This study tested an underlying assumption of professionals who interview young children with anatomically correct dolls: children who have been sexually abused react differently to interviews with the dolls than children who have not been sexually abused. The behavior of a group of children who were referred to a mental health clinic in the southwestern United States because of suspected sexual abuse was compared to the behavior of a group of children referred to the same clinic for other reasons while the children were interviewed by clinicians using anatomically correct dolls. The study examined four categories of behavior which consisted of indicators of child sexual abuse from the literature. The four categories were: (1) sexual behavior; (2) anger/aggression; (3) anxiety/regression; and (4) avoidant behavior. Clinicians at the mental health clinic identified potential subjects for the study from the outpatient population. Parents were given written and verbal descriptions of the study and asked to contact the researcher if they were interested in allowing their child to participate. The voluntary nature of participation in the study was stressed. Eleven children who were referred because of suspected sexual abuse and eleven children referred for other reasons were successfully recruited. Groups were matched as closely as possible as to sex, age, racial/ethnic group and developmental level. Two dependent measures were employed: the Behavioral Checklist and the Likelihood of Victimization Scale. Both instruments were designed for the research study. The Behavioral Checklist was completed by two observers who watched each interview from behind a one-way mirror. The Likelihood of Victimization Scale was completed by the clinicians who interviewed the children. Observers as well as interviewers were blind to the referral status of the children. Statistically significant differences were obtained for two of the four categories of the Behavioral Checklist. The same two categories correlated significantly with the Likelihood of Victimization Scale. The results provided support for the assumption tested.

M. Psych. (Educational Psychology) / The high child sexual abuse rate in South Africa and all over the world makes these cases a reality for educational psychologists practising today. Equineassisted psychotherapy is a relatively new field in psychology, and research shows that this therapeutic intervention can have a very significant impact on people. Sexual abuse leaves children with psychological effects (Beitchman, Zucker, Hood, DaCosta & Akman, 1991) ranging from intrapersonal problems such as low self-esteem and feeling emotionally overwhelmed to interpersonal problems resulting in communication and relationship challenges (Mandrell, 2006). According to Kidson (2012), equine-assisted therapy deals very well with such issues as well as self-concept, self-efficacy and self-acceptance. These issues correlate well with the effects of child sexual abuse and the issues that the therapist needs to deal with in the therapeutic sessions (Conte & Scheumann, 2011). Seeing the possibilities that equine-assisted therapy held for a therapist working with a case of sexual abuse, I inquired in terms of the involved systemic influences and experiences. The study investigated the experiences of the therapist, the client and the parents when using equine-assisted psychotherapy in a case of sexual abuse. The study attempted to identify themes that could explain these experiences and maybe make a contribution to the field of equine-assisted psychotherapy, specifically pertaining to work with sexual abuse cases. I made use of a phenomenological, qualitative case study design to explore the experiences of the participants. The data collection methods included interviews, field notes and observations. Artefacts were used to aid the researcher in the observation process but also to help the researcher explain the findings in Chapter 4. Furthermore, creative expressive arts therapy tools were used in the interviews to assist the participants in expressing their experiences regarding the equine-assisted therapy process. Data was analysed using the phenomenological data analysis process. This process is al about “being true to the phenomenon”. The first step in this research was to transcribe the interview recordings. Using the transcribed text, the field notes and the observations, the researcher then identified units of general meaning. Out of the units of general meanings, themes were identified. In the findings, three themes were identified: equine-assisted therapy, an empowering life changing experience; the extent to which active engagement with horses assist in expressing emotions; and the equine-assisted therapy process and therapeutic experience. The limitations and strengths of the research were also explained and discussed. Subsequently, recommendations were made for possible future research that evolved from the study’s findings.

Summaries in Afrikaans and English / Seksuele misbruik is 'n brutale vorm van kindermishandeling wat kommerwekkende afmetings in Suid-Afrika aanneem. Hierdie traumatiese gebeurtenis het emosioneel 'n geweldige negatiewe impak op die kinderslagoffer. Hierdie studie is gerig deur die uitgangspunt dat terapeute, deur middel van Gestaltspelterapie, hierdie kinderslagoffers moet lei in die hantering van hierdie trauma en die gevolge daarvan. Die gebrek aan riglyne vir die terapeut om die seksueel misbruikte kind in die middelkinderjare te hanteer is as navorsingsprobleem geformuleer. Die doel van die studie was dus om vanuit 'n Gestaltspelterapeutiese benadering riglyne vir terapeute daar te stel in die hantering van die seksueel misbruikte kind in die middelkinderjare ten einde die kind te bemagtig. Om hierdie doel te bereik, is die navorsingsproses deur kwalitatiewe navorsing gerig en individuele gevallestudies voltooi deur die terapeutiese proses met drie kinderslagoffers te deurloop. Die data wat bekom is kon deur middel van data-analise en literatuurkontrole aangewend word om riglyne saam te stel. Daar is dus in die doel van die ondersoek geslaag, naamlik die daarstelling van riglyne vir die hantering van die seksueel misbruikte kind in die middelkinderjare. / Sexual abuse is a brutal form of child abuse that has reached exasperating proportions in South Africa. This traumatic event has an enormously negative emotional impact on the child victim. This study is directed by the premise that therapists', by means of Gestalt play therapy, should guide these victimized children in dealing with this trauma and its consequences. The research problem for the study was formulated as the lack of guidelines for the therapist to deal with the sexually abused child in middle childhood. The aim of the study was to provide therapists' with guidelines designed from the approach of Gestalt play therapy for dealing with and empowering the sexually abused child in middle childhood. In order to achieve this goal, qualitative research was employed, while individual case studies were carried out by applying the therapeutic process to three victimized children. The data obtained was analyzed, checked against existing literature, and used to compile the guidelines. Thus, the goal of the research was achieved, namely to provide guidelines for dealing with the sexually abused child in middle childhood. / Social Work / M. Diac. (Play Therapy)

Summaries in Afrikaans and English / Seksuele misbruik is 'n brutale vorm van kindermishandeling wat kommerwekkende afmetings in Suid-Afrika aanneem. Hierdie traumatiese gebeurtenis het emosioneel 'n geweldige negatiewe impak op die kinderslagoffer. Hierdie studie is gerig deur die uitgangspunt dat terapeute, deur middel van Gestaltspelterapie, hierdie kinderslagoffers moet lei in die hantering van hierdie trauma en die gevolge daarvan. Die gebrek aan riglyne vir die terapeut om die seksueel misbruikte kind in die middelkinderjare te hanteer is as navorsingsprobleem geformuleer. Die doel van die studie was dus om vanuit 'n Gestaltspelterapeutiese benadering riglyne vir terapeute daar te stel in die hantering van die seksueel misbruikte kind in die middelkinderjare ten einde die kind te bemagtig. Om hierdie doel te bereik, is die navorsingsproses deur kwalitatiewe navorsing gerig en individuele gevallestudies voltooi deur die terapeutiese proses met drie kinderslagoffers te deurloop. Die data wat bekom is kon deur middel van data-analise en literatuurkontrole aangewend word om riglyne saam te stel. Daar is dus in die doel van die ondersoek geslaag, naamlik die daarstelling van riglyne vir die hantering van die seksueel misbruikte kind in die middelkinderjare. / Sexual abuse is a brutal form of child abuse that has reached exasperating proportions in South Africa. This traumatic event has an enormously negative emotional impact on the child victim. This study is directed by the premise that therapists', by means of Gestalt play therapy, should guide these victimized children in dealing with this trauma and its consequences. The research problem for the study was formulated as the lack of guidelines for the therapist to deal with the sexually abused child in middle childhood. The aim of the study was to provide therapists' with guidelines designed from the approach of Gestalt play therapy for dealing with and empowering the sexually abused child in middle childhood. In order to achieve this goal, qualitative research was employed, while individual case studies were carried out by applying the therapeutic process to three victimized children. The data obtained was analyzed, checked against existing literature, and used to compile the guidelines. Thus, the goal of the research was achieved, namely to provide guidelines for dealing with the sexually abused child in middle childhood. / Social Work / M. Diac. (Play Therapy)

Children have been shown to respond differently to the hurt that they suffer at the hands of others. Some of these responses involve internalised behaviours (i.e., repression of feelings, bodily symptoms, etc.); whilst others hurt manifest as externalised behaviours, such as physical attacks on others. These may include sexualised behaviours. The latter is particularly common amongst (but not restricted to) children who have been sexually abused (The American Psychological Association, 2001). For the purposes of this study a distinction is made between developmentally appropriate sexual behaviour and non normative sexualised behaviour which evoke complaints from and discomfort in those involved in the behaviour. The manifestation of these sexualised behaviours is especially pronounced amongst children in institutional care; and hence, it calls for constructive and effective management by the child care workers who are primarily responsible for their safe care and behaviour modification whilst in the institution. This qualitative study – with an exploratory, descriptive and contextual research design – served to explore how the child care workers’ effective management of such behaviours could be enhanced, so that the emotional wellbeing of both the “offender” and the “perpetrator” of this behaviour can be promoted. A non-probability purposive sampling technique was employed to recruit research participants from three different child and youth care centres in Port Elizabeth. A total number of 10 research participants were involved and data was collected up to the point of data saturation. Thematic content analysis was utilised for the analysis of the data and the necessary strategies were employed to enhance the trustworthiness of the data and to meet all the ethical requirements of the study. The main findings alert to the key requirements of Child and Youth Care Workers; it confirms the occurrence of sexualised behaviours; the urgent need for a consistent approach to the management of such behaviours; and for enhanced team work between the helping professionals in the team. The value of the study is embedded in the contributions it can make to practical interventions for children in institutional care, and to the sparse body of knowledge in this area.

The purpose of the study was to look at whether domestic violence is being viewed as a risk factor in homes where there is also physical child abuse. Historically a misconception has existed that child abuse occurs in a vacuum of sorts, isolated from other family problems.

The purpose of this study was to gain an understanding of why social workers believe a male juvenile would commit a sexual abuse act toward another child and how this juvenile should be understood within the social services system and society. Social workers believe interventions are needed once the abuse has occurred.

This study explored Childline Zimbabwe’s provision of psychosocial support to sexually abused children. This was done by reviewing counsellors’ practices regarding face-to-face counselling, counselling approaches, referrals, follow-ups, case recording and through measuring client satisfaction levels. A qualitative case study approach was adopted with mixed methods to collect data from counsellors and clients. Data analysis was informed by grounded theory and followed an inductive process of coding and categorising the data into relevant themes. The outcomes of this study showed that referral of clients represents a major strategy of addressing child sexual abuse cases. The engagement of clients in face-to-face counselling stages however remained limited due to difficult work environments and challenges related to individual counsellors’ capacities. This posed questions about Childline’s role as a counselling or referral organisation. This study contributes to counselling of sexually abused children with information over the counselling interventions necessary in addressing survivors of sexual abuse. / Psychology / M.A. (Psychology)

On t.p.: Master of Arts (Welfare Programme Management) / Thesis (MA)--Stellenbosch University, 2004. / ENGLISH ABSTRACT: The study of case management of sexually abused children by social workers was conducted in the Moses Kotane District Municipality, because of the following reasons: firstly, there is an escalation of reported cases that are referred from various service organizations to the Department of Social Services; secondly the statutory policies alone cannot be the absolute protection for children against sexual abuse; thirdly, as communities seem to ignore their roles in protecting children against this problem. The social workers end up carrying the ultimate responsibility to protect children. An exploratory study was therefore undertaken to investigate how social workers in the Moses Kotane District Municipality intervene in these cases. It is crucial for professionals to have the necessary knowledge, skills and correct attitude when they intervene in child sexual abuse cases. The study explored the various dynamics that motivate this problem as well as the circumstances that can expose children to the risk of child sexual abuse. Motivation to abuse children in the Moses Kotane District Municipality emanated from the family circumstances, characteristics of the abusive father(s) as well as a lack of community child care resources The social workers need to have insight in various risk factors of this problem. These may include the circumstances surrounding the child, community factors, societal factors, family factors and the attributes of professionals dealing with child sexual abuse cases. The knowledge of the dynamics and risk factors assists social workers to assess whether the child has been abused and to do risk assessment as well as need assessment of the victims and their families. Such information can assist the social workers to make a safety plan of action regarding the child victims. It is therefore vital that the social workers identify the nature of case management style through which they render services to sexually abused children. Direct service delivery, which is preferred by most social workers in the agency, and indirect service delivery are the two types of case management styles that social workers can employ, depending on whether they work in a generic social work setting or private child welfare agency. Although social workers may have the expertise and skill to intervene effectively in child sexual abuse cases, their interventions may be affected by various challenges and result in ineffective service delivery to the victims and perpetrators of child sexual abuse. These challenges may include working conditions that are adverse, community trials of cases of child sexual abuse and unresponsive agency management. Other challenges may include resistance from clients, lack of supervision, lack of training in child sexual abuse work as well as the demanding nature of child sexual abuse work. Throughout the process of case management the social workers need to liaise and cooperate with the multi-professional team comprising of the police (CPU), medical personnel, the prosecutor(s), a psychologist as well as the family members. The team may vary from one agency to the other, however, the social worker, police and medical personnel need to be available at all the team meetings. None of these professionals is supposed to assess victims alone, because the assessment should be focused on the social, medical, psychological, legal, physical and material needs of sexually abused children. It is imperative that social workers are aware of how their attitudes, beliefs, emotions, perceptions and feelings affect the effectiveness of service delivery to these children. The professionals therefore need to be skilled to react responsively and professionally to the victims. Social skills are important for creating worthy client - worker relationships and to enhance accountability in role relationships between the clients and the professionals. By applying interactional skills, the social workers can create a child-friendly atmosphere during intervention, as the social worker can be able to listen empathetically and deal with feelings that surface during the interviews. By applying cognitive skills, the professionals can be in a position to "read" subtle emotions and feelings of the clients and assess the level of their cognitive functioning. The application of theory in practice is vital during intervention as decisions; judgement and interventions should be professional and not haphazard. The social worker thus needs to have knowledge of the perspectives, theories and models of social work. This study has provided such a framework to guide social workers in managing cases of child sexual abuse. / AFRIKAANSE OPSOMMING: Die studie oor hoe maatskaplike werkers gevallebestuur van seksueel gemolesteerde kinders doen, is in die Moses Kotane Munisipale Distrik onderneem om die volgende redes. Eerstens is daar 'n toename in die gerapporteerde gevalle van seksuele molestering wat deur verskeie diensorganisasies verwys word na die maatskaplike werkers in diens van Departement van Welsyn. Tweedens bied die statutêre beleid op sigself nie aan kinders algehele beskerming teen seksuele molestering nie. Derdens blyk dit dat van maatskaplike werkers verwag word om algehele verantwoordelikheid vir die beskerming van kinders te aanvaar omdat dit skyn asof gemeenskappe hulle rol om kinders teen seksuele molestering te beskerm, ignoreer. Derhalwe is 'n verkennende studie onderneem om vas te stel hoe maatskaplike werkers in die Moses Kotane Munisipale Distrik dienste lewer aan hierdie kinders. Dit is essensieel dat professionele persone oor die nodige kennis, vaardighede en regte houding sal beskik wanneer gevalle van seksuele molestering van kinders hanteer word. Met die studie is die faktore wat aanleiding gee tot seksuele molestering, sowel as die omstandighede wat kinders blootstel aan die risiko van seksuele molestering, ondersoek. Daar is vasgestel dat die motivering vir seksuele molestering van kinders in die Moses Kotane Munisipale Distrik gespruit het uit hulle gesinsomstandighede, kenmerke van die molesterende vader(s), sowel die gebrek aan bronne vir kinderbeskerming in die gemeenskap. Maatskaplike werkers behoort insig te hê in die faktore wat kinders 'n risiko van seksuele molestering kan maak. Hierdie faktore kan verband hou met die omstandighede van die kind, gemeenskapsfaktore, samelewingsfaktore, gesinsfaktore en die kenmerke van die professionele persone wat die gevalle van kinders wat seksueel molesteer is, hanteer. Kennis van die dinamika van seksuele molestering en die risiko faktore van seksuele molestering van kinders, sal maatskaplike werkers in staat stelom te assesseer of kinders gemolesteer is en om risiko-assesserings, sowel as behoeftebepalings van die slagoffers en hulle gesinne te doen. Sodanige inligting sal die maatskaplike werker help om 'n veiligheidsplan van aksie vir kinderslagoffers op te stel. Dit is derhalwe noodsaaklik dat maatskaplike werkers die aard van hulle gevallebestuur styl deur middel waarvan dienste aan seksueel gemolesteerde kinders gelewer word, sal kan identifiseer. Direkte dienslewering, wat deur die meeste maatskaplike werkers in die ondersoek groep verkies is en indirekte dienslewering is die twee soorte gevalle bestuurstyle wat maatskaplike werkers kan gebruik. Die keuse tussen die twee sal afhang van of maatskaplike werkers in 'n generiese of gespesialiseerde opset praktiseer. Alhoewel maatskaplike werkers oor die kundigheid en vaardigheid mag beskik om gevalle van seksuele molestering effektief te hanteer, mag hulle intervensies beïnvloed word deur verskeie struikelblokke wat kan veroorsaak dat oneffektiewe diens aan die slagoffers en oortreders van seksuele molestering van kinders gelewer kan word. Struikelblokke wat deur die respondente ervaar IS, is byvoorbeeld onproduktiewe werksomstandighede, gemeenskapsverhore van oortreders van seksuele molestering van kinders en onresponsiewe besture van organisasies. Ander struikelblokke kan die weerstand van kliënte, gebrek aan supervisie, gebrek aan opleiding in die hantering van seksuele molestering van kinders, sowel as die veeleisende aard van die hantering van kinders wat seksuele gemolesteer is, insluit. Tydens die proses van gevallebestuur behoort die maatskaplike werker deurlopend te skakel en saam te werk met 'n multi-professionele span, bestaande uit die polisie (KBE), mediese personeel, die staatsaanklaer, 'n sielkundige, sowel as die gesinslede van die gemolesteerde kind. Alhoewel die span van organisasie tot organisasie kan verskil, behoort die maatskaplike werker, polisie en die mediese personeel beskikbaar te wees vir alle spanvergaderings. Nie een van hierdie professionele persone is veronderstel om slagoffers alleen te assesseer nie, want die assessering behoort toe fokus op die sosiale, mediese, sielkundige, regs, fisiese en materiële behoeftes van seksueel gemolesteerde kinders. Dit is verder noodsaaklik dat maatskaplike werkers bewus sal wees van hoe hulle houdings, oortuigings, emosies, persepsies en gevoelens die effektiwiteit van hulle dienslewering aan hierdie kinders kan beïnvloed. Professionele persone behoort derhalwe oor die vaardigheid te beskik om met die nodige empatie en professionaliteit te reageer teenoor slagoffers. Met behulp van toepaslike professionele vaardighede kan die maatskaplike werker tydens intervensie 'n kindervriendelike omgewing tydens skep Dit sal die maatskaplike werker in staat stelom empaties te luister en gevoelens wat tydens onderhoude na vore kom te hanteer. Die toepassing van kognitiewe vaardighede sal die professionele persoon ontvanklik maak vir subtiele emosies en gevoelens van die kliënt en instaat stelom die vlak van hulle kognitiewe funksionering te assesseer. Die toepassing van teorie in die praktyk tydens intervensie is noodsaaklike omdat besluite en beoordelings tydens intervensie professioneel moet wees. Die maatskaplike werker benodig dus kennis van relevante perspektiewe, teorieë en modelle van maatskaplike werk wat vir die doel benut kan word. Die studie bied sodanige raamwerk aan wat as riglyne vir maatskaplike werkers kan dien en gebruik kan word om gevalle van seksuele molestering van kinders te bestuur.

This study explored Childline Zimbabwe’s provision of psychosocial support to sexually abused children. This was done by reviewing counsellors’ practices regarding face-to-face counselling, counselling approaches, referrals, follow-ups, case recording and through measuring client satisfaction levels. A qualitative case study approach was adopted with mixed methods to collect data from counsellors and clients. Data analysis was informed by grounded theory and followed an inductive process of coding and categorising the data into relevant themes. The outcomes of this study showed that referral of clients represents a major strategy of addressing child sexual abuse cases. The engagement of clients in face-to-face counselling stages however remained limited due to difficult work environments and challenges related to individual counsellors’ capacities. This posed questions about Childline’s role as a counselling or referral organisation. This study contributes to counselling of sexually abused children with information over the counselling interventions necessary in addressing survivors of sexual abuse. / Psychology / M. A. (Psychology)