HD_300 1st Edition Lecture 21 Outline of Last Lecture I. TherapyII. SymptomatologyIII. AssesmentOutline of Current LectureI. Continuum of Sexual Behavior II. Assessing Child Sexual ActivityIII. Children- Unseen VictimsIV. Intergenerational Cycle of AbuseV. Child OutcomesVI. SummaryCurrent LectureContinuum of Sexual Behaviors- Toni Cavanagh Johnson- Group I: Normal Sexual Explorationo Usually unplanned and infrequento Occurs with friends, sometimes siblingso No coercion involved Curiosity not coerciono Lighthearted, sillyo Secretiveo Shy and embarrassed if caught- Group II: Sexually Reactiveo Have experienced some type of sexual traumaThese 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.o Sexual behavior usually impulsive and frequento Feelings of anxiety, guilt, and confusion if caughto May approach adults sexually o Distorted view of sexo Need sex education to help them work through the issue Maybe some therapy- Group III: Extensive Mutual Sexual Behaviorso Sexually abusedo Peers get together and do sexual things togethero Mutual sibling incesto Sexual activities are planned and on-goingo Confusion and guilt when caught and confronted OR a “what’s wrong” attitudeo May deny or blame the other child- Group IV: Children who Molesto Sexually abusedo Traumatic re-enactmento Activities are ongoing and may be planned or impulsiveo Usually select child victims; may approach adultso If confronted, angry/aggressive and may deny or blame the other childo Coercion is involvedAssessing Child Sexual Activity- Normal (Children under age 4)o Questions about sex or childbirtho 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 conversationso Precocious sexual knowledgeo Sexually explicit drawingso Pre-occupation with masturbationo 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 genitalso Sexually explicit conversationso Degrading other by using sexually explicit language and/or threateninganother sexuallyo Simulating intercourse with toys, pets, or peers with clothes on- Stop, intervene, and Reporto Any genital injury or bleeding that does not have an accidental explanationo Forced exposure of another’s genitalso Sexual penetration of toys, animals, or other children o Simulating intercourse with clothing off Unit 19: Domestic Violence and Child AbuseChildren- Unseen Victims- At least 3.3-10 million children are exposed to domestic violence per yearo Know that millions of children are exposedo 40-80% witness- parents think they don’t See and hear- Children are at high risk of being injuredo 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 childrenIntergenerational 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 battererso As adults, twice as likely to abuse their own wives- Built around denial- Tension buildingo She learns the “dance” to avoid being battered- Acute explosion Child Outcomes- Higher rates of:o Internal and external behavior problemso Bullying and aggressive behavioro Delinquencyo Substance abuse o Runaway behavioro Academic declineo Decline in self-esteemo Decline in ability to trustSummary- 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