
by Nancy Faulkner, Ph.D.
Too often, we don't ask. We survey school children on alcohol and drug use. But we don't ask about sexual victimization. -- Why not?
Long-term effects that are frequently reported and associated with sexual abuse include depression, self-destructive behavior, anxiety, feelings of isolation and stigma, poor self- esteem, difficulty in trusting others, tendency toward revictimization, substance abuse, and sexual maladjustment (Courtois & Watts, l982; Finkelhor & Browne, 1986, Herman & Hirschman, 1977; Tsai & Wagner, l978).
Early identification of sexual abuse victims appears to be crucial to the reduction of suffering, the enhancement of psychological development, and for healthier adult functioning (Bagley, 1992; Bagley, 1991; Finkelhor et al. 1990; Whitlock & Gillman, 1989).
Victims of sexual abuse frequently experience feelings of shame, guilt, isolation, powerlessness, embarrassment, and inadequacy (Bagley, 1992; Courtois & Watts, 1982; Herman & Hirschman, 1977; Swanson & Biaggio, 1985). They may even accept the responsibility for the abuse by blaming themselves (Johnson, 1987).
Victims may also have a feeling that "something is wrong with me," and that the abuse is their fault (Johnson, 1987; Tsai & Wagner, l978). They may be embarrassed or reluctant to answer questions about the sexual activity (Berliner & Barbieri, 1984).
Children often fail to report because of the fear that disclosure will bring consequences even worse than being victimized again. The victim may feel guilty for consequences to the perpetrator and may fear subsequent retaliatory actions from the perpetrator (Berlinger & Barbieri, 1984; Groth, 1979; Swanson & Biaggio, 1985).
As long as disclosure continues to be a problem for young victims, then fear, suffering, and psychological distress will, like the secret, remain with the victim.
"Studies to date concerning possible short- and long-term effects of child sexual abuse have focused primarily on the experiences of women abused as children..." (Whitlock and Gillman, 1989). These retrospective studies have neither reached nor addressed the immediate needs of the masses of young victims currently living with undisclosed abuse, nor have they adequately addressed the issue of whether victims understand that they have been sexually abused (Finkelhor & Browne, l986).
Finkelhor and Browne (1986) have recommended that since sexual abuse is extensively underreported and intervention is subsequently delayed, there be new studies of victims who have not disclosed or sought treatment. They advocated that these studies be conducted more proximate to the age of victimization.
Bagley (1992) confirmed that there is logic in beginning attempts to query students in school settings.
Shouldn't children have the same rights?
Aren't children, more vulnerable than adults, more afraid to speak out than adults?
Shouldn't children also have the right to express their needs without being inhibited by fear of identification?
Bagley (1992) posited that children and adolescents may be reluctant to report some experiences directly, or through a questionnaire in which they have to identify themselves. He contended that adolescents in school settings are willing to anonymously report various kinds of stress, including physical, emotional and sexual abuse.
Since no known instrument currently existed that would permit young victims to anonymously provide us with current, community based information on the frequency of undisclosed sexual abuse, research was conducted (Faulkner, 1996) which included the development of an instrument entitled Sexual Abuse Recognition and Non-Disclosure Inventory (SARANDI). The SARANDI was designed to assess the frequency of undisclosed sexual abuse in young adolescents.
The SARANDI survey included several questions on potential sexual victimization. Finkelhor et al. (1990) contended that respondents disclose more experiences when given multiple opportunities to disclose to a variety of events, as opposed to a single, broad screening question.
In the study, an attempt was made to investigate the issue of children who had been abused but were unaware they were sexual abuse victims. Based on the research of Gilbert (1988) and Yoder et al. (1988), it was expected that some participants who affirmed sexual abuse situations would, at the same time, deny they had been sexually abused.
The SARANDI was written in terms that would be acceptable to school administrators for use with young adolescents. All administration procedures were on an 11 minute video tape. Administration of the anonymous survey took less than 30 minutes.
Although the SARANDI research is not the final solution, it is a move toward assessing the needs of sexual victims in the school system, singularly the best place to reach the greatest number of children. Unlike retrospective studies of adults, this research attempted to assess the extent of current victimization in the communities in which it was occurring.
Continued research is imperative to liberating these children from their prisons of secrecy and pain.
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Bagley, C. (1990b). Validity of a short measure of child sexual abuse for use in community mental health surveys. Psychological Reports, 66, 449-450.
Berlinger, L. & Barbieri, M. K. (1984). The testimony of the child victim of sexual assault. Journal of Social Issues, 40(2), 125-137.
Courtois, C. A. & Watts, D. L. (1982). Counseling adult women who experienced incest in childhood or adolescence. The Personnel and Guidance Journal, January, 275-279.
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Tsai, M. & Wagner, N. N. (1978). Therapy groups for women sexually molested as children. Archives of Sexual Behavior, 7, 417-427.
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Yoder, P., Miltenberger, R. & Poche, C. (1988). Teaching self-protection to children using television techniques. Journal of Applied Behavior Analysis, 21, 253-61.