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)

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)

The South African Justice System is a broader system that brings law and order to society. This law and order also includes the constitutional rights of the sexually abused children. A special court dealing with cases of children who are sexually abused is functioning throughout the country. The purpose of this study is to develop a framework for social workers working with children in these special courts. The problem identified is that in these courts no framework exists for social workers focusing on the guidance of the child through the processes of the Justice System. This includes the therapeutic guidance by means of brief or directive therapy. The research methodology for this study focused on developmental research by using the Intervention research model of Rothman and Thomas (1994). The phases implemented in the study were Problem analysis and project planning, information gathering and synthesis and design. Qualitative data was gathered by means of semi-structured interviews and integrated in phase two of the research report. A proto-type guideline was developed and needs to be evaluated in future research. / Social Work / M.Diac. (Play Therapy)

The research dealt with the implementation of Gestalt play therapy for the treatment of the sexually abused primary school child who experiences problems to maintain himself. The need for research on the theme originated from the researcher's experience with sexually abused primary school children. The aim of the research was to render therapeutic support to the primary school child through Gestalt play therapy, in order to explore the influence of such support on the child's maintaining behaviour. The applied research design was used for this purpose. For the purpose of the research, one sexually abused child who experienced problems to maintain himself was identified by means of purposeful sampling. During each Gestalt play therapy session the child was brought into contact with his senses. Conclusions as well as recommendations were formulated as a result of the research. / Social Work / M. Diac. (Play Therapy)

Gestalt play therapy court assessment / Child victim / Sexual crime / Legal professionals / Assessment guideline / Intermediary / Text in Afrikaans / As a source of information the court needs to be convinced of the witness's credibility and the ability to recall and communicate the truth regarding the Incident. Mostly the court uses the expertise of an expert witness to assist it in making a decision regarding the way in which a child needs to testify in court. Experts in this field are challenged to align the legal requirements with those of their field of expertise. In this research the Gestalt therapeutic approach is used to design an assessment guideline to assist experts to assess the ability of child victims of sexual crimes to testify in court. The Gestalt therapeutic approach focuses on the present (here and now) and has the ability to obtain access to the information present in the child's life. In the proposed assessment guideline certain Gestalt play therapy methods are recommended to assist the expert to assessing the child victim of a sexual crime. / Play therapy / M.Diac. (Play therapy)

The urgency of research in the field of child sexual abuse has inspired most efforts to be concentrated on treatment and counselling. An important objective of this study was to show that equal importance should be directed towards the identification, causes, effects and prevention of child sexual abuse. It became evident from the literature study that the catastrophe of child sexual abuse can be reduced if teachers, especially primary school teachers,. are professionally trained to identify, protect, prevent, report, support and guide the sexually abused child or possible victims of child sexual abuse. An empirical study to determine the importance of the role of the primary school teacher in dealing with child sexual abuse has been conducted. The results and the educational implications of the findings are discussed and finally guidelines are given to assist primary school teachers in their task of giving support and guidance to the sexually abused child. / Psychology of Education / M. Ed. (Psychology of Education)

Text in Afrikaans / Hierdie studie ondersoek die bantering van seksueel-gemolesteerde kinders. Die kliniese beeld sowel as die fisiese- en gedragsimptome is kriteria by die uitkenning van seksuele molestering. Die bantering van die seksueel-gemolesteerde kind is medebepalend vir die onmiddellike en langtennyn gevolge van seksuele molestering. Seksuele molestering word vanuit 'n sielkundig-opvoedkundige perspektief bespreek. Die studie neem die seksueel-gemolesteerde kind se betekenisgewing, belewing, betrokkenheid, selfaktualisering en selfkonsep in beskouing. Terapeutiese tegnieke, soos toegepas in gevalle van seksuele molestering, word vir gebruik deur professionele persone en instansies, bespreek. Die empiriese ondersoek fokus op die houdinge, hanteringswyses en toepassing van terapeutiese tegnieke deur professionele persone en instansies in die Witbank omgewing. Volgens die navorsingsresultate is daar geen uniforme hanteringswyse of riglyne vir terapie ten opsigte van seksueel-gemolesteerde kinders nie. Die navorsing toon verder swak interinstansie-samewerking wat die voordele van uniforme hanteringswyses en riglyne vir terapie emstig aan bande le / This study investigates the treatment of sexually-abused children. The clinical framework and the physical and behavioural symptoms being some of the criteria utilised to identify such children. The methods used to treat cases co-determine the immediate and long-term effects of sexual abuse. Sexual abuse is discussed from an educational-psychological perspective. The study reflects on the child's meanin& experiencing, involvement, selfactualisation, self-concept and their effects on her life. Professional approaches, therapeutic techniques and treatments are described for use by professionals and agencies, based on an empirical investigation conducted in Witbank. The results of the research indicate a non-uniform approach in guidelines used for therapeutic techniques and the treatment of sexually-abused children. The research shows further that interaction between professional bodies and -individuals in treatment of these cases is poor and the benefits that should result from uniform treatment are therefore severely limited / Psychology of Education / M. Ed. (Spesialisering in Voorligting)

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)

The purpose of this study was to determine the extent, pattern and forms of child sexual abuse amongst university students / to investigate the degree of sexual coercion / to examine victim-perpetrator relationships / to determine the extent to which students are bothered by the event at the time of completing the Early Sexual Experiences Checklist / to establish the age of the student at the time the event occurred and also the age of the other person involved when the event occurred / and to determine the frequency of the coercive event.