Behavioral Approaches to Educating Children/Parents about Child Sexual Abuse Prevention
Journal of Behavior Analysis of Offender & Victim Child sexual abuse (CSA) has been defined as “contacts or interactions between a child and an adult [or older child/adolescent] when the child is being used for the sexual stimulation of the perpetrator or another person” (NCCAN, 1978, p. 2). Whether perpetrated by adults or teenagers, sexual abuse involves the exploitation of children’s naïveté, trust, and obedience. CSA can include experiences of physical contact between a perpetrator and victim (e.g., fondling, intercourse) and also “interactions” where there is no physical contact (e.g., voyeurism, photographing or videotaping a child in sexual poses or actions). Although estimates vary depending on the type of sample and definition of sexual abuse used, several studies indicate a high frequency of CSA in the United States. Results of the most recent National Incidence Study revealed that there were an estimated 78,188 confirmed cases of child molestation in the U.S. in 2003 (U.S. DHHS, 2005). According to results from the Adverse Childhood Experiences survey one in four girls and one in six boys in the U. S. are sexually abused before they turn 18 (Dube et al., 2005). Sexual victimization can result in a broad array of problems, including emotional disorders (e.g., depression, anxiety), cognitive disturbances (e.g., poor concentration, dissociation), academic problems, physical problems (e.g., sexually transmitted diseases, teenage pregnancy), acting-out behaviors (e.g., prostitution, running away from home), and interpersonal difficulties (Berliner & Elliott, 2002; Kilpatrick et al., 2003; Noll, Trickett, & Putnam, 2003; Paolucci, Genuis, & Violato, 2001; Roberts et al., 2004; Tyler, 2002). Along with robbing children of their innocence and causing psychological, physical, and behavioral difficulties, it also affects families, communities, and the entire United States. A 1996 report from the Department of Justice estimated that each year, the rape and sexual abuse of children costs the U. S. $1.5 billion in medical expenses and $23 billion total (Miller, Cohen, & Wiersema, 1996). Based on the magnitude of the problem and its association with a range of health outcomes, CSA has been identified as a significant public health challenge by the Centers for Disease Control and Prevention, and its prevention has been listed as a priority concern (Hammond, 2003)... Read More




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