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Cover -- Half Title -- Title Page -- Copyright Page -- Contents -- List of Contributors -- Introduction: Child Sexual Abuse and Adult Offenders -- PART I: CONCEPTUAL AND POLICY ISSUES -- 1 Towards Rethinking Moral Panic: Child Sexual Abuse Conflicts and Social Constructionist Responses -- 2 Children First: Challenges and Dilemmas for Social Workers Investigating and Treating Child Sexual Abuse -- PART II: CLINICAL ISSUES -- 3 Is Family Dysfunction More Harmful than Child Sexual Abuse? A Controlled Study -- 4 The Interactive Effects of Physical, Emotional and Sexual Abuse on Adjustment in a Longitudinal Study of 565 Children From Birth to 17 -- 5 Long-term Evaluation of Group Counselling for Women with a History of Child Sexual Abuse: Focus on Depression, Self-esteem, Suicidal Behaviours and Social Support -- PART III: ADOLESCENT OUTCOMES -- 6 The Youngest Profession - The Oldest Oppression: A Study of Sex Work -- 7 Child and Adolescent Prostitution in Canada and The Philippines: Comparative Case Studies and Policy Proposals -- PART IV: SOCIAL WORK ISSUES -- 8 Child Protection and Children's Welfare: Complementary Priorities? -- 9 Mothers' Involvement in Child Sexual Abuse Investigations and Support: Community Care or Child Protection? -- PART V: OFFENDER ISSUES -- 10 Men and Women who Kill, and Men who Abuse Children: A Study of the Psychiatric-Child Abuse Interface -- 11 Completed Suicide in Men Accused of Sexual Crimes Involving Children: Implications for a Humanistic Approach -- References -- Index

A longitudinal study of 290 Canadian females measured factors at ages 3, 6, 9, and 13 that predicted emotional, physical, and sexual maltreatment occurring up to the age of 16. Significant factors predicting maltreatment were early neurological status and difficult temperament, cognitive status, maternal stress, chronic poverty, negative family climate, weak bonding, and family disruption. There was complex interplay between these factors in predicting both maltreatment status and poor mental health at age 17. Sexual abuse retained a significant link with emotional (but not conduct) problems when effects of physical and emotional abuse were controlled for. Adolescents with a combination of prolonged rather than brief sexual abuse combined with other types of abuse, with a background of family disruption and poverty, and child's impaired coping skills (reflecting poorer cognitive capacity and central nervous system problems) were most likely to have markedly impaired emotional functioning at age 17.

Conflict between a parent and an adolescent may be indicative of problems of family cohesion, and may predict poorer self-esteem and problems of emotion and behavior. This idea is explored in high school and junior college populations in Alberta, Canada, and in Britain. In all, 1,796 12 to 19-year-olds completed the summary scale of the McMaster Family Assessment Device (FAD), which was also completed by a parent. Results were generally similar in both cultures, with many more similarities than differences. On all scale items, adolescents were significantly more critical of their family life than were their parents. The degree of difference between parent and child desc riptions o f family functioning was significantly correlated with the adolescents' Rosenberg Self-Esteem Scale scores, as well as self-completed, standardized measures of problems of emotion and behaviour. Differences between parent and child's responses to the FAD were better predictors than FAD scores alone.