HD 300 1st Edition Lecture 21 Outline of Last Lecture I Therapy II Symptomatology III Assesment Outline of Current Lecture I Continuum of Sexual Behavior II Assessing Child Sexual Activity III Children Unseen Victims IV Intergenerational Cycle of Abuse V Child Outcomes VI Summary Current Lecture Continuum of Sexual Behaviors Toni Cavanagh Johnson Group I Normal Sexual Exploration o Usually unplanned and infrequent o Occurs with friends sometimes siblings o No coercion involved Curiosity not coercion o Lighthearted silly o Secretive o Shy and embarrassed if caught Group II Sexually Reactive o Have experienced some type of sexual trauma These notes represent a detailed interpretation of the professor s lecture GradeBuddy is best used as a supplement to your own notes not as a substitute Sexual behavior usually impulsive and frequent Feelings of anxiety guilt and confusion if caught May approach adults sexually Distorted view of sex Need sex education to help them work through the issue Maybe some therapy Group III Extensive Mutual Sexual Behaviors o Sexually abused o Peers get together and do sexual things together o Mutual sibling incest o Sexual activities are planned and on going o Confusion and guilt when caught and confronted OR a what s wrong attitude o May deny or blame the other child Group IV Children who Molest o Sexually abused o Traumatic re enactment o Activities are ongoing and may be planned or impulsive o Usually select child victims may approach adults o If confronted angry aggressive and may deny or blame the other child o Coercion is involved o o o o o Assessing Child Sexual Activity Normal Children under age 4 o Questions about sex or childbirth o Playing doctor o Occasional masturbation no penetration o toilet talk o Occasional peer exploration Caution Parent s need to be paying attention o Activities may be due to things children have seen or heard Inappropriate nonetheless o Sexually explicit conversations o Precocious sexual knowledge o Sexually explicit drawings o Pre occupation with masturbation o One time incident of voyeurism exposing interest in pornography Voyeurism sexual interest in or practice of spying on people engaged in intimate behaviors undressing sexual activity o Stimulating foreplay kissing petting with toys or friends with clothes on Red Alert Requires Adult Intervention o Compulsive masturbation may include penetration o Touching each others genitals o Sexually explicit conversations o Degrading other by using sexually explicit language and or threatening another sexually o Simulating intercourse with toys pets or peers with clothes on Stop intervene and Report o Any genital injury or bleeding that does not have an accidental explanation o Forced exposure of another s genitals o Sexual penetration of toys animals or other children o Simulating intercourse with clothing off Unit 19 Domestic Violence and Child Abuse Children Unseen Victims At least 3 3 10 million children are exposed to domestic violence per year o Know that millions of children are exposed o 40 80 witness parents think they don t See and hear Children are at high risk of being injured o Like if the child gets in the way Emotional effects of witnessing domestic violence are similar those associated with being a victim of abuse Child abuse significantly higher compared to non violent homes Battering is the most common factor among mothers of abused children Older children may be hurt while trying to protect their mother Pregnant women are at higher risk of being battered 30 60 of perpetrators also batter their children Intergenerational Cycle of Abuse We learn how to interact with family members from our family of origin Girls in violent families learn how to become victims Boys in violent families learn how to become batterers o As adults twice as likely to abuse their own wives Built around denial Tension building o She learns the dance to avoid being battered Acute explosion Child Outcomes Higher rates of o Internal and external behavior problems o Bullying and aggressive behavior o Delinquency o Substance abuse o Runaway behavior o Academic decline o Decline in self esteem o Decline in ability to trust Summary Domestic violence is detrimental to children s well being and safety Compared to other children children growing up in violent homes are more likely to exhibit anti social behaviors Children raised in violent homes are at risk for continuing the cycle of violence when they become adults