Abstract
Despite widespread recognition of the phenomenon of the sexual abuse of children (CSA) in the USA, although other forms of maltreatment were acknowledged, there was considerable resistance to recognition of CSA in the UK. Research on professionals’ actual awareness of sexual harm to children, programs of professional awareness and survivors’ powerful statement broke through the barrier of silence. The establishment of the Great Ormond Street Children’s Hospital Sexual Abuse Assessment and Treatment Service in 1981 helped children to find a voice, and therapeutic provision could be made for victims, caring family members, and perpetrators using a systemic family model. There was a rapid process of community recognition. This was followed by a “backlash” with allegations of faulty investigative methods, and false memories, for example, Cleveland, which threatened to return to an age of secrecy. Improved methods of assessment and prevalence studies are now demonstrating the true current pattern of CSA, and the specific vulnerability of children and young people in the community. There is a need for extensive preventative interventions at all levels if we are to achieve Kempe’s stage when children are wanted, loved, and cared for.
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References
Baker, T. (1983, April). Sexual abuse within the family. Magazine, 19, 35–40.
BASPCAN (British Association for the Study and Prevention of Child Abuse and Neglect). (1981). Child sexual abuse. London: BASPCAN.
Bentovim, A. (1995). Trauma organized systems, physical and sexual abuse in families. London: Karnac.
Bentovim, A., & Kinston, W. (1991). Focal family therapy – Joining systems theory with psychodynamic understanding. In A. Gurman & D. Kniskern (Eds.), Handbook for family therapy (Vol. 2). New York: Basic Books.
Bentovim, A., Elton, A., Hildebrand, J., Tranter, M., & Vizard, E. (Eds.). (1988). Child sexual abuse within the family, assessment and treatment. London: Wright.
Bograd, M. (1990). Why we need gender to understand human violence. Journal of Interpersonal Violence, 5, 132–135.
Ceci, S. J., & Bruck, M. (2006). Children’s suggestibility: Characteristics and mechanisms. Advances in Child Development and Behaviour, 34, 247–281.
DHSS. (1980). Child abuse: Central register systems circular. LASSL (80) 4 HN: (80) 20.
DHSS. (1982). Child abuse: A study of enquiry reports 1973–1981. London: HMSO.
Finkelhor, D. (1979). Sexually victimized children. New York: The Free Press.
Finkelhor, D. (1980). Risk factors in the sexual victimization of children. Child Abuse & Neglect, 4, 265–273.
Finkelhor, D., Ormrod, R., & Turner, H. (2007). Poly-victimization: A neglected comparison in child victimization trauma. Child Abuse & Neglect, 31, 7–26.
Giaretto, H. (1981). A comprehensive child sexual abuse treatment programme. In P. D. Mrazek & C. H. Kempe (Eds.), Sexually abused children and their families. London: Oxford Pergamon Press.
Hobbs, C., & Wynne, J. (1986). Buggery in childhood – A common syndrome of child abuse. Lancet, 3, 792–796.
Kempe, C. H. (1977). Sexual abuse, another hidden pediatric problem: 1977 C. Anderson Aldrich Lecture. Pediatrics, 62(3), 382–389.
Lamb, M. E., Hershkowitz, I., Orbach, Y., & Esplin, P. W. (2008). Tell me what happened: Structured investigative interviews of child victims and witnesses. London: Wiley.
Monck, E., Bentovim, A., Goodall, G., Hyde, C., Lwin, R., Sharland, E., & Elton, A. (1996). Child sexual abuse: A descriptive and treatment study. London: HMSO.
Mrazek, P. B., & Bentovim, A. (1981). Incest and the dysfunctional family system. In P. B. Mrazek & C. H. Kempe (Eds.), Sexually abused children and their families. Oxford: Pergamon Press.
Mrazek, P. D., Lynch, M., & Bentovim, A. (1981). Recognition of child sexual abuse in the United Kingdom. In P. B. Mrazek & C. H. Kempe (Eds.), Sexually abused children and their families. Oxford: Pergamon Press.
Mrazek, P. D., Lynch, M., & Bentovim, A. (1983). Sexual abuse of children in the United Kingdom. Child Abuse & Neglect, 7, 147–154.
Nanni, V., Uher, R., & Danese, A. (2011). Childhood maltreatment predicts unfavorable course of illness and treatment outcome in depression: A meta-analysis. The American Journal of Psychiatry. doi:10.1176/appi.ajp. 2011.11020335.
Porter, R. (1984). Child sexual abuse within the family – The Ciba Foundation. London: Tavistock Publications.
Radford, P., & NSPCC. (2011). 10 year prevalence study of maltreatment in the community. Leicester: NSPCC.
Russell, E. E. H. (1983). The incidence and prevalence of intrafamilial and extrafamilial sexual abuse of female children. Child Abuse & Neglect, 7, 147–154.
Salter, D., McMillan, D., Richards, M., & Bentovim, A. (2003). Development of sexually abusive behavior in sexually victimized males: A longitudinal study. Lancet, 361, 471–476.
Skuse, D., Bentovim, A., Hodges, J., Stephenson, J., et al. (1998). Risk factors for development of sexually abusive behaviour and sexualised victimised adolescent boys: Cross sectional study. British Medical Journal, 317, 175–179.
Summit, R. (1983). The child sexual abuse accommodation syndrome. Child Abuse & Neglect, 7, 179–193.
The Cleveland Enquiry. (1989). London: HMSO.
Trickett, P. K., Noll, J. G., & Putnam, F. (2011). The impact of sexual abuse on female development: Lessons from a multigenerational, longitudinal research study. Development and Psychopathology, 23, 453–476.
Vizard, E., & Tranter, M. (1988). Helping children to describe experiences of child sexual abuse – A guide to practice. In A. Bentovim et al. (Eds.), Child sexual abuse within the family. London: Wright.
Wolfe, D. A. (2006). Preventing violence in relationships: Psychological science addressing complex social issues. Canadian Psychology, 47, 44–50.
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Bentovim, A. (2013). Commentary on Kempe C.H. 1978 Sexual Abuse, Another Hidden Pediatric Problem: 1977 C. Anderson Aldrich Lecture. In: Krugman, R., Korbin, J. (eds) C. Henry Kempe: A 50 Year Legacy to the Field of Child Abuse and Neglect. Child Maltreatment, vol 1. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4084-6_24
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