Community, Culture, and Race: Preventing Sexual Abuse in a Culturally Sensitive Fashion.

By Kieran McCartan, PhD, Kasia Uzieblo, PhD., and David S. Prescott, LICSW

There has been a discussion of cultural sensitivity and reporting, recording, and prosecution of sexual abuse, especially child sexual abuse, in the UK press this week.  Over the last 10 years, it has emerged that child sexual abuse, but particularly child sexual exploitation by networks of men in England and Wales had gone investigated because of the race and cultural heritage of the individuals in question. A number of investigations, including but not limited to the independent inquiry into child sexual abuse, found that networks of men of Asian heritage were sexually abusing girls under the age of 16 for several years. The authorities knew about the cases but did not fully investigate or prosecute. They claimed that their inaction was due to being afraid – or at least concerned about – being seen as racist. The most recent case was about sexual abuse in Telford, and the investigation found that:

  • More than a thousand Telford children were exploited over decades.
  • Key agencies dismissed child exploitation as “child prostitution.”
  • Exploitation was not investigated because of nervousness about race.
  • Teachers and youth workers were discouraged from reporting child sexual exploitation by members of minorities.
  • Offenders were therefore emboldened, and exploitation continued for years without concerted response.
  • Responses to abuse came from committed individuals not from top-down directives.

The Telford case again raises questions about the way that we think about child sexual exploitation, the language used, and the criminal justice system’s approach to it. We have moved a distance in no longer seeing victims of sexual exploitation as complacent in it. We no longer talk of them as “child prostitutes” or girlfriends or see them as willing participants as they receive “gifts” from the people who are grooming them. The police have gotten more victim-focused and more in tune with the double status of young people who are victims of sexual exploitation, in that they are victims first and that offense-based behavior is often an extension of their vulnerability and history of victimization. A number of police forces across England and Wales do not prosecute young victims of sexual exploitation anymore. Rather they work to disrupt the abuse and safeguard the children; a clear example of this is Operation Topaz In Avon and Somerset and Action on ACE’s in Gloucester.

However, the same distance has not been traveled in terms of connecting with communities, especially of different ethnicities, about child sexual abuse or exploitation. The police and the criminal justice system not only need to work harder and better to hear the voices of different communities regarding victimization; it also behooves us all to understand that abuse is abuse, and wrong, regardless of who commits it, who the victim is, and in which community it occurred. Therefore, how can we engage better on this? Our thoughts for now are:

  • Sexual abuse is a community issue; therefore, it needs a community response. This is as much about culture, race, and location. We need to get communities together to discuss, prevent and respond to sexual abuse.
  • We need to see and recognise that sexual abuse exists everywhere and, therefore, people all communities and cultural groups can stop abuse.
  • Investigations of sexual abuse and exploitation, can occur in a culturally informed and humble way. At the same time, we can reinforce that abuse is wrong and that professionals will make difficult decisions and follow challenging prosecutions.
  • We can engage all communities and have advisory groups that represent the different cultural and ethnic communities as well as come together as a broader society.
  • While engaging communities, we need to have difficult conversations about race. These can include a focus on how to avoid (un)intentional racially tinged statements and how to strengthen our police forces and other relevant services to give them more confidence in entering these conversations without fear. However, we will need to engage communities meaningfully in this conversation, inviting feedback along the way, so that these communities also feel less need to consider comments or even criticisms as racist.

There is no question that police and others in the criminal justice system face many risks in their work. Professionals in our field can help provide information to help these processes.

We need to START enacting effective practices to prevent and report sexual abuse within institutions.

By Kieran McCartan, Ph.D., David Prescott, LICSW, and Kasia Uzieblo, Ph.D.

Sexual abuse within institutions, whether big or small, is not a new phenomenon. It’s something that we have discussed on this blog before. Therefore, we are not going to re-tread old ground. In recent weeks both the Baptist Church and Hockey Canada have been hit with allegations and been levelled with criticism that they have not responded appropriately. This is agonizing for the community at large, but especially for professionals who want to help. These are the same professionals who ask for a seat at the table to inform policy, too often get rejected, and eventually see the same thing happen time and time again. In this blog post, we ask the question of why do things not change? Why does policy change, but not necessarily public attitudes, beliefs, or practice? As a society and as professionals, we need to ask ourselves, what does it take to change mindsets?

Our beliefs about the world are often ingrained in who we are, they are not hard-wired but the older we get the more they are influenced and reinforced by social norms, culture, education, and personality. This does not mean that we cannot change our beliefs or behaviours, but it means that they are harder to change. If this is true of us as individuals, then it’s true if us at a community and societal level. Social and political change is hard regardless of the topic.

The reality of social change is that it:

  • needs to be personal to each individual and they must believe that they can make a difference.
  • must focus on an issue that communities can come together on and feel inclusive in tackling; it needs to represent the ideas and beliefs of everyone and make people feel that a shared outcome is possible.
  • needs to involve a groundswell across society allowing different communities to come together, contribute, and enact changes. Individuals need to feel that they can carry out society’s mandate for change in their own lives and communities with the understanding that everyone else is working towards the same goal.

Although the desire and drive to prevent, report, and respond to sexual abuse meets the above criteria, there are significant stumbling blocks along the way that have not been addressed, including:

  • The perception of responsibility – This often looks like, “It’s an individual behavior that impacts others, but not me! It’s not up to me to police other behaviours and social change is too complicated for me to think about.”
  • The reality of time – Some may be able to change attitudes and beliefs overnight, but this is not the case for everyone, especially if they do not perceive the topic as a problem. Real social change needs time and space to evolve and does not result from brief attempts to influence others.
  • The monitoring and enforcement of change – There are broader questions of who is monitoring what change, and how are they doing it? Is there discussion about what progress is happening, and how acceptable that progress is? This is particularly relevant when everyone and no one owns the issue with the belief being someone else will monitor it.
  • The shared understanding of good practices – Making progress in any social change involves defining what good practices are and their relationship to the evidence base, especially when the evidence base is new, emerging, or non-existent. What do you implement? Who leads? Is there a single voice?
  • The noise of “expertise” – Because sexual abuse is a broad area, there are many different voices. Some are positive and some negative. Who are these experts? How do you determine good from bad? How, do they align with your politics, culture, context, and location? How do we nurture an evolving consensus?
  • The lived reality of sexual abuse – Given the scale and nature of sexual abuse, everyone reading this post knows several people who have experienced sexual abuse (or have perpetrated sexual abuse) with an array of different outcomes. This means that we will hear stories of hope and stories of frustration and desperation. These stories can influence us for better or worse, leading to unrealistic hope or pessimism. As our friend and erstwhile co-blogger, Alissa Ackerman has observed, we are never more than a stone’s throw from a survivor of sexual abuse.

Therefore, what can we professionals do?

  • Perhaps the most important thing is to keep talking about it. We can meet, communicate, and discuss sexual abuse in shared forums.
  • We can continue to identify the best practices we want to implement (as well as bad practices we want to eliminate) and expand our growing evidence base.
  • We can maintain a realistic sense of what is achievable and set realistic times for their completion.
  • In implementing new practices, we can appoint someone or some organisation to be in charge – to drive the bus, as it were – and make them hold us all to agreed actions and follow their judgements.
  • We can agree that we are changing social norms as well as individual actions and agree to continue to work on it in the short and the long term.
  • We must continue to demand our place at the policy table and to intervene in public debates to bring and keep the nuanced, evidence- and practice-based vision in the conversation.

50 years ago, there was almost no public discourse about sexual abuse and offending. People started talking and kept talking about the issues, resulting in a groundswell of support for change at a societal level. With that change came new challenges, involving not only our responses to offending, but the need to accept that we continue to have double standards. Ultimately, we need to help the public understand that this is about all of us.

ATSA’s New Webinar Series on Campus Sexual Misconduct.

 By Joan Tabachnick and Jennifer Cinicolo

During the past decade, effective victim advocacy, changes in public policy, and a growing spotlight on horrific cases have focused the public’s attention on campus sexual misconduct.  Research confirms the need for increased attention in this area, as college-aged women experience the highest rates of sexual violence of any group. According to a 2020 study by the American Association of Universities, 26% of female and 7% of male undergraduate students experience nonconsensual sexual contact during their four years on campus.[1]

ATSA is defining it’s voice in the response to campus sexual misconduct, first drafting a public policy statement, which outlines what is known about the perpetration of sexual misconduct and identifies the potential for ATSA’s critical contributions to the campus world[2].  ATSA then submitted comments regarding the proposed US Department of Education Title IX regulatory changes[3].  The most recent changes opened to door for ATSA members by requiring equitable services for the students who have been harmed and the students who have been accused or found responsible for sexual misconduct. Even with this opening, there continue to be concerns and questions about how this current policy handles those who engage in sexual misconduct.

Campuses have begun to seek out expert guidance about effective interventions for the students who have been accused or found responsible for sexual misconduct. This is where ATSA members have a unique voice and expertise to offer.  By offering access to the research and practice knowledge about individuals who have sexually harmed, colleges and universities will be able to make more informed decisions about those students who are in the system.  With this information, campuses will also be able to move one step closer to achieving the important goal of preventing sexual misconduct.

We also recognize that the campus world is very different from the current criminal justice environment that most ATSA members work within.  Through surveys conducted by ATSA’s prevention committee, we learned that many ATSA members have interest in this work, but need more information, background about changing regulations, and insights into working with a broader range of behaviors as well as non-adjudicated students. 

To address these identified areas, a working group of the Prevention and Public Policy Committees created a new listserv to share resources, research, and case consultation advice for ATSA members beginning to work within the campus setting. 

Beginning in June 2022, ATSA will be hosting four free webinars, bringing in both outside experts as well as ATSA members with this unique expertise to cover two key areas:

I.         What do ATSA members need to know about the campus world?

II.       How can ATSA members apply and modify their unique knowledge and expertise to the diverse needs of the campus world? 

We are pleased to announce our first webinar on June 1, 2022 at 3pm EST (12p PST). This webinar features Rachel King, PhD, an expert in restorative justice practices and former Title IX coordinator at Curry College.  Rachel will provide an overview of the campus environment, Title IX process, and restorative justice.

1.       Campus 101: Overview of the Campus Process and Everything you needed to know about how the campus world will respond with Rachel King, PhD of RKResolutions (June 1, 2022)

 To register for this June 1 Session at 3pm EST click here.  

The following sessions will focus on:

2.       What is Changing and What is Possible with Jay Wilgus JD (on June 20, 2022, 3pm EST)

3.       Risk/Needs Assessment with Campus Populations:  Differences, Similarities and Practical Applications with Katie Gotch, MA, LPC (September 2022)

4.       Applying ATSA Member’s Knowledge:  Case Conceptualization on College Campuses with a clinical ATSA panel moderated by Jennifer Cinicolo, LMHC (September 2022)

Look for more information about each of these webinars in the coming months.   Please consider joining this listserv and one or more of these webinars.  We hope you will join us! 


[1] AAU Report:  https://www.aau.edu/sites/default/files/AAU-Files/Key-Issues/Campus-Safety/Revised%20Aggregate%20report%20%20and%20appendices%201-7_(01-16-2020_FINAL).pdf

[2] ATSA Campus Public Policy Statement:  https://www.atsa.com/pdfs/Policy/Addressing%20Campus%20Sexual%20Misconduct%20FINAL.pdf

[3] ATSA Comments on Title IX Proposed Changes:  https://www.atsa.com/Public/Office/Legislation/ATSATitleIXRuleChangeComment2021.pdf

The Return of the annual NOTA conference: Leeds 2022.

By Kieran McCartan

Last week something out of the ordinary, well for recent years, and very familiar happened in Leeds at the Queens Hotel: the annual NOTA

[in person]

Conference!! The conference took place from the 4th– 6th of May with 230+ people in attendance. This blog will give you an overview, and a flavour of the conference.

NOTA debated long and hard about whether to have an in-person conference, we thought about doing the conference online again or moving to a hybrid model. In the end, we decided on doing it in person as it felt that this was the direction of travel for a lot of conferences and training coming out of the pandemic and, after talking with members and presenters, something that attendees would value and benefit from, given the increased opportunity for networking and conversation. The conference was originally going to be at the Queens Hotel Leeds in the autumn of 2020 but got moved online, and after some successful negotiating by the NOTA general manager, we were able to move it forward to 2022. Some of the eagle-eyed among you will notice that the conference has moved from September to May, this is something that the NOTA board has been discussing for a while (thanks NOTA Scotland for agreeing to move your annual conference too late August) and so, post-pandemic, it seemed like a good opportunity to try it out. Which, I feel as both conference chair, presenter, and attendee, has worked out well.

Planning an in-person conference in the shadow of COVID, which is still present in the UK, was a challenge as we did not know who would attend and if people, including presenters and attendees, would have to cancel at the last minute; some did but not many!! The choices of keynotes, we decided, would be focused on people from the UK and Ireland to limit the potential complications and fallouts from international travel.

The conference kicked off with Sarah Brown, Chair of NOTA, welcoming everyone back and stating that it was great to be back in person at a live conference. The first keynote was Simon Hackett who kicked us off with a recognition of COVID and its impact, from a personal and professional perspective, before going on to discuss how the field of working with Harmful Sexual Behaviour in youths has changed over the years and if we need to redevelop concepts and practice. This was followed by Jessica Woodhams talking about the impact of working with other people’s trauma, especially for case investigators, and how we need to train and support staff better with compassionate leadership. This was followed by two sets of workshop sessions, each with 8 parallel streams, that included everything from emerging research on paraphilias, to harmful sexual behaviour, to the treatment of those convicted of a sexual offence, and the reality of online harms as well as ways to safeguard against them. During the reception on Wednesday, we had a first for NOTA, a posters presentation session, we had 10 Ph.D. and postgrad posters on display; it was a great success, a particular thanks to Dulcie for all her help with this, and will be something that we are looking to replicate again next year.

The Thursday keynotes started with Stuart Allardyce and Peter Yates discussing the emerging field of Sibling Sexual Abuse, or Behaviour as they referred to it, which dovetailed nicely with Simon’s keynote the day before. In discussing Sibling Sexual Abuse, they stated that, although it was not a new concept, professionals had to better equip themselves to understand and respond to it more effectively, especially to help identify as well as respond to it. This was followed by Russell Knight and Claire Barker, from the Independent Inquiry into Child Sexual Abuse talking about the progress of the Inquiry with a special focus on the truth project and how they listened to as well as integrated the victim’s voice into the process in a trauma-informed way. Interestingly, trauma-informed practice became a central theme of the conference, although it was not intended to be, which shows the salience of the issue. After the AGM we had two sets of workshop sessions, each with 8 parallel streams, which covered several topics including Sibling Sexual Abuse, partners of men arrested for IIOC, as well as presentations by Stop it now, Lucy Faithful, and Barnardo’s.  Thursday night was the conference networking event, which was for many the highlight of the three days as it gives us the opportunity to catch up and meet new colleagues.

The final day of the conference started with Tamara Turner-Moore and Mitch Waterman discussing ideas around sexual deviance and the DSM-V, which was interesting as they challenged many of the main foundations of the DSM assumptions through their data. They argued that many of the DSM definitions, and understandings, are premised on myths that are not appropriate or that do not hold up to the continually developing evidence base. The final keynote of the conference was a roundtable led by me on the new Council of Europe recommendations on the assessment, treatment, and management of people accused or convicted of a sexual offence. I provided an overview, and context, of the recommendations before Mark Farmer, Jon Brown, and Sarah Brown reflected on the impact of these on policy, practice, and research respectively; with the feeling being that these recommendations were a positive thing and that the UK was already quite compliant with them with the prospect of interesting adaptations being opened up.

The NOTA 22 conference was a great success, with attendees leaving feeling refreshed and upskilled. The highlight of the conference for me, as well as many others, was the opportunity to be in a room with each other discussing research and practice in the field of sexual abuse. The opportunity to talk and network, was significant as the research and practice knowledge grained. The NOTA 2022 conference, which was the 30th Anniversary conference, would not have been possible without the organisation and support provided by the conference team, especially Malcolm and Andi as well as their colleagues behind the scenes. 

We hope to see you at NOTA 2023 which will be from the 3rd – 5th of May in Cardiff with the call for papers going out over the summer!!

War, (sexual) exploitation, and rape in Ukraine: A testimony.

By Kasia Uzieblo, PhD

Blogger’s note: Kasia has been in Poland these last weeks, involved in efforts to assist those affected by the war in Ukraine. Her account is presented as the perspective of a colleague working to help others and keenly aware of the role that sexual violence can play in times of war.

Thursday, 24 February, 2022. People from various Ukrainian cities woke up to the piercing roar of the air alert, a sound they hoped they would never have to hear, a sound that made them realize immediately that their lives would never be the same again, a sound that confirmed their biggest fears: President Putin had started the invasion of Ukraine after months of troop deployment at the border, of playing a smoke and mirrors game and of creating diplomatic tension.

Thursday, 31 March, 2022. Just over a month later, at least 1,179 civilian casualties have been reported, at least 1,860 civilians have been wounded, an estimated 6,5 million people are thought to be displaced inside the war-torn country, more than 3,9 million Ukrainians have fled their country. The cost of damage to Ukraine’s infrastructure has reached almost an estimated $63 billion. And let us assume that all these figures are serious underestimates.

What is not included in these numbers, however, are the numbers who fall victim to other brutal acts of violence that are always there, but certainly seem to proliferate during wartime, such as (sexual) exploitation, sex trafficking, and rape.

I could bombard you with figures, but I am not going to do that here. I want to bring you the stories of refugees we have met. Since 11 March, I have been working with a group of volunteers who drive to the Ukrainian border every weekend, on the one hand to deliver basic necessities to local partners and on the other hand to give a safe lift to refugees who want to come to Germany, the Netherlands or Belgium. Since the war, several volunteer groups have started similar initiatives. Although the refugees are allowed to travel through Europe free of charge, such a train journey is anything but a matter of course for many of them. These are mothers with (very young) children who, after days of travelling through war zones of trying to dodge bullets and bombs, arrive exhausted and starved in Poland or elsewhere. They hardly have the energy to continue organizing the journey. These are elderly people who have difficulty walking and who have used up all their strength to cross the border. We are talking about people with mental and/or physical disabilities who need a lot of support in their daily lives and certainly also to get in and out of a vehicle. So, you can imagine that travelling in a van or a car makes their lives a little easier, even if it is for a few hours.

But unfortunately, we do not do this just to offer them comfort. We are also doing this to offer these people a safe passage, in order to protect them from (sexual) exploitation, human trafficking, and other horrors. Many refugees are therefore very fearful and suspicious of any help that is offered, fear of accepting help from someone with bad intentions. This fear can be read in their eyes. It has already happened that the refugees we took along were constantly taking pictures of us, our cars, and our journey, and immediately sent them to the home front, so that there would be some evidence, some clue to the possible culprit(s) if it came to that. It is only after a few hours that they dare to nod off, dare to relax a little, dare to let their guard down, dare to trust us, albeit a little bit.   

This fear is unfortunately well-founded. A few weeks after the invasion, Facebook groups were organized in which people could indicate whether they had a place free in their homes for refugees. This initiative had not yet got off to a good start, when various men offered a place in their house, but they did set some requirements: the woman had to be young, preferably with long hair and long legs, who could also clean and preferably did not yet have a child. These men were ‘unmasked’, as it were, but many did not bother to post an announcement on a Facebook group and drove straight to the border to find a woman and take her to Belgium or elsewhere. This is certainly possible: rows of cars are waiting for the many refugees at the border, at every train station, …, it is chaos everywhere, despite the efforts of various volunteers. Unfortunately, we can be sure that several women have fallen from one trauma, namely the war, into another terrible traumatic situation. Also, at the train station in Krakau, Poland, we saw several men walking around with signs offering a ride to the refugees. But for the refugees, it is almost impossible to distinguish between those with bad intentions and those with good intentions. All they can do is trust their own intuition, which will sometimes be right, but sometimes not.

Many refugees are a bird for the cat. After all, not everyone will be suspicious and will accept every kind of help they receive, out of desperation, out of necessity. Not all women fully realize the dangers, not to mention the thousands of children wandering unaccompanied in Ukraine itself or in a foreign country. Various bodies, such as the Council of Europe and the UN Refugee Agency, mention these dangers, but the reality is that it is almost impossible to prevent such criminal practices in this chaos. People with bad intentions have more or less free rein. Another horror we are now confronted with is rape. In the last week, more and more stories have reached us of people who have been raped (repeatedly) by (presumably) Russian soldiers, often in front of their children. These men are also given free rein. Moreover, overheard telephone conversations between Russian soldiers and their home front show that these soldiers are quite open about these rapes and that the home front hardly reacts, let alone ostentatiously disapproves. Hearing these tapes and testimonies simply turns your stomach, again and again.

And I realize that these atrocities that we face as volunteers are just the tip of the iceberg. That much remains unspoken, much remains hidden. As a volunteer, you feel powerless so often, and for so many reasons.

We can only do this with the help of sponsorship money, which is not coming in very easily. Even renting a car or a van turns out to be a big challenge every week. Consequently, our places are scarce. The first weekend we helped 13 people, then 24, then 12. Every time I return, it feels as if we have hardly been able to help anyone. Every time, I struggle with the feeling that we still have so many to help, that what we do means nothing. In my now regular nightmares, I see all those faces of those we could not take with us. But then you suddenly get a whatsapp-message, from a female engineer who came with us to Belgium with her 84-year old mother who was moaning of pain all the way and both were completely starving but were too proud to accept any food from us, from a young mother who now has to take care of her 1-year old curly head and her 5-year old daughter who behaved like an adult during the car ride, from a 38-year old woman who now lives safely in a nursing home with her disabled 36-year old brother and 46-year old sister, her own 10-year old daughter and her guinea pig and her 72-year old mother with hardly any luggage. And then you realize for a small moment that you have helped these few people, that these few people can no longer be shot, raped or exploited by soldiers and exploiters, that these few people can still have hope for life.

Have we finally reached ‘the next hinterland’? Sibling sexual abuse is debated in the Westminster Parliament for the very first time.

Dr. Peter Yates, University of Edinburgh

this guest blog Dr Peter Yates reflects on the journey to bring this form of harm to light.

Sibling sexual abuse is a term used to describe ‘harmful sexual behaviour with a victimising intent or outcome between children who self-identify as siblings’. Until recently it has remained a largely hidden phenomenon, under-researched and rarely discussed. This is despite its prevalence. Data are limited, but it is estimated from a range of studies that perhaps around 5% of children may be involved in sibling sexual abuse (Yates & Allardyce, 2021). Even the more conservative estimates of 2% would suggest that in the UK, a country with a population of just over 67 million people, around 1.3m people would be directly affected. This is not to mention children’s parents, other siblings, grandparents and wider family members. Sibling sexual abuse is thought to be up to three times as common as sexual abuse by a parent (Krienert & Walsh, 2011; Stroebel et al., 2013), and the impact may be just as severe. The possible short and long-term consequences of sibling sexual abuse include post-traumatic stress disorder, depression, substance misuse, eating disorders and relationship difficulties throughout life (Yates, 2017). Given these figures and this level of impact it is hard to fathom how it has remained under the radar for so long.

Perhaps we can look to history. In the ‘Psychopathia Sexualis’, Krafft-Ebing (1914) provided two examples from the late nineteenth century of sexual behaviours between a brother and a sister, presented as isolated cases of individual psychopathy. Since then only a small handful of studies were published from the 1940s onwards regarding children’s harmful sexual behaviour towards other children, in which brothers and sisters were occasionally mentioned (e.g. MacLay, 1960). It wasn’t until the 1980s that more started to be written on the subject (e.g. Bank & Kahn, 1982; Finkelhor, 1980; Smith & Israel, 1987). Hacking (1991) argues that the ground for discussing sexual behaviours between siblings was prepared in the 1960s by publication of the Battered Child Syndrome (Kempe et al., 1962). This brought to public attention the idea that parents may not only be strict or even cruel to their children, but may actually abuse them. The language of ‘child abuse’ that then followed allowed for the taboo subject of parent-child ‘incest’ to be discussed, therefore paving the way for sibling incest, which Hacking (1991: 277) considered at the time to be ‘the next hinterland’.

But this journey has not been smooth. Understanding that parents may physically abuse their children, and then that parents may sexually abuse their children, has not stopped the international media from persisting in portraying child sexual abuse as a problem of ‘stranger danger’ (Weatherred, 2015) – a problem of particularly heinous individuals who are so very different from ourselves. It remains hard for us to accept that the majority of sexual abuse is actually most often carried out by people known to the child, by family members, by uncles, fathers and mothers – and, of course, by brothers and sisters.

Sexual behaviour, and especially abusive sexual behaviour, is still regarded as adult behaviour. This is not behaviour we associate with children (Gittins, 1998; Jenks, 2005). If child sexual abuse by another child does come to the media’s attention it is most often in the mould of ‘stranger danger’ – mini-adult sex offenders, dangerous monster children. Children being sexually abused not by adult strangers, but by adult family members, is a stretch. Children being sexually abused not by adults at all, but by other children, is more of a stretch. The idea of a child being sexually abused not just by another child, but by their brother or sister, is for most people just a step too far beyond our collective conception of what child sexual abuse is.

And yet it happens, and it is widespread. And over recent years there seems to be a growing willingness to countenance the idea. Over the last ten years or so there has been a small but steady stream of publications on the subject. In 2018 the Scottish Government commissioned a report on intra-familial sexual abuse as part of their Expert Working Group on preventing harmful sexual behaviour by children and young people, culminating in sibling sexual abuse being named for the first time in the National Guidance for Child Protection in Scotland (2021) along with specific guidance on the subject and reference to further resources. In 2020 the Centre of Expertise on Child Sexual Abuse commissioned a Sibling Sexual Abuse Knowledge and Practice Overview, published in 2021, and the Home Office together with the Ministry of Justice have also funded the National Project on Sibling Sexual Abuse, the largest UK study to date on sibling sexual abuse carried out by Rape Crisis England & Wales along with the Universities of Birmingham and the West of England, Bristol. This ended with the first UK conference on sibling sexual abuse, attended by over 600 delegates.

Fleur Strong, National Project Manager for the National Project on Sibling Sexual Abuse, has tirelessly pursued the need for due recognition of sibling sexual abuse as a distinct form of child sexual abuse. Wera Hobhouse MP, alive to these issues as the Chair of the All-Party Parliamentary Group on Childhood Trauma, has worked in partnership with Fleur to call for a debate in Westminster specifically on the subject of sibling sexual abuse. In the last 220 years there have been only 12 Parliamentary references to sibling sexual abuse, and none at all since November 2000. This is despite 2,451 references to ‘child sexual abuse’ more generally between 2000 to 2021. To hold a debate specifically on the subject of sibling sexual abuse would therefore be a momentous achievement, but this debate was indeed held on March 22nd 2022, in which Wera Hobhouse MP set out a very clear case, calling on the Government first of all to name sibling sexual abuse when it updates its 2021 Child Sexual Abuse Strategy, and secondly to speak to the Departments for Education and for Health and Social Care, asking them to update their safeguarding and commissioning approaches to respond specifically to sibling sexual abuse. You can watch this debate here:

https://www.parliamentlive.tv/Event/Index/f36add54-1d93-4404-8b10-f43850727e77

Whilst Rachel Mclean MP, the responsible Minister, did not commit to the requests made, she did agree to work further with Wera Hobhouse MP to continue to improve the ways in which sexual abuse involving siblings is tackled. This is a huge achievement for Fleur Strong and others who have worked on the National Project on Sibling Sexual Abuse.

Perhaps we have now finally reached the hinterland. Perhaps we are now beginning to see some chinks in the wall of silence surrounding sibling sexual abuse. We need to keep chipping away, and perhaps some further cracks will emerge through which we can find ways better to support the children and families affected by this most complex and challenging form of harm.

Bank, S. P., & Kahn, M. D. (1982). The sibling bond. Basic Books.

Finkelhor, D. (1980). Sex among siblings: A survey on prevalence, variety and effects. Archives of sexual behaviour, 9(3), 171-194. https://doi.org/10.1007/bf01542244

Gittins, D. (1998). The child in question. Macmillan.

Hacking, I. (1991). The making and molding of child abuse [Article]. Critical Inquiry, 17(2), 253-288. https://doi.org/10.1086/448583

Jenks, C. (2005). Childhood: 2nd edition. Routledge.

Kempe, C. H., Silverman, F. N., Steele, B. F., Droegemueller, W., & Silver, H. K. (1962). The battered-child syndrome. journal of the American medical association, 181, 17-24.

Krafft-Ebing, R. v. (1914). Psychopathia sexualis. Enke.

Krienert, J. L., & Walsh, J. A. (2011). Sibling sexual abuse: An empirical analysis of offender, victim, and event characteristics in national incident-based reporting system (NIBRS) data, 2000-2007. Journal of child sexual abuse, 20, 353-372. https://doi.org/10.1080/10538712.2011.588190

MacLay, D. T. (1960). Boys who commit sexual misdemeanours. British Medical Journal, 5167, 186-190.

Smith, H., & Israel, E. (1987). Sibling incest: A study of the dynamics of 25 cases. Child abuse and neglect, 11, 101-108. https://doi.org/10.1016/0145-2134(87)90038-x

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Redoubling the call to end violence against women and girls.

By Kieran McCartan, PhD, & David Prescott, LICSW

International Women’s Day on Tuesday the 8th of March 2022 focused on “Gender equality today for a sustainable tomorrow”. The field of sexual abuse is often, and rightly, seen as a women’s issue as it tends to impact women more than men. However, this is a bit of a red herring as it’s really a community issue, usually committed by men against women and often underplayed, ignored, or even validated by some communities and groups. This is not to dismiss it as a women’s issue, but rather to expand the discussion and recognize it’s a social issue that we all need to respond to and work towards preventing, regardless of our gender. We all need to part of the conversation, because preventing violence against women and girls needs the engagement of men and boys.

The End Violence Against Women Coalition (EVAW) is a coalition of more than 120 specialist women’s support services, researchers, activists, victims and survivors, and NGOs working to end violence against women and girls in all its forms. As part of International Women’s Day, EVAW produced a snapshot report documenting the extent of violence against women and girls in England and Wales. The report is a useful tool in highlighting the extent and nature of abuse currently, existing best practices, and the changes needed to respond  to it. While the report covers a range of violence against women and girls  (femicide, sexual abuse, domestic violence, online sexual abuse, abuse in public spaces, and others), our focus here is on sexual abuse and rape.  The report indicates that in England and Wales:

  • In the 12-month period ending in September 2021 sexual offences recorded by the police were the highest on record, at 170,973 offences, a 12% increase from the same period in 2020.  Rape accounted for 37% of these offences (63,136 offences).
  • 2.9% of reported sexual offences and 1.3% of recorded rapes resulted in a charge or summons, which has fallen from the previous 12 months.
  • 41% of rape victims and survivors withdrew their support for action through the criminal justice process and declined to pursue criminal charges.
  • The London Victims’ Commissioner’s 2021 London Rape Review also found that among those who allege rape or sexual assault to police, 65% withdrew support for the case, an increase of 7% in the last two years, with nearly two-thirds of London rape victims and survivors who drop their complaint doing so within a month of going to police, and the proportion of withdrawals tripling in two years.
  • Latest Office for National Statistics data show the disproportionality of sexual assault against minoritized and marginalised women with Black and mixed-race adults more likely to experience sexual assault than white or Asian adults.
  • Cases with white victims and survivors are 1.2 times more likely than Black victims and survivors to result in a charge, and 1.8 times more likely than when victims are Asian (6.7% vs. 3.7%).
  • 10 police forces did not bring a single charge over the rape of a Black victim during the five-year period, despite recording 148 reports between them.
  • Independent Office for Police Conduct (IOPC) investigation into police officers who abuse their position for a sexual purpose has shown a sharp rise in reported cases in the past three years, with this form of abuse now comprising the single largest form of police corruption they encounter.
  • After the launch of the Everyone’s Invited, 16,000+ testimonials of sexual abuse in schools were shared from girls as young as 11 years old. The testimonials named 10% of all the schools in England. Following these revelations, Ofsted launched a review that found 9 out of 10 girls had experienced sexist name calling and 92% of girls had been sent unsolicited explicit pictures or videos.
  • Girlguiding’s 2021 Girls’ Attitudes Survey found that 19% of girls aged 11-16 and 33% aged 17-21 said they had been sent unwanted sexual images online in the last year, and 9% of girls aged 13-16 said they felt pressure to share images of themselves that they’re not comfortable with.

The report highlights that there is still a lot of work needed to respond and prevent violence against women and girls. At first reading, the report is disheartening and frustrating, but it paints a realistic picture of nature of abuse in England and Wales. The report demonstrates that we must do more, and offers a number of recommendations, some of which are familiar (i.e., a multi-year, well-resourced public attitudes campaign to end violence against women and girls; a strategic investment to end abuse; far-ranging reform to the criminal justice system’s approach to this abuse; a victims’ bill that responds to the diversity of victims and survivors’ experiences with greater rights and entitlements), some of which are ongoing (i.e., ratification of the Istanbul Convention; An online safety bill that comprehensively tackles online abuse), and some of which are innovative (i.e., effective protection and support for migrant women; support for schools to implement a whole school approach). Because it enshrines a community based approach, we would like to highlight a human rights approach to violence against women and girls, as a key, essential argument in the prevention (and the cornerstone of the Istanbul Convention), as the right to live without fear of sexual abuse and violence is a vital human right for all women and girls in England Wales, as well as globally.

The prevention of violence against women and girls is everyone’s responsibility.  While the London Victims’ Commissioner’s report focused on England and Wales, the reality is that these are issues everywhere. While different countries may have different abuse rates, as well as different attitudes, behaviours, and reporting mechanism, it is safe to say that we all need to improve our responses and prevention activities. Sexual abuse exists everywhere globally, and it’s time for the global community to step up with appropriate responses to this women’s health and human rights issue.

Giving Back: Reflections on People Who Have Abused Supporting Those Who Have Been Harmed

By Kieran McCartan, Ph.D. and David S. Prescott, LICSW

Prince Andrew recently settled out of court in the civil case brought forward by Victoria Giuffre. The accompanying statement indicated that Andrew would provide support by “fighting against the evils of sex trafficking, and by supporting its victims.” This resulted in condemnation and concern from sexual abuse charities with the implication that this was a tone deaf and inappropriate response. This raises questions about how those who abuse can offer support and give back to victims of sexual abuse or exploitation. This blog post is not a commentary on whether Prince Andrew is guilty or the legitimacy of his out-of-court settlement, but rather whether it is possible for people accused or convicted of a sexual offense to give back, assist professional practice, or support victims in their ongoing recovery?

The conversation about people accused or convicted of sexual abuse making reparations is often seen as a controversial one, with many in the public and some charities/NGO’s believing that punishment is the only appropriate route. This is a challenge, as a significant amount of sexual abuse and exploitation cases never get to court much less end in a prison sentence. This, in turn, begs the question of what comes next for accountability for their actions and how best to make reparations.

Historically, there have been conversations about the role of restorative justice (also controversial) as an alternative or additional approach to traditional criminal justice. Within the restorative justice framework, recognition, accountability, and restoration are among the most important components; the person accused or convicted of a sexual offense offers insights to their behavior and acknowledge the impact that it has had on the victim. While this is one way that people accused or convicted of a sexual offense can give back, it is a very individualized one based on the inclination of the two individuals involved and the benefits of the intervention being most directly felt by the people involved. Therefore, how do we broaden the conversation beyond the individual and the interpersonal, to make it as much about community and society?

Andrew’s suggestion was that he could support those who have been victimized from a more top-down position with a broader impact. What does that actually mean? Is that working directly with a charity, being on a board of directors, setting up a new charity, or providing a funding pot for victim services or campaigns (all of which he is well able to do given his wealth and position)? It is interesting that his ideas all seem to have his name attached to them. There has apparently been no consideration of helping anonymously or in some other quietly humble way.

Andrew’s response will be watched and commented on, but the reality is that most people accused or convicted of a sexual offense do not have the same reach or resources that he does, so how do they give back?  Some clear steps for anyone giving back and supporting people who have been harmed by sexual abuse include:A

Acknowledge: Anyone accused or convicted of a sexual offense who wants to support victims, their families or the wider community has to recognize what they have done and made their piece with it. This is essential because throughout the process of giving back they may need to recognize their behavior, the issues with it, and how they can move on and support people in doing the same.

Accept: It is important to accept that the victim, their support network, related organizations, and the broader community’s, as well as society’s response to the offense that you have been accused or convicted of is out of your control. It is important to go into the process of giving back with an open mind that is not defensive and recognizes that you may be criticized, not accepted, and not forgiven.

Recognize: The most important piece of giving back is to recognize the victim and their wishes, whether they want the people accused or convicted of a sexual offense to give anything back. If the timing and the messaging is not right, then it is important to step back and not force the issue.

Manage: It is important to manage expectations around what the giving back looks like in terms of content, message, timing, and involvement. This needs to be an ongoing process that moves at the pace of the victim and their representatives.

Message: It is important to get the tone of the message and involvement right. Engagement and giving back is not about enabling the person accused or convicted of a sexual offense to feel good about themselves or to feel that they have “done their bit”. Rather is about the victim, or the victim’s organization, what they want and what they need. This can be challenging as the message maybe very different from different perspectives.

Collaborate: In giving back and supporting victims the process needs to move beyond the individuals affected, it needs to be part of a wider prevention and rehabilitation response. This means understanding the socio-political and service landscape so that messaging can be used appropriately. This means that the voice of the person who has been abused needs to be recognized, framed, and progressed accordingly.

Be open to opportunities: The changing narratives around sexual abuse, prevention, and responses, mean that new funding, research, and collaborative opportunities are opening. Some if these may look and feel familiar where others may not. They may feel uncomfortable and challenging. It is important to embrace these opportunities so that people at risk of victimization and perpetration can learn from the experience of the person accused or convicted of a sexual offense. It is important to state that in helping or working with current victims we can help and safeguard against future victimization.

The role of people accused or convicted of sexual offenses giving back and supporting those who have been victimized is not an easy one, nor a decision to be made lightly. It needs careful thought and consideration and must be done in a thoughtful, considerate, and appropriate fashion. While Prince Andrew’s offer may have failed to ignite a positive response, this may be a fault of the messaging, more to do with the tone, nature, and implied ego and intrusiveness of it.

Unfortunately, It’s the Same Old Story, the Same Old Song and Dance: Challenges to the Credibility of People Who Have Been Victimized

By Kieran McCartan, Ph.D., Kasia Uzieblo, Ph.D., and David S. Prescott, LISCW

The recent Jeffery Epstein legacy trials, those of Ghislaine Maxwell and the (formerly titled) Prince Andrew, have highlighted that society still does not trust victims of sexual abuse, their narratives, or their motivations.

In the Maxwell case, it turned out that one of the jurors disclosed that they were a victim of sexual abuse to corroborate the victims’ narratives and indicate that there are legitimate reasons for the complexity and seeming contradictions. However, this was seen as derailing the legal processes, mainly by the defence counsel, and the case is on track to appeal. The agreement is that this juror was a disgruntled victim looking to dispute the agenda with a personal crusade that looked to make Maxwell the unwarranted target of their fury.

In the Duke of York case, the victim-blaming narratives were two-fold. The first was that she was only looking for money and not justice (disclosing how much the victim received in an earlier settlement may also have been seen as a way to portray her as a money-grabber). This has since been countered by the prosecution, who have stated that their client will not want to settle out of court. The second victim-blaming narrative is that the woman was suffering from false memories and that the allegations are not true. The false memories argument reinforces a lot of the claims made by Andrew (i.e., that he never met her, he was elsewhere at the time, that the photo was faked, that he doesn’t sweat, etc.). The argument highlights that it’s the victim that is untrustworthy, in a way that suggests that she is confused, unreliable, and vulnerable. The false memory argument seems to suggest that the victim’s vulnerabilities have resulted in the duke becoming the target of her ire as he is a public figure, but not the actual culprit. The core of the duke’s argument is that she is targeting him because of his personal wealth and that she is out for what she can get from him. This is reinforced by the fact that she is pursuing a civil case rather than a criminal case without recognizing that there are very real and legitimate reasons for why this decision was made. These reasons include the threshold of evidence needed, the fact that the duke is not an American citizen and that the case is playing out in an American court, and the geographic location where the abuse took place. What the duke’s defence has done is paint a picture of a damaged, angry individual who is seeking money, not justice.

These examples continue to damage public perception of victims, their credibility, and their ability to seek – and receive – justice. We have seen this play out in the media and social media message boards with people claiming that “She went along with it!,” “No one forced her,” “She is getting something out of it,” “Well, the story does not make sense so it must be untrue,” and “Why has she waited this long to seek justice.” The result is that in the court of public opinion victims’ stories are undermined over and over again and that people often have good reasons for not coming forward to disclose abuse. In addition, these perceptions, victim-blaming tendencies, and cognitive distortions cannot be ruled out among professionals (police, judges, etc.), which can lead to inadequate treatment of (alleged) victims.

Therefore, what lessons can we learn from these cases, from the evidence, that we can use in moving forward? To start:

  • The help-seeking process is complex, consists of different phases, is different for everyone, and requires a great deal of insight, courage, and skills on the part of the victim.
  • Victims often take a long time to come forward and disclose their experiences of abuse as it takes time for them to process as well as understand it.
  • Sexual abuse is complex with victims often being groomed and manipulated by the person that is abusing them, quite often to the point that they don’t see the abuse.
  • The narratives of those who have been victimized can be complex and contradictory, which is a product of the abuse and human memory processes and not a sign of unreliability or manipulation.
  • Those who have been victimized often want different forms of “justice” and that can appear different to all. Therefore, its unrealistic to expect everyone to want the same brand and type of justice.
  • We need to recognize that false memories can and do exist (see for an interesting review, see O’Donohue et al., 2018), but it is in the minority of cases and hence must not be seen as the go-to explanation for complex victim narratives.
  • We need to realize, as professionals and certainly as a (online) community, that responding adequately to disclosures is essential to the well-being of the victim, will facilitate help-seeking behaviour in the future of that victim, and will facilitate help-seeking behaviour of other victims.

As a society we need to start recognising that the narratives of those who have been victimized are not black and white, and that this means that we need to understand how to best support them as well as the Criminal Justice System in processing these cases.

Restorative justice in sexual abuse cases: A lighting rod or an opportunity to rehabilitate?

By Kieran McCartan, PhD, David Prescott, LISCW, & Kasia Uzieblo, PhD

Earlier this week two of the authors, Kieran and Kasia, took part in a webinar for the European Forum on restorative Justice as part of Restorative justice week. The purpose of the talk was to discuss the new Council of Europe guidelines on the assessment, management, and integration of people accused or convicted of a sexual offence and its link to restorative justice. The recommendations were developed by a broad group of experts involving Kieran, Marianne Fuglestved, and Harvey Slade as well as members of the PC-CP and external organisations (including, ATSA, NOTA, NL-ATSA, IATSO AND Les Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (CRIAVS). The recommendations are based on the importance of delivering effective practices to people who are convicted, or accused, of a sexual offence. This involves the events and processes from arrest and conviction through to their integration back into the community. The recommendations focus on different parts of the process, including risk assessment tools and processes, the role of treatment in prison and probation (especially the importance of a trauma-informed, service user-engaged rehabilitative process), the role of supporting and working with those who have been victimized (especially in respect to restorative justice), engagement with the media when individuals are released and the need for effective, evidence-based staff training and development. The aim of this blog is not to talk through the full remit of the recommendations and their impact – we would suggest that the reader look at the recommendations (see: https://www.coe.int/en/web/portal/-/managing-persons-accused-or-convicted-of-a-sexual-offence-council-of-europe-issues-new-guidelines) – but rather to look at one recommendation in particular, the recommendations linked to restorative justice.

The use of restorative justice in the field of sexual abuse, and in the processes of treatment and recovery for those who have been harmed as well as the person that has committed the sexually abusive behaviour has sometimes been controversial. In 2018, the Council of Europe published Recommendations concerning restorative justice in criminal matters and as such were committed to seeing restorative justice as part of the criminal justice process. When developing the recommendations relating to people arrested or convicted of a sexual offense, the PC-CP suggested incorporating rights for those victimized and examining restorative justice. The team went and talked with Dr. Ian Marder, who had played a role in the development of the restorative justice recommendations, and developed a recommendation linked to it. The recommendation was:

Rule 31: Where appropriate, prison services and probation agencies should liaise with other criminal justice agencies as well as with victim support services and other agencies as appropriate, to ensure that the needs of victims are met and in order to avoid continuing victimisation.

Commentary:. Probation, and related services, should work with victim services in an appropriate and professional way to safeguard and protect the rights of victims. This is particularly important in cases where the victim is part of a vulnerable or protected group, or where they have an ongoing relationship, direct or indirect, with the person accused or convicted of the sexual offence. As outlined in Rule 30, this rule aims to support victims’ journeys, rather than enabling victims to influence the sentencing or release of the person convicted of a sexual offence. In terms of restorative justice, the victim can ask for a restorative justice‑based intervention if it is part of the suite of outcomes available to them upon or after sentencing.

The rule, or recommendation, indicates that restorative justice should not be taken off the table in respect to services offered people who have committed sexual abuse and those who have been victimized; rather, it should be used, where appropriate, in a thoughtful manner that considers the needs of those harmed. Kieran, Kasia and Linda Millington (from Why me?) discussed in a recent webinar. The webinar focused on the need to discuss the reality of sexual abuse and what this means for those impacted by it (both those who abuse and those harmed) and that restoration was an important part of the rehabilitative process. The webinar emphasized that restorative justice is not always about forgiveness or confrontation, but rather about an opportunity for discussion and to be heard and acknowledged, which is a central aspect of the healing process. The take-home message was that the victim’s journey is a central part of the criminal justice process and that it can be, but dies not have to be, a central part of the people convicted or accused of a sexual offences journey but it can be if all parties are open to it and respectful of it.