This paper presents the view that family dysfunction in intra- and extra-familial child sexual abuse can be considered apart from the sexual trauma and can be seen as having important independent psychological consequenses. Family dynamics are discussed as they relate to both types of sexual abuse and as they relate to the context of disclosure of the events. A direct link is suggested between such dynamics and the psychological problems experienced by the child victims. Recommendations for research and therapy are also made.
FritzG.S., StollK., WagnerN.N.A comparison of males and females who were sexually molested as children.J Sex Marital Ther1981; 7: 54–59.
3.
SedneyM.A., BrooksB.Factors associated with a history of childhood sexual experiences in a nonclinical female population.J Am Acad Child Psychiatry1984; 23: 215–218.
4.
RusselD.E.H.The incidence and prevalence of intrafamilial and extrafamilial sexual abuse of female children.Child Abuse Neg1983; 7: 133–146.
5.
BadgleyR.The report of the committee on sexual offences against children.Ottawa: Minister of Justice and Attorney General of Canada, and the Minister of National Health and Welfare, 1984.
Adams-TuckerC.Proximate effects of sexual abuse in childhood: a report on 28 children.Am J Psychiatry1982; 139: 1252–1256.
26.
CourtoisC.A.The incest experience and its aftermath.Victimology1979; 4: 337–347.
27.
TsaiM., Feldman-SummersS., EdgarM.Childhood molestation: variables related to differential impacts on psychosexual functioning in adult women.J Abnorm Psychol1979; 88: 407–417.
GutheilT.G., AveryN.C.Multiple overt incest as a defense against loss.Fam Process1977; 16: 105–116.
32.
LustigN., DresserJ.W., SpellmanS.W., MurrayT.B.Incest: a family group survival pattern.Arch Gen psychiatry1966; 14: 31–40.
33.
MrazekP.B., BentovimA.Incest and the dysfunctional family system. In: MrazekP.B., KempeC.H., eds. Sexually abused children and their families.New York: Pergamon, 1981.
34.
SternM.J., MeyerL.C.Family and couple interactional patterns in cases of father/daughter incest. In: JonesB.M., JenstromL.L., McFarlaneK., eds. Sexual abuse of children: selected readings.Washington, DC: U.S. Government Printing Office, 1980.
35.
BogopolskiN., CormierB.M.Économie relationeile de chacun des membres dans une famille incestueuse.Can J Psychiatry1979; 24: 65–70.
36.
GrothA.N.The incest offender. In: SgroiS.M., ed. Handbook of clinical intervention in child sexual abuse.Toronto: Lexington, 1982.
37.
HermanJ.L.Father-daughter incest.Cambridge: Harvard University Press, 1981.
38.
SelbyJ.W., CalhounL.G., JonesJ., MatthewsS.L.Families of incest: a collation of clinical impressions.Int J Soc Psychiatry1980; 26: 7–16.
FurnissT.Family process in the treatment of intrafamilial child sexual abuse.J Fam Ther1983; 5: 263–278.
41.
EistH.I., MandelA.U.Family treatment of ongoing incest behavior.Fam Process1968; 7: 216–232.
42.
SummitR., KrysoJ.Sexual abuse of children: a clinical spectrum.Am J Orthopsychiatry1978; 48: 237–251.
43.
PorterF.S., BlickL.C., SgroiS.M.Treatment of the sexually abused child. In: SgroiS.M., ed. Handbook of clinical intervention in child sexual abuse.Toronto: Lexington, 1982.
44.
GruberK.J., JonesR.J.Identifying determinants of risk of sexual victimization of youth: a multivariate approach.Child Abuse Neg1983; 7: 17–24.
45.
EmeryR.E.Interparental conflict and children of discord and divorce.Psychol Bull 19.82; 92: 310–330.
46.
RutterM.Maternal deprivation, 1972–1978: new findings, new concepts, new approaches.Child Dev1979; 50: 283–305.
47.
MinuchinS., MontalvoB., GuerneyB.G., RosmanB.L., ScurnerF.Families of the slums.New York: Basic Books,1967.
48.
SteinhauerP.D.Issues of attachment and separation: foster care and adoption. In: SteinhauerP.D., Rae-GrantQ., eds. Psychological problems of the child in the family.New York: Basic Books, 1983.
49.
SgroiS.M., BlickL.C., PorterF.S.A conceptual framework for child sexual abuse. In: SgroiS.M., ed. Handbook of clinical intervention in child sexual abuse.Toronto: Lexington, 1982.
50.
BurgessA.W., HolmstromL.L.Sexual trauma of children: pressure, sex, and secrecy.Nurs Clin North Am1975; 10: 551–563.
51.
ForsethL.B., BrownA.A survey of intrafamilial sexual abuse treatment centers: implications for intervention.Child Abuse Neg1981; 5: 177–186.
52.
KovitzK., BarrD., BrummittJ., HandyL.C., LevequeP., PlowmanB., RieseR.Child sexual assault: needs, resources, and planning project. Report submitted to the Alberta Department of Social Services and Community Health, 1982.
