| In summing up this
meta-analysis,
we can draw these conclusions. First, its findings are considerably
more
relevant to trying to understand the typical case of CSA in the general
population than are clinical findings. The results contradict the
assumptions
of widespread, lasting harm. Further, these results contradict the
common
belief that CSA produces intense harm -- the effect sizes were small,
but
should have been large, or at least medium, to infer intense harm.
Additionally,
boys reacted much less negatively than girls, which contradicts the
assumption
that boys and girls react in an equivalently negative fashion.
The
final assumption
needing of scrutiny
is whether the small but statistically significant differences in
adjustment
found between CSA and control subjects reflects the effect of CSA--that
is, did CSA cause this somewhat poorer adjustment? In talking about
causality,
we should first review some basic methodology. In the U.S., Whites
score
on average 15 IQ points higher than Blacks. Can you then conclude that
race causes IQ differences? If you did, you would be called a racist,
and
justifiably so. Blacks and Whites differ not only in their race, but in
their socioeconomic status, as well as other important factors. It
could
well be that coming from a poorer environment produces this IQ
difference,
rather than race. Home environment does have a big impact on
intellectual
development, so it may play the role of a third variable that
completely
accounts for the association of the two main variables--race and IQ.
Incidentally,
a 15
point IQ difference
between the races can be expressed in this way: race accounts for 34%
of
the variability in IQ scores among Whites and Blacks. In our national
samples,
CSA accounted for only 1% of the adjustment variation for females and
only
one half of one percent for males. By comparison, race was 34 to 68
times
stronger in accounting for IQ variation. Thus, if we can argue that the
race difference in IQ is caused, not by race, but by a poorer home
environment,
then surely we could consider making this argument for CSA: that the
small
differences in adjustment that were found may have been attributable to
differences in home environment. This is a reasonable possibility.
Children
in broken homes are less supervised and are more prone, and willing, to
engage in counternormative behavior, such as using drugs, skipping
school,
or engaging in taboo sex (such as sex with adults). In this scheme, the
poor home environment not only predisposes them to CSA, but also
predisposes
them toward becoming less well adjusted. This scenario suggests that
the
relation that we found between CSA and adjustment could be spurious
(that
is, false), or, if causal, even weaker than it was.
The
researcher
Finkelhor was involved
in two of the national studies. He and his colleagues used statistical
techniques to factor out, or control for, several other variables that
might have been responsible for the statistically significant
CSA-adjustment
relations they found. In both studies, these relations remained
statistically
significant after this procedure. He and his colleagues argued that
this
showed that CSA really does cause poorer adjustment. In criticism of
Finkelhor’s
approach, however, his group did not control for variables that other
researchers
have shown can account for the CSA-adjustment relation. Among these
variables
are physical abuse and emotional neglect, which tend to be confounded
with
CSA--that is, occur along with CSA experiences. The researcher
Wisniewski,
for example, examined CSA in 32 samples of college students chosen to
be
nationally representative of college students in the U.S. When she
applied
statistical control factoring out nonsexual abuse variables, she found
that the CSA-adjustment relations dropped out. She concluded that the
"data
do not support child sexual abuse as a specific explanation of current
emotional distress. The data are best interpreted as supportive of
other
factors such as family violence...as having the greatest impact on
current
emotional adjustment." We will return to this issue of causality and
statistical
control when reviewing the results of our second meta-analysis.
College
Samples
The
national samples
were useful in
examining popular assumptions about CSA. Some of their shortcomings,
however,
were that there are very few of these studies, these studies have very
little data on reactions, and inadequate information to judge the
assumption
of causality of harm. We thus conducted a second meta-analysis based on
another group of nonclinical samples--college samples. We chose college
samples for several reasons. One is that these represent the largest
number
of nonclinical samples of the same kind. Despite the fact that persons
with a college background are different from those without, we felt
college
samples would be useful toward answering questions about population
characteristics--that
is, how does the typical person with CSA react to it--because, in the
U.S.,
at least 50% of the adult population has had some college exposure.
Another
value of
college samples is
that these studies have generally been conducted by university
researchers,
who have designed their studies well, often taking into account family
environment factors. This information, not systematically available in
clinical studies or even the national studies, is useful for examining
the causal role that CSA might play in producing negative effects.
Additionally,
these studies have provided a rich source of data for examining
reactions
to CSA experiences, not well provided in the other literature. This
information
is useful for examining assumptions about CSA such as pervasiveness and
intensity of effects, as well as gender equivalence in reactions.
Altogether,
we obtained
59 usable studies
for examining CSA-adjustment relations, reactions, and self-reported
effects.
In examining the relation between CSA and adjustment, 54 samples were
used,
which included 3,254 male subjects from 18 samples and 12,570 female
subjects
from 40 samples. Reactions and self-reported effects were based on 783
male subjects from 13 samples and 2,353 female subjects from 14 samples.
Definitions
of CSA
varied across these
studies. For example, 20% restricted their definition to include only
unwanted
CSA experiences. The remaining 80% included both willing and unwanted
CSA
experiences, and most often defined CSA as an age difference between
partners
of 5 or more years where the younger partner was less than 16 or 17
years
of age. Prevalence rates for CSA, based on the various definitions,
were
as follows. For males, based on 26 samples with 13,704 subjects, CSA
was
reported 14% of the time. For females, based on 45 samples with 21,999
subjects, CSA was reported 27% of the time.
Some
researchers have
argued that data
from college samples are not informative about the effects of the more
severe forms of CSA, because college subjects experience less severe
forms
of CSA than do people in the general population. By going back to the
national
samples and pulling out the relevant data, and by going through the
college
samples and computing corresponding values, we were able to test this
assumption.
Table 4
shows some of
these results.
It has been argued that severity increases from noncontact CSA, such as
exhibitionism, to fondling, to oral sex, to intercourse. In the table,
you can see that college subjects had just as much intercourse as
national
subjects--and much more in the case of males. Relatedness between the
younger
and older participants has also often been used as an indicator of
severity,
with incestuous contacts seen as the most severe.
Table 5
shows that
college subjects
experienced just as much incest as persons in the general population.
Another
commonly used
indicator of
severity is frequency of CSA occurrences--that is, multiple episodes
are
viewed as more severe than single episodes. In both the college and
national
samples, about half of those who had CSA had multiple episodes, showing
once again similarities in terms of severity. Our conclusion from these
comparisons is that, because CSA characteristics are nearly the same in
both college and national samples, using college samples to answer
questions
about CSA in the general population seems well justified.
|
|
|
| Females
differed from
males in reported
higher rates of perceived negative effects. In terms of lasting effects
on their sex lives, the figures were 24% in Fritz’s study and 2.2% in
Landis’
study. In terms of lasting negative effects of a more general nature,
in
Hrabowy’s study 20% felt moderately troubled over it now and 5% felt
very
troubled. In Landis’ study, 4% felt they still had not recovered. In
Nash
and West’s study, 22% felt they were still negatively affected. These
data,
both for males and females, show that some subjects were seriously
harmed
by their experience, but only a minority. These data suggest that CSA
has
the potential to be harmful, but that serious harm is not an innate
property
of CSA. As our analyses presented previously suggest, it is the
context,
such as the use of force, or the lack of willingness on the younger
person’s
part, or potentially incestuous involvement, that combines with CSA to
produce harmful outcomes.
Family
Environment
Reports of
self-perceived
negative
effects, especially when of a lasting nature, certainly suggest that
CSA
can cause harm for some persons with certain types of CSA experiences.
The issue we focus on here, however, is whether CSA typically causes
harm.
Previously we saw that CSA was statistically significantly correlated
with
poorer adjustment, although the magnitude of this relation was small.
One
of
the most
fundamental principles
in scientific methodology is that correlation is not causation. That
is,
for example, just because race is correlated with IQ, that does not
mean
that race causes differences in IQ. It could be that some third
variable,
such as home environment or socioeconomic status, is responsible for
the
race-IQ association.
To
illustrate this
concept, let’s take
this simplistic example, shown in Figure 1. As you go from small towns
to small cities, to large cities, the number of churches will increase.
Further, as you go from small towns to big cities, the amount of crime
also increases. Does this mean that building new churches will increase
crime, or tearing some down will decrease crime? No, because there’s a
third variable, population, that is responsible for both. As population
grows, more churches are built and more crimes occur. If we factored
out
population size in this example, the correlation between number of
churches
and amount of crime would probably disappear.
[Original figure1.gif not included]
We
examined the
relationship between
CSA and symptoms using this idea. In this case, the third variable that
might be causing both is family environment. A broken home, or one
containing
physical abuse or emotional neglect, could predispose children or
teenagers
to counternormative behavior, such as using drugs or engaging in sexual
activities that are classified as CSA. A broken home could also impair
their adjustment. In this way, the relationship between CSA and
symptoms
that we found in our meta-analyses could be the result of family
environment,
rather than the CSA experiences.
From
our previous
meta-analyses, we
know that for college subjects CSA accounted for 0.81% of the
adjustment
variability. We conducted a series of meta-analyses to determine what
percent
of the variability in CSA was accounted for by family environment. The
result was 1.69%. We next conducted a series of meta-analyses to
determine
what percent of the adjustment variability was accounted for by family
environment. The result was 8.41%. In other words, these results show
that
family environment was substantially more important in terms of being
able
to account for adjustment variability than CSA was -- by a factor of 10.
These
results also show
that CSA was
indeed confounded with family environment--those who had CSA tended to
come from poorer, more disorganized family settings. These findings
together
suggest that the statistically significant, but small relationship
between
CSA and adjustment may not be causal.
Thirteen
of the college
studies used
statistical techniques to factor out, or hold statistically constant,
family
environment, when examining the relationship between CSA and adjustment
(see Table 11). The 14 samples from these studies examined 83
CSA-adjustment
relations. Before statistical control, 41% of these relations were
statistically
significant. After statistical control--that is, after removing the
effects
of family environment--only 17% were statistically significant. This
represents
a 59% reduction. Since CSA-adjustment relations within a given study
tend
to be correlated, we computed the percent reduction in statistical
significance
by using one overall result per study. Computed this way, the reduction
in statistically significant results rose to 83%. These findings
strongly
support the possibility that many instances of statistically
significant
associations between CSA and adjustment are spurious. In particular,
these
findings argue against the popular assumption that CSA typically causes
harm.
|
Table 11
Results
of Statistical
Control
on CSA-Symptoms Relations
| Study |
Type
of control |
Significant
results
|
|
N
|
Before
|
After
|
%
reduction
|
| Brubaker, 1999 |
Separated categories |
1
|
1
|
0
|
100
|
| Cole, 1988 |
Hierarch. Regression |
5
|
3
|
0
|
100
|
| Collings, 1995 |
ANCOVA |
10
|
8
|
6
|
25
|
| Fromuth &
Burk, 1989, mw |
Hierarch. Regression |
13
|
6
|
6
|
0
|
| Fromuth &
Burk, 1989, se |
Hierarch. Regression |
13
|
0
|
0
|
-
|
| Fromuth, 1986 |
Hierarch. Regression |
13
|
4
|
1
|
75
|
| Gidycz et al.,
1995 |
Path analysis |
3
|
0
|
0
|
-
|
| Greenwald,
1994 |
Hierarch. Regression |
1
|
0
|
0
|
-
|
| Harter et al.,
1988 |
Path analysis |
2
|
1
|
0
|
100
|
| Higgins &
McCabe, 1994 |
Hierarch. Regression |
2
|
2
|
0
|
100
|
| Lam, 1995 |
Multiple regression |
3
|
0
|
0
|
-
|
| Long, 1993 |
Multiple regression |
2
|
1
|
0
|
100
|
| Pallotta, 1992 |
ANCOVA |
13
|
6
|
0
|
100
|
| Yama et al.,
1992 |
ANCOVA |
2
|
2
|
1
|
50
|
| Totals |
83
|
34
|
14
|
59a
|
Note.
N indicates the number
of symptom measures whose relation to CSA status was examined (or was
intended
to be by the study authors) by using statistical control. "Before"
indicates
the number of relations significant before applying statistical
control; "After" indicates the
number of significant relations after applying
statistical
control. "Reduction" indicates
the percent of significant relations
that
became nonsignificant after statistical control.
a
Based
on the percent
of total significant relations that became nonsignificant after
control.
The unweighted percent reduction was 83%.
|
|
Discussion
Our
meta-analyses of
the relations
between CSA and adjustment in both the national samples and college
samples
showed that CSA is statistically significantly related to poorer
adjustment;
however, this relationship is small. For boys, CSA accounted for only
one
half of one percent of the adjustment variability, while for girls, it
accounted for only 1%. These small effect sizes are inconsistent with
the
assumption that CSA produces intense effects. The examination of
self-perceived
effects and reactions contradict the assumption that CSA has pervasive
effects. Analyses of self-perceived effects, as well as the role that
family
environment plays in the CSA-adjustment relationship, do not support
the
assumption that CSA typically causes harm. There is support from these
data that CSA causes harm in specific cases, but the evidence speaks
against
harm resulting in the typical case. Finally, a clear and strong
difference
emerged between how boys and girls respond to experiences classified as
CSA. Only a minority of boys react negatively or feel harmed by these
episodes;
the reverse holds for females. In the college samples, boys who were
willing
participants in their CSA episodes showed no evidence of impairment,
which
was not the case for girls. These results strongly suggest that the
assumption
that boys and girls react in an equivalent manner to CSA should be
abandoned.
Regarding
the
differences between how
boys and girls react, it is worth reviewing what some of the authors of
the college studies had to say. Schultz and Jones noted that males
tended
to see these sexual experiences as an adventure and as
curiosity-satisfying,
while most females saw it as an invasion of their body or a moral
wrong.
West and Woodhouse observed that females’ reactions at the time were
"predominantly
of fear, unpleasant confusion, and embarrassment...[while men’s]
remembered
reactions were mostly either indifference, tinged perhaps with slight
anxiety,
or of positive pleasure, the latter being particularly evident in
contacts
with the opposite sex."
These
gender
differences in reactions
to CSA experiences are consistent with more general gender differences
in response to sex among young persons.
For
example, boys and
girls report
very different reactions to their first experience of sexual
intercourse,
with girls predominantly reporting negative reactions such as feeling
afraid,
guilty, or used, and boys predominantly reporting positive reactions
such
as feeling excited, happy, and mature. It is important to add that
males
and females may react differently to CSA because they tend to
experience
different kinds of CSA episodes. Baker and Duncan commented that girls
in their national survey in Great Britain may have found their CSA
experiences
to be more damaging than boys did because they had more incestuous CSA
and experienced CSA at younger ages. College males and college females
also tended to have different CSA experiences; females experienced
incest
more than twice as often as males and experienced force about twice as
often.
A
few
additional
comments about causality
are also in order. The finding that family environment was 10 times
more
important than CSA in accounting for current adjustment in the college
population is consistent with the results of several recent studies
using
subjects from noncollege populations. In one study conducted by
Eckenrode
and his colleagues published in 1993, the researchers categorized
children
and adolescents obtained from a large representative community sample
in
a small-sized city in New York state into six groups: not abused, CSA,
physical abuse, neglect, CSA and neglect, and physical abuse and
neglect.
They found that CSA children and adolescents performed as well in
school
as nonabused controls in all areas measured, including standardized
test
scores, school performance, and behavior. Neglect and physical abuse,
on
the other hand, were associated with poorer performance and more
behavior
problems.
In
another study
conducted by Ney and
his colleagues published in 1994, the researchers separated their
mostly
clinical sample of children and adolescents into categories of CSA,
physical
abuse, physical neglect, verbal abuse, emotional neglect, and
combinations
of these. They found that the combination of abuse that correlated most
strongly with adjustment problems was physical abuse, physical neglect,
and verbal abuse. In the top 10 worst combinations, verbal abuse
appeared
seven times, physical neglect six times, physical abuse and emotional
neglect
five times each, whereas CSA appeared only once.
These
results jive well
with the conclusion
of Wiesniewski that we presented before. Again, she studied 32 samples
of college students across the U.S. chosen to be representative of the
U.S. college population. She concluded that, when taking other forms of
abuse into account, CSA was not related to adjustment problems. It was
instead, she noted, maltreatment such as physical abuse that directly
impacted
on adjustment.
In
the
U.S., in 1974
the Child Abuse
Prevention and Treatment Act was passed by Congress. Its original focus
was on doing something about the problems of physical abuse and
neglect.
This initiative set up what became, as many have called it, the child
abuse
industry, which continues to this day and has spread to other countries
around the world. Within a few years of its passage, however, the focus
of this act shifted predominantly to CSA. This occurred for a number of
reasons. One was that the women’s movement in America had begun raising
consciousness about rape and incest in the early 1970s. A second reason
was that taboo sex is much more of an emotionally-grabbing issue than
physical
abuse or emotional neglect. As such, CSA got more media and political
attention,
and eventually more funding and a much greater following in
child-protection
circles. The results of our research, as well as those of others just
mentioned,
suggest that this major shift of attention away from physical abuse and
neglect to CSA may have been misdirected.
Child
Sexual
Abuse as a Construct Reconsidered
At the outset
of our
presentation,
we discussed problems with the term child sexual abuse. It is
now
appropriate to return to this issue in light of the empirical findings
we have just presented. These findings strongly imply that it is
misleading
to label both the repeated rape of a young female child in an
incestuous
context and a willing sexual encounter between a mature male
adolescent
and an unrelated adult as child sexual abuse. It is misleading because abuse
implies harm to the individual.
The
empirical data,
based on generalizable
samples, that we have presented clearly suggest that only the first of
these two scenarios is likely to produce harm for the individual. The
second
scenario is only abuse in that it violates contemporary social
norms.
What
is
problematic is
that the use
of the term child sexual abuse in the latter case,
whether
by the media, legislators, or mental health professionals, conveys the
meaning of harm to the individual as opposed to violation of social
norms.
This in turn reinforces, incorrectly, the notion that the adolescent in
such an episode really was harmed psychologically or emotionally. This
adolescent is then perceived to be a victim and treated as a victim,
which
can become a self-fulfilling prophesy in that he will become the victim
he is supposed to be.
The
reality of labeling
effects has
been well established in psychology and sociology. The history of
sexual
attitudes provides numerous examples. Masturbation was formerly labeled
"self-abuse" after the 18th century Swiss physician Tissot transformed
it from a moral to a medical problem. From the mid-1700s until the
early
1900s, the medical profession was dominated by physicians who believed
that masturbation caused a host of maladies ranging from acne to death.
So destructive was masturbation seen to be in America in the 1800s that
inventors created cages with locks and keys to keep children’s hands
away
from their genitals, boys underwent circumcision on a wide scale so
that
they would not have to wash under their foreskin and thereby
potentially
"abuse" themselves, and physicians such as J. H.
Kellogg created products such as Kellogg’s Cornflakes to prevent boys
from
engaging in "self-abuse."
Countless
people
suffered pangs of
guilt for having indulged and were mortified at the possibility of
developing
a disease or a disorder as a result. For example, the famous sex
researcher
Havelock Ellis recounted the case of a respectable married woman who
was
involved in a social purity movement. When reading a booklet that
described
masturbation, she became aware that she had been unwittingly engaging
in
this behavior. As Ellis noted, "The profound anguish and hopeless
despair
of this woman in the face of what she believed to be the moral ruin of
her whole life cannot be well described."
Sex
researcher Alfred
Kinsey complained
a half century ago that the scientific classifications of sexual
behavior
in his day were based on theology, not biology. In
1952 in the first edition of the American Psychiatric Association's Diagnostic
and Statistical Manual of Mental Disorders -- also known as
DSM--sexual
behaviors such as masturbation, homosexuality, fellatio, cunnilingus,
and
sexual promiscuity were codified as pathological--as forms of mental
illness. Countless
homosexuals suffered because their desires were labeled by the medical
profession, and by the general public as well, as perversions. Indeed,
the history of sexual attitudes shows that labeling sexual behaviors
has
generally been based on morality, not science, even when it is
scientists
rather than lay persons who are using the labels, and that labeling can
have negative consequences.
In
science, abuse
implies that
harm is likely to result from a behavior. The results for male college
students who had experiences defined as CSA highlight the questionable
validity of the construct child sexual abuse as defined and
used
in the professional literature. For these male subjects, 37% viewed
their
CSA experiences as positive at the time they occurred. In the two
studies
that inquired about positive self-perceived effects, 24% to 37% viewed
their CSA experiences as having a positive influence on their current
sex
lives. Importantly, males who participated willingly in their CSA
episodes
were as well adjusted psychologically as control subjects. The positive
reports of reactions and effects, along with normal adjustment for
willing
participants, are scientifically inconsistent with classifying these
male
students as having been abused. Their experiences were not associated
with
harm, and there appears to be no scientific reason to expect such an
association.
On the other hand, a minority of males did report negative reactions
and
negative self-perceived effects; moreover, unwanted CSA was associated
with adjustment problems for them. For these students, the term abuse
seems much more appropriate.
Some
researchers have
questioned their
original definitions of sexual abuse after assessing their results. For
example, Fishman defined sexual abuse of boys mostly on the basis of
age
discrepancies (that is, sex between a boy of 12 or less and someone at
least 5 years older, or between a boy aged 13 to 16 with someone at
least
10 years older), stating that age differences implied sufficient
discrepancy
in developmental maturity and knowledge to indicate victimization. He
found
that the males with CSA experiences in his study did not differ from
controls
on measures of adjustment and that they reported a wide range of
reactions
to their CSA experiences (mostly positive or neutral). In-depth
interviews
confirmed and elaborated the quantitative findings, leading Fishman to
question his original assumptions. He noted that the men's stories
altered
his universal beliefs about the impact of inappropriate sexual
experiences
on children, and stated that "to impose a confining definition onto
someone's
experience does nothing to alter the realities of that experience for
the
person." Fishman concluded by arguing for the use of language of a more
neutral nature rather than labels such as abuse, victim, and
molestation--in
short, for use of empirical and phenomenological criteria in
conceptualizing
early sexual relations, rather than using legal or moral criteria.
The
foregoing
discussion does not imply
that the construct child sexual abuse should be abandoned, but
only
that it should be used less indiscriminately in order to achieve better
scientific validity. Its use is more scientifically valid when early
sexual
episodes are unwanted and experienced negatively--a combination
commonly
reported, for example, in father-daughter incest. In general, findings
from the review of college students suggest that sociolegal definitions
of CSA have more scientific validity in the case of female children and
adolescents than for male children and adolescents, given the higher
rate
of unwanted negative experiences for females. Nevertheless, because
some
women perceive their early experiences as positive, do not label
themselves
as victims, and do not show evidence of psychological impairment, it is
important to be cautious in defining abuse for both males and females
in
attempts to validly understand these sexual experiences.
Nonclinical
Samples on Boy-Adult
Sex
Before
we conducted the
two quantitative
literature reviews that we just discussed, we conducted our own
qualitative
literature review. We gathered together all the studies published on
boys'
sexual experiences with adults based on nonclinical samples. The
rationale
for this research was twofold. First, previous reviewers of the
literature
had generally either neglected boys' sexual experiences with adults,
focusing
instead on those of girls, or they had just assumed that boys'
experiences
were the same as girls. And second, previous reviewers, when they did
pay
attention to boy-adult sexual experiences, focused on clinical samples.
These shortcomings indicated the need to focus on boy-adult
experiences,
particularly in the nonclinical population. We want to emphasize once
again
that, to reach a valid understanding of this kind of sex, or any other
kind for that matter, we cannot rely on clinical samples because of a
host
of problems that we discussed earlier in this presentation.
Altogether,
we located
35 usable studies
for analysis. Sixteen of them were based on college samples and four
were
based on national samples. These studies were also included in our two
meta-analyses. The remaining 15 studies used samples that were obtained
in a variety of ways. A few were based on community samples; others
were
based on responses to print advertisements; still others were based on
personal contacts or referrals; one was based on responses to a
computer
bulletin board. These latter samples are what we call "convenience
samples"--the
researcher obtains whom he can through whatever means are available to
him. These samples cannot be considered to be representative of the
population,
just as clinical samples cannot be. Nevertheless, they offer yet
another
opportunity to examine boy-adult sexual experiences apart from the
traditional
approach, which has been to focus on the clinical population.
We
have
already
exhaustively reviewed
reactions and psychological correlates from national and college
samples
in the meta-analyses. Here, let's move on and talk about the results
from
the convenience samples. The study based on a computer bulletin board
revealed
that 58% of males regarded their boy-adult sexual experience to have
been
positive, while 27% regarded it as negative. In a convenience sample
from
Knoxville, Tennessee, 36% of males regarded this experience as
positive,
24% neutral, and 40% as negative. Sixty-six percent saw the experience
as not having a negative effect on their current sex lives, while 34%
did
see it as having a negative effect. Another study, consisting of
homosexual
males recruited from sexually transmitted disease clinics, found that
58%
experienced their boy-adult sexual experiences as negative. In this
study,
a large percent (50%) were forced in their encounter, which may account
for this higher than typical figure.
In
these three studies,
the first and
third had higher and lower rates, respectively, of positive encounters,
while the second study had a profile very similar to the college
samples
discussed earlier. Other convenience samples have shown predominantly
positive
reactions. Sandfort in the Netherlands found that 24 of the 25 boys he
interviewed reported predominantly positive emotions about the sexual
aspects
of their relationships with men.
Critics
have tended to
reject this
study as invalid for a variety of reasons, one being that the boys were
recruited into the study by their adult partners who may have had an
agenda.
Many of these critics have assumed the relationships had to be
negative,
arguing that the boys were pressured to provide positive reports. Our
review
of the college studies, as well as data from the other convenience
samples
just presented, suggests clearly that a sizable minority of boys do
experience
these contacts positively, which argues for the validity of Sandford's
findings. The unusually high percent of positive reactions in his study
probably has to do with the fact that these sexual contacts occurred
within
the context of a friendship. Other convenience samples on boys
experiencing
sex with adults in friendship relationships have yielded generally the
same results. One such study was reported in England by Father Ingram;
another was reported in the U.S. by the psychologist Tindall.
Child
abuse researchers
often provide
anecdotes from case studies to vividly illustrate the "horrors of
child-adult
sex". For example, in the case of boys, Finkelhor in his 1979 report of
his study based on a college sample noted that 38% of his boys reacted
negatively, meaning that the majority, 62%, reacted positively or
neutrally.
Parenthetically, for experiences occurring between ages 12 and 15,
Finkelhor
only inquired about unwanted episodes, which undoubtedly inflated the
percent
of negative experiences. Finkelhor gave us no insight into the
nonnegative
cases, but did provide several examples of negative experiences. In
one,
the interviewer asked a male student to compare his boy-adult encounter
with other life experiences. The student remarked: "Much more traumatic
at the time. Very anxiety-producing. Probably there wasn't anything in
my life as anxiety-producing." The interviewer then asked if this was
the
biggest trauma of his life. The student answered:
Oh,
without a
doubt. Mostly
because I went through like two months of avoidance. I was very
conscious
of where I was, who I was with, and was the group large enough so he
couldn't
single me out, and, you know, it was pretty terrifying. "Can I go
outside?
Is it safe to go outside?" Nothing really as traumatic as that.
This
anecdote vividly
conveys what most
child abuse researchers believe is a boy's typical reaction. But the
numbers,
even in Finkelhor's own study, show that this is not the typical
reaction.
In fact, there is a range of reactions.
It
is
important to
present anecdotes
that represent the other types of reactions as well to get a full
picture
of boy-adult experiences. Unfortunately, child abuse researchers
seldom,
if ever, provide us with neutral or positive anecdotes. The effect is
that
the noncritical reader may see that a majority reacts nonnegatively,
but
the vividness of the negative example sticks in their memory, biasing
their
perception of these relationships.
In
psychology, this
biasing influence
is a well established phenomenon and is referred to as the vividness
effect.
The vividness of this memory in turn creates an illusory correlation,
which
means, in the present case, an exaggerated impression of the
association
between boy-adult sex and harm. To provide balance, we will now present
a positive anecdote that comes from the nonclinical literature to give
a fuller picture of how boys may react. This example comes from Tindall
in 1978, who gathered 200 case studies of boy-man relations based on
his
interviews as a school psychologist over many decades of work. Tindall
also followed up on many of these cases well into the boys' adulthood.
Denver
was
referred at age
13 for taking part in vandalism directed toward a junior high school
followed
by running away from home. He was of high average ability and reading
at
grade level. He was quite interested in machinery and mechanics.
Denver
reached
pubescence
by age 14. He was introduced to mutual masturbation at age 13 by peers,
some of whom were more developed sexually. During his 14th year he
began
spending his spare time around a service station, where he became
acquainted
with a master mechanic who was then in his early 40s, married and
childless.
The mechanic and Denver began engaging in recreational pursuits
together.
On a fishing trip, during a break on an island, they began talking
about
sex, which led to Denver's being fellated by the mechanic and to
masturbation
of the mechanic by Denver. For the next 5 years mutual fellatio
occurred
two or three times per week. Sexual activity with the mechanic ceased
at
about age 19, but a close relationship continued to exist until the
mechanic's
death.
Denver
is now
44 years of
age. He was married and fathered two sons. He and his first wife were
divorced
and he raised his boys. One boy went to college and the other boy to a
technical school. Denver remarried and has been a valued mechanic with
the same company for 20 years. He has a supervisory position and
believes
that his relationship with his mechanic friend helped him reach his
goals.
He says he would have approved a similar relationship for either of his
sons, had he become aware of such a situation. He reports no desire to
have sex with males since approximately age 20.
This
anecdote stands in
sharp contrast
to that of Finkelhor's. It shows a willing, long-lasting sexual
relationship
that was part of a friendship. Rather than fearing the man, as in
Finkelhor's
anecdote, the boy in this case study thrived on the relationship. He
modeled
after the man, and successfully moved into his profession. The anecdote
also shows that the boy was delinquent before meeting the man. This
fits
with our previous remarks that family environment, which contributes to
delinquency, predisposes young persons to a host of counternormative
activities,
such as sex with adults.
Both
of
these anecdotes
represent real
experiences. Some
boys react with fear, as in
the
first case. Others react with pleasure, as in the second. Many
other examples of the second type could be presented coming from the
other
convenience samples included in our review. What is problematic is that
child abuse researchers, the media, and the lay public seem to be
willing
to acknowledge the validity only of the former type--the negative case
study. They may think this way because they feel that positive examples
are so rare that either they are not genuine or, if there is some truth
to them, then they can be summarily dismissed as irrelevant. But our
data
from a large number of samples demonstrate that positive occurrences
are
just as frequent as negative ones, and so both types should be
acknowledged.
To do otherwise is a distortion of reality. Having acknowledged that
both
positive and negative relations occur, the question shifts to what
makes
one relationship positive and the other negative.
In
1981
Constantine
presented a useful
model to account for these positive and negative reactions. This model
holds that two key elements are critical. First is the child's or
adolescent's
perceived willingness in the sexual encounter. Perceived willingness
means
freedom to participate or to say no. Constantine concluded from his own
review of the literature available at that time that this perception of
willingness to participate was strongly tied to reactions: positive
reactions
were associated with willing encounters, negative reactions followed
being
forced or coerced or tricked into sex. Second is the young person's
knowledge
about sex. Complete ignorance could lead to anxiety during or after the
episode; also, having absorbed the "conventional moral negatives" about
sex -- that is, that it is bad or dirty -- could also lead to guilt or
shame and other negative reactions. The results of our review of
boy-adult
sex based on the nonclinical literature are consistent with this model.
Force and coercion in the studies we reviewed were invariably
associated
with negative reactions, but willing participation was not. Ignorance
and
a sense of shame about sex were also associated with negative
reactions;
but knowing about sex and not feeling ashamed about it were not.
|
Table 13
Child's
or Adolescent's
Consent
Response to Sexual Encounters
with Male Adults
(based
on a legal
sample from Gebhard
et al., 1965)
| Sex
and Age of Younger Person |
Encouraging
%
|
Passive
%
|
Resistant
%
|
Number
of
Cases
|
| Male |
Children (< ) |
52.3
|
6.8
|
40.9
|
44
|
| Minors (12-15) |
70.3
|
11.0
|
16.5
|
91
|
| Female |
Children (<
11) |
13.4
|
11.0
|
16.5
|
82
|
| Minors (12-15) |
69.0
|
0.7
|
30.0
|
142
|
Table 14
Guilt
and Anxiety as a
Function
of Consent and Knowledge
in Childhood Sexual Experiences
(based
on Constantine,
1981)
| |
Child's
Participation
|
| Child's
knowledge |
Forced |
"Passive
Consent" |
Consensual |
| Ignorant
Anxiety
|
High anxiety
Low
guilt
|
High anxiety
Low
guilt
|
Moderate
Low
guilt
|
| Aware of taboos
Anxiety
|
High anxiety
Low
guilt
|
High anxiety
High
guilt
|
Moderate
Moderate
guilt
|
| Sexually
Knowledgeable
|
High anxiety
Low
guilt
|
Moderate anxiety
Low
guilt
|
Low anxiety
Low
guilt
|
| Knowledgeable
and
Aware
of
taboos
|
High anxiety
Low
guilt
|
Moderate anxiety
High
guilt
|
Low anxiety
Moderate
guilt
|
|
| This
issue of
consent--by which we
mean willingness to participate as opposed to informed consent--is
important
for understanding the sex differences in reactions we have described.
Child
abuse researchers often insist that consent is not a possibility and
therefore
ignore this variable. But their insistence is based on sociolegal
definitions
and on a focus on "informed consent," which is different. It is simple
consent--the ability to say yes or no--that reliably predicts
reactions,
and so this is the variable that scientists should be focusing on.
Before
the child abuse industry developed, some researchers, however, did
consider
the different gradations of simple consent.
In
Table 13 we see the
results from
a large scale study performed by the Kinsey Institute in the early
1960s.
Based on court records, the researchers classified level of consent by
boys and girls in sexual encounters with men as either encouraging,
passive,
or resistant. As you can see, there is a big sex difference for
children
under 12: a small majority (52%) of boys were encouraging, while very
few
girls (13%) were. On the other hand, twice as many girls resisted (80%
vs. 40%). For minors (aged 12 to 15), a majority of male and female
adolescents
were encouraging (70%), but again twice as many females resisted as
males
(30% vs. 16%). These numbers from this legal sample are consistent with
the greater willingness of boys to participate and their generally more
neutral or positive reactions that have been repeatedly presented in
the
nonclinical literature.
Conclusion
The
results of our
reviews clearly
show that the assumptions of most mental health professionals,
legislators,
law enforcement personnel, media workers, and the lay public that
sexual
relations defined as CSA cause intense harm pervasively for both boys
and
girls are vastly exaggerated. This exaggeration has been part and
parcel
of a new kind of black and white thinking that disallows shades of gray
to enter. This thinking, in turn, potentiates hysterical reactions,
which
have been all too common in America, starting in the 1980s. One
striking
example involves the Satanic sex abuse hoax in child day care centers
that
spread across the U.S. 15 years ago. To understand the implications of
a sex abuse hysteria based on vastly exaggerated beliefs about CSA,
let's
consider some examples.
In
1983
in Manhattan
Beach, California,
the mother of a two-year-old boy claimed that her son was sexually
abused
at the McMartin Preschool by Ray Buckey, a staff member and grandson of
the owner. Over the span of the next few months, her accusations became
increasingly bizarre. She claimed her son was flown in a plane to
another
city where there was a goatman. There, Ray Buckey flew in the air; his
mother was dressed up as a witch and gave the two-year-old an enema.
Staples
were put into the two-year-old's ears, nipples, and tongue. Scissors
were
put into his eyes. Animals were chopped up; a baby's head was cut off,
and the two-year-old had to drink the baby's blood.
The
two
year old's
mother was delusional,
but police and therapists showed little or no skepticism. Instead, they
vigorously investigated whether other children were involved. Parents,
frightened into suspecting that their children were also victims,
questioned
them repeatedly. Police and social workers interviewed 400 current or
former
McMartin children. All children denied any type of abuse initially. But
the social workers pressed on until they got accusations from most of
these
children, which included wild stories of abduction by hooded figures,
ritual
mutilation of animals and babies, and sexual orgies in tunnels under
the
McMartin building. To evoke these accusations,
the
social workers made extensive use of disinformation, coercion, bribery,
and modeling, among other techniques.
For
examples of these
techniques, and
for powerful experimental evidence of their effectiveness in producing
false memories, we refer you to a 1998 article by Garven and colleagues
in the Journal of Applied Psychology (Vol. 83, 347-359). In the end,
after
two trials that lasted seven years and cost about 20 million dollars,
making
them America's longest and most expensive criminal trials in history,
no
convictions resulted. Nevertheless, Ray Buckey had to spend five years
in jail before winning his freedom.
Consider
these
additional examples.
In 1985 in New Jersey, Kelley Michaels was accused of assaulting her
preschoolers
with peanut butter, swords, bloodied tampons, urine, feces, and death
threats.
She was said to have committed these crimes against dozens of children
daily, for seven months in a crowded facility without any adults seeing
her and without leaving any physical evidence. The jury believed the
charges;
she was convicted and sentenced to nearly 50 years in prison. After
spending
five years in prison, her conviction was overturned.
Dale
Akiki, a former
San Diego Sunday-school
teacher, was accused by young pupils of sacrificing rabbits, killing an
elephant and a giraffe, sodomizing the children with a curling iron,
putting
them in a shower and altering the water between hot and cold until they
vomited, sticking their heads in toilets, forcing them to ingest feces
and urine, and killing a baby and making them drink its blood. As with
Kelley Michaels, all this was supposed to have happened while other
adults
were nearby who noticed nothing. And, as with Kelley Michaels, not a
scintilla
of physical evidence was recovered. Yet, prosecutors put him on trial,
with a conviction meaning a life sentence. He was fortunate--he was
acquitted
after spending only two and a half years in jail. Robert Kelly,
co-owner
of the Little Rascals Day Care Center in North Carolina was prosecuted
on similar charges in that state's longest and most expensive criminal
trial in history; he was convicted and sentenced to 12 consecutive life
terms in prison. His conviction was overturned after he had spent five
years in jail.
Let's
consider this one
last example,
certainly relevant to a Dutch audience such as yourselves. One day in
1989,
as he was preparing to go to work dressed up in his Burger King
uniform,
Bobby Fijnje--a Dutch citizen--was arrested at his home in southern
Florida,
accused of molesting and abusing in Satanic rituals young children for
whom he baby-sat. What makes this case remarkable is that Bobby was
only
14-years-old at the time--and a youngish 14-year-old at that, as
revealed
in photos of him at that age. In other words, Bobby was just a boy.
Despite
this, the police, the media, and prosecutors showed him no mercy. As
Bobby
later recounted, his arresting officer, Detective Martinez, told him as
he was being escorted to the squad car, "Before I knew you, I knew you
were guilty. But now that I see you, I definitely know that you're
guilty."
The
media barrage
attacking Bobby was
unceasing. Soon the media were telling viewers that Bobby's parents
were
members of an international pornography ring and that Bobby had been
leading
children in ghastly rituals, which involved cooking and devouring a
baby.
Prosecutors charged him as an adult, meaning that if he were convicted
on just one of the seven charges against him, he would be sentenced to
life in a maximum security prison, never eligible for parole. During
the
trial, prosecutors tried their best to make a monster of the boy. Their
dogged determination to ensure that this boy would die of old age in
prison
is amply shown by the fact that they spent 3 million dollars on this
trial,
making it Florida's most expensive criminal trial ever.
In
the
end, after
spending nearly two
years in jail, and after enduring a trial that lasted 3 months, Bobby
was
acquitted of all charges. Crucial to this outcome was the testimony of
Dr. Stephen Ceci, a Cornell University developmental psychologist, who
did ground-breaking research demonstrating how overzealous questioners
can implant false memories in children, thereby eliciting false
accusations
of abuse. His research since has formed the basis for reversing
numerous
child abuse convictions involving daycare workers around the U.S.
Responsible
for this
merciless assault
on Bobby was Janet Reno, the chief prosecutor in southern Florida then.
She was a self-styled crusader for children, who was especially
concerned
to prosecute sex abuse cases, believing sex abuse to be the ultimate
evil
and believing that children never lie about sex abuse. Her "Miami
method,"
as it came to be called and emulated by prosecutors around the country,
involved the kind of aggressive interviewing used in the McMartin case.
Reno's method, however, was more apt to plant "ominous seeds in the
minds
of children," as a recent New York Times article was entitled, than to
elicit veridical memories.
Reno
personally oversaw
Bobby Fijnje's
prosecution. When the jury reached a verdict, Bobby had to wait a
nerve-racking
two and a half hours to hear it so that Reno could be present in the
courtroom,
presumably to take the credit for his conviction. Thanks to Ceci's
testimony
showing how the "child abuse experts" had corrupted the children's
testimonies,
Reno's trip to the courthouse that day was wasted. In a recent
interview
with Bobby (who is now in his 20s) shown on American television in
October
this year, Bobby was asked what he would say to Reno today, if he had
the
chance to speak with her. His answer was:
Why
did you
spend so much
money trying to convict a 14-year-old kid? Why even try to place a kid
who's 14 in a maximum security prison? Why would you even think of
doing
something like that, if you're a crusader for children?
Reno
has
never apologized
for this aggressive
prosecution, or even acknowledged that it was improper in any way. Her
reward for her inquisitorial zeal was to become U.S. Attorney General,
the highest ranking law enforcement official in America. One month
after
taking this office in 1993, Reno ordered a tank and tear gas attack on
a religious cult near Waco, Texas, after hearing from the FBI that sex
between adults and under-aged girls was occurring. All these girls, as
well as all the other cult members, died in this attack. In the end, by
the way, it turned out that these FBI reports of abuse were unfounded.
Reno's zeal to "save" the children yet again produced disaster.
These
cases of daycare
madness are
just a few among many more such cases that spread throughout the U.S.
in
the 1980s and eventually spread to other parts of the world, including
Holland. This madness centered on the vastly exaggerated view that CSA
is so destructive that caution need not apply in rooting out this
"evil."
This hysteria was not confined to day care centers; in the later 1980s
the recovered memory movement gained strength, based on the belief that
CSA is so traumatic that children repress these memories in order to
cope.
Many therapists began probing aggressively into their patients'
childhood,
searching for hidden memories of CSA, that they believed were the cause
of all their patients' psychological problems. Using the same coercive
techniques used in the day care center investigations, these therapists
implanted false memories in many a vulnerable patient. Adult patients
then
turned around and accused and then often sued their parents, ripping
families
apart. As it turns out, there is no science behind the recovered memory
idea, just passion driven by exaggerated beliefs about CSA.
From
a
psychological
perspective, it
is documented that children in the day care centers in whom false
memories
of being raped in tunnels and sodomized by curling irons were implanted
developed various pathological symptoms in the clinical range after,
not
before, the interrogations by the child protection workers began. It is
also well documented that many a patient in recovered memory therapy
got
worse, not better, after this treatment began. These pathological
responses
in the interrogated children and the patients in treatment clearly
reflect
the effects of the intervention. What
makes matters even worse is that researchers in the child abuse
industry
have seized upon these newly developed symptoms as further evidence for
the pathogenicity of CSA.
In
closing, we want to
emphasize that
our presentation should not be taken to advocate behaviors labeled as
CSA.
But we also want to emphasize that exaggeration of the nature of CSA is
unacceptable, because it can and has substantially aggravated the
problem.
It is imperative that social discourse on behaviors labeled CSA be
rationally
based, rather than emotionally driven. Otherwise, problems of the types
just discussed may continue to occur. As the social critic Goya
observed
in one of his sketches, "El sueño de la razon produce
monstruos,"
or, "The sleep of reason produces monsters."
|
|
[Original figure nyfigu~1.jpg not included.]
Apropos - Se:
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Panikkens
retorik - dagbladet
Politiken søndag
7. februar 1999
og Professor
irettesætter chefpsykolog
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