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Psychiatric Aspects of Incest Involving Juveniles

  • Sheldon Travin
Part of the Critical Issues in American Psychiatry and the Law book series (CIAP, volume 4)

Abstract

This chapter will focus on the psychiatric aspects of an extremely broad, intriguing, and ultimately enigmatic subject: incest. Even the contradictory etymological origins of the word incest reflect its essential mystery. Incest is believed to derive both from the Latin castus meaning “pure, chaste,” and from incestus meaning “impure, immodest, lewd.” Yet another linguistic interpretation traces the word back to the latin word cestus, used both to described girdle (of Venus), and to mean capable of arousing love.1

Keywords

Child Abuse Child Sexual Abuse Sexual Arousal Minnesota Multiphasic Personality Inventory Psychiatric Aspect 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Maisch H; Incest. London, André Deutsch Limited, 1973.Google Scholar
  2. 2.
    U.S. Department of Health and Human Services, National Center on Child Abuse and Neglect: Child Sexual Abuse: Incest, Assault, and Sexual Exploitation. Washington, DC, DHHS Publication No. (OHDS) 81–30166, issued 1979, revised April 1981.Google Scholar
  3. 3.
    Saragin E: Incest: Problems of definition and frequency. Journal of Sex Research 13: 126–135, 1977.CrossRefGoogle Scholar
  4. 4.
    Brant, RST, Tisza VB: The sexually misused child. Am J Orthopsychiatry 47: 80–90, 1977.PubMedCrossRefGoogle Scholar
  5. 5.
    Summit R, Kryso J: Sexual abuse of children: A clinical spectrum. Am J Orthospychiatry 48: 237–251, 1978.CrossRefGoogle Scholar
  6. 6.
    Finkelhor D: Sexually Victimized Children. New York, Free Press, 1979.Google Scholar
  7. 7.
    Smith H, Israel E: Sibling incest: A study of the dynamics of 25 cases. Child Abuse and Neglect 11: 101–108, 1987.PubMedCrossRefGoogle Scholar
  8. 8.
    Dixon KN, Arnold E, Calestro K: Father-son incest: Underreported psychiatric problem? Am J Psychiatry 135: 835–838, 1978.PubMedGoogle Scholar
  9. 9.
    Wahl CW: The psychodynamics of consummated maternal incest. Arch Gen Psychiatry 3: 188–193, 1960.CrossRefGoogle Scholar
  10. 10.
    Lidz RW, Lidz T: Homosexual tendencies in mothers of schizophrenic women. J Nero Ment Dis 149: 229–235, 1969.CrossRefGoogle Scholar
  11. 11.
    Browning DH, Boatman B: Incest: Children at risk. Am,JPsychiatry 134:69–72, 1977.Google Scholar
  12. 12.
    Lukianowicz N: Incest: I: paternal incest II: other types of incest. Br J Psychiatry 120: 301–313, 1972.PubMedCrossRefGoogle Scholar
  13. 13.
    Eisenberg N, Owens RG, Dewey ME: Attitudes of health professionals to child sexual abuse and incest. Child Abuse and Neglect 11: 109–116, 1987.PubMedCrossRefGoogle Scholar
  14. 14.
    American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed 3, revised. Washington, DC, Author, 1987.Google Scholar
  15. 15.
    Masters REL: Patterns of Incest. New York, The Julian Press, Inc., 1963.Google Scholar
  16. 16.
    Freud S; Totem and Taboo (1913–1914), in Strackey J (ed): Standard Edition, Vol 13. London, The Hogarth Press, 1955.Google Scholar
  17. 17.
    Westermarck E: The History of Human Marriage, ed 5. London, Macmillan and Co, 1921.Google Scholar
  18. 18.
    Lindzey G: Some remarks concerning incest, the incest taboo, and psychoanalytic theory. Am Psychol 22: 1051–1059, 1967.PubMedCrossRefGoogle Scholar
  19. 19.
    Adams MS, Neel JV: Children of incest. Pediatrics 40: 55–62, 1967.PubMedGoogle Scholar
  20. 20.
    Malinowski B: Sex and Repression in Savage Society. London, Routledge and Kegan Paul, 1927.Google Scholar
  21. 21.
    White LA: The definition and prohibition of incest, American Anthropologist 50: 416–435, 1948.PubMedCrossRefGoogle Scholar
  22. 22.
    Levi-Strauss C: The Elementary Structure of Kinship. Boston, Beacon Press, 1969.Google Scholar
  23. 23.
    Murdock GP: Social Structure. New York, Macmillan Co, 1949.Google Scholar
  24. 24.
    Weinberg SK: Incest Behavior. New York, Citadel Press, New York, 1955.Google Scholar
  25. 25.
    Travin S, Bluestone H, Coleman E, Cullen K, Melella J: Pedophilia: An update on theory and practice. Psychitr Q 57: 89–103, 1985.CrossRefGoogle Scholar
  26. 26.
    Kinsey AC, Pomeroy WB, Martin CE: Sexual Behavior in the Human Male. Philadelphia, W. B. Saunders Company, 1948.Google Scholar
  27. 27.
    Kinsey AC, Pomeroy WB, Martin CE, et al: Sexual Behavior in the Human Female. Philadelphia, W. B. Saunders Company, 1953.Google Scholar
  28. 28.
    Landis JT: Experiences of 500 children with adult sexual deviation. Psychiatr Q 30: 91–109, 1956.Google Scholar
  29. 29.
    Woodbury J, Schwartz E: The Silent Sin. New York, New American Library, 1971.Google Scholar
  30. 30.
    Russell DEH: The prevalence and seriousness of incestuous abuse: Stepfathers vs. biological fathers. Child Abuse and Neglect 8: 15–22, 1984.PubMedCrossRefGoogle Scholar
  31. 31.
    Phelan P: The process of incest: biologic father and stepfather families. Child Abuse and Neglect 10: 531–539, 1986.PubMedCrossRefGoogle Scholar
  32. 32.
    Finkelhor D: Child Sexual Abuse: New Theory and Research. New York, The Free Press, 1984.Google Scholar
  33. 33.
    DeYoung M; The Sexual Victimization of Children. Jefferson, NC, McFarland and Company, 1982.Google Scholar
  34. 34.
    Oliver BJ: Sexual Deviation in American Society. New Haven, Conn, College and University Press, 1967.Google Scholar
  35. 35.
    Gebhard PH, Gagnon JG, Pomeroy WB, et al: Sex Offenders: An Analysis of Types. New York, Harper and Row, 1965.Google Scholar
  36. 36.
    Marcuse M; Incest. Am J Urology Sexology 16: 273–281, 1923.Google Scholar
  37. 37.
    Meiselman KC: Incest: A Psychological Study of Causes and Effects with Treatment Recommendations. San Francisco, Cal., Jossey-Bass, 1978.Google Scholar
  38. 38.
    Langevin R, Handy L, Russon AE, et al: Are incestuous fathers pedophiliac, aggressive, and alcoholic? in Langevin R (ed): Erotic Preference, Gender Identity and Aggression in Men: New Research Studies. Hillsdale, New Jersey, Lawrence Erlbaum Associates, 1985.Google Scholar
  39. 39.
    Meyer JK: Paraphilias, in Kaplan HI, Sadock BJ (eds): Comprehensive Textbook of Psychiatry/IV, vol 1, ed 4. Baltimore, Williams and Wilkins, 1985.Google Scholar
  40. 40.
    Gadpaille WJ: Biological factors in the development of human sexual identity, in Meyer JK (ed): Symposium on Sexuality, The Psychiatric Clinics of North America, vol 3, April 1980.Google Scholar
  41. 41.
    McGuire RJ, Carlisle JM, Young BG: Sexual deviations as conditioned behavior: A hypothesis. Behav Res Ther 2: 185–190, 1965.CrossRefGoogle Scholar
  42. 42.
    Earls CM, Marshall WL: The current state of technology in the laboratory assessment of sexual arousal patterns, in Greer JG, Stuart IR (eds): The Sexual Aggressor. Current Perspectives on Treatment. New York, Van Nostrand Reinhold Company, 1983.Google Scholar
  43. 43.
    Zuckerman M: Psysiological measures of sexual arousal in the human. Psychol Bull 75: 297–329, 1971.PubMedCrossRefGoogle Scholar
  44. 44.
    Freund K: Diagnosing heterosexual pedophilia by means of a test for sexual interest. Behav Res Ther 3: 229–234, 1965.PubMedCrossRefGoogle Scholar
  45. 45.
    Freund K: Diagnosing homo-or heterosexuality and erotic age-preference by means of a psychophysiological test. Behav Res Ther 5: 205–228, 1967.Google Scholar
  46. 46.
    Freund K, McKnight CK, Langevin R, Cibiri S: The female child as a surrogate object. Arch Sex Behav 2: 119–133, 1972.PubMedCrossRefGoogle Scholar
  47. 47.
    Quinsey VL, Steinman CM, Bergerson SG, Holmes TF: Penile circumference, skin conductance, and ranking responses of child molesters and “normals” to sexual and nonsexual visual stimuli. Behavior Thepray 6: 213–219, 1975.CrossRefGoogle Scholar
  48. 48.
    Quinsey VL, Chaplin TC, Carrigan WF: Sexual preferences among incestuous and nonincestuous child molesters. Behavior Therapy 10: 562–565, 1979.CrossRefGoogle Scholar
  49. 49.
    Quinsey VL: The assessment and treatment of child molesters: A review. Can Psychol Rev 18: 204–220, 1977.Google Scholar
  50. 50.
    Abel GG, Becker J V, Murphy WD, et al: Identifying dangerous child molesters, in Stuart RB (ed): Violent Behavior: Social Learning Approaches to Prediction, Management and Treatment. New York, Brunner/Mazel, 1981.Google Scholar
  51. 51.
    Henson DE, Rubin HB: Voluntary control of eroticism. J Appl Behav Anal 4: 37–44, 1971.PubMedCrossRefGoogle Scholar
  52. 52.
    Farkas GM: Comments on Levin et al. and Rosen and Kopel: Internal and external validity issues. J Consult Clin Psychol 46: 1515–1516, 1978.PubMedCrossRefGoogle Scholar
  53. 53.
    Laws DR, Holman ML: Sexual response faking by pedophilies, in Abel GG (ed): Treatment of Sexual Aggressives, Criminal Justice and Behavior 1978.Google Scholar
  54. 54.
    Protter B, Travin S: Sexual fantasies in the treatment of paraphiliac disorders: A bimodal approach. Psychiatr Q 54 (4): 279–297, Winter 1987.CrossRefGoogle Scholar
  55. 55.
    Freud S: Three essays on the theory of sexuality, in Strachey J (ed): Standard Edition, vol 7. London, Hogarth Press, 1905, pp 125–243.Google Scholar
  56. 56.
    Sachs H: Zur Genese der Perversionen. Internationale Zeitschrift für Psychoanalyse 9: 172–182, 1923.Google Scholar
  57. 57.
    Glover E: The relation of perversion formation to the development of reality sense. Intl Psychoanaly 14: 486–504, 1933.Google Scholar
  58. 58.
    Bak R: Aggression and perversion, in Lorand S, Balint M (eds): Perversions: Psycho-dynamics and Therapy. London, Random House, 1956.Google Scholar
  59. 59.
    Khan MMR: Alienation in Perversions. New York, International Universities Press, 1979.Google Scholar
  60. 60.
    Kohut H: The Analysis of the Self. New York, International Universities Press, 1971.Google Scholar
  61. 61.
    Kohut H: The Restoration of the Self. New York, International Universities Press, 1977.Google Scholar
  62. 62.
    Stoller RJ: Perversion. New York, Pantheon, 1975.Google Scholar
  63. 63.
    Stoller RJ: Sexual Excitement. New York, Pantheon, 1979.Google Scholar
  64. 64.
    Stoller RJ: Observing the Erotic Imagination. New Haven, Yale University Press, 1985.Google Scholar
  65. 65.
    Howells K: Adult sexual interest in children: Considerations relevant to theories of aetiology, in Cook M, Howells K (Eds): Adult Sexual Interest in Children. New York, Academic Press, 1981.Google Scholar
  66. 66.
    Storr A: Sexual Deviation. Hammondsworth, Penguin, 1964.Google Scholar
  67. 67.
    Bell AP, Hall CS: The personality of a child molester, in Weinberg MS (ed): Sex Research: Studies from the Kinsey Institute. Oxford, Oxford University Press, 1976.Google Scholar
  68. 68.
    Fraser M: The Death of Narcissus. London, Secker and Warburg, 1976.Google Scholar
  69. 69.
    Kraemer W: The Forbidden Love: The Normal and Abnormal Love of Children. London, Sheldon Press, 1976.Google Scholar
  70. 70.
    Gordon R: Paedophilia: Normal and abnormal, in Kraemer W (ed): The Forbidden Love: The Normal and Abnormal Love of Children. London, Sheldon Press, 1976.Google Scholar
  71. 71.
    Lambert K: The scope and dimensions of paedophilias, in Kraemer W (ed): The Forbidden Love: The Normal and Abnormal Love of Children. London, Sheldon Press, 1976.Google Scholar
  72. 72.
    Groth AN: Patterns of sexual assault against children and adolescents, in Burgess AW, Groth AN, Holmstrom LL, Sgroi SM (eds): Sexual Assault of children and Adolescents. Lexington, Mass., Lexington Books, 1978.Google Scholar
  73. 73.
    Weiner IB: Father-daughter incest: A clinical report. Psychiatr Q 36: 607–632, 1962.PubMedCrossRefGoogle Scholar
  74. 74.
    Cavallin H: Incestuous father: A clinical report. Am J Psychiatry 122: 1132–1138, 1966.PubMedGoogle Scholar
  75. 75.
    Cormier BM, Kennedy M, Sangowicz J: Psychodynamics of father-daughter incest. Can J Psychiatry 7: 203–217, 1962.Google Scholar
  76. 76.
    Rada RT: Alcoholism and the child molester. Ann NY Acad Sci 273: 492–496, 1976.PubMedCrossRefGoogle Scholar
  77. 77.
    Panton JH: MMPI profile configurations associated with incestuous and non-incestuous child molesting. Psychol Rep 45: 335–338, 1979.PubMedCrossRefGoogle Scholar
  78. 78.
    Julian V, Mohr C: Father-daughter incest: Profile of the offender. Victimology: An International Journal 4: 348–360, 1979.Google Scholar
  79. 79.
    Machotka P, Pittman FS, Flomenhaft K: Incest as a family affair. Fam Process 6: 98–116, 1966.CrossRefGoogle Scholar
  80. 80.
    Herman J, Hirschman L: Families at risk for father-daughter incest. Am J Psychiatry 138: 967–970, 1981.PubMedGoogle Scholar
  81. 81.
    Kaufman I, Peck AL, Tagiuri CK: The family constellation and overt incestuous relations between father and daughter. Am J Orthopsychiatry 24: 266–279, 1954.PubMedCrossRefGoogle Scholar
  82. 82.
    Lustig N, Dresser, JW, Spellman SW, Murray TB: Incest: A family group survival pattern. Arch Gen Psychiatry 14: 31–40, 1966.CrossRefGoogle Scholar
  83. 83.
    Raphling DL, Carpenter BL, Davis A: Incest: A genealogical study. Arch Gen Psychiatry 16: 505–511, 1967.PubMedCrossRefGoogle Scholar
  84. 84.
    Cooper I, Cormier BM: Inter-generational transmission of incest. Can J Psychiatry 27: 231–235, 1982.PubMedGoogle Scholar
  85. 85.
    Alexander PC: A systems theory conceptualization of incest. Fam Process 24: 79–88, 1985.PubMedCrossRefGoogle Scholar
  86. 86.
    Freud S: The aetiology of hysteria, In The Complete Works of Sigmund Freud London, Hogarth Press, 1955.Google Scholar
  87. 87.
    Abraham K: The experiencing of sexual traumas as a form of sexual activity, in Selected Papers of Karl Abraham. London, Hogarth Press, 1927.Google Scholar
  88. 88.
    Bender L, Blau A: The reaction of children to sexual relations with adults. Am J Orthospychiatry 7: 500–518, 1937.CrossRefGoogle Scholar
  89. 89.
    Bender L, Grugett FAE: A follow-up report on children who had atypical sexual experiences. Am J Orthopsychiatry 22: 825–837, 1952.PubMedCrossRefGoogle Scholar
  90. 90.
    Yorukoglu A, Kemph JP: Children not generally damaged by incest with a parent. J Am Acad Child Psychiatry 5: 111–124, 1966.PubMedCrossRefGoogle Scholar
  91. 91.
    Henderson JD: Incest, in Freedman AM, Kaplan HI, Sadock BJ (ed): Comprehensive Textbook of Psychiatry, vol 2, ed 2. Baltimore, Williams and Wilkins, 1975.Google Scholar
  92. 92.
    Burgess AW, Holmstrom LL: Sexual trauma of children and adolescents: Pressure, sex, and secrecy. Nursing Clinics of North America 10: 551–563, 1975.PubMedGoogle Scholar
  93. 93.
    Abel GG, Becker JV, Cunningham-Rathner J: Complications, consent, and congnitions in sex between children and adults. Int J Law Psychiatry 7: 89–103, 1984.PubMedCrossRefGoogle Scholar
  94. 94.
    Rosenfeld AA: The clinical management of incest and sexual abuse of children. JAMA 242: 1761–1764, 1979.PubMedCrossRefGoogle Scholar
  95. 95.
    DeJong AR: The medical evaluation of sexual abuse in children. Hosp Community Psychiatry 36: 509–512, 1985.Google Scholar
  96. 96.
    Lewis M, Sarrel PM: Some psychological aspects of seduction, incest, and rape. J Am Acad Child Psychiatry 8: 606–619, 1969.PubMedCrossRefGoogle Scholar
  97. 97.
    Gomes-Schwartz B, Horowitz JM, Sauzier M: Severity of emotional distress among sexually abused preschool, school-age, and adolescent children. Hosp Community Psychiatry 36: 503–508, 1985.PubMedGoogle Scholar
  98. 98.
    Adams-Tucker C: Proximate effects of sexual abuse in childhood: A report on 28 children. Am . J. Psychiatry 139: 1252–1256, 1982.PubMedGoogle Scholar
  99. 99.
    Krener P: Clinical experience after incest: Secondary prevention: J Am Acad Child Psychiatry 24: 231–234, 1985.PubMedCrossRefGoogle Scholar
  100. 100.
    Emslie GJ, Rosenfeld A: Incest reported by children and adolescents hospitalized for severe psychiatric problems. Am J Psychiatry 140: 708–711, 1983.PubMedGoogle Scholar
  101. 101.
    O’Brien JD: The effects of incest on female adolescent development. J Am Acad Psychoanal 15: 83–92, 1987.PubMedGoogle Scholar
  102. 102.
    Goodwin J, Simms M, Bergman R: Hysterical seizures: A sequel to incest. Am J Orthopsychiatry 49: 698–703, 1979.PubMedCrossRefGoogle Scholar
  103. 103.
    Gross M: Incestuous rape: A cause for hysterical seizures in four adolescent girls. Am J Orthopsychiatry 49: 704–708, 1979.PubMedCrossRefGoogle Scholar
  104. 104.
    Molnar G, Cameron P: Incest syndromes: Observations in a general hospital psychiatric unit. Can J Psychiatry 20: 373–377, 1975.Google Scholar
  105. 105.
    Finkelhor D, Browne A: The traumatic impact of child sexual abuse: A conceptualization. Am J Orthopsychiatry 55: 530–541, 1985.PubMedCrossRefGoogle Scholar
  106. 106.
    Katan A: Children who were raped. Psychoanal Study Child 28: 208–224, 1973.Google Scholar
  107. 107.
    Rosenfeld AA: Incidence of a history of incest among 18 female psychiatric patients. Am J Psychiatry 136: 791–795, 1979.PubMedGoogle Scholar
  108. 108.
    Becker JV, Skinner LJ, Abel GG, Tracey EC: Incidence and types of sexual dysfunctions in rape and incest victims. J Sex Marital Ther 10: 185–192, 1984.PubMedCrossRefGoogle Scholar
  109. 109.
    Researchers identify psychiatric problems of adults abused sexually as children. Psychi atric News 22: 23, April 1987.Google Scholar
  110. 110.
    Gelinas DJ: The persisting negative effects of incest. Psychiatry 46: 312–332, 1983.PubMedGoogle Scholar
  111. 111.
    Serrano AC, Gunzburger DW: An historical perspective of incest, in Barnard CP (ed): Families, Incest and Therapy. Int f Fam Ther 5:70–80, 1983.Google Scholar
  112. 112.
    Herman J: Recognition and treatment of incestuous families, in Barnard CP (ed): Families, Incest, and Therapy. Int f Fam Ther 5:81–91, 1983.Google Scholar
  113. 113.
    Giarretto H: The treatment of father-daughter incest: A psycho-social approach. Child Today 5: 2–35, 1976.PubMedGoogle Scholar
  114. 114.
    Clinicians present comprehensive approach to treatment of sexually abused children. Psychiatric News 22: 46–49, May 1987.Google Scholar
  115. 115.
    Sgroi SM: Handbook of Clinical Intervention in Child Sexual Abuse. Lexington, Mass., Lexington Books, 1982.Google Scholar
  116. 116.
    Rist K: Incest: Theoretical and clinical views. Am J Orthopsychiatry 49: 680–691, 1979.PubMedCrossRefGoogle Scholar
  117. 117.
    Zuelzer MB, Reposa RE: Mothers in incestuous families, in Barnard CP (ed): Families, Incest, and Therapy. Int f Fam Ther 5:98–109, 1983.Google Scholar
  118. 118.
    Giarretto H, Giarretto A, Sgroi SM: Coordinated community treatment of incest, in Burgess AW, Grath AN, Holmstrom LL, Sgroi SM (eds): Sexual Assault of Children and Adolescents. Lexington, Mass., Lexington Books, 1978.Google Scholar
  119. 119.
    Abel GG, Rouleau JL, Cunningham-Rathner J: Sexually aggressive behavior, in Curran WJ, McGarry AL, Shah SA (eds): Forensic Psychiatry and Psychology. Perspectives and Standards for Interdisciplinary Practice. Philadelphia, F. A. Davis Company, 1986.Google Scholar
  120. 120.
    Travin S, Bluestone H, Coleman E, Cullen K, Melella J: Pedophile types and treatment perspectives. J Forensic Sci 31: 614–620, 1986.PubMedGoogle Scholar
  121. 121.
    Travin S, Cullen K. Melella JT: The use and abuse of erection measurements: A forensic perspective. Bull Am Acad Psychiatry and Law (in press).Google Scholar
  122. 122.
    Freund K: Assessment of pedophilia, in Cook M, Howell K (ed): Adult Sexual Interest in Children. New York, London, Academic Press, 1981.Google Scholar
  123. 123.
    Abel GG, Blanchard EG: The measurement and generation of sexual arousal in sexual deviates, in Hersen H, Eisler RM, Miller PM (eds): Progress in Behavior Modification, vol 2. New York, London, Academic Press, 1976.Google Scholar
  124. 124.
    Cohn AH: Preventing adults from becoming sexual molesters. Child Abuse and Neglect 10: 559–562, 1986.PubMedCrossRefGoogle Scholar
  125. 125.
    Freeman-Longo RE: The impact of sexual victimization of males. Child Abuse and Neglect 10: 411–414, 1986.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1989

Authors and Affiliations

  • Sheldon Travin
    • 1
    • 2
  1. 1.Department of PsychiatryBronx-Lebanon Hospital CenterBronxUSA
  2. 2.Department of PsychiatryAlbert Einstein College of MedicineBronxUSA

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