Phenomenology of the psychological consequences of sexual abuse in children and adolescents, depending on various factors

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Abstract

The paper is devoted to psychological consequences of sexual abuse in children and adolescents. It presents review of domestic and foreign research of psychological injury in minors. The article gives results of complex psychological and psychiatric examination of 183 juvenile victims of sexual abuse. Psychological effects of sexual abuse in children and adolescents are identified and described on the basis of age, gender, clinical characteristics of the mental state of the victim, as well as the type and duration of the abuse. Intensity and expressiveness of post-traumatic response as well as coverage of personality spheres increase with aging. The data on the gender specificity of the sexual abuse effects suggest that girls more demonstrate internal forms, while external manifestations dominate in boys. The type and duration of sexual abuse determine a wide range of possible psychological consequences. It is noted that the severity of the psychological effects of sexual abuse in victims with mental disorders associated with the trauma is higher than in victims qualified to be mentally sane or having a mental illness, non-associated with psychologically traumatic situations. Psychological consequences exhibited by mentally sane victims show a decrease in their quality of life.

General Information

Keywords: minor sustain, sexual abuse, sexual abuse in children, psychological consequences of sexual abuse.

Journal rubric: Legal Psychology of Childhood

Article type: scientific article

DOI: https://doi.org/10.17759/psylaw.2016060107

For citation: Borisenko E.V. Phenomenology of the psychological consequences of sexual abuse in children and adolescents, depending on various factors [Elektronnyi resurs]. Psikhologiya i pravo = Psychology and Law, 2016. Vol. 6, no. 1, pp. 73–90. DOI: 10.17759/psylaw.2016060107. (In Russ., аbstr. in Engl.)

References

  1. Aleksandrovskii Yu.A. Sostoyaniya psikhicheskoi dezadaptatsii i ikh kompensatsiya [The state of mental dysadaptation and their compensation]. Moscow: Publ. Nauka, 1976. 272p.
  2. Badmaeva V.D. Posledstviya seksual'nogo nasiliya u detei i podrostkov [The consequences of sexual violence in children and adolescents]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova [Journal of neurology and psychiatry named after S. S. Korsakov]. 2009. № 12. pp. 34-37. (In Russ., abstr. in Engl.).
  3. Voronova E.L., Shipshin S.S. Deti – zhertvy seksual'nogo nasiliya. Pravovye i psikhologicheskie aspekty [Child victims of sexual violence. Legal and psychological aspects]. Metodicheskie rekomendatsii. Rostov-na-Donu, 2000. 58p.
  4. Gur'eva V.A., Morozova N.B. Ostrye affektivnye reaktsii u nesovershennoletnikh s psikhogennym razvitiem lichnosti (klinika, diagnostika, sudebno-psikhiatricheskaya otsenka) [Acute affective responses in juveniles with psychogenic personality development (clinic, diagnostics, forensic-psychiatric evaluation)]. Metodicheskie rekomendatsii. Moscow, 1990. 16p.
  5. Dvoryanchikov N.V. Osobennosti polovogo samosoznaniya u nesovershennoletnikh, poterpevshikh nasil'stvennye seksual'nye deistviya. Pomoshch' detyam i podrostkam, postradavshim ot zhestokogo obrashcheniya i kommercheskoi seksual'noi deyatel'nosti [Features of the sexual identity of minors, victims of violent sexual acts. Helping children and adolescents, victims of abuse and commercial sexual activity]. Metodicheskoe posobie [Methodical manual] In Lukovtseva Z.V. (ed.). Moscow: Publ. ETIPAK, 2005. pp.130-134.
  6. Dozortseva E.G. Psikhologicheskaya travma u podrostkov s problemami v povedenii. Diagnostika i korrektsiya [Psychological trauma in adolescents with behavior problems. Diagnosis and correction]. Moscow: Publ. «Genezis», 2007. 128 p.
  7. Kachaeva M.M., Rusina V.V., Sat'yanova L.S. Kliniko-sotsial'nye faktory riska i sudebno-psikhiatricheskaya otsenka psikhicheskogo sostoyaniya zhenshchin, zhestoko obrashchavshikhsya so svoimi det'mi («izbivayushchie materi») Clinical and social risk factors and forensic psychiatric assessment of the mental state of women, treated brutally with their children ("mother-beating")]. Rossiiskii psikhiatricheskii zhurnal [Russian journal of psychiatry]. 2011. №2. pp. 25-30. (In Russ., abstr. in Engl.).
  8. Kekelidze Z.I., Portnova A.A. Kriterii diagnostiki posttravmaticheskogo stressovogo rasstroistva [Criteria for the diagnosis of post-traumatic stress disorder]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova [Journal of neurology and psychiatry named after S. S. Korsakov]. 2009. № 12. pp. 4-7. (In Russ., abstr. in Engl.).
  9. Psikhologiya posttravmaticheskogo stressa. Chast' 1. Teoriya i metody. Prakticheskoe rukovodstvo [Psychology post-traumatic stress disorder. Part 1. Theory and methods. A practical guide]. In Tarabrina N.V. (ed.) Moscow: Publ. Kogito-Tsentr, 2007. 208 p.
  10. Tarabrina N.V. Praktikum po psikhologii posttravmaticheskogo stressa [Workshop on the psychology of post-traumatic stress]. Saint-Petersburg: Publ. Piter, 2001.272 p.
  11. Tkachenko A.A., Dvoryanchikov N.V., Dogadina M.A. Ontogeneticheskie mekhanizmy formirovaniya sposobnosti k vospriyatiyu gendernykh kachestv u nesovershennoletnikh zhertv seksual'nogo nasiliya [Ontogenetic mechanisms of formation of ability to perceive the gender of young victims of sexual violence] Rossiiskii psikhiatricheskii zhurnal [Russian journal of psychiatry]. 1999. № 2. pp. 13-18. (In Russ., abstr. in Engl.).
  12. Tkachenko A.A., Kamenskov M.Yu. Psikhicheskie rasstroistva u nesovershennoletnikh zhertv seksual'nogo nasiliya [Mental disorders among juvenile victims of sexual violence]. Psikhicheskoe zdorov'e [Mental health]. 2014. №11. pp. 33-38. (In Russ., abstr. in Engl.).
  13. Tkachenko A.A., Yakovleva E.Yu. Metodologicheskie printsipy sudebno-ekspertnoi otsenki stepeni tyazhesti vreda zdorov'yu v vide psikhicheskogo rasstroistva [Methodological principles of forensic assessment severity of harm to health in the form of a mental disorder]. Rossiiskii psikhiatricheskii zhurnal [Russian journal of psychiatry]. 2008. №4. pp.15-20. (In Russ., abstr. in Engl.).
  14. Trubitsina L.V. Protsess travmy [The injury process]. Moscow: Publ. Smysl, 2005. 218 p.
  15. Furmanov I.A., Furmanova N.V. Psikhologiya deprivirovannogo rebenka [Psychology deprivileging child]. Moscow: Publ. VLADOS, 2004. 319 p.
  16. Tsygankov B.D., Tyuneva A.I., Bylim A.I. Psikhicheskie rasstroistva u zhertv nasiliya i ikh mediko-psikhologicheskaya korrektsiya [Mental disorders in victims of violence and their medical and psychological correction]. Moscow: Publ. Meditsina, 2006. 174 p.
  17. Amstadter A., Vernon L. Emotional reactions during and after trauma: A comparison of trauma types // Journal of Aggression, Maltreatment and Trauma. 2008. Vol. 16 (4). P. 391-408
  18. Burgess A.W., Holmstrom L.L. Rape trauma syndrome // American Journal of Psychiatry. 1974. Vol. 131. P.981-986.
  19. Chandy J.M., Blum R.W., Naimark B. Gender-specific outcomes for sexually abused adolescent // Child Abuse and Neglect. 1996. Vol. 20. P. 1219-1231.
  20. Cuevas C., Finkelhor D. Clifford C., Ormrod R. and Turner H. Psychological distress as a risk factor for re-victimization in children // Childs Abuse and Neglect. 2010. Vol.34 (4). P. 235-243
  21. Daignault I., Herbert M. Profiles of school adaptation: Social, behavioural and academic functioning in sexually abused girls //Child Abuse and Neglect. 2009. Vol. 33. P. 102-115.
  22. Fergusson D.M., Mullen P.E. Child sexual abuse: An evidence-based perspective. P.: Thousand Oaks CA Sage Publications, 1999. 144 p.
  23. Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., et al. Relationship of childhood abuse and household dysfunction to many of the leading cause of death in adults: The adverse childhood experiences (ACE) study // American Journal of Preventive Medicine. 1998. Vol.14(4). P. 245–258.
  24. Finkelhor D. Early and long-term effects of child sexual abuse: An update // Professional psychology. 1990. Vol. 21. P. 325-330.
  25. Finkelhor D. Review of Child Sexual Abuse: New Theory and Research // Contemporary Sociology.1985. Vol. 14, № 6. P.712-713.
  26. Holmes W., Slap G. Sexual abuse of boys: definition, prevalence, correlates, sequelae and management // Journal of the American Medical Association.1998. Vol. 280. P.1855-1862.
  27. Malhatra S. Behavioral and psychological assessment of child sexual abuse in clinical practice // International journal of behavioral consultation and therapy. 2006. Vol.1 (2) .P.17-28
  28. Meyerson L.A., Long L.A., Miranda R. and Marx B.P. The influence of childhood sexual abuse, physical abuse, family environment, and gender on the psychological adjustment of adolescents // Child Abuse and Neglect. 2002. Vol. 26. P. 387-405.
  29. Mullen Paul E. Long-term Effects of Child Sexual Abuse. (http://www.aaets.org/article176.htm)
  30. Ray K.C., Jackson J.L. and Townsley R.M.. Family environments of victims of intrafamilial and extrafamilial child sexual abuse // Journal of Family Violence. 1991. Vol. 6. P. 365-374.
  31. Russel D. The incidence and prevalence of intrafamilial and extrafamilial sexual abuse in female children //Child Abuse &Neglect. 1983. Vol. 7. P. 133-146.

Information About the Authors

Elena V. Borisenko, PhD in Psychology, Senior Researcher, Department of Scientific and Methodological Support, Federal Resource Center for Psychological Service in the Education System, Moscow State University of Psychology & Education, Senior Researcher, Laboratory of Psychology of Child and Adolescence, V.P. Serbsky National Medical Research Centre for Psychiatry and Narcology of the Ministry of Health of the Russian Federation, Moscow, Russia, ORCID: https://orcid.org/0000-0002-8864-1085, e-mail: nutskova@serbsky.ru

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