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Counseling Survivors

Counseling Survivors“This powerful book deals with the issue of how Christians, especially those called to counsel, can help survivors of sexual abuse find healing and hope.a

In the next three chapters the author works through the three phases of therapy and gives much practical advice. Langberg notes that a key part of the healing process is sorting out truth and lies, something that can be very difficult for victims. They may have been fed one lie after another by their perpetrators.

In a sense their experience of abuse has taught them the lies that God does not care, that he does not answer prayer, that he is not all-powerful. Langberg notes,

When confronted with evil or terrible suffering, we find our faith in the goodness, love, and power of God to be profoundly shaken. As the survivor confronts her life without pretending, she will have to rework her faith so that her relationship to God is not predicated on denying the truth. Is God good, loving, and powerful even though the evidence in her life appears to scream to the contrary? In part, the crisis of faith is whether or not truth will be derived from life’s circumstances or from God’s Word (page 197).

Part five deals with some special considerations: dissociative disorders, false memory syndrome, and male survivors. This is helpful information for those who care for those who have been abused.

In the last two parts Langberg addresses the person of the therapist and the profile of a compassionate church. The final section is especially helpful for pastoral counselors as the Christian community has not always been a comfortable place for victims or survivors of CSA. The author provides a lengthy list of survivor’s needs and another of potential hindrances to effective helping.

This book demonstrates that while a pastoral counselor will want to refer a wounded member to competent clinical care, he will also want to provide the appropriate pastoral care that will help the hurting person make the transition from being a victim to a survivor of sexual abuse. Both play a vital role in the healing process.

Buy Nowa
Author: Langberg, Diane Mandt
299 pages

Reviewed by: John D. Schuetze on 5/20/2015

Rid of My Disgrace

Rid of My DisgraceRid of My Disgrace – Hope and Healing of Victims of Sexual Assault

As a Christian psychotherapist, I found Rid of My Disgrace to be a very well-researched, thorough analysis of the issue of sexual assault from both a clinical and biblical perspective. This is likely a reflection of the co-authors, John Holcomb, a pastor and professor, and his wife Lindsey Holcomb, who has counseled victims of sexual assault and trained leaders to care for them.

They quickly establish a tone that is compassionate, supportive, encouraging and Christ-centered to victims of sexual assault. I appreciated their emphasis on how “God restores, heals, and re-creates through grace” (p. 15) in contrast to secular notions of healing based on self-help, self-healing and self-love.

The book is divided in to three parts. In Part One, titled “Disgrace,” the pair provides a thorough, detailed definition of sexual assault that emphasizes the traumatic nature of such an experience for both female and male victims. They offer facts and statistics that put the epidemic of sexual assault into a sobering, somber perspective. The authors detail potential biological, psychological, social and spiritual injuries that can result from sexual assault. Again, I appreciated that they draw the reader back to God’s ability to heal when they write,

What grace offers to the victim experiencing disgrace is the gift of refuting distortions and faulty thinking and replacing their condemning, counterfactual beliefs with more accurate ones that reflect the truths about God, yourself, and God’s grace-filled response to your disgrace” (p. 45).

In Part Two, titled “Grace Applied,” the pair offer vignettes written by both female and male victims of sexual assault. These testimonies convey emotions and experiences that grab the reader’s attention and empathy. They then write about denial, distorted self-image, shame, guilt, anger, and despair. These are approached from a perspective that seamlessly combines sound clinical information with scriptural references. They do note how forgiveness is different than reconciliation, although I wish they would have expanded upon this even more, as often the two are considered one, which can be a significant hindrance to forgiving. The pair consistently point the reader back to Christ and Scripture as the source for all comfort and healing.

In Part Three, titled “Grace Accomplished,” the authors talk about how sexual assault is the result of sin—against the victim and against God. “In addition to being a sin against others, sexual assault is also a sin against God because the blessing of sexuality is used to destroy instead of build intimacy” (p. 170). They note how sexual assault can change how victims relate to other people, and also how they relate to God. They go on to detail grace in the Old Testament, emphasizing that, “Not only does God hear, God also sees. And out of hearing and seeing, God knows the suffering of people” (p. 180). The authors end with a chapter about grace in the New Testament that focuses on the redeeming work of Christ on the cross. “The work of Christ is to deliver us from suffering, corruption, and death, as well as from sin” (p. 207).

Overall, I found the book to be very informative and thorough. Its strengths seem to be in the details about what sexual assault is and how it can impact victims, along with the need for Christ for complete healing. Pastors and loved ones of victims may find this especially beneficial.

The book may leave some victims wanting more detailed strategies about how to heal, as it is not a workbook with exercises that might help one to apply the knowledge contained in it.

Buy Now
Author: Holcomb, Justin S. & Holcomb, Lindsey A.
288 pages

Reviewed by: Sheryl Cowling, LCSW, BCPCC, BCETS February 2015

Definitions of Child Abuse

Definitions of Child Abuse


There are numerous federal and state laws that define child abuse and neglect. In determining whether or not a specific action violates civil or criminal law, it is necessary to consult with local authorities. The following general definitions of child abuse and neglect are taken from the World Health Organization and the International Society on Child Abuse and Neglect. In reviewing these definitions, Christians should keep in mind that God’s standards are much higher than earthly standards. In God’s eyes, for example, even lustful or hateful thoughts about a child constitute abuse in direct violation of God’s commandments (Matthew 5:21-22; 27-30).

Physical Abuse

Physical abuse of a child is defined as the intentional use of physical force against a child that results in – or has a high likelihood of resulting in – harm for the child’s health, survival, development or dignity. This includes hitting, beating, kicking, shaking, biting, strangling, scalding, burning, poisoning and suffocating. Much physical violence against children in the home is inflicted with the object of punishing.

Sexual Abuse

Sexual abuse is defined as the involvement of a child in sexual activity that he or she does not fully comprehend, is unable to give informed consent to, or for which the child is not developmentally prepared, or else that violates the laws of society.Children can be sexually abused by both adults and other children who are – by virtue of their age or stage of development – in a position of responsibility, trust or power over the victim.
Emotional and Psychological Abuse

Emotional and psychological abuse involves both isolated incidents, as well as a pattern of failure over time on the part of a parent or caregiver to provide a developmentally appropriate and supportive environment. Acts in this category may have a high probability of damaging the child’s physical or mental health, or its physical, mental, spiritual, moral or social development. Abuse of this type includes: the restriction of movement; patterns of belittling, blaming, threatening, frightening, discriminating against or ridiculing; and other non-physical forms of rejection or hostile treatment.

Neglect

Neglect includes both isolated incidents, as well as a pattern of failure over time on the part of a parent or other family member

to provide for the development and well-being of the child – where the parent is in a position to do so – in one or more of the following areas:

  • Health
  • Education
  • Emotional development
  • Nutrition
  • Shelter and safe living conditions.

Source: Preventing Child Maltreatment: A Guide to Taking Action and Generating Evidence

Understanding and Preventing Child Sexual Abuse

Understanding and Preventing Child Sexual Abuse


Understanding and Preventing Child Sexual Abuse: A Primer for Parents and Caretakers

By Victor I. Vieth and Alison Feigh

The trial of Jerry Sandusky has caused parents and others entrusted with the care of children to ask a number of questions about child sexual abuse and about the role of parents in keeping children safe. Some of the common questions parents have asked the National Child Protection Training Center, and our answers, are below.

How do children disclose sexual abuse?

Generally speaking, children don’t intentionally disclose their victimization. 3 There are many reasons for this. As adults, we would feel uncomfortable publicly disclosing even positive sexual experiences with our marriage partners. In the same way, children are understandably reluctant to disclose their sexual experiences—particularly when the experiences are negative. Since most abuse is at the hands of a loved one, the child may be worried what will happen to their parent, and to them, if the parent is removed from the home. A boy may be worried that disclosure will cause him to be labeled as weak or that it will say something about his sexual orientation. Children who have a biological reaction to sexual abuse may blame themselves for the abuse. If a child didn’t say no because they were confused or afraid, they may blame themselves for not being able to get away. Some children have been threatened or had their pets threatened as a means of coercing them to maintain the secret. One survivor of abuse told how her father tortured her cat as a means of keeping her quiet. Children who have been photographed may be scared that the images of them being sexually assaulted by a loved one will be shown on television or on the Internet. As a result of these and other dynamics, many victims carry their secrets into adulthood, even to the grave.

If children seldom intentionally disclose child sexual abuse, how does the victimization come to light?

In many cases, the child makes an accidental disclosure. In one school, for example, the children were asked to keep a journal as a means of encouraging them to write. One of the children wrote in her journal about her father sexually abusing her, unaware that the teacher would be collecting the journals. In another case, a girl was staying over at a friend’s house and the mother of her friend overheard her bedtime prayer: “Dear God, please don’t let dad have sex with me on my birthday.” Sometimes, older children disclose abuse as part of an angry outburst. In one case, a father denied his teenage daughter the keys to the car and, at a family reunion, the daughter angrily denounced her dad and called him a child molester.

Sometimes, a child will tell a best friend who discloses the abuse to an authority figure. In one case, a 14 year old rape victim detailed the abuse in a letter to her best friend in northern Minnesota. The letter was discovered by the mother of the victim’s friend.

Sometimes a child may present to the doctor with a sexually transmitted disease or perhaps a parent or other party will walk in on the abuse. In one study, 54% of child molesters admitted that, on one or more occasions, they had sexually abused a child with another child in the room and 23% had molested a child with another adult in the room. 4

Apparently, the increased risk of getting caught enhanced their excitement. Moreover, if they could abuse the child with others in the room, this would increase the child’s feeling of helplessness. Perpetrators might do this by abusing a child while a spouse is also in the bed sleeping or may begin to fondle her or him while watching TV under the same blanket with a child.

Children or teens may disclose following a training on personal body safety. Abuse may also come to light after adults have received training on warning signs and how to talk about abuse prevention to the children in their care. Even with training, children may not disclose and adults must remain the primary protectors of children.

Are certain behaviors indicative of being a child sexual abuse victim?

Most behaviors consistent with being abused are equally consistent with other causes. A child experiencing nightmares could be a victim of abuse or could simply be a child who watched a scary movie. However, research from William Freidrich of the Mayo Clinic has identified sexual behaviors in young children that are not diagnostic but have a correlation to that child being victimized sexually. 5

When these behaviors are observed in children below the age of 6 there is a chance that child has been victimized sexually or has been exposed to pornography or other sexually inappropriate activity. These behaviors include inserting objects in their body cavities, manipulating genitals with an object, acts of oral sex, and imitating sexual behavior with dolls. In one school, the after-school worker discovered a 7 year old girl performing cunnilingus on a 5 year old girl. The fact that such a young child is aware of this sexual act, much less performing it, is suggestive of sexual abuse or exposure to developmentally inappropriate sexual material. Simply stated, the child did not acquire this knowledge by watching Sesame Street.

If a child demonstrates a shift of behavior, suddenly has difficulty concentrating, or suddenly wants to disengage from activities that they liked in the past, those are signs for a caregiver to engage. The signs may not indicate abuse, but they do present opportunities for parents to connect with their children.

If the child doesn’t want to talk about the issue with a parent, brainstorm together other adults that both the parent and child trust who can be asked to check in about the problem. Every child should have five adults whom they can talk to about problems. Asking one of the five adults to check-in can serve as a powerful reminder that the world is full of adults who want children to grow up healthy, safe, and strong.

If the day care, school, summer camp, or church my child attends conducts a criminal background check on workers and volunteers, is that enough to make sure my children are safe?

Although a criminal history check may satisfy the school or camp insurance company, it does little in identifying a potential predator. Most predators do not have a criminal history. Studies indicate there is no better than a 3% chance a sexual predator will ever be apprehended. 6 When predators are apprehended, many have accumulated hundreds of victims. There is in the Wisconsin prison system a predator who has confessed to sexually abusing more than 1,200 children. 7 A study of 561 non-incarcerated sex offenders concluded these men sexually abused 195,000 victims. 8 Simply stated, a criminal history check is a good first step, but it is not meant to stand alone.

If a background check, by itself, is not enough, what sort of policies should I make sure are in place at the schools or camps my child attends?

At a minimum, parents should look for the following policies:

  • Two-deep leadership. If at all possible, children should always be in the care of at least two workers. Even if a worker or volunteer has to remove a child from the group for a legitimate reason, the child and the worker should always be in the eyesight of at least one additional worker or volunteer. When developing two-deep leadership teams, it may be wise to avoid placing close family members or friends as teams. This is because a spouse or other close family member is more likely to protect a loved one who violates church rules or engages in concerning behavior with a youth.
  • Respect the child’s privacy. Sex offenders like to see children undressing or otherwise seek an opportunity to initiate conversation about sexual topics. Accordingly, workers and volunteers should avoid watching children undress in locker rooms, showers, or bathrooms.
  • Separate sleeping accommodations. At boarding schools, camps, or other overnight settings, there should be separate sleeping accommodations for children and the adults. If there is a reason for an adult to enter the sleeping accommodations of children at night (i.e., a child has become ill), the exception should be well documented and, if at all possible, two adults should be entering the sleeping area. When requiring separate sleeping accommodations, make it clear this means truly separate. In one case, an offender arranged an overnight with youth during which he had an adjoining room door he could easily open and otherwise gain access to the children he molested.
  • Limit, if not prohibit, events at a worker’s home. In one case, a youth minister had the children he was working with over to his house for a party in which all the children joined him in a hot tub where he instructed some of the children how to masturbate with the jets. Again, sex offenders seek private access to children and allowing a worker to be alone with children at his or her house increases the risk. If there is a legitimate reason for hosting an event at the worker’s home, have some rules around such activities—such as an additional worker present. In the same vein, there should be regulations on workers visiting the homes of children. In more than one case, church or other workers have visited children at their homes and have molested them there. 9
  • Appropriate attire. Adult workers and volunteers should wear appropriate clothing at all times. Activities such as skinny dipping should always be prohibited. Again, offenders look for opportunities to initiate inappropriate sexual conversations with their potential victims. Accordingly, sexually suggestive or otherwise inappropriate apparel or behaviors should be prohibited.
  • Sexual jokes, comments, or behaviors around children should be strictly prohibited. In one case, a “Christian” teacher told the boys in his care about the frequency he had sex with his wife on his honeymoon. The same teacher would slam on the brakes when driving the school van and comment to the boys this was merely a “ball busting exercise.” A worker at a church boarding school hosted a pizza party where the invited adolescent girls were “accidently exposed” to his pornography collection.
  • Open windows and open doors. There may be times when a teacher or other adult will need to be alone with a child, such as a teacher giving a child a music lesson. In such a scenario, it is important to have an open-door policy where fellow teachers or others can enter unexpectedly and to have windows on doors so others can see what is happening in a particular room. Again, sex offenders look for opportunities to abuse children and it is the responsibility of a youth-serving organization to limit these opportunities. 10
  • Prohibiting corporal punishment. Corporal punishment of children is prohibited in most schools, day cares, and other settings. 11 There is a large body of medical and mental health research documenting that corporal punishment does very little good and is often harmful to children. 12 In settings where corporal punishment is allowed, children get mixed messages about telling. A child telling when someone hurts them is then discounted and told to ignore that feeling if the behavior is allowed. As an additional concern, sex offenders may view corporal punishment as a socially permissible means to touch a child’s buttocks or other intimate parts of the body. 13

How do I speak with my child about personal safety?

There are number of books and materials that parents can use in speaking with their children. about personal safety. Some parents worry that personal safety is frightening or involves sex education. This is not the case. You are simply telling children that the parts of their body covered by bathing suits are not supposed to be touched by others and, when they are, they should tell someone. If the person they tell doesn’t believe them, they should keep on telling until they are believed.

Children should be encouraged to tell the person taking care of them if anyone is acting in a way that makes them feel confused or scared. Parents and caregivers can stress that even if the person giving them the “uh-oh feeling” or trying to get them to break their safety rules is someone that they know, they can still tell and it isn’t their fault. The greater risk to children is people that they already know, but that relationship often makes it harder to tell.

Some professionals are opposed to personal safety classes because they believe the classes put the burden on the child to protect themselves. If this logic is carried to the extreme, we would stop teaching children not to play with matches. We want a child to know what to do if they see a matchbook without assuming they would know what steps to take to fireproof a home. Children who have been sexually abused have often been led by their perpetrators to believe there is nothing they can do to stop the abuse. A personal safety program may give them a way out. The responsibility for personal safety should not rest solely on the shoulders of a child, but giving children good information can help start important conversations and keep them safer.

How will I know when my child is trying to tell me about child sexual abuse?

Recognize that a child making a disclosure of abuse may do it piece-meal or in a manner that distances him or herself from the abuse. For example, a child may approach a parent after a personal safety lesson and ask him/her “if something like that happened to my friend, who should she tell?” The child may have a friend who has been victimized or she may be seeking more information before deciding if she wants to disclose her own abuse. An appropriate response may be to reiterate the importance of telling and then ask the child directly if anything has happened to them. Many children will not disclose unless directly asked. This is particularly true given that most child sexual abuse is at the hands of someone the child is close to and may love.

Starting “What if” games with a child when the child is young is a good way to begin these important conversations about safety. Allowing your child a chance to problem solve with a “What if” can increase their confidence on these subjects. Thinking through a “What if” scenario and coming up with good solutions can make it easier to make those same choices if the actual scenario presents itself. It also allows the caregiver to reinforce important messages.

Parent : “What if an older child asked you to play a secret touching game with them for $5?”

Child: “I know that we talk about touches in our family. I would not take the money and would come and tell you about it.”

“Great answer! You know that your safety is worth more than any amount of money, right?”

What should I know about how sexual predators select children?

Many predators put a great deal of thought into selecting, grooming, and abusing their victims. They often look for children whom they believe will fall into their attention/affection trap. Consider this report from a predator targeting church children:

First of all, you start the grooming process from day one…the children that you’re interested in…. You find a child you might be attracted to…. For me, it might be nobody fat. It had to be a you know, a nice-looking child…. You maybe look at a kid that doesn’t have a father image at home. You know, you start deducting. Well, this kid may not have a father, or a father that cares about him. Some kids have fathers but they’re not there with them…. Say if you’ve got a group of twenty-five kids, you might find nine that are appealing…. Then you start looking at their family backgrounds…. Then you find out which ones are most accessible. Then eventually you get it down to the one you think is the easiest target, and that’s the one you do. 14

Since predators seek vulnerable children, it is wise to pay attention to children at greatest risk. Children and adults who are physically or mentally disabled, children engaging in delinquent behavior or who are having trouble with drugs or alcohol, or simply children of a single parent may be an easy target for predators.
Will being engaged in my child’s life and proactive in monitoring my child’s activities deter a potential predator?

Parents who understand that a predator may look for the one child at basketball games, band concerts, or other school events that never has a parent attend or otherwise demonstrate interest in their son or daughter may choose to take a greater interest in their child’s life. Parents must also understand the dangers of the Internet. A University of New Hampshire study found that 20% of children between the ages of 10-17 have been solicited for sexual purposes. 15 If a parent would not allow an unsupervised adult to enter the child’s bedroom, then a parent should not allow Internet accessible computers in a child’s room or even allow the child to enter chat rooms where predators abound. Tell your child to save their questions about their bodies and sex to ask you or another approved adult in person and not to seek out those answers from people wanting to chat online.

What sort of therapy should I refer my child to if he or she has been victimized?

It is essential that the counselor, psychologist, or psychiatrist be experienced in working with victims of sexual abuse and be well versed in the abundant research on treating children suffering from trauma. Keep in mind that most psychologists received little, if any training at the undergraduate or graduate level on child sexual abuse. 16 Accordingly, if a given therapist has not taken the initiative to master the literature in this area and is not experienced in working with this issue, he or she is simply not competent to work these cases. If your community has a child advocacy center certified by the National Children’s Alliance, contact that center for a referral. 17

Where can I acquire additional information?

The Jacob Wetterling Resource Center (JWRC) is a program of the National Child Protection Training Center. JWRC has numerous resources for parents on speaking with their children about safety and keeping children safe when out of a parent’s care, including a class on how to talk to children about body safety in a positive and empowering way. To learn more, visit JWRC at www.jwrc.org.

JWRC employees and volunteers train parents, children, caregivers, and professionals about personal safety. Recently, one of our speakers was working with children on writing out individual lists of each child’s five trusted adults. Children were offering plenty of examples of the people in their lives they can go to if they have a problem. Children were taught that we have five adults in case the first adult doesn’t know what to do, isn’t around at the time of the question, and that sometimes it is the adult on their list that is trying to get them to break a rule or is giving them the “uh-oh” feeling. The children were told if the first person on the list can’t help, move on to one of the other 4 adults. The room was full of positive energy as children were making lists of 5, 10, and even 15 adults in their lives that they could approach for help. One little girl looked up with wide eyes and said, “Isn’t it great that there are so many good guys in the world!” That is the good news. There are so many people in the world who want to do their part to create safe childhoods for children. How would our world be different if people protested in the streets anytime a child was hurt? Our best protest is prevention.