Making of Victim a Patient: Sexually Abused Children and the Consequences of Unprofessional Help

Sahay, Sarita

doi:10.1007/s12646-013-0183-0

Cited by 5 publications

(7 citation statements)

References 20 publications

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“…Few studies (11/51) among the quantitative and mixed-methods studies included in the review reported about the characteristics of the CSA perpetrators [ 31 , 49 , 52 – 61 ]. The studies conducted among the community sample indicated that perpetrators of CSA in India are known to the abused children, and many of them are family members [ 49 , 58 , 59 , 62 ]. The qualitative synthesis of studies that included perpetration as a sphere of enquiry suggests that multiple factors at individual, family, and societal levels play a significant role in perpetration of CSA.…”

Section: Resultsmentioning

confidence: 99%

Child sexual abuse in India: A systematic review

et al. 2018

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ObjectiveChild Sexual Abuse (CSA) is a pressing human right issue and public health concern. We conducted a systematic review of quantitative and qualitative studies published in the past decade on CSA in India to examine the distribution of the prevalence estimates for both genders, to improve understanding of the determinants and consequences of CSA and identify gaps in the current state of research.MethodsFor this systematic review, we searched electronic literature databases (PubMed, POPLINE, and PsycINFO) for articles published in English on Child Sexual Abuse in India between January 1, 2006 and January 1, 2016 using 55 search terms. Data were extracted from published articles only.FindingsFifty-one studies met inclusion criteria for the review. The review indicates that prevalence rates of CSA is high among both boys and girls in India. Due to heterogeneity of study designs and lack of standardised assessments, reported prevalence estimates varied greatly among both genders in different studies. There is a need to conduct representative studies using a validated instrument to obtain valid epidemiological estimates. Commercial sex workers, men who have sex with men, and women with psychiatric disorders were at higher risks for sexual abuse during childhood. In addition, the synthesis of qualitative data across studies included in the review suggests that exposure and perpetration of CSA is a multifaceted phenomenon grounded in the interplay between individual, family, community, and societal factors. The review indicates poor physical, behavioural, social, and mental health outcomes of CSA in India. We conclude with a research agenda calling for quantitative and qualitative studies to explore the determinants and perpetration of child sexual abuse in India from an ecological lens. This research agenda may be necessary to inform the development of a culturally tailored primary prevention and treatment strategy for CSA victims in India.

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Section: Resultsmentioning

confidence: 99%

Child sexual abuse in India: A systematic review

et al. 2018

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“…Only 25% (13/51) of studies discussed such methods. Among them, 54% (7/13) reported providing counselling services to participants as necessary, 31% (4/13) reported referring participants to psychiatric or general services if they appeared in distress [ 21 – 23 ], one reported specific efforts to not re-traumatize participants [ 24 ], and one qualitative study requested participants to participate in a one-on-one in-depth interview of convenience to them if they were apprehensive in participating in the focus group discussion [ 25 ].…”

Section: Resultsmentioning

confidence: 99%

Ethical and definitional considerations in research on child sexual violence in India

et al. 2018

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BackgroundWhile critically important, child sexual violence (CSV) research poses numerous ethical and safety challenges. Recently, the studies dedicated to understanding and addressing CSV in India have been on the rise, but no published ethical guidelines to direct such research currently exist. To help inform ethical and safety recommendations for the design, conduct, and reporting of future CSV research in India and similar settings, we systematically reviewed the ethics and safety practices reported in recent Indian CSV literature.MethodsA multi-tiered approach was used to understand current ethical practices and gaps: 1) systematic review of Indian CSV studies published over the past decade, 2) examination of existing guidelines on related topics to develop an ethical framework, 3) development of an ethics checklist based on the recommendations from the surveyed guidelines, and 4) application of the checklist to each of the reviewed studies.ResultOur search yielded 51 eligible studies. From each, data from 6 major thematic areas was extracted: informed consent, confidentiality, selection, training, and protection of study team members, validity of CSV measurement methods, measures to minimize participant harm, and participant compensation. Several gaps were noted: only two-thirds reported approval by ethics committees, obtaining informed consent, and assured participants of confidentiality. Only 25% (13/51) reported assessing ongoing CSV risk and providing necessary support services, none noted whether ongoing CSV was reported to authorities (required by Indian law), and none reported safeguards to protect staff from the effects of conducting CSV research. Further, 43% (22/51) limited surveillance of CSV to one form of abuse and/or used a “loaded term,” increasing the potential for underreporting.ConclusionsThrough enhancing understanding of current ethical practices and gaps in CSV research in India, this systematic review informs reporting protocols and future guidelines for CSV research in India and other similar settings.

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“…Data from the second and third phase of this study indicated that everything needs to be in place to ensure that the sexually abused boy is not exposed to any further sexual abuse (Cohen et al, 2012;Sahay, 2013). A way to accomplish this is to look into the room placements of these boys in the residential facilities.…”

Section: Create Safe Spacesmentioning

confidence: 99%

“…This immediacy of the relationship allows the child to experiment with new ways of acting and experiencing as they are living their lives. Several authors (Sahay, 2013;Swanzen, 2011) mention the importance of giving love, care and support to the sexually abused child. Different ways of sustaining such a deep/trusting relationship will be discussed.…”

Section: Sustain a Deep/trusting Relationshipmentioning

confidence: 99%

“…Research literature (Bastiaanssen et al, 2014;Cohen et al, 2012;Ristuccia, 2013) confirm this need for safety. Several authors mention that safety can be advanced by providing supervision to these boys (Kenney, 2013;Rasmussen, 2013;Sahay, 2013;Soenen et al, 2014). According to Soenen, D'Oosterlinck and Broekaert (2013) as well as Wurtele (2012), most disruptive behaviour takes place at times and places where there is little if any supervision.…”

Section: Create Safe Spacesmentioning

confidence: 99%

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Conceptualising a Proposed Support Strategy for Sexually Abused Boys in Middle Childhood

Steyn¹,

Wyk

Kitching

2017

SWORK

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Male child sexual abuse in middle childhood has serious effects with the increased risk of development of various mental illnesses and disorders, as well as extreme forms of emotional and behavioural problems. This study conceptualises a proposed support strategy for sexually abused boys in their middle childhood placed in a clinic school. The proposed support strategy involves three main facets, namely the strengthening of the sexually abused boy as an individual; sustaining a deep, trusting relationship; and the facilitation of a sustainable supportive context for these boys.

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Making of Victim a Patient: Sexually Abused Children and the Consequences of Unprofessional Help

Cited by 5 publications

References 20 publications

Child sexual abuse in India: A systematic review

Child sexual abuse in India: A systematic review

Ethical and definitional considerations in research on child sexual violence in India

Conceptualising a Proposed Support Strategy for Sexually Abused Boys in Middle Childhood

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