This article is written to help prosecutors as well as defense counsel gain more knowledge of the science relevant to child sex abuse allegations. Increased knowledge reduces professionals' doubts about handling these enormously complex cases, and the greater confidence moves these professionals just a little way toward certainty.
The behavioral sciences can assist legal professionals in their efforts to determine the validity of a given child sex abuse (CSA) allegation. To provide some information from those fields, the author reviewed the pertinent literature. Some findings emerged: 1) clinicians' judgments about the veridicality of unconfirmed CSA allegations may well lack a firm scientific basis; 2) no psychological test or method reliably indicates whether a child has been sexually mistreated, or whether someone has committed an act of abuse; 3) children do sometimes falsely accuse; 4) the concepts of “memory repression” and “recovered memory” are not scientifically substantiated; 5) medical evaluations are often inadequate to determine the presence or absence of sex abuse; 6) the most reliable indicator of sexual mistreatment is often not the physical examination, but rather the child's own report; 7) certain features of the child's account suggest that the accusation is valid. It is concluded that conducting such interviews is of paramount importance; suggestions are made to improve these interviews' quality.
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References
1.
AdamsJ. A.HarperK.KnudsonS. (1992). A proposed system for the classification of anogenital findings in children with suspected sexual abuse. Adolescent and Pediatric Gynecology, 5, 73–75
2.
AdamsJ. A.HarperK.KnudsonS.RevillaJ. (1994). Examination findings in legally confirmed child sexual abuse: It's normal to be normal. Pediatrics, 94, 310–317
3.
AdamsJ. A. (1999). Medical evaluation of suspected child sexual abuse: It's time for standardized training, referral centers, and routine peer review. Archives of Pediatrics and Adolescent Medicine, 153, 1121–1122
4.
American Academy of Child and Adolescent Psychiatry (1988). Guidelines for the clinical evaluation of child and adolescent sexual abuse: Position statement. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 655–657
5.
American Academy of Child and Adolescent Psychiatry (1997). Practice parameters for the forensic evaluation of children and adolescents who may have been physically or sexually abused. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 423–442
6.
BlackshawS.ChandaranaP.GarneauY.MerskeyH.MoscarelloR. (1996). Adult recovered memories of childhood sexual abuse. Canadian Journal of Psychiatry41, 305–306
7.
BowenK.AldousM. B. (1999). Medical evaluation of sexual abuse in children without disclosed or witnessed abuse. Archives of Pediatric and Adolescent Medicine, 153, 1160–1164
8.
BrandonS.BoakesJ.GlaserD.GreenR. (1998). Recovered memories of childhood sexual abuse: Implications for clinical practice. British Journal of Psychiatry, 172, 296–307
9.
BruckM.CeciS. J.HembrookeH. (1998). Reliability and credibility of young children's reports: From research to policy and practice. American Psychologist, 53, 136–151
10.
CarnesC. N.Nelson-GardellD.WilsonC.OrgassaU. C. (2001). Extended forensic evaluation when sexual abuse is suspected: A multisite field study. Child Maltreatment, 6, 230–242
11.
CeciS. J.BruckM. (1993). Suggestibility of the child witness: A historical review and synthesis. Psychological Bulletin, 113, 403–439
12.
CeciS. J.LoftusE. F. (1994). “Memory work”: A royal road to false memories?Applied Cognitive Psychology, 8, 351–364
13.
CeciS. J.HuffmanM. L. C. (1997). How suggestible are preschool children? Cognitive and social factors. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 948–958
14.
ChristianC. W.LavelleJ. M.DeJongA.R.LoiselleJ.BrennerL.JoffeM. (2000). Forensic evidence findings in prepubertal victims of sexual assault. Pediatrics, 106, 100–104
15.
ChristiansenS. A. (1992). Emotional stress and eyewitness testimony: A critical review. Psychological Bulletin, 112, 284–309
16.
ColemanB. L.StevensM. J.ReederG. D. (2001). What makes recovered-memory testimony compelling to jurors?Law and Human Behavior, 25, 317–338
17.
CourtoisC. A. (1997). Guidelines for the treatment of adults abused or possibly abused as children. American Journal of Psychotherapy, 51, 497–509
18.
CrewsF. (2004, March 11). The trauma trap. New York Review of Books, 51, 37–40
19.
DammeyerM. D. (1998). The assessment of child sexual abuse allegations: Using research to guide clinical decision-making. Behavioral Sciences & the Law, 1, 21–34
20.
EltermanM. F.EhrenbergM. F. (1991). Sexual abuse allegations in child custody disputes. International Journal of Law and Psychiatry, 14, 269–286
21.
EmeryR. E.Laumann-BillingsL. (1998). An overview of the nature, causes, and consequences of abusive family relationships: Toward differentiating maltreatment and violence. American Psychologist, 53, 121–135
22.
EvansC. (2006). What violent offenders remember of their crime: Empirical explorations. Australian and New Zealand Journal of Psychiatry, 40, 508–518
23.
FallerK. C. (1988). Criteria for judging the credibility of children's statements about their sexual abuse. Child Welfare, 67, 389–401
24.
FinkelhorD. (1990). Early and long-term effects of child abuse: An update. Professional Psychology: Research and Practice, 21, 325–330
25.
FinlaysonL. M.KoocherG. P. (1991). Professional judgment and child abuse reporting in sexual abuse cases. Professional Psychology: Research and Practice, 22, 464–472
26.
GoodmanG. S.MyersJ. E.QinJ.QuasJ. A.CastelliP.RedlichA. D.RogersL. (2006). Hearsay versus children's testimony: Effects of truthful and deceptive statements on jurors' decisions. Law and Human Behavior, 30, 363–401
27.
HaugaardJ. J. (2000). The challenge of defining child sexual abuse. American Psychologist, 55, 1036–1039
28.
HegerA.TicsonL.VelasquezO.BernierR. (2002). Children referred for possible sexual abuse: Medical findings in 2384 children. Child Abuse & Neglect, 26, 645–669
29.
Heppenstall-HegerA.McConnellG.TicsonL.GuerraL.ListerJ.ZaragozaT. (2003). Healing patterns in anogenital injuries: A longitudinal study of injuries associated with sexual abuse, accidental injuries, or genital surgery in the preadolescent child. Pediatrics, 112, 829–837
30.
HermanJ. L.SchatzowE. (1987). Recovery and verification of memories of childhood sexual trauma. Psychoanalytic Psychology4, 1–14
31.
HermanS. (2005). Improving decision making in forensic child sexual abuse evaluations. Law & Human Behavior, 29, 87–120
32.
HolmesW. C.SlapG. B. (1998). Sexual abuse of boys. JAMA, 280, 1855–1862
33.
HornerT. M.GuyerM. J.KalterN. M. (1993). Clinical expertise and the assessment of child sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 925–931
34.
JacksonH.NuttallR. (1993). Clinician responses to sexual abuse allegations. Child Abuse & Neglect, 17, 127–143
35.
JenkinsP. (1998). Moral panic: Changing concepts of the child molester in modern America. New Haven, CT: Yale University Press
36.
JonesD. P. H.McGrawJ. M. (1987). Reliable and fictitious accounts of sexual abuse of children. Journal of Interpersonal Violence, 2, 27–45
37.
Kendall-TackettK. A.WilliamsL. M.FinkelhorD. (1993). Impact of sexual abuse of children: A review and synthesis of recent empirical studies. Psychological Bulletin, 113, 164–180
38.
KihlstromJ. H. (1994). Hypnosis, delayed recall, and the principles of memory. International Journal of Clinical and Experimental Hypnosis, 42, 337–345
39.
KoriatA.GoldsmithM. (1996). Memory metaphors and the real-life/laboratory controversy: Correspondence vs. storehouse conceptions of memory. Behavioral and Brain Sciences, 19, 167–228
40.
KrahenbuhlS.BladesM. (2006). The effect of question repetition within interviews on young children's eyewitness recall. Journal of Experimental Child Psychology, 94, 57–67
41.
KuehnleK. (2002). Child sexual abuse evaluations. In GoldsteinA.M. (ed). Handbook of Psychology, volume 11: Forensic Psychology (pp. 437–460). New York, NY: John Wiley and Sons
42.
LambM. E. (1994). The investigation of child sexual abuse: An interdisciplinary consensus statement. Child Abuse & Neglect, 18, 1021–1028
43.
LambM.E.OrbachY.HershkowitzI.EsplinP.W.HorowitzD. (2007). A structured forensic interview protocol improves the quality and informativeness of investigative interviews with children: A review of research using the NICHD investigative interview protocol. Child Abuse & Neglect, 31, 1201–1231
44.
LambM. E.SternbergK. J.EsplinP. W. (1998). Conducting investigative interviews of alleged sexual abuse victims. Child Abuse & Neglect, 22, 813–823
45.
LaneyC.LoftusE. F. (2005). Traumatic memories are not necessarily accurate memories. Canadian Journal of Psychiatry, 50, 823–828
46.
LawsonL.ChaffinM. (1992). False negatives in sexual disclosure interviews: Incidence and influence of caretaker's belief in abuse in cases of accidental abuse discovery by diagnosis of STD. Journal of Interpersonal Violence, 7, 532–542
47.
LevittE.E.PinnellC.M. (1995). Some additional light on the childhood sexual abuse-psychopathology axis. International Journal of Clinical and Experimental Hypnosis, 43, 145–162
48.
LilienfeldS. O.LynnS. J.KirschI.ChavesJ. F.SarbinT. R.GanawayG. K.PowellR. A. (1999). Dissociative identity disorder and the sociocognitive model: Recalling the lessons of the past. Psychological Bulletin, 125, 507–523
49.
LindsayD. S.ReadJ. D. (1995). “Memory work” and recovered memories of childhood sexual abuse: Scientific evidence and public, professional, and personal issues. Psychology, Public Policy, and Law, 1, 846–908
50.
LoftusE. F. (1993). The reality of repressed memories. American Psychologist, 48, 518–537
51.
LoftusE. F. (1997). Creating false memories. Scientific American, 277, 70–75
52.
McConaghyN. (1998). Paedophilia: A review of the literature. Australian and New Zealand Journal of Psychiatry, 32, 252–265
53.
McGrawJ. M.SmithH.A. (1992). Child sexual abuse allegations amidst divorce and custody proceedings: Refining the validation process. Journal of Child Sexual Abuse, 1, 49–62
MellonM. W.WhitesideS. P.FriedrichW. N. (2006). The relevance of fecal soiling as an indicator of child sexual abuse: A preliminary analysis. Journal of Developmental Behavioral Pediatrics, 27, 25–32
56.
MikkelsenE. J.GutheilT. J.EmensM. (1992). False sexual-abuse allegations by children and adolescents: Contextual factors and clinical subtypes. American Journal of Psychotherapy, 46, 556–570
NeyP. G.FungT.WickettA. R. (1994). The worst combinations of child abuse and neglect. Child Abuse & Neglect, 18, 705–714
59.
OfsheR. J.SingerM. T. (1994). Recovered-memory therapy and robust repression: Influence and pseudomemories. International Journal of Clinical and Experimental Hypnosis, 42, 391–410
60.
OrbachY.HershkowitzI.LambM. E.SternbergK. J.EsplinP. W.HorowitzD. (2000). Assessing the value of structured protocols for forensic interviews of alleged child abuse victims. Child Abuse & Neglect, 24, 733–752
61.
ParisJ. (1996). A critical review of recovered memories in psychotherapy: Part II. Trauma and therapy. Canadian Journal of Psychiatry41, 206–210
62.
PaulD. M. (1977). The medical examination in sexual offences against children. Medical Science and Law, 17, 251–258
63.
PaulD. M. (1986). “What Really Did Happen to Baby Jane?”—The medical aspects of the investigation of alleged sexual abuse of children. Medical Science and Law, 26, 85–102
64.
PetersD. K.RangeL. M. (1995). Childhood sexual abuse and current suicidality in college women and men. Child Abuse & Neglect, 19, 335–341
65.
PiperA.Jr.PopeH. G.Jr.BorowieckiJ. J.III (2000). Custer's last stand: Brown, Scheflin and Whitfield's latest attempt to salvage “dissociative amnesia.”Journal of Psychiatry & Law, 28, 149–213
66.
PoggeD. L.StoneK. (1990). Conflicts and issues in the treatment of child sexual abuse. Professional Psychology: Research and Practice, 21, 354–361
67.
PooleD. A.LambM. E. (1998). Investigative Interviews of Children: A Guide for Helping Professionals. Washington, DC: American Psychological Association
68.
PooleD. A.LindsayD. S. (2001). Children's eyewitness reports after exposure to misinformation from parents. Journal of Experimental Psychology: Applied, 7, 27–50
69.
PopeH. G.Jr.HudsonJ. I. (1995) Can memories of childhood sexual abuse be repressed?Psychological Medicine, 25, 121–126
70.
PopeH. G.Jr. (1997). Psychology Astray: Fallacies in Studies of “Repressed Memory” and Childhood Trauma. Boca Raton, FL: Upton
71.
PopeH. G.OlivaP. S.HudsonJ. I. (1999). The scientific status of research on repressed memories. In: FaigmanD. L.KayeD. H.SaksM. J.SandersJ. ed. Modern Scientific Evidence: The Law and Science of Expert Testimony. St. Paul. MN: West Group
72.
PorterS. (1999). The nature of real, implanted, and fabricated memories: Implications for the recovered-memory debate. Law and Human Behavior, 20, 443–458
73.
RealmutoG. M.WescoeS. (1992). Agreement among professionals about a child's sexual abuse status: Interviews with sexually anatomically correct dolls as indicators of abuse. Child Abuse & Neglect, 16, 719–725
74.
RindB.TromovitchP.BausermanR. (2001). A meta-analytic examination of assumed properties of child sexual abuse using college samples. Psychological Bulletin, 124, 22–53
75.
RindB.TromovitchP.BausermanR. (1998). The validity and appropriateness of methods, analyses, and conclusions in Rind et al. (1998): A rebuttal of victimological critique from Ondersma et al. (2001) and Dallam et al. (2001). Psychological Bulletin, 127, 734–758
76.
RobertsK. P.PowellM. B. (2001). Describing individual incidents of sexual abuse: A review of research on the effects of multiple sources of information on children's reports. Child Abuse & Neglect, 25, 1643–1659
77.
RoedigerH.L.IIIJacobyD.McDermottK. B. (1996). Misinformation effects in recall: Creating false memories through repeated retrieval. Journal of Memory and Language, 35, 300–318
78.
RoeslerT. A.WindT. W. (1994). Adult women describe their experiences of incest. Journal of Interpersonal Violence, 9, 327–348
ShobeK. K.KihlstromJ. F. (1997). Is traumatic memory special?Current Directions in Psychological Science, 6, 70–74
81.
ShumakerK. R. (2000). Measured professional competence between and among different mental health disciplines when evaluating and making recommendations in cases of suspected child sexual abuse. Dissertation Abstracts International 60(11), 5791B (UMI No. 9950748).
82.
SgroiS. M. (1982). Handbook of Clinical Intervention in Child Sexual Abuse. Lexington, MA: D.C. Heath
83.
SmithD. W.LetourneauE. J.SaundersB. E.KilpatrickD. G.ResnickH. S.BestC. L. (2000). Delay in disclosure of childhood rape: Results of a national survey. Child Abuse & Neglect, 24, 273–287
84.
SmithW. G.MetcalfeM.CormodeE. J.HolderN. (2005). Approach to evaluation of sexual assault in children: Experience of a secondary-level regional pediatric sexual assault clinic. Canadian Family Physician, 51, 1347–1351
85.
SpiegelD.McHughP. R. (1995). The pros and cons of dissociative identity (multiple personality) disorder. Journal of Practical Psychiatry and Behavioral Health, 1, 158–166
86.
StocksJ. T. (1998). Recovered-memory therapy: A dubious practice technique. Social Work, 43, 423–436
87.
TeicherM. H.SamsonJ. A.PolcariA.McGreeneryC. E. (2006). Sticks, stones, and hurtful words: Relative effects of various forms of childhood maltreatment. American Journal of Psychiatry, 163, 993–1000
88.
WalkerN. E. (2002). Forensic interviews of children: The components of scientific validity and legal admissibility. Law and Contemporary Problems, 65, 149–178
89.
WeissmanH. N. (1991). Forensic psychological examination of the child witness in cases of alleged sexual abuse. American Journal of Orthopsychiatry, 61, 48–58
90.
WhiteS.QuinnK. M. (1988). Investigatory independence in child sexual abuse evaluations: Conceptual considerations. Bulletin of the American Academy of Psychiatry and Law, 16, 269–278
91.
WoodJ. M.GarvenS. (2000). How sexual abuse interviews go astray: Implications for prosecutors, police, and child protection services. Child Maltreatment, 5, 109–118
92.
WyattG. E.PetersS. D. (1986). Issues in the definition of child sexual abuse in prevalence research. Child Abuse & Neglect, 10, 231–240
93.
ZolaS. M. (1998). Memory, amnesia, and the issue of recovered memory: Neurobiological aspects. Clinical Psychology Review, 18, 915–932
