Documentos de Académico
Documentos de Profesional
Documentos de Cultura
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that it directly relates to investigations of the etiology of the abuse and the
consequences of the abuse, which are undeniably of interest to any researcher wishing to understand more about child sexual abuse.
Mothers Own Concerns
A selection of the early clinical literature suggests that mothers who
have a history of child sexual assault themselves may express concerns
about their capacity to parent, very often appropriately as part of an
on-going therapeutic relationship (e.g., Herman, 1981; Sgroi, 1982;
Ward, 1984). Zuravin and Fontanella (1999) propose that much of the
literature on intergenerational transmission of risk focuses on the negative effects of a childhood history of sexual abuse on mothering, precisely because it does draw on clinicians reports of mothers own
concerns about their capacity to parent. Cole and Woolgers (1989)
study is an example of research that explicitly specifies that one rationale for their investigation was the frequent reporting of clinicians that
mothers in families where incest is a current problem were also very often sexually abused as children. Cole and Woolgers study concludes,
however, by questioning the veracity of the limited empirical support
for this hypothesis, noting the potential for such work to lean towards
blaming mothers, even if it is in an obtuse fashion.
Nevertheless, the theme of maternal concern or anxiety about parenting is clearly evident in the literature and is repeatedly reported by participants (mothers) as being of concern to them. Douglass (2000) study
replicated the work of other researchers (e.g., Freer, 1997; Lewin &
Bergin, 2001), finding that mothers with a history of child sexual assault
are significantly more anxious about aspects of their parenting. An unanticipated finding from the same study was that mothers with a history
of child sexual abuse were also significantly more worried about their
parenting being seen or assessed as inappropriate by other people. The
discourse of transmission of risk can be experienced as stressful and
may be seen to contribute to mothers anxieties about parenting more
generally and specifically after their childs own disclosure. Womack,
Miller, and Lassiter (1999) and McCallum (2001) acknowledge this
stress, arguing that very often mothers require therapeutic assistance not
to blame themselves or doubt their parenting as a result of internalizing
explanations for their childs sexual abuse that tacitly or directly blames
them, such as the intergenerational transmission of risk hypothesis.
Crawford (1999) cautions against basing research on paradigms
developed only from clinicians notes of case studies. She argues that as
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victims of sexual abuse, fathers have not been the object of parallel
research inquiries?
THE COMPETENCY AND CAPACITY OF MOTHERS
WITH A HISTORY OF CHILD SEXUAL ABUSE
TO PARENT AND SUPPORT THEIR CHILDREN
Schreiber and Lyddon (1998) criticize researchers who take a symptom approach, looking only for short and long-term deficit and incapacity. They argue that this singular focus fails to explain why some
survivors of childhood sexual abuse report profound traumatization and
certain long-term effects while others do not. An example of the deficit
focus is found in the work of Burkett (1991), who stated that the sole purpose of her inquiry was to identify important but unforeseen concerns and
issues experienced by mothers with a history of child sexual abuse, not
their strengths.
The tendency to focus only on problems and deficits can equally be
found in the work of Cohen (1995). This study investigated the maternal
functioning of women survivors of child sexual assault by looking at the
possible long-range consequences of child sexual assault on the victims future ideas about parenting as well as her functioning in this role.
The unfolding picture of this study suggests that women with a maternal
history of child sexual assault function generally on a lower level than
mothers who were not exposed to this trauma in their childhood. This
finding, however, becomes problematic once the comparison of the 54
mothers in the sample is carefully scrutinized. The sample was comprised of two groups, the first being 26 mothers with a history of child
sexual abuse assessed as being in the middle stage of therapy. This first
group was compared with a control group of 30 mothers without this
history drawn from professionals in the community who attended lectures on child sexual abuse at the same therapy center: A fair comparison, or as Cohen herself acknowledges, a research effect due more to
the women feeling insecure about their mothering because of mental
health issues independent of their abuse histories?
Later work has explicitly tried to link a mothers history of child sexual
assault with the abuse of her own children. Sidebotham, Golding, and the
ALSPAC Team (2001) over-emphasize an aspect of their findings,
claiming that by using logistic regression analysis they found that a maternal history of child sexual assault is a significant risk factor for child
maltreatment. This research and the study by DiLillo and colleagues
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including hostility toward their daughters. However, they did not find that
these case studies had a significantly more likely history of childhood
sexual abuse compared with controls. Clearly, it would seem that the focus on the inevitability of negative effects resulting from a history of child
sexual abuse alone is not always supported by the research findings.
Moreover, other factors may influence a mothers psychological functioning, which lends support to claims that mothers with a history of child
sexual abuse are not a homogenous group.
Mothers Capacity to Support their Children
Other studies concentrated further on examining how a history of
child sexual assault may influence the ways in which mothers support
their children generally, and at the time of disclosure. Kreklewetz and
Piotrowski (1998) examined the effects of incest on later parenting, specifically with regard to protective behaviours towards their own children.
Importantly, all of the 16 mothers in this sample had received a combination of counselling for their own abuse, parent education literature, and
parenting groups, factors that the mothers identified as contributing to an
increase in their own self-esteem and which they perceived also as enabling them to become more actively involved and protective in their relationships with their adolescent daughters. The participants in this study
identified the need for more information about parenting, and the need for
skills and strategies that would allow more open communication with
their children as being prerequisites for increasing their capacity to protect their children from sexual abuse or supporting them after disclosure.
While not stated, it is conceivable that such strategies and skills would be
helpful in allowing children to disclose should they be abused and also
may enhance the childs engagement with a therapeutic relationship post
abuse.
Cole and Woolger (1989) examined the child-rearing attitudes of
child sexual abuse survivors (including incest and extra-familial sexual
assault) and their perceptions of their own parents behaviour. The researchers were particularly interested in examining whether incest
alone affected attitudes towards parenting in survivor mothers or
whether later effects noted in mothers were more a by-product of dysfunctional relationships with both parents, a theme that has emerged in a
number of studies. Their work showed a difference between incest and
non-incest survivor mothers perceptions of their parents, with incest
survivors holding more negative attitudes and also differences between
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indicated that a history of child sexual abuse was related to more negative
parenting outcomes in terms of feelings about self as a parent and the use
of physical strategies in conflicts with children, while negative family of
origin experiences affected the mothers degree of worry about their children and their hopefulness about future parenting. The research conclusions emphasize that although a history of child sexual abuse was
associated with some dimensions of negative parenting, once again not
all survivors demonstrated negative parenting behaviours. Future research,
in Banyards opinion, needs to also attend to the survivors who become
successful parents as it is important to understand their resilience so that
more effective interventions can be designed that build on existing
strengths.
After reviewing the research in relation to the competency and
capacity of mothers with a history of sexual abuse to parent and support
their children, it becomes clear that these mothers are not a homogenous
group. The diversity and complexity of their experiences and actions become increasingly evident as the literature unfolds in this critique. The
third and last theme explores studies investigating the perception that
mothers with a history of child sexual abuse face increased stress at the
time of disclosure of their own childs sexual abuse and that the effects of
this stress may adversely influence a mothers capacity to support her
child at this time. Arguably, this theme could be considered a subset of
the overarching theme just discussed. However, the analysis of the literature highlighted a particularly intense focus of researchers on this select
aspect of survivor mothers parenting such that it warrants brief attention
in its own right.
DISCLOSURE:
A TIME OF INCREASED STRESS
FOR NON-OFFENDING PARENTS
Recent literature has concentrated on investigating the assumption
that mothers with their own history of child sexual assault suffer increased levels of stress following their childs disclosure and that this
may affect their parenting capacity at this time. In part, this interest derives from the growth of research examining post-traumatic stress disorder generally and concepts such as secondary traumatisation. For
example, Timmons-Mitchell, Chandler-Holtz, and Semple (1997) chose
to investigate post-traumatic stress disorder (PTSD) symptoms in child
sexual abuse victims and their mothers. Two pertinent findings emerged
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from this study. The first finding indicated that more mothers who were
sexually victimised as children suffer PTSD when their children report
being sexually abused than mothers without such a history. This result
was anticipated by the researchers and is consistent with select other investigations. For example, Baker (2001) similarly believes that mothers
who are forced to accept their partners or close relatives have sexually
abused their children are often additionally traumatised by re-stimulated
memories of their own abuse. McGruder-Johnson, Davidson, Gleaves,
Stock, and Finch (2000) suggest that this phenomenon is a form of secondary traumatisation. They found in their investigation that an individual need not be a direct victim of interpersonal violence, such as child
sexual abuse, but may be affected by witnessing or hearing about traumatic events that happen to others, as occurs for mothers with a history of
childhood sexual abuse at the time of disclosure of their childs abuse.
The second finding of Timmons-Mitchell et al. (1997) was unexpected: The children of mothers who had themselves experienced child sexual assault reported less PTSD symptoms than children of non-abused
mothers. Just as mothers with a history of child sexual abuse are complex,
this study highlights that child victims are not a homogenous group. Explanations for this latter finding may include that survivor mothers suppress acknowledgement of their childs symptoms as an expression of
their own avoidance, or as Burkett (1991) suggests, that these children often display more parentified behaviour, perhaps masking some PTSD
symptoms. Another possible explanation is that sexual abuse is less of an
unknown for survivor mothers, and their own knowledge of what can
happen and the aftermath combined with whether they themselves experienced effective support may allow them to be more immediately responsive to their childrens distress.
Increased Stress Affecting the Mother-Child Relationship
Other researchers focus on this area as a result of their strongly held
belief that increased stress may inhibit the development of supportive
mother-child relationships post disclosure, this relationship being key
to a child victims recovery and critical to the treatment plan and constructive outcomes (e.g., Freer, 1997; Humphreys, 1999; Womack,
Miller, & Lassiter, 1999). Once again, these investigations are based on
the assumptions that mothers with a history of child sexual assault
actually experience greater levels of stress at disclosure than mothers
without the same history and that stress may adversely affect their
behaviour.
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There is, however, an emerging trend in the literature that not only
acknowledges the diversity of mothers with a history child sexual abuse
but also focuses on the multiplicity of experiences in their childhood
that may influence the ways in which they respond to, and support their
child post-disclosure. Such experiences include past or current domestic violence, the experience of physical abuse, and poor parenting in the
family of origin. Just as past experiences may affect mothers generally,
it is important to review their current circumstances alongside factors
that may affect them, such as violence in the home, mental health issues,
and the presence of a supportive and constructive partner. Presumably,
past and present circumstances potentially affect how mothers with or
without a history of child sexual abuse respond to the disclosure of their
childs abuse. It is therefore crucial to gain a more thorough understanding of the non-offending parent who assumes responsibility for caring
for the sexually abused child whether they have a history of child sexual
abuse or not.
The critique of the literature in this article provides compelling evidence to suggest that we should broaden our inquiries to consider other
factors that may either inhibit or facilitate a mothers support to her child
at disclosure and beyond. If we fail to accept the diversity of mothers with
a history of childhood sexual victimization by ignoring the complexity
and multi-faceted nature of their responses and behaviour as parents, then
we will inevitably continue to concentrate on deficit or negativity, both in
our research and clinical practice. To avoid this, it is as necessary to build
on recent research that reports on the parenting successes of survivor
mothers. It is critically important to understand their resilience and skills
so that more effective interventions can be designed that build on existing
strengths rather than perceived deficits.
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