explicitly relevant to the legal process following alleged CSA, very little is known about dissociative manifestations in the context of forensic interviews with children following abuse. The current study was designed to uncoverperi- and post-traumatic dissociation of abused children as revealed in forensic interviews. The study examines the display of dissociation in 42 forensic interviews with children (29 girls, aged 4-14) following intra familial child sexual abuse (IFCSA). Thematic analysis was used to identify key expressions of dissociation in all of the forensic interviews. The analyses identified depersonalization and derealization in the children's description of the abuse. This was manifested both in an inability to feel things that happened during the incidents or imagination and fantasies that were reported as part of the abusive incidents. The children's interviews also revealed the potential manifestations of dissociative amnesia, which was evident in the children's attempts to communicate their retrieval difficulties to the forensic interviewers. Finally, it was identified that the forensic interviews were a platform in which dissociative post-traumatic reactions were activated and often displayed in sensory flashbacks. The current findings uncover the importance of acknowledging trauma and dissociation in the context of forensic interviews with abused children and the urgent need to implement unique responses to trauma within practical guidelines.