01prelim.qxd 17/05/00 14:01 Page i Home Truths About Child Sexual Abuse Home Truths About Child Sexual Abuse brings together the findings of research and clinical work by leading figures in the UK and USA. It makes visible the prevalence of sexual abuse and exploitation of children by normal, ordinary, heterosexual family men, both within and outside the family. Comprehensive and multidisciplinary in approach, it covers the many different aspects of child sexual abuse including: • phenomenology (cid:127) definitions and terminology (cid:127) epidemiology (cid:127) explanatory frameworks (cid:127) concepts and theory (cid:127) the contribution of radical feminism (cid:127) constructs, classifications and typologies (cid:127) policy (cid:127) treatments (cid:127) multi-disciplinary and multi-agency work (cid:127) medical evidence (cid:127) gender and epistemology (cid:127) criminal justice issues. Home Truths About Child Sexual Abuse provides the evidence and knowledge base necessary to begin to achieve effective prevention. It offers professionals, researchers and policy makers an invaluable source of reference and an informed basis for action. Catherine Itzinis Research Professor in Social Work and Social Policy and Co- Director of the International Centre for the Study of Violence and Abuse, University of Sunderland. 01prelim.qxd 17/05/00 14:01 Page ii 01prelim.qxd 17/05/00 14:01 Page iii Home Truths About Child Sexual Abuse Influencing policy and practice A reader Edited by Catherine Itzin London and New York First published 2000 by Routledge 11 New Fetter Lane, London EC4P 4EE Simultaneously published in the USA and Canada by Routledge 29 West 35th Street, New York, NY 10001 Routledge is an imprint of the Taylor & Francis Group This edition published in the Taylor and Francis e-Library, 2005. “To purchase your own copy of this or any of Taylor & Francis or Routledge’s collection of thousands of eBooks please go to www.eBookstore.tandf.co.uk.” © 2000 Selection and editorial matter, Catherine Itzin; individual chapters, the contributors All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without per- mission in writing from the publishers. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library. Library of Congress Cataloging in Publication Data Itzin, Catherine, 1944– Home truths about sexual abuse: influencing policy and practice – a reader / edited by Catherine Itzin 480 p 15.6 x 23.4 cm Includes biographical references and index 1. Child sexual abuse – Great Britain. 2. Child sexual abuse – United States. 3. Sexually abused children – rehabilitation. 4. Sexually abused teenagers – Rehabilitation. I.Title HV 6570.4.G7 179 2000 362.76–dc21 00-025469 ISBN 0-203-99242-3 Master e-book ISBN ISBN 0–415–15261–5 hbk 0–415–15262–3 pbk 01prelim.qxd 17/05/00 14:01 Page v For these many children From JA with thanks A gift For my beloved husband 01prelim.qxd 17/05/00 14:01 Page vii Contents List of figures x List of tables xi List of contributors xii Acknowledgements xv Copyright acknowledgements xvi Introduction xviii 1 Child sexual abuse and the radical feminist endeavour: an overview 1 CATHERINE ITZIN PART 1 Child sexual abuse and exploitation 25 Part1.1 Adolescent and adult male child rapists by many other names 25 2 What happened when women said ‘incest’ 27 LOUISE ARMSTRONG 3 Paedophile characteristics and patterns of behaviour: developing and using a typology 49 RAY WYRE 4 Sexual exploitation: a new discovery or one part of the continuum of sexual abuse in childhood? 70 LIZ KELLY, LINDA REGAN AND SHEILA BURTON 01prelim.qxd 17/05/00 14:01 Page viii viii Contents 5 Incest, ‘paedophilia’, pornography and prostitution: conceptualising the connections 87 CATHERINE ITZIN Part1.2 The victim experience of child sexual abuse and its effects 101 6 Paternal incest: an autobiographical account 103 ‘RACHEL PEARCE’ INTERVIEWED BY CATHERINE ITZIN 7 The experience and the effects of child sexual abuse involving pornography 123 ‘ALICE EDWARDS’ INTERVIEWED BY CATHERINE ITZIN 8 Once I was a child and there was much pain: a glimpse into the soul of an incest survivor 141 ‘NANCY E’ 9 The newly recognised shattering effects of child abuse 163 ALICE MILLER Part1.3 The nature and extent of child sexual abuse 167 10 Child sexual abuse prevalence: a review and re-analysis of relevant studies 169 REBECCA M. BOLEN, DIANA E. H. RUSSELL AND MARIA SCANNAPIECO Part1.4 Contributing and causal factors 197 11 Sadistic, sexual and violent acts in the young: contributing and causal factors 199 SUSAN BAILEY 12 Risk factors for development of sexually abusive behaviour in sexually victimized adolescent boys: cross sectional study 222 DAVID SKUSE, ARNON BENTOVIM, JILL HODGES, JIM STEVENSON CHRISO ANDREOU, MONICA LANYADO, MICHELLE NEW, BRYN WILLIAMS AND DEAN MCMILLAN. 01prelim.qxd 17/05/00 14:01 Page ix Contents ix PART 2 Interventions 233 Part2.1 The ‘treatment’ of victims and abusers 233 13 Child sexual abuse and the continuum of victim disclosure: professionals working with children in Cleveland in 1987 235 HEATHER BACON AND SUE RICHARDSON 14 Helping girls involved in ‘prostitution’: a Barnardos’ experiment 277 SARA SWANN 15 Treating adolescents who sexually abuse others 290 BOBBIE PRINT AND TONY MORRISON 16 Patterns of sex offending and strategies for effective assessment and intervention 313 HILARY ELDRIDGE 17 The uses of therapy: understanding and treating the effects of childhood abuse and neglect 335 JOAN WOODWARD Part2.2 Child protection policy 351 18 Gender and the child protection process 353 ELAINE FARMER AND MORAG OWEN 19 The medical diagnosis of child sexual abuse in Cleveland in 1987: the paediatrician’s dilemma 372 GEOFFREY WYATT AND MARIETTA HIGGS 20 Confronting sexual abuse: challenges for the future 387 SARAH NELSON PART3 Conclusion 403 21 Child protection and child sexual abuse prevention: influencing policy and practice 405 CATHERINE ITZIN Index 449