Validated reports of sexually abused children from 1975 through 1977 were examined. Considered were the victim's age, sex, ethnic group, type of abuse, living arrangement, and relationship to perpetrator. Basic sources of data were the Texas Department of Human Resources' CANRIS reports and the U.S. Bureau of the Census population estimates. Validated sexual abuse consistently ranked third in physical abuse type and more than doubled between 1975 and 1977. Victims' mean age decreased each year and most were eleven years or over. Most sexual child abuse victims in Texas were of the Anglo ethnic group, living in their own home, and victimized by a parent. More than 85 per cent were female. Further research was recommended.

Diss. (sammanfattning) Stockholm : Karol. inst., 2006. / Härtill 4 uppsatser.

Bakgrund: Sexuella övergrepp mot barn (CSA) är ett globalt problem och mörkertalet är omfattande. Cirka sex barn i varje klass drabbas någon gång av CSA i Sverige. Sjuksköterskan har en nyckelroll att upptäcka CSA då de oftast först kommer i kontakt med barnet och dess vårdnadshavare inom vården. Det är därför viktigt att sjuksköterskan kan urskilja tecken på våld mot barn i ett tidigt stadie för att skydda och lindra utsatta barns lidande. Syfte: Syftet med denna litteraturstudie var att beskriva strategier sjuksköterskan behöver i mötet med barn som visar tecken på eller berättade om sexuella övergrepp. Metod: En allmän litteraturstudie baserat på tio vetenskapliga artiklar, sju av artiklarna var kvalitativa och tre var kvantitativa. Resultat: Resultatet av denna litteraturstudie visade att sjuksköterskans strategier innefattade att ha kompetens om CSA, följa vårdenhetens riktlinjer och handlingsplaner samt handha ett professionellt tillvägagångssätt. Slutsats: Det fanns ett stort behov av att implementera adekvat kompetens om CSA inom vården och i utbildningar. Att internationellt tillföra gemensamma riktlinjer, handlingsplaner, checklistor samt en allmän definition av vad CSA innebar, underlättade sjuksköterskans proaktiva arbete. Klinisk betydelse: Tydliga riktlinjer, kompetens och professionellt bemötande i kontakt med CSA underlättar sjuksköterskans omvårdnadsarbete. Korrekta omvårdnadshandlingar bör bidra till ett bättre välbefinnande för barn och minskar mörkertalet för folkhälsoproblemet.

Abuso sexual infantil é tomado na acepção do construcionismo social, como tipo classificatório, e com uma abordagem histórica. As fortes cargas moral e emocional da categoria são sublinhadas, assim como a noção de carreira moral da criança abusada e de abusador. A psicologia é um dos campos e disciplinas que construiu a categoria e a molda diariamente em suas práticas, teorizações e inclusão em instituições sociais e políticas. A dissertação busca analisar esta moldagem numa amostra de laudos psicológicos relativos a acusações de abuso sexual, constantes de processos de Varas de Família e Varas Criminais no Judiciário do Rio de Janeiro. Os laudos analisados são de autoria de psicólogos do quadro do Tribunal de Justiça do Estado do Rio de Janeiro (TJ-RJ), de psicólogos nomeados ad hoc, de instituições de atendimento a vítimas de violência sexual e de consultórios particulares. Como complementação, são analisadas entrevistas feitas com cinco psicólogos do quadro do TJ-RJ sobre laudos em acusações de abuso sexual infantil e sobre a categoria, afirmando a presença permanente desta, apesar de não mais como um boom (ocorrido no início dos anos 2000), em processos de guarda e visitação de filhos e criminais. A análise constatou a presença de duas posturas da psicologia, a das Varas de Família, que trabalha com a correlação litígio-falsa acusação de abuso sexual- alienação parental, em visão determinista, e a das Varas Criminais, marcada pela exclusão da avaliação do homem acusado e por fortes preconcepções, apoiadas na psicologia do abuso sexual, sobre a amplitude dos abusos sexuais e o testemunho da criança vítima e dos acusadores. Noções controversas de manuais clássicos da psicologia do abuso sexual, da psiquiatria e do senso comum sobre vitimização, sequelas, síndromes, pedofilia estão presentes nos laudos, assim como, mais raramente, o reconhecimento da sexualidade infantil e adolescente. O homem pode aparecer como um pai vitimizado ou um monstro moralmente desqualificado. / Sexual child abuse is taken in the sense of social constructionism, as a classificatory type, and in a historical approach. The strong moral and emotional loadings of the category are underlined, as well as the notion of moral career of the abused child and abuser. Psychology is one of the fields and disciplines that constructed the category and molds it daily in its practices, theorizations and inclusion in social and political institutions. The dissertation seeks to analyse this molding in a sample of psychological expert reports related to sexual abuse accusations, included in legal proceedings in Family and Criminal jurisdictions in the court of justice of Rio de Janeiro (TJ-RJ). The expert reports analysed were made by staff psychologists of the Tribunal de Justiça do Estado do Rio de Janeiro, by ad hoc assigned psychologists, by professionals of sexual violence victims care institutions and private psychologists. In additional, interviews with five staff psychologists of TJ-RJ, dealing with expert reports in sexual child abuse accusations and the category, are analysed, stating its permanent presence, even not as a boom any more (as had occurred in the beginning of the years 2000), in criminal and children custody and visitation legal proceedings. The analysis testified the presence of two psychology standpoints, one being that of the Family jurisdiction, that works with the correlation litigation false accusation of sexual abuse parental alienation, in a determinist point of view, and the other being that of the Criminal jurisdiction, marked by the exclusion of the valuation of the accused man and by strong preconceptions, supported by sexual abuse psychology, about the abundance of sexual abuses and the testimony of the child victim and the accusers. Controversial notions of classic manuals of sexual abuse psychology, of psychiatry and of common sense about victimization, after-effects, syndromes, pedophilia appear in the reports, as well as, more rarely, the recognition of infantile and adolescent sexuality. Men can appear as victimized parents or morally unfit monsters.

Abuso sexual infantil é tomado na acepção do construcionismo social, como tipo classificatório, e com uma abordagem histórica. As fortes cargas moral e emocional da categoria são sublinhadas, assim como a noção de carreira moral da criança abusada e de abusador. A psicologia é um dos campos e disciplinas que construiu a categoria e a molda diariamente em suas práticas, teorizações e inclusão em instituições sociais e políticas. A dissertação busca analisar esta moldagem numa amostra de laudos psicológicos relativos a acusações de abuso sexual, constantes de processos de Varas de Família e Varas Criminais no Judiciário do Rio de Janeiro. Os laudos analisados são de autoria de psicólogos do quadro do Tribunal de Justiça do Estado do Rio de Janeiro (TJ-RJ), de psicólogos nomeados ad hoc, de instituições de atendimento a vítimas de violência sexual e de consultórios particulares. Como complementação, são analisadas entrevistas feitas com cinco psicólogos do quadro do TJ-RJ sobre laudos em acusações de abuso sexual infantil e sobre a categoria, afirmando a presença permanente desta, apesar de não mais como um boom (ocorrido no início dos anos 2000), em processos de guarda e visitação de filhos e criminais. A análise constatou a presença de duas posturas da psicologia, a das Varas de Família, que trabalha com a correlação litígio-falsa acusação de abuso sexual- alienação parental, em visão determinista, e a das Varas Criminais, marcada pela exclusão da avaliação do homem acusado e por fortes preconcepções, apoiadas na psicologia do abuso sexual, sobre a amplitude dos abusos sexuais e o testemunho da criança vítima e dos acusadores. Noções controversas de manuais clássicos da psicologia do abuso sexual, da psiquiatria e do senso comum sobre vitimização, sequelas, síndromes, pedofilia estão presentes nos laudos, assim como, mais raramente, o reconhecimento da sexualidade infantil e adolescente. O homem pode aparecer como um pai vitimizado ou um monstro moralmente desqualificado. / Sexual child abuse is taken in the sense of social constructionism, as a classificatory type, and in a historical approach. The strong moral and emotional loadings of the category are underlined, as well as the notion of moral career of the abused child and abuser. Psychology is one of the fields and disciplines that constructed the category and molds it daily in its practices, theorizations and inclusion in social and political institutions. The dissertation seeks to analyse this molding in a sample of psychological expert reports related to sexual abuse accusations, included in legal proceedings in Family and Criminal jurisdictions in the court of justice of Rio de Janeiro (TJ-RJ). The expert reports analysed were made by staff psychologists of the Tribunal de Justiça do Estado do Rio de Janeiro, by ad hoc assigned psychologists, by professionals of sexual violence victims care institutions and private psychologists. In additional, interviews with five staff psychologists of TJ-RJ, dealing with expert reports in sexual child abuse accusations and the category, are analysed, stating its permanent presence, even not as a boom any more (as had occurred in the beginning of the years 2000), in criminal and children custody and visitation legal proceedings. The analysis testified the presence of two psychology standpoints, one being that of the Family jurisdiction, that works with the correlation litigation false accusation of sexual abuse parental alienation, in a determinist point of view, and the other being that of the Criminal jurisdiction, marked by the exclusion of the valuation of the accused man and by strong preconceptions, supported by sexual abuse psychology, about the abundance of sexual abuses and the testimony of the child victim and the accusers. Controversial notions of classic manuals of sexual abuse psychology, of psychiatry and of common sense about victimization, after-effects, syndromes, pedophilia appear in the reports, as well as, more rarely, the recognition of infantile and adolescent sexuality. Men can appear as victimized parents or morally unfit monsters.

Summary in English / Text in Afrikaans / Awareness of and interest in the incidence of sexual child abuse has been increasing. The current prominence of this phenomenon in south Africa, . is evidenced by reports in the printed and electronic media. A study of the prehistoric era, ancient civilizations, the Middle Ages and the Renaissance and later shows that children have been sexua·lly abused throughout all ages. Yet, the sexual abuse of children is incompatible with the values and goals of authentic nurturing. i • Child sexuality can never ~e equated w1.th adult I sexuality. The child lacks the emotional~ mental, intellectual and physical capabilities to manage sexual contact with an adult person. He/ she is therefore not in a position to agree to intimate intercourse. This research project mainly focused on the relationship between the identification of and aid to the sexually abused child, and the personality functioning of adults who were sexually abused as children. An ontological-antropological approach to childhood has shown that the sexually abused child has the right to the school guidance teacher's respect for his dignity as child and a need for a response to his pain and yearning. The sexually abused child is situated in a distinctive lifeworld and sexual abuse has affective, social and physical consequences. Social relations are negatively affected and some children show self-destructive behavior. The establishment of an authentic and stable sexual identity is especially threatened. Children should be educated to resist the sexual advances of adults, while sexually abused children should be provided with adequate aid. Educators (guidance teachers) should therefore have the necessary guidelines at their disposal for the prevention and treatment of sexual child abuse. / Psychology of Education / D.Ed. (Psychology of Education)

INTRODUÇÃO: A violência sexual é um importante problema de saúde pública. Em São Paulo, cerca de 5% dos apenados estão cumprindo pena por crimes sexuais violentos. No Brasil e em outros países, muitos agressores sexuais retornarão à sociedade sem quaisquer intervenções psicossociais para prevenir a reincidência criminal. O objetivo deste estudo foi avaliar o consumo de álcool e de outras drogas e a impulsividade sexual entre agressores sexuais. MÉTODOS: Trata-se de estudo observacional, retrospectivo e seccional realizado na Penitenciária de Sorocaba – São Paulo. Entre julho de 2004 e setembro de 2005, todos os 218 sentenciados apenas por crimes sexuais violentos foram entrevistados, avaliando o consumo de álcool e de outras drogas, impulsividade, dependência de sexo e risco de reincidência criminal, além dos seus prontuários jurídicos revisados. 20 (9,17%) sentenciados foram excluídos da amostra. Os agressores sexuais foram divididos em três grupos: molestadores de crianças (n = 101), agressores sexuais de adolescentes (n = 56) e agressores sexuais de adultos (n = 41). Além disso, os apenados foram também divididos em outros três grupos, de acordo com o número de vítimas envolvidas: agressores sexuais de uma vítima (n = 149), agressores sexuais de duas vítimas (n = 25) e agressores sexuais de três ou mais vítimas (n = 24). RESULTADOS: 1) Agressores sexuais de adultos foram mais jovens do que os outros dois grupos de agressores sexuais (p < 0,01); 2) Agressores sexuais de adultos mostraram mais problemas com o uso de drogas do que os outros dois grupos comparados (p < 0,01); 3) Molestadores de crianças mostraram significativamente maior gravidade de dependência de álcool do que os outros dois grupos (p < 0,01); 4) Molestadores de crianças do sexo masculino mostraram maior gravidade de dependência de álcool do que os molestadores de crianças do sexo feminino (p < 0,01); 5) Agressores sexuais seriais apresentaram significativamente maior nível de impulsividade do que os agressores não seriais (p < 0,01); 6) Agressores sexuais seriais registraram mais freqüentemente história de abuso sexual na infância do que os agressores sexuais de uma vítima (p < 0,01). CONCLUSÕES: O consumo de substâncias psicoativas pode ser um dos fatores de distinção entre molestadores de crianças e agressores sexuais de adultos. História de abuso sexual e altos níveis de impulsividade podem estar associados com a repetição do comportamento sexualmente agressivo. / INTRODUCTION: Sexual violence is an important public health problem. In São Paulo, about 5% of male prison inmates are serving a sentence for a serious sexual offense. In Brazil and other countries, many sexual offenders will return home without any psychosocial interventions to prevent recidivism. The aim of this study was to evaluate the role of alcohol and drug consumption and the sexual impulsivity level among sexual offenders. METHODS: It was an observational, retrospective and cross-sectional study carried out inside the Penitentiary of Sorocaba – São Paulo. From July 2004 to September 2005, all 218 convicts sentenced only for sexual crimes were evaluated with reference to alcohol and drug use, impulsivity, sexual addiction, recidivism risk and their juridical reports were reviewed. 20 (9.17%) recruited convicts were excluded from the sample. The sexual offenders were divided in three groups, such as children molesters (n= 101), sexual aggressors against adolescents (n = 56) and sexual offenders against adults (n = 41). Moreover, the sexual offenders were also divided in three groups with reference to the number of involved victims, such as sexual aggressors against one victim (n = 149), sexual offenders against two victims (n = 25) and sexual offenders against three or more victims (n = 24). RESULTS: 1) Sexual offenders against adults were found to be significantly younger than children molesters and sexual offenders against adolescents (p < 0.01); 2) Sexual offenders against adults had more difficulties with drug use than the comparison groups (p < 0.01); 3) Children molesters showed significantly higher severity of alcohol dependence than the comparison groups (p < 0.01); 4) Children molesters against boys showed significantly higher severity of alcohol dependence than children molesters against girls (p < 0.01); 5) Serial sexual offenders had significantly higher impulsivity level than nonserial sexual offenders (p < 0.01); 6) Serial sexual offenders reported significantly more personal history of being sexually abused than nonserial sexual offenders (p < 0.01). CONCLUSIONS: Substance use may be one of the distinguishing factors between offenders who target children and those who target adults. History of sexual abuse and high impulsivity levels may be associated with the repetition of sexual aggression.

INTRODUÇÃO: A violência sexual é um importante problema de saúde pública. Em São Paulo, cerca de 5% dos apenados estão cumprindo pena por crimes sexuais violentos. No Brasil e em outros países, muitos agressores sexuais retornarão à sociedade sem quaisquer intervenções psicossociais para prevenir a reincidência criminal. O objetivo deste estudo foi avaliar o consumo de álcool e de outras drogas e a impulsividade sexual entre agressores sexuais. MÉTODOS: Trata-se de estudo observacional, retrospectivo e seccional realizado na Penitenciária de Sorocaba – São Paulo. Entre julho de 2004 e setembro de 2005, todos os 218 sentenciados apenas por crimes sexuais violentos foram entrevistados, avaliando o consumo de álcool e de outras drogas, impulsividade, dependência de sexo e risco de reincidência criminal, além dos seus prontuários jurídicos revisados. 20 (9,17%) sentenciados foram excluídos da amostra. Os agressores sexuais foram divididos em três grupos: molestadores de crianças (n = 101), agressores sexuais de adolescentes (n = 56) e agressores sexuais de adultos (n = 41). Além disso, os apenados foram também divididos em outros três grupos, de acordo com o número de vítimas envolvidas: agressores sexuais de uma vítima (n = 149), agressores sexuais de duas vítimas (n = 25) e agressores sexuais de três ou mais vítimas (n = 24). RESULTADOS: 1) Agressores sexuais de adultos foram mais jovens do que os outros dois grupos de agressores sexuais (p < 0,01); 2) Agressores sexuais de adultos mostraram mais problemas com o uso de drogas do que os outros dois grupos comparados (p < 0,01); 3) Molestadores de crianças mostraram significativamente maior gravidade de dependência de álcool do que os outros dois grupos (p < 0,01); 4) Molestadores de crianças do sexo masculino mostraram maior gravidade de dependência de álcool do que os molestadores de crianças do sexo feminino (p < 0,01); 5) Agressores sexuais seriais apresentaram significativamente maior nível de impulsividade do que os agressores não seriais (p < 0,01); 6) Agressores sexuais seriais registraram mais freqüentemente história de abuso sexual na infância do que os agressores sexuais de uma vítima (p < 0,01). CONCLUSÕES: O consumo de substâncias psicoativas pode ser um dos fatores de distinção entre molestadores de crianças e agressores sexuais de adultos. História de abuso sexual e altos níveis de impulsividade podem estar associados com a repetição do comportamento sexualmente agressivo. / INTRODUCTION: Sexual violence is an important public health problem. In São Paulo, about 5% of male prison inmates are serving a sentence for a serious sexual offense. In Brazil and other countries, many sexual offenders will return home without any psychosocial interventions to prevent recidivism. The aim of this study was to evaluate the role of alcohol and drug consumption and the sexual impulsivity level among sexual offenders. METHODS: It was an observational, retrospective and cross-sectional study carried out inside the Penitentiary of Sorocaba – São Paulo. From July 2004 to September 2005, all 218 convicts sentenced only for sexual crimes were evaluated with reference to alcohol and drug use, impulsivity, sexual addiction, recidivism risk and their juridical reports were reviewed. 20 (9.17%) recruited convicts were excluded from the sample. The sexual offenders were divided in three groups, such as children molesters (n= 101), sexual aggressors against adolescents (n = 56) and sexual offenders against adults (n = 41). Moreover, the sexual offenders were also divided in three groups with reference to the number of involved victims, such as sexual aggressors against one victim (n = 149), sexual offenders against two victims (n = 25) and sexual offenders against three or more victims (n = 24). RESULTS: 1) Sexual offenders against adults were found to be significantly younger than children molesters and sexual offenders against adolescents (p < 0.01); 2) Sexual offenders against adults had more difficulties with drug use than the comparison groups (p < 0.01); 3) Children molesters showed significantly higher severity of alcohol dependence than the comparison groups (p < 0.01); 4) Children molesters against boys showed significantly higher severity of alcohol dependence than children molesters against girls (p < 0.01); 5) Serial sexual offenders had significantly higher impulsivity level than nonserial sexual offenders (p < 0.01); 6) Serial sexual offenders reported significantly more personal history of being sexually abused than nonserial sexual offenders (p < 0.01). CONCLUSIONS: Substance use may be one of the distinguishing factors between offenders who target children and those who target adults. History of sexual abuse and high impulsivity levels may be associated with the repetition of sexual aggression.

Summary in English / Text in Afrikaans / Awareness of and interest in the incidence of sexual child abuse has been increasing. The current prominence of this phenomenon in south Africa, . is evidenced by reports in the printed and electronic media. A study of the prehistoric era, ancient civilizations, the Middle Ages and the Renaissance and later shows that children have been sexua·lly abused throughout all ages. Yet, the sexual abuse of children is incompatible with the values and goals of authentic nurturing. i • Child sexuality can never ~e equated w1.th adult I sexuality. The child lacks the emotional~ mental, intellectual and physical capabilities to manage sexual contact with an adult person. He/ she is therefore not in a position to agree to intimate intercourse. This research project mainly focused on the relationship between the identification of and aid to the sexually abused child, and the personality functioning of adults who were sexually abused as children. An ontological-antropological approach to childhood has shown that the sexually abused child has the right to the school guidance teacher's respect for his dignity as child and a need for a response to his pain and yearning. The sexually abused child is situated in a distinctive lifeworld and sexual abuse has affective, social and physical consequences. Social relations are negatively affected and some children show self-destructive behavior. The establishment of an authentic and stable sexual identity is especially threatened. Children should be educated to resist the sexual advances of adults, while sexually abused children should be provided with adequate aid. Educators (guidance teachers) should therefore have the necessary guidelines at their disposal for the prevention and treatment of sexual child abuse. / Psychology of Education / D.Ed. (Psychology of Education)