PLACE IN RETURN BOX to remove this checkout from your record. TO AVOID FINES mum on or before date due. DATE DUE DATE DUE DATE DUE MSU Is An Affirmative Action/Equal Opportunity Institution CONTISTHD DISCOURSES: THE SOCIAL CONSTRUCTION Ol' CHILD SEXUAL ABUSE AS A SOCIAL PROBLEM BY Mary MbCormack A DISSERTATION Submitted to Michigan State University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Sociology 1989 (004(401 ABSTRACT CONTISTED DISCOURSIS: THE SOCIAL CONSTRUCTION OF CHILD SEXUAL ABUSE AS A SOCIAL PROBLEM BY Mary MbCormack Beginning in the mid-19703 feminists, clinicians and child protectionists made claims about child sexual abuse as a social problem. Later joined by the New Right and aided by the mass media, these claimsmakers in constructing four discourses about child sexual abuse, drew on different views of children, childhood, gender, sexuality and families. This dissertation. studies these social constructions of child sexual abuse as a social problem from 1974 to the present. The methodology integrates field work, interviews, documents and media reports to explore the constructions advanced by the four claimsmakers. Popular accounts identify child sexual abuse as a single, unified problem against which society has mobilized to protect children. Understood from the perspective of social constructionism, however, ‘it becomes clear that sexual abuse is not one problem, but many. Alternately conceptualized by claimsmakers as a problem caused by male violence, family dysfunction, child exploitation, or decaying social values, analyses of claims about child sexual abuse reveal layers of conflicting narratives. Far from comprising a single, concerted effort to protect children from victimization the constructions about sexual abuse are contested. definitions that are actively reshaping social perceptions of children, childhood. and sexuality. Examined in the context of other current social problem constructions focused on children - especially the Missing Children’s Movement - claims about child sexual abuse are viewed as a broader reconstruction of childhood. The contention that sexual abuse produces a "damaged child" is placed in relationship to the early 20th century construction of the sentimental child. The constructions about sexual abuse are examined as discourses which redefine the boundaries between adults and children and lead to a rethinking of adults’ attempts to protect, control, or empower children. Copyright by MARY JEAN MCCORMACK 1989 ACHIOVULIDGMNTS Writing this dissertation has been an arduous, but almost always intellectually' interesting ‘task. I ‘would like to thank the people who made the process and completion of writing possible. The members of my committee - Marilyn Aronoff, Kevin Kelley, Peter Lyman, Katherine O’Sullivan See and Barrie Thorne provided me with helpful suggestions and leads as I undertook this study. They also gave me valuable feedback on earlier drafts. Marilyn Aronoff has been very helpful to me throughout my graduate career. II have appreciated her encouragement and her willingness to discuss portions of this dissertation over the past two years. I am particularly grateful to Barrie Thorne who acted as my adviser and the chair of my dissertation committee. Her attention to the content I wrote about, and the style in which I wrote it, was always thoughtful and helpful. I have benefited greatly from Barrie’s expertise in the fields of sex and gender and the sociology of childhood and the ways she taught me to think about these and other topics. ii As a peer in graduate school and a friend Ginny Powell has been a strong source of support. She listened to me formulate my ideas and read several chapters in early drafts. Most importantly she told me, and not just once, I could finish this project when it seemed impossible. Claire Kohrman has been an important source of support - both professionally and personally for the past decade. I have appreciated the clarity of her thinking, her interest in writing and her knowledge of social science. Writing her own dissertation she was an important model of someone struggling to complete a difficult task and succeeding. Paddington, Dakota and Sylvia also helped in their own ways - either sitting at my feet as I worked, running with me or lying on my papers as I tried to write. I would also like to thank Mary Ann Stehr for giving me the courage, coherence and context I needed to do this work and for discussing social constructionism with me. Jackie Mahoney has lived with this dissertation and my piles of books and papers for a number of years. I am grateful to her for talking to me about my ideas whether they were about capital accumulation or family violence. I especially valued her letting me read pages aloud so I could hear what I was writing and therefore see it in a different way. Her choice of musical accompaniment in the iii weeks I was finishing was often witty and. motivating, especially, "It's the End of the World as We Know It.“ Finally, I would also like to thank the students whom I have taught and learned from over the past few years. In writing this I have always been particularly grateful to a student in an Introduction to Women’s Studies class who asked me when I was discussing incest survivors if most people died from incest and if that was why the word survivor was used. Her question made me see more clearly the power of words in constructing social problems. It is the story of this, and other forms of power which all of these people have helped me to tell. iv TABLE OF CONTENTS PART ONE UNDERSTANDING CHILD SEXUAL.ABUSE: A.VIEW FROM THE FIELD AND EROM.A SOCIOLOGICAL PERSPECTIVE Chapter 1. THE CONTEMPORAR! ANALXSES OF CHILD SEXUAL ABUSE . . . . . . . . . Introduction . . The Social Construction of Childhood Child Sexual Abuse as a Social Problem How Child Sexual Abuse is Understood Today . . . . . . Defining Child Sexual Abuse . . . Estimating the Number of Sexually Abused Children . . . . . . . . The Population at Risk The Characteristics of Sexual Abusers The Impact on Victims . Prevention Programs . . . . . . Treatment Issues . . . . Questions and Plan of Analysis CONCEPTUALIZING A.SOCIAL PROBLEM Placing Social Constructionism in Context: Sociological Approaches to Social Problems . . The Consensus and Conflict Models of Social Construction . . . . . . Experts as Claimsmakers . . . . . Language as an Activity in Social Problem Construction . . . . . . The Media as Claimsmakers . .The Media' 3 Construction of Childhood . ~The Historical Construction of Childhood "Child Advocacy Movements . . . . . 11 16 19 28 37 41 43 48 49 53 57 58 60 64 67 68 Social Construction and the Medicalization of Deviance . . . . . . . . . . . . . . 71 Institutional Power to Stigmatize . . . . . 74 Identity Politics: Redefining Stigma . . . 79 Summary . . . . . . . . . . . . . . . . . . 83 3. DECODING CONSTRUCTIONS: METHODOLOGIES . . . . . 84 Introduction . . . . . . . . . 84 Research on Child Sexual Abuse . . . . . . . 87 Field Work . . . . . . . . . . . . . . . . . 90 Documents . . . . . . . . . . . . . . . . . 94 Interviews . . . . . . . . . . . 99 The Methodological Mosaic . . . . . . . . . 103 PART TWO SOCIAL CONSTRUCTIONISMMAPPLIED TO CHILD SEXUAL .ABUSE: THE CREATION OE.A SOCIAL PROBLEM 4. HON CHILD SEXUAL.ABUSE IMBRGED.AS.A SOCIAL PROBLEM IN THE 1970: . . . . . . . . . 106 Emergence of Social Movements . . . . . . . 106 'The Women’ 8 Movement . . . . . 107 Feminist Understandings of the Family . . . 110 The Family as an Expression of the Sex/Gender System . . . . . . 113 The “Private" Sphere of Family Life . . . . 116 Contradictions Within the Family . . . . . . 119 oViolence Against Women . . . . . . . . . 121 The Feminist Perspective on Rape . . . . . . 123 Wife Battering: The Analysis of Gendered Violence Moves Inside the Home . . . . . . . . . 126 The Split of Reproduction From Sexuality . . . . . . . . . 130 'Sexuality as a Source of Identity. . . . . . 133 .Children’ 3 Rights Movement . . . . . . . . . 135 The New Right . . . . . . . . . . . . . . . 138 Summary . . . . . . . . . . . . . . . . . . 139 5. THE CONSTRUCTIONS OF CHILD SEXUAL ABUSE 18.1 SOCIAL PROBLIMI . . . . . . . . . . . . . 141 Child Sexual Abuse Becomes a Social Problem . . . . . . . . . . . . . . 142 The Feminist Construction: The Discourse on Violence . . . . . . . . 145 Linking the Feminist and Clinical Discourses . . . . . . . . . . . . . . . 151 The Clinical Construction: The Discourse on Trauma . . . . . . . . . . . 155 vi Family Violence Research . . . . . The Child Protection Response: The Discourse on Childhood . . . The New Right: The Discourse on Sexuality and the Family . The Mass Media’s Constructions of Child Sexual Abuse: The Discourse on Feelings and Facts Summary . . . . . . . . . . . . . 6. THE PROCESSES OI CONSTRUCTION: THE POLITICS OF IDENTITY, INNOCENCE, DAMAGE AND DANGER The Issue of Numbers . . Counting Sexually Abused Children Numbers as a Rhetoric of Rectitude Constructing the Damaged Child: Building on the Sentimental Child «Constructing the Survivor: How Child Sexual Abuse Shapes Identity . The Survivor as a Twentieth Century Discourse Sexual Abuse Prevention Programs: Claims About Touch and Self Concept . Claims About Adult Authority and Children' 3 Power . . A Model Prevention Program . Discussing Sexual Abuse in Public Settings . . . . . . . . Summary . . . . . . . . . PART THREE THE BROADER CULTURAL CONTEXT: .ALTERING THE IMODERN CONSTRUCTION OE CHILDHOOD 7. RECONSTRUCTING CHILDHOOD: PUTTING CONSTRUCTIONS ABOUT CHILD SEXUAL ABUSE IN CONTEXT . . . . The Sentimental Child . . . «The Loss of Childhood . . . ”What is a Real Child? . . ~Redefining Adult/Child Relationships -Social Constructionism as a Way of Thinking . . . . . . . . vii 161 164 170 181 191 192 193 194 198 200 205 208 219 223 226 228 233 234 235 238 242 245 250 CHAPTER 1 THE CONTEMPORARY ANALYSES OE CHILD SEXUAL ABUSE Introduction The most recent history of child sexual abuse has been written as a narrative of social concern for victims of abuse (Butler, 1978; Miller, 1984). Much of this concern has been reflected in a vast literature which seeks to identify the causes and effects of sexual abuse. It has also been reflected in media coverage. A stated aim of this material has been the prevention and ultimate eradication of sexual abuse (MacFarlane and Korbin, 1982). Read from this perspective, the emergence of child sexual abuse as a social problem in the 1970s is the story of a society's increasing concern with children who are victimized by adults. But this reading is at best cursory. It skims the surface without probing the depths of the discourses that have been articulated about sexual abuse. When the history of the labeling of sexual abuse as a social jproblem is viewed from. a social constructionist perspective, the story changes dramatically, for this is neither a singular nor a unilinear narrative. 2 My research focuses on the contemporary construction of sexual abuse as a social problem by four groups: feminists, clinicians, child protectionists and the New Right. In this work I have not tried to enter the debates over whether the actual amount of abuse has increased or whether or not children lie about their victimization. I see such debates as activities of construction, important for what they represent and what they come to symbolize. I have traced the discourses that have emerged around these and other issues and the social contexts in which they appeared, in order to understand how child sexual abuse has been socially constructed. I have chosen to focus on the discourses which identified sexual abuse as a social problem for several reasons. First, studies of the historical context and institutional structures which led to abuse have been appearing for some time (Rush, 1977; DeMause, 1974; Gordon, 1988). It is by nOW’ well documented that children’s relative powerlessness in families, schools and day care settings makes them vulnerable to violence. Inn analyzing sexual abuse I did not want to simply trod a well worn path. Secondly, the discourses that have been sounded about sexual abuse are sociologically rich and compelling. Characterized by ideological agreements and conflicts, the arguments put forward by those who have "discovered" sexual abuse provide maps of contested terrains of modern society 3 - particularly family and gender arrangements. Finally, in focusing' on discourses and. uncovering' the processes by which they are formulated, advanced and reshaped, I could analyze two significant structures of social problem construction - language and the media. Child sexual abuse has proven to be especially well-suited to understanding the ways in which linguistic choices shape the social construction of reality and in illuminating the roles which the media serve as architects and conduits of construction. Marked by vastly different political perspectives and social agendas, those who make claims about the nature of sexual abuse share a common view: all believe that they speak in the best interest of children. ,And this is what makes social problems which center on children so fruitful from a constructionist perspective - the current victims of the problem are not the ones who are shaping its presentation. Those who are now being sexually abused are spoken for and the definitions of what these children are experiencing, what they need and how they should be helped, is generated externally by people who are not only trying to do something about abuse, but who are also trying to advance their own interests. Viewed from this perspective the construction of child sexual abuse becomes a tale of contested definitions of childhood and of sexuality, of boundaries between adults 4 and children and of battles about the changing nature of the American family. It is also about the emergence of new ideas about identity and gender. Most importantly, it is a story about power and the social relationship among protection, control and empowerment as it is manifested between adults and children. The Social Construction of Childhood Children are unequal to adults. By American cultural definitions, children need to be protected both from themselves and from adults who might harm them. ZU1 order to protect children it is necessary to empower them in some ways and control them in others; to restrict their movements and define behaviors which are appropriate and inappropriate. Historical and anthropological analyses reveal that these definitions are bound by time and place (Zelizer, 1985; Kagan, 1984). Norms about how children should be treated fluctuate depending on prevailing social conditions. For instance, Viviana Zelizer (1985) discovered that when children had a clear economic value they were prized for their labor power and this became the basis of their social treatment. In earlier centuries children did not need to be protected from the vicissitudes of work. As children were removed from the paid economy in the late 19th and early 20th centuries, their emotional worth rose and became the primary basis of their value. 5 Work then became seen as a source of potential damage to children - something that would strip them of childhood, as if childhood. was an inherent characteristic. Thus an ideology arose which depicted children as emotionally priceless, but economically worthless (Zelizer, 1985). Children were valued for being childlike, that is, innocent and dependent. It is just such definitions of what it means to be childlike which lie at the heart of social problems which affect children (Best, 1987). In the case of child sexual abuse the boundaries between adult and child sexual experiences and their psychological responses, are called into question and debated (Courtois, 1988; Meiselman, 1978). But debates are not limited to purely sexual norms. The entire character of children and childhood itself is being questioned (Winn, 1983). A clear example of this focus has appeared in discussions of whether children are ”capable" of lying about sexual abuse. The debate around this question has been cast in rigid dichotomies. On one side children are seen as innocents, never lying about sexual abuse; on the other side children are viewed as diabolical, frequentLy manipulating adults through sexual abuse charges (Conte, 1982). Sociologically this debate, which reflects historical dichotomizations of children as angels or devils, is less interesting for its resolution than for its content. The question, "Are children as a 6 group capable of lying about abuse?" reveals more about a society's view of children than it does about children's inherent veracity or duplicity. The emergence of such issues in the discussion of child sexual abuse helps to make clear that a normative definition of childhood is the backdrop against which abused children are measured. Defining the experience of victims illuminates what it means, socially, to be a non- victim, that is, what it means to simply be a child. It also establishes the existence of experts who have staked claims to identifying the parameters of normal and impaired childhood. These claims are treated as legitimate and given credence because they come from the authority of professions which have been socially sanctioned to regulate definitions of reality. As Paul Starr has written with regard to medicine, "The authority of professions is distinctive because they not only advise actions, but also evaluate the nature of reality and experience..." (Starr, 1982). ‘Childhood and child sexual abuse have become the province of a number of fields, especially: medicine, law, psychiatry, psychology, social work, sociology and theology. Representatives of these professions, through whom the changing history, structure and definitions of childhood have been revealed, are among the claimsmakers about child sexual abuse. '7 Child Sexual Abuse as a Social Problem Like other social problems which. were "discovered" during the 19703 (e.g., wife battering), child sexual abuse has a long and continuous private history. Its public history has been short and sporadic. Although documentary research by Gordon (1988) shows that social service agencies received frequent reports of sexual abuse during the 19th and early 20th centuries, it was not until the late 19703 that the label social problem as opposed to "cultural taboo" or "psychological fantasy" was applied to the problem. In order to understand how a social problem arena was built around sexual abuse, I have focused on the specific construction of discourses about sexual abuse by particular groups and the emergence of a social and historical environment which. made the constructions possible. The claimsmakers in this case have been: feminists who worked in the rape crisis and battered women’s movements and who saw children as socially analogous to women; clinicians who initially were trained to understand their clients as fantasizing about sexual encounters with adults, but who, through complex processes, began to believe their clients' accounts of sexual abuse; child protectionists who had discovered the physical abuse of children in the 19603; and--coming from quite a different perspective--the New Right which was concerned with what 8 they identified as the growing fragility of the family and the increasing vulnerability of children. Each group has taken as a central concern the psychological damage done to children who have been abused, and thus each has discussed the nature of childhood and the internal worlds of children within which they identify and assess the situations of those who have been abused. I have come to believe that views of the damaged. or endangered. child are uniquely modern in construction and that they exist in relation to conceptions of normal, sentimentalized childhood developed during the Progressive Era. The social environment which provided the material conditions for the construction of a social problem included the expanded social and economic roles of women, the changes in the organization of family life and the growth of the mass media. How Child Sexual Abuse is Understood Today The claimsmakers' views of child sexual abuse differ on the social causes of abuse, on what is being taken from children when they are abused and on the kind of adult world abused children are plunged into. But there are shared definitions in the field. Consensus in the sexual abuse literature is emerging in the following areas: acts that comprise sexual abuse; characteristics of abusers; psychological ramifications for victims; and requirements for prevention and treatment. This literature has appeared 9 in a variety of contexts, proliferating in the academic and professional journals and in the popular culture. Whether the information comes from Newsweek or The International Journal of Child Abuse and Neglect, from feminists or from the New' Right, shapes the context of discussions, the analyses of the origins of the problem and the presentations of potential solutions. Despite these sources of diversity, there is, however, a surprising uniformity in any given discussion about sexual abuse itself. Agreement stems from widespread perception and mounting empirical evidence that sexual abuse is harmful to children because it has short and long term psychological effects. In order to understand how these negative effects are produced it is necessary to have a definition of sexual abuse, an idea of its incidence and prevalence and a profile of those who are at risk for being abused and for abusing. Prior to reviewing the sexual abuse literature, however, I first need to comment on language. In the following sections I have used the language of the sexual abuse literature. This language is part of the social construction of child sexual abuse as a social problem. The next sections include discussions of victims and survivors, of perpetrators and offenders. By writing about the problem in this manner I am trying to show how child sexual abuse is currently being written about - as a 10 therapeutic, and sometimes, criminal problem. I am also introducing the language as data. In any project that examines the social construction of a particular social problem, the terms that are used to describe the phenomenon being studied are essential (Hazelrigg, 1985). In the case of child sexual abuse, language seems especially important because this is a social problem that is most often described through metaphors of silence and speech. Silence is credited for the generational perpetuation of sexual abuse; speech is envisioned as a liberatory force. Given this construction, the power of silence and speech to shape perceptions of sexual abuse is substantial. ~Defining Child Sexual Abuse Child sexual abuse is broadly understood to be any coercive sexual interaction between a child and a more powerful person, either an adult or another child who is five or more years older than the victim (Finkelhor, 1986). This interaction may or may not involve physical contact. In cases where there is no contact, the abuse may include exhibitionism, as well as verbal harassment or seduction. In cases where there is contact the abuse may range from fondling to oral, anal, or vaginal penetration (Russell, 1986; Sgroi, Blick and Porter, 1982; Butler, 1978). By defining sexual abuse as a multidimensional phenomenon, it is possible to see abuse occurring on a continuum and 11 producing a range of possible effects. It also brings questions of the incidence and prevalence of sexual abuse to the forefront. Estimatingthe Number of Sexually Abused Children ’Perhaps no issue has been more central in defining sexual abuse as a social problem than the question of how frequently children are sexually victimized. Establishing the scope of the problem. has been essential both for grabbing public attention and for garnering research funds. Early estimates, which. emerged from. studies of college students, were that 1 in every 4 girls and l in every 11 boys were sexually abused by age 18 (Finkelhor, 1979). While the figures for abuse of girls has remained constant and in fact is the same estimate given by Kinsey, Pomeroy, Martin and Gebhard in 1953, the figures for boys have often been questioned and revised. It has frequently been noted that gathering accurate data on boys is difficult for several reasons. First, boys are less often reported as victims by physicians, teachers or parents. Perceived as agentic and aggressive, boys are often viewed as too powerful to be abused or culpable when it occurs. Boys do not fall as easily into the category of victim as girls do. Secondly, like girls most boys are abused by men. Although at least 95% of these assaults are perpetrated by heterosexually oriented adults, because the 12 assault is homosexual, boys will sometimes fear the implications of the assault for their own sexual identity (James and Nasjelti, 1983; Finkelhor, 1984). Putting aside the fact that the attainment of sexual identity is a complex and complicated matter, the fear of being labeled homosexual in a homophobic society is a powerful form of social control that has made some boys reluctant to report incidents of sexual abuse. To eradicate this problem, the federal government made research into the sexual abuse of boys a priority area in its request for funding proposals for the fall of 1985 (Federal Register, Sept. 4, 1985). Until findings from the funded projects are available, the sexual abuse of boys has been estimated by some researchers by reviewing all available survey data on the topic. Using this approach David Finkelhor and his colleagues found that between 2.5 and 5% of boys under 13 had been sexually victimized. Using 1980 census data Finkelhor generalized these findings to the entire U.S. population of boys under 13 and stated that "if these figures are correct, a total of 550,000 to 1,100,000 of the currently 22 ndllion boys under 13 would eventually be victimized" (Finkelhor, 1984). This analysis has in turn led to further estimates that anywhere from one in every eight to one in every four boys, a rate equal to girls, is sexually victimized before age 18 (Groth, 1985). 13 These estimates of sexual abuse include all cases within and outside of families, those who have been assaulted once, those who have been assaulted for years and those who have been abused by more than one person. When Diana Russell (1986) analyzed rates of incest among women in the largest non-clinical probability study done to date, she found that one in every six women had been incestuously abused. From this number she extrapolated that 160,000 per million women were incest victims; 45,000 of these were father/daughter cases. Russell's findings were considered essential for understanding incest because she was ‘ngt examining psychotherapy or prison populations where incest experiences could potentially be overrepresented. Her estimates therefore have been ,considered more statistically accurate than those of clinicians (Courtois, 1988). A second reason for the significance of :Russell's findings was that they clearly challenged what had been prevailing wisdom in psychiatry, one of the arenas from which expert opinion on child sexual abuse had traditionally been sought. As late as 1975 one leading psychiatric textbook estimated that incest occurred in one in every million homes (Freedman, Kaplan and Sadock, 1975). Russell’s statistics called for a rethinking of the prevalence of incest in American families. 14 yOnce an estimate of the number of sexually abused children became available, the question arose as to whether or not these figures represent an historically constant level of abuse which was just being recognized or an increase in the amount of sexual abuse in the country.’ The American Humane Association had revealed that the reported number of sexual abuse cases had been rising every year since 1976. Locally, in Michigan The Lansing State Journal (1984) had reported a 300% increase in Michigan case reports during the 19803. Obviously, the popular attention given to sexual abuse in newspapers, magazines and on television has created a climate where abuse can be reported more easily. School-based prevention programs, and the use of teachers and physicians as mandated reporters of suspected sexual abuse have also increased the number of incidents coming to public attention. Yet, historical evidence, such as that presented by Florence Rush (1977), Linda Gordon and Paul O'Keefe (1984) and Linda Gordon (1988) suggested that these reports of abuse actually represented a decrease over past cases or a constant number of incidents. Rush, citing documentary evidence from Greek and Roman cultures, showed that a large number of children were sexually abused as prostitutes. Gordon looked at the structure of American families which in the past gave perpetrators greater sexual access to children. Gordon and O'Keefe presented data from Boston 15 social service agencies' records that, in a random sample of 502 cases, produced 50 reports of incest. This rate was comparable to that given in a number of contemporary studies. Contrary to this evidence, Diana Russell’s recent survey results yielded information that the number of incest cases have "quadrupled from the early 19003 to 1973 (and) this was also the case for extrafamilial child abuse before 14 years of age" (Russell, 1986). ,It may be impossible to ever truly know if the rates of abuse have been increasing, decreasing or remaining constant. The stigma around reporting' abuse, although apparently diminishing, still exists. In addition, there is pressure on children to keep sexual abuse secret. Studies which attempt to ascertain. the historical prevalence of abuse suffer from flaws in rates of reporting. Given a social constructionist view of sexual abuse, the actual number of victims there are may not be as important as the perception that today children are sexually abused in epidemic proportions. Researchers tend to agree that there has always been and continues to be a substantial number of children who are sexually abused. There are a number of factors which make some children more vulnerable to sexual abuse than others. 16 The Population at Risk Not all children are equally at risk for sexual abuse. Initial attempts to discover which children might be more vulnerable tended to focus on the earlier myths of abuse. Past perceptions represented sexual abuse, particularly incest, as a problem of rural, lower class families (Butler, 1978). These families were frequently thought to be black. When research was initiated on victims of abuse these ideas turned out to be false. Two models have been created to help identify high risk children“ The first model comes from David Finkelhor’s 1984 compilation of theory and research from which he designed a checklist of "Eight Vulnerability Factors in Childhood." These factors included: the presence of a stepfather, living for any period of time without mother, not being close to mother, mother never finishing high school, a sexually punitive mother, physically affectionless father, a family income of less that $10,000 and two or fewer friends in childhood. Two thirds of those children who had five factors present in their lives were sexually victimized. Each additional factor increased the likelihood that a child would be abused by 10 or 20% (Finkelhor, 1984). Finkelhor’s model--which did not find a correlation for ethnicity, religion, size of family, or presence of physical abuse--did reveal some important themes. Children 17 with powerless or relatively powerless mothers were more likely to be victimized. Children who were isolated were more likely to be sexually assaulted. This finding appeared frequently in all of the child abuse literature. Stepfathers were found to be more likely to sexually abuse their stepchildren than were biological fathers to abuse their children. This finding was also documented by Russell (1986) among others. Some have conjectured that stepfather’s abuse stems from a lack of inhibition on the part of the stepfather who does not experience an incest taboo (this reason is often cited alongside the high incest rates which seems to indicate that many people do not experience the incest taboo as a mechanism of social control) (Courtois, 1988). Women who were divorced were also more likely to bring strangers into the home who might view the daughters as potential sexual partners. Finkelhor also discovered that fathers who were politically and morally conservative were more likely to sexually abuse their children. Within these families victims were punished for showing any curiosity about sexuality or evidencing any sexual behavior. On the basis of this information Finkelhor stated "sexually severe families...foster a high risk for sexual exploitation." This view fits with many studies of moral conservatism, religiosity and “sexual deviance," including the infamous Tearoom Trade, (Humphries, 1963). 18 The most controversial factor in Finkelhor’s study was the finding that an income of less than $10,000 put a child at greater risk for sexual abuse. Finkelhor himself makes clear that part of the greater risk actually reflects a higher likelihood of being reported. Upper-class children are also at risk for sexual abuse but are less frequently reported. Nevertheless the income finding, which has also appeared in Straus, Gelles and Steinmetz's (1980) classic work on family violence, appears significant. Finkelhor's model was drawn exclusively from research on girls; his findings fit with a second. model which emerges from Diana Russell’s (1986) and Judith Herman's (1981) research on female incest victims. Russell found that parental absence and unavailability in the form of mother's employment outside the home, disability or illness, or complete absence of natural mother or father, made a child vulnerable. In addition, poor parent-child relationships, especially with mothers who were perceived as harsh, punitive and/or emotionally cold added to the likelihood of victimization. A conflictual relationship between a girl’s parents and, as noted above, the presence of a stepfather, also increased the possibility of sexual abuse. Many of these findings were reported early in the 19803 by Judith Herman, a psychiatrist who many have credited with being one of the first "discoverers" of child sexual abuse (Bass and Davis, 1988). Herman identified 19 what is now considered the classic family constellation of girls at risk. She found that incestuous families often included authoritarian, morally rigid fathers and physically or psychologically absent mothers. The girls themselves were socially isolated (Herman, 1981). Information on what makes boys vulnerable to sexual assault has been harder to elicit. Finkelhor (1984), in attempting to produce a similar model to the one he created for girls, discovered that boys, like men who were raped, were more likely to be abused with other children present. Another finding’ was that. boys whose abuse *was reported came from poorer families than abused girls; that they were more likely than abused girls to be living in single parent families; and that they were often physically, as well as sexually, abused. Because it has commonly been found that men who sexually abuse children have been sexually abused themselves (Groth, 1979), identifying' boys at risk for sexual victimization has not only been thought important for preventing their abuse, but also for preventing future generations from abuse. The Characteristics of Sexual Abusers As the study of child. sexual abuse expanded, new information on perpetrators was being developed and disseminated. Previous studies of offenders were based on prison populations which tended to skew the data towards 20 those who abused outside of the family (Groth, 1985). New research has focused on perpetrators who have received therapy, instead of, or in addition to, being imprisoned. This change is significant because it means that research is available on a wider sample of offenders from different classes and races. Limited data on women who sexually abuse children are also becoming available, although most abuse and therefore most data, are based on studies of men. Ninety-five percent of abuse of girls and 80% of abuse of boys is reported to be done by men or adolescent boys (Finkelhor, 1984). Many researchers trace the causes for such large numbers of male perpetrators to patterns of gender socialization (Finkelhor, 1984, 1986; Russell, 1986; Herman, 1981). Because they are primarily raised by women who must communicate a complex set of conscious and unconscious gender expectations to them, boys learn what it means to be masculine in American society through a process of disidentification with the feminine (Chodorow, 1978; Dinnerstein, 1977). As a consequence boys' internal worlds are based on experiences of distance and differentiation. The requirement that boys learn to be separate and autonomous means that they also must become separate from the core of their emotional selves - the part of themselves that was initially tied to and identified with their mothers (Chodorow, 1978). In this process boys learn that sexual desires and emotional attachments need not coincide. 21 Theorists hypothesize that this ability to split sex and emotion makes it easier for men to view women and children as objects than as people and to direct aggression against them. Subsequently, sexual assaults against women and girls are easier to perpetrate because they are focused on someone who is experienced as an "other" (Sanford, 1980). This theory, which is largely' drawn from feminist oriented, psychoanalytic accounts of gender socialization help explain why men would more frequently abuse than women and why they would victimize women and girls. It also has been used to account for the repetitive finding that men who sexually abuse children have been abused themselves. According to these theorists, boys experience sexual assaults as shattering experiences in the same way that girls do. What differs is that boys split their emotional pain and anger. Turning their anger outward and identifying with the aggressor, who is presumably another male, boys retaliate for their assaults by becoming offenders. Girls, in contrast are thought to turn their aggression towards themselves becoming self-destructive and continuing to be victims through relationships with men or women who abuse them and/or their children (Russell, 1986). Because these findings are verified over and over, many researchers believe that there is utility in drawing on theories of gender socialization to explain the behavior of sexual abuse perpetrators (Sanford, 1980; Howells, 1981). 22 Nicholas Groth (1985), who has worked with over 2,000 male offenders, agrees with this perspective and has added to it a theory of personality types. According to Groth (1982) there are two kinds of offenders: regressed and fixated. Regressed offenders are those who are capable of having mature, adult relationships, but because of some external stress, such as unemployment or spouse’s illness, will seek out children as substitute sexual partners. These offenders are usually married men, and their victims are frequently their daughters. It is these offenders who are accounted for in the classic incest model of mother- absent families. According to this model, when the wife is sexually unavailable to the husband, he uses the daughter as a surrogate partner. Here the daughter is imbued with adult characteristics and is asked to take care of the father’s sexual and non-sexual needs. Fixated offenders are those whose sexual identity formation has been prematurely foreclosed, usually because of their sexual victimization. These offenders see children as their peers, choose boys most frequently as their victims, and identify strongly with those they abuse. Fixated offenders usually begin sexually abusing children at age thirteen or fourteen, although their abusive behavior is usually ignored at that stage and identified as harmless, adolescent experimentation (Becker, Cunningham- Rathner, Kaplan, 1985). However, it is clear that these 23 boys establish patterns of sexual exploitation of children beginning at an early age. Although Groth’s typology is useful for identifying certain patterns to abuse, it fails to capture the complexity of either inter- or intrafamily abuse. In presenting two types of perpetrators, Groth omits variations in motivation of the offender and fails to ask a key question: how is it that children come to be seen as appropriate "sexual partners?" An additional problem exists in Groth's research. It lends itself to a position of blaming women for not being sexually available to men and thereby creating an environment conducive to sexual abuse. This is most clearly reflected in the case of so- called regressed offenders who abuse children because of the absence of an age-appropriate partner. Taken to its logical conclusion this makes women responsible for controlling and containing men’s sexuality. Although women's civilizing role in taming male sexuality is neither a new theme nor' a new’ expectation (Welter, 1973) its emergence in Groth’s typology perpetuates the legacy of mother blaming which has been a prominent theme in past discussions of incest. David Finkelhor (1984) has constructed a model which adds complexity by emphasizing multiple factors which lead people to sexually abuse children. The model includes four factors, all of which must be present for an individual to 24 become an offender: emotional congruence, sexual arousal, blockage and disinhibition. Emotional congruence refers to patterns through which the offender has come to view children as compatible sexual "partners." This may be a process of reenacting a past experience of sexual abuse or of seeing children as sexually acceptable because they are not powerful or dominant. Sexual arousal refers to factors by which abusers find children sexually appealing. As Finkelhor and others have pointed out, this is a controversial variable because it raises the issue of whether or not sexual abuse has a sexual component. Although this may be clear to some, for others it raises an older debate, which will be discussed later, about the relationship of sex and violence in rape. Blockage is both the physical unavailability of more appropriate partners and. a psychological experience of finding equal partners too frightening. Finkelhor distinguishes between these situational and developmental issues and, like Groth, notes that most incest cases have a situational dynamic, while many extrafamilial cases express a developmental dynamic. The fourth variable, disinhibition, is where feelings are turned into behaviors. In order for disinhibition to occur there needs to be a breakdown of these social norms which would preclude the sexual use of children. Efforts to identify these factors have frequently focused on the strong correlation between 25 alcoholism and sexual abuse, the experience of sexual abuse oneself and lack of attachment to children while they were young - an argument used to account for stepfather’s overrepresentation as abusers. Authors who have sought social origins for the process of disinhibition have analyzed the property relation between fathers and their children, the sexual objectification of children in advertising and the burgeoning child pornography industry (Finkelhor, 1984; Butler, 1978; Rush, 1977; Herman, 1981). An additional theoretical perspective which has been used to understand the motivations and behaviors of sexual abusers is based on the addiction model popularized by such groups as Alcoholics Anonymous. According to Patrick Carnes (1983), a psychologist who has been most responsible for developing this view, sexual addictions are experienced in four stage cycles, including: preoccupation, ritualization, compulsive sexual behavior and despair. The sexual addict is described as obsessed by sex which s/he organizes around idiosyncratic rituals which propel him/her to act out sexually. Despair follows each enactment of the first three steps of the cycle because the addict fails to either find fulfillment through sex or to stop repeating the cycle. .Addictive sexual behavior may include: compulsive masturbation, exhibitionism, rape and child sexual abuse. Carnes argues that sexual abuse reflects a "profound violation of cultural boundaries" and most often 26 results from abusers having been abused as children and thereby learning that sex and affection, as well as violence, are inextricably interwoven (Carnes, 1983). People with sexual addictions frequently suffer from other addictions, particularly to drugs and alcohol, forming a personality based on a system of addictions. The three models offered by Groth, Finkelhor and Carnes have been drawn primarily and sometimes exclusively, on data gathered from male perpetrators. In the past seven years there has been growing interest in the topic of female perpetrators. One of the key questions which has been addressed, but not yet satisfactorily answered is: do women sexually abuse children far less frequently than men or is the sexual abuse which women perpetrate hidden by certain cultural views of women? Women are rarely arrested for sexually abusing children. Groth reported that in his work with offenders who abuse children, only 3 of 253 offenders were women (Groth, 1979; Finkelhor, 1984). Nevertheless, Groth believes that women sexually abuse children to a much greater extent than is reflected in statistical evidence. Groth is not alone in speculation about women as perpetrators. Some theorists and clinicians believe that women sometimes sexually abuse children under the guise of normal mothering. Affection and nurturance can, according to these theories, slip somewhat easily into abusive 27 situations without raising suspicions about inappropriate sexual behavior (Justice and Justice, 1979). Because men do not primarily nurture children their behavior is more easily labeled as abusive. An additional point is that because women’s sexuality is culturally defined as less threatening and potent than men's, women who sexually abuse children are defined as not doing much damage. Even though this notion has been challenged by Kempe and Kempe (1984) who cite mother-son incest as the most devastating form of all abuse, it still enjoys some popularity, particularly in the mass media. Even though statistics are not completely accurate for numbers of female perpetrators, overwhelming evidence suggests that do men do abuse children in much greater numbers than women. Diana Russell (1986) found in her survey of incest victims that 5% of incestuous offenders were women. Additionally, she found that her respondents described their experience in less abusive and coercive terms than those that involved male relatives. They also occurred with less frequency (Russell, 1986). This evidence gains more importance in light of the fact that most female offenders are perpetrators of incest as opposed to committing sexual assault outside the home (Finkelhor, 1984). Both Finkelhor and Russell have speculated on why men would abuse children more than women and why the issue of 28 women as perpetrators began to gain such widespread attention in the early 19803. Their conclusions are structured by an observation about reality and by a gender analysis. The two sociologists have noted that clinicians are hearing more from ‘their clients about women perpetrating sexual abuse. This coincides with the fact that clinicians are hearing more about sexual abuse in general. Their gender analysis suggests that there is a cultural recoiling in the face of statistics which reveal such high proportions of male offenders. The idea that men and women might offend in equal numbers means that sexual abuse could be traced to non-gender origins. Sexually abusing children could thus be explained as part of a more evil side of human nature or ascribed to some element of the social power which adults hold over children. But since men have a greater' proclivity to sexually abuse children, the issue does emerge as a gendered, as well as a generational one. There is something in male socialization, in their institutional power and subsequent experiences which make them sexually abuse children more than women do (Finkelhor and Russell, 1984). The Impact on Victims If research and theory about those who abuse have grown substantially over the past decade, comparable work on the experiences of victims has expanded even more 29 rapidly and in many ways, as will be discussed later, the impact of abuse on the victim's identity has become the most central facet of the current construction of child sexual abuse. Much of the work describes and analyzes the short and long term effects of abuse. According to many experts in the study of child sexual abuse, initial effects of sexual victimization may last from one day to two years. The effects are both internal and external (Sgroi, Porter, Blick, 1982). The internal or more psychologically experienced effects may include: sleep disorders, eating disorders, fears and phobias, depression, and feelings of guilt, shame and anger (Browne and Finkelhor, 1986). The external or more socially displayed responses may include: school phobias, incorrigibility, aggression ‘towards self and. others and delinquency (Browne and Finkelhor, 1986; James and Nasjelti, 1983; Sgroi, Porter, Blick, 1982). The long term effects of child sexual abuse are just beginning to be understood. Most of the research in this area has been based on adult women who were sexually abused as children (Herman, 1981; Russell, 1986; Courtois, 1988; Bass and Davis, 1988). Some data on men who were abused as children is currently emerging (Longo, 1982; Groth, 1982; James and. Nasjelti, 1983; Finkelhor, 1986). The most useful discussion of long term effects on boys and girls to date has come from Finkelhor and Browne (1986) who have 30 created a four part model to discuss the traumagenic nature of child sexual abuse. Their model includes: traumatic sexualization, stigmatization, betrayal and powerlessness. Traumatic sexualization evokes several different dynamics. Of central importance is the way in which a child becomes confused about the meaning and content of close relationships. Rewarded for being sexual, deceived about the meaning of sexual behavior and sometimes disgusted by the acts s/he is asked to perform, a sexually abused child learns that the need to be connected to other people is not a relational need, but rather is a specific sexual need. This misperception may lead a child into what is perceived as "precocious sexuality." It may also create confusion about appropriate sexual activity and partners. The child could become sexually preoccupied or develop an aversion to both sexuality and intimacy (Berliner, 1985; Finkelhor and Browne, 1985). Stigmatization is a second effect of sexual abuse. Referring to a process whereby the offender blames the child ‘for the assault, denigrates the child’s sense of self, and shames the victim for "participating" in sexual acts, stigmatization has profound effects on the child. It is as if the child’s whole sense of self has been humiliated. This humiliation is exacerbated by the offender’s desire to keep the abuse secret, which makes the child feel isolated and different from her or his peers. 31 Lowered self-esteem is another result of having a stigma attached to one's identity. If a child’s family or friends react negatively to the disclosure of sexual abuse, the child’s feelings of inferiority will be compounded. In more dramatic cases this may lead to problems such as self- mutilation, criminal activity, substance abuse, or suicide. Betrayal occurs in sexual abuse cases whether the offender knows or is related to the child or whether the offender is a stranger. A trust has been violated, including a faith in the world as a benevolent place, and the child’s long term ability to trust will likely be impaired (Finkelhor and Browne, 1985). The expectation that loved ones will and can protect the child is shattered. A pronounced sense of the world as a hostile place may make the child aggressive in a defensive way or may produce a severe clinging or dependency response. In either case the child’s ability to form relationships where s/he may thrive is compromised. Powerlessness is the final consequence of sexual abuse that Finkelhor and Browne discuss. In sexual abuse cases a child's psychological and bodily boundaries have been violated. These violations leave the child feeling vulnerable and often defenseless. If the child is unable to make others believe that the abuse is occurring, these feelings will become entrenched and the child may take on 32 an identity as a victim. Subsequent responses to victimization include two very different reactions. One is to become passive, fearful and anxious; the second is to become aggressive, bold and defensively assertive. Historically, these choices have been linked to gender, with girls more likely to doubt their efficacy and assume a subordinate stance, and boys more likely to need to be in control, sometimes turning their victimization into a need to dominate (Groth, 1985; Finkelhor and Browne, 1985). Not all victims respond the same to sexual abuse, however, and even though popular depictions of sexually abused children define them as equally damaged, one study of clinical populations reported that only 20-40% of victims had some evident response to being abused (Tufts, 1984). Fewer than 20% of sexually abused children are believed to suffer from severe psychopathology (Finkelhor, 1986). A number of variables have been identified as significant predictors of the degree of subsequent trauma a child will experience. These include: relationship to the offender, number of offenders, age at onset of abuse, frequency and duration of abuse, type of sexual assault, amount of coercion and response to disclosure (Finkelhor, 1986; Russell, 1986; Gelinas, 1983; Herman, 1981; Butler, 1978). Father-daughter and stepfather—daughter incest have frequently been cited as causing the most trauma to victims 33 because of both the symbolic and real nature of the relationship (Russell, 1986; Finkelhor, 1986; Gelinas, 1983; Herman, 1981). .Although 'the correlation. between fathers and stepfathers as offenders and severity of abuse is often cited, these same, as well as other researchers, have pointed to the fact that any offender, regardless of relationship, can cause trauma to the victim (Berliner, 1985; Sgroi, 1982). On the question of mother-son incest, as noted above Kempe and Kempe (1984) report that this is the most traumatic form of abuse. In her survey of incest victims, Russell found that female incest perpetrators were less coercive than male perpetrators and that they produced less trauma in their victims. Finkelhor (1979) in his pathbreaking study of sexual victimization, also found women perpetrators to cause less trauma. Regardless of the relationship between abuser and victim, when a child is sexually abused by more than one person during the course of growing up, the severity of the trauma is increased. Feelings of vulnerability and a subsequent inability to trust adults or older children are thought to account for the exacerbation of trauma (Finkelhor, 1986). There is some evidence that the younger a child is at the onset of the abuse the more traumatic the experience (Kempe and Kempe, 1984). Prior to the age of 36 months children experience a psychological birth wherein they learn to both be attached to and separate from primary 34 caregivers (Mahler, Pine and. Bergman, 1975). If" abuse takes place during these formative years some believe that the process of psychic structuralization (i.e., the mechanisms by which one comes to establish an internal world and ways of interacting with the external world) can be more or less shattered. The most dramatic rupturing results in the formation of multiple personality disorders, which have recently been discovered to be more prevalent than previously assumed and to be connected to early and severe cases of child sexual abuse (Kluft, 1985). Finkelhor (1986) in his review of studies focusing on the age of onset and severity of trauma found more varied results. Others have noted that some children are able to overcome early abuse without severe long term consequences. Dubbed "resilient," these children commonly had one trusted adult in their environment who was able to counter the effects of the abuse (Shengold, 1979). Frequency and duration of abuse have been examined often to see if they account for degree of trauma. While many clinicians believe that the number of times a child is abused and the number of days, weeks, months or years that the abuse lasts have significant consequences, the empirical results have been more mixed. Nevertheless, the fact that the clinical data have been consistent on this finding has been deemed as significant by Finkelhor, among others. It should be noted, however, that Russell has 35 found widespread negative mental health outcomes in cases of incest that occurred only once. INT fact, contrary to many of the more publicized accounts of incest (Brady, 1979; McNarron and Morgan, 1982; Bass and Thornton, 1983) 43% of Russell’s respondents reported only one incestuous experience yet 98% of the sample said that the experience had been traumatic (Russell, 1986). Several studies have concluded that the most important factor for determining traumatic outcome was severity of the sexual assault. If a child experienced oral, anal and/or vaginal penetration it was much more likely that s/he would have persistent mental health problems than if no penetration occurred (Bagley and Ramsey, 1986; Gelinas, 1983; Russell, 1986). The profound violation of physical boundaries creates a sense of ongoing crisis for child victims similar to that reported by both male and female adult rape victims (Burgess and Holmstrom, 1979). A similar line of inquiry has examined the impact of aggression and force on victims. Finkelhor (1986) reports that the greater the force the worse the trauma. Many clinicians caution, however, that force does not need to be explicitly present for a child to be traumatized because the threat of force may already be implicitly present in the power imbalance found in adult-child relationships (Sanford, 1980). 36 A final set of variables that may predict the degree of trauma a sexually abused child may experience have to do with disclosure. In general, clinicians tend to believe that if a child tells that s/he is being abused there is a greater likelihood that the child will ultimately feel more empowered and less victimized. The child will also potentially break generations of silence which. help 'to perpetuate sexual abuse (National Public Radio, 4/10/84; Herman, 1981; Sanford, 1980). Surveys of victims tend to be more ambiguous in their findings about the consequences of disclosure. Researchers at Tufts University (1984) found that those who disclosed at a slow pace felt the least conflicted about revealing sexual abuse. Others have found no correlation between disclosure and trauma (Finkelhor, 1979). If a child does report being sexually abused to a parent and the parent reacts negatively to the disclosure, the child's trauma is increased. If the parent reacts with empathy the child's trauma is not alleviated because empathy alone does not remove 'the fact that the abuse occurred (Tufts, 1984). This finding is significant because most sexual abuse prevention programs teach that children should tell that they are being abused. The positive, cathartic consequences of disclosure have been taken for granted. One prevention specialist has cautioned against the uniform belief in disclosure (Conte, 1982). He 37 emphasized that disclosure may have negative effects on some children who either feel guilty for not telling or who suffer more abuse for the disclosure. These children appear burdened by both sexual abuse and a social climate which compels disclosure. Prevention Programs Because the effects of sexual abuse are defined as devastating, there has been a significant mobilization on the part of social workers, psychologists and others working with children to prevent abuse. These programs emphasize teaching children verbal and physical skills so they can thwart attackers (Colao and Hosansky, 1987). Almost all programs also advise children to reveal past abusive incidents. A number of ideas have become central to programs and literature about prevention. Common themes are: children have the right to control their own bodies; children have a right to "say no" to adults who touch them or want to touch them; children should trust their own feelings; and if a situation feels bad to the child s/he should leave (Wachter, 1983). If an adult tries to convince a child to keep secrets, the child should know that this means the adult is doing something wrong and the child should tell a trusted adult about the would-be secret. Secrets are usually differentiated from surprises 38 which are defined as fun and as things which are revealed to someone at an appropriate time. In order to teach children these ideas many formats have been used. Theatre troupes, such as Illusion Theatre in Minnesota which pioneered this approach in 1979, present plays in which children are shown as victims of inappropriate touch, as victors in vanquishing a potential offender, and as past victims voicing their experiences and gaining help from trusted adults. Board games, like "Play it Safe with SASA” (SASA is a puppet), have been invented to introduce children to the idea of sexual abuse and ways of combatting it. Story and coloring books have also played a prominent role in the prevention field. Books such as Private Zones, Take Care with Yourself, No More Secrets for Me and It’s O.K. to Say No!, all emphasize that adults may hurt children and children have an inherent right to be protected from these hurts or to be given the attention they need to recover from being abused. Prevention programs also focus on adults, usually parents or educators, teaching them about sexual abuse and then focusing on how to talk to children about the topic and how to assess whether sexual abuse has occurred. Particular concern is sometimes focused on differences among children that might enhance their vulnerability. Linda Tschirhart Sanford's The Silent Children (1980), for instance, includes chapters on developmentally disabled 39 children, as well as physically handicapped children, children with single parents and children whose parents have been abused. Although the idea of teaching prevention strategies seems straight-forward, in that most people would say that children have a right to protection from abusive adults, programs have faced a number of challenges in constructing their lessons. First, in communicating the idea that adults harm children and that they do not have a right to, prevention. programs call into question the social relations which exist between adults and children. The norms of the culture dictate that children should obey adults and that adults wield a natural authority over children. Sexual abuse prevention programs tell children that some adults should not be obeyed. But which adults should be ignored? In essence this question is something like: how does one tell the good guys from the bad guys? Differentiating these two groups has been an ongoing task. Early* prevention :material focused. almost exclusively on ”stranger danger" which made answering this question easy. The good people were people one knew; the bad people were strangers. Simple in formation, this strategy, which has had its most successful application in the Missing Children's Movement (Best, 1987), had a major drawback. It ignored the fact that most children know the people who assault them. Material such as the film, "Red Light 40 People; Green Light People" which divided the world into people children could trust - doctors, police officers, teachers - and those who could not be trusted - people who might stop and ask for directions - taught children that adults who had legitimate professional authority over them would do no harm. As empirical evidence emerged which refuted these claims, prevention programs began to shade their presentations more. Illusion Theatre offered performances which depicted people close to children, including relatives, as perpetrators of sexual abuse. Through this type of work varying portraits of sexual abuse emerged. Children were taught that many adults were capable of hurting them and ‘that professional legitimacy or close relationships did not guarantee that adults were safe. In addition to teaching children that adults can hurt them, prevention programs also have taught children how they are being harmed. What exactly is sexual abuse? While the answer to this question leads professionals to differentiate among various forms abuse can take and nuances of definitions, it is difficult to translate these subtleties into language that children can understand. The easiest and most adapted translation has been to talk about “appropriate" and "inappropriate" touch. Appropriate touch is touch that a child would welcome, such as a hug and touch that would not violate a child's "private parts" 41 (Adams and Fay, 1981). In constructing programs which relate this message, prevention specialists have usually side-stepped an essential question: is ‘touch that is sexual always bad? How is a child to understand sexual play among peers or masturbation? While these are clearly difficult issues to address, ignoring them can lead to a confusion about what is sexual and what is abusive. Rather than a peripheral point, I believe that this distinction between sex and sexual abuse is a central undercurrent in the social construction of child sexual abuse. What is being debated. here is the nature of children’s sexuality and the boundary between adult and child sexual experiences. This concern with sexuality and the way in which it is affected by sexual abuse has been addressed in the burgeoning treatment literature. Treatment Issues The treatment of those involved in child sexual abuse is varied, but is almost always based on psychological principles. Pedophiles are frequently treated in behavior modification programs. Aversion therapy is given so that a perpetrator can alter his or her avowed sexual orientation to children. This treatment usually consists of some type of shock therapy and is based on a system of rewards and punishments. A. perpetrator will be shown. pictures of children and if s/he sexually responds, a shock will be 42 administered. Conversely, if a perpetrator responds to what is defined as an appropriate sexual partner, an adult woman or man, a reward will be administered (Crewdson, 1988). Perhaps the most famous treatment program to emerge in the last few years is the "Child Sexual Abuse Treatment Program" of Santa Clara County founded by Henry Giaretto. Begun in 1973, Giaretto’s project is a court diversion program based on family system theory and is specifically organized to treat members of incestuous families. Initially offenders, and sometimes victims, will be removed from the home. Then, various family members are given psychotherapy in different configurations. For instance, if the daughter is the victim and the father the perpetrator the treatment will take place in the following units: mother/daughter; father/mother; father/daughter. Each dyad must focus on issues of betrayal, secrecy and violation. The point of therapy is to teach the victim that she is not to blame, to get the father to take responsibility for the incest, and to examine the mother's role in not protecting the daughter (Giaretto, 1982). The program has treated 20,000 cases of incest since its inception and, as a measure of success, claims that 90% of the families have been reunited after counseling (Crewdson, 1988). 43 Other ‘treatment. programs focus specifically on children who have recently been victimized or on adults who were abused as children. Most of these programs, like Harborview in Seattle or Incest Survivors .Anonymous, a national organization offering treatment groups around the country, center on the victim being able to express through words, drawings, or play, what they have experienced. A priority is placed on breaking the silence around sexual abuse and creating an environment wherein victims can realize they did not cause their own abuse. The most notable aspect of treatment programs is that they attempt to address the psychological impact and causes of abuse. Couched in the language of psychodynamic psychotherapy, these programs are dominated by clinicians who discuss sexual abuse as a loss of boundaries and appropriate roles between adults and children which produce profound psychological sequelae for the victims who may be beginning a lifetime of victimizing or victimization. At some point treatment issues blend with prevention concerns as professionals attempt to counteract what they perceive as a generational phenomenon. Questions and Plan of.Analysis The definition of child sexual abuse as a social problem raises a number of issues for analysis. This dissertation will focus on the processes and mechanisms of 44 social construction. Specifically, it will examine the historical context in which sexual abuse was constructed, the groups which contributed to the "discovery," and the mechanisms which they used to advance their views. I will pursue these central questions: (1) How did the existence of contemporary social movements create a context for the construction of this specific problem? (2) How did the rethinking of the family as an institution and its changing structure influence various constructions about the sexual violence taking place in American homes? (3) How did the socially recognized split of reproduction from sexuality lead to discussions of sexual abuse not as a problem of genetic defects in future generations, but as an immediate, psychological problem for the victim? The second central area of analysis focuses on the convergence and divergence of the constructions. Ways in which feminists, clinicians, child protectionists and the New Right championed, shaped, reflected and opposed various perspectives on child sexual abuse are key to its construction as a social problem. Important questions here are: (1) What view of child sexual abuse is advanced by each of the claimsmakers? (2) How do the constructionists discuss the causes of sexual abuse? (3) What do the "discoverers" of sexual abuse identify as the impact of abuse on the child and what type of repercussions do they project? (4) What role did the media play in establishing 45 particular views of sexual abuse? These questions will be examined from a contemporary point of view. Part one, "Understanding Child Sexual Abuse: A.View From the Field and From a Sociological Perspective" includes this chapter, which introduces the general perception of child sexual abuse as it has emerged since 1974, and Chapters 2 and 3. Chapter 2 is a review of the social construction of social problems literature and an introduction to two central ideas which are discussed in Chapters 5 and 6 - the media's roles in the construction process, and the attachment and refutation of stigma to those who have been abused. Chapter 3 is a discussion of the methodologies which I have used to gather my data, including field work, interviews and bibliographic and documentary research. Part two, "Social Constructionism Applied to Child Sexual Abuse: The Creation of a Social Problem“ includes Chapters 4, 5 and 6. Chapter 4 focuses on the social and intellectual contexts in which child sexual abuse began to be perceived as a social problem. Chapter 5 presents the four constructions of sexual abuse and the claimsmaking activities carried out by constructionists. Of particular importance here is an analysis of the psychological effects of sexual abuse on children, because it is this emphasis on psychological danger, I argue, which has characterized the most recent construction of sexual abuse and sets it apart 46 from prior historical discussions of the problem. Chapter 6 explores the processes and mechanisms of constructing a social problem. Here the claimsmakers central themes are explored, and the major construct of the four groups - the damaged child - is discussed. Part three, ”The Broader Cultural Context: Altering the Modern Construction of Childhood" is Chapter 7. This chapter looks at how child sexual abuse fits into a larger social framework. Specifically, it discusses the ways in which recent social problem movements which have focused on children - such as the missing children’s movement, and the movement against child sexual abuse and physical abuse have contributed to a rethinking of childhood. Historical parallels are drawn between the Progressive Era’s move to protect children from the vicissitudes of work, and from the social power of the world of money and the contemporary era’s attempt to protect children from the dangers of sexual abuse, and from the privileges of adult social and sexual relations. The chapter also analyzes the role of sexual abuse prevention programs in providing children access to sexual information, information that in the case of sexually abused children had been identified as constituting a loss of innocence, and of childhood itself. As a form of socialization into sexuality, I identify prevention programs as a way of redrawing the boundaries between adults and children and ultimately of incorporating 47 ideas about sex into the reconstruction of childhood. The fact that discussions of sex are delivered in an encoded way, as 'part. of’ a *warning' about danger, illustrates a continuing' cultural ambivalence ‘toward. children and sexuality, an ambivalence which is reflected in the discourses created by the four claimsmakers. CHAPTER 2 CONCEPTUALIZING A.SOCIAL PROBLEM Because child sexual abuse is most frequently discussed as a phenomenon that is protected by a conspiracy of silence, it is essential to understand the processes through which various voices came to frame the problem. This chapter is devoted to understanding how social problems are constructed through social activities. An exploration in the sociology of knowledge, the following pages examine a variety of concepts and literatures, including: social problem theory; the role of experts in drawing and keeping attention on sexual abuse; the place of the media in publicizing the problem; the history of childhood and child advocacy movements; the medicalization of deviance; the process of stigmatization; and the reclaiming of spoiled identities. Taken together, these literatures reveal the convergence of forces which contributed to the current understanding of children's sexual victimization. 48 49 Placin Social Constructionism in Context: Sociological Approacfies to SocIaI Problems Since its inception American sociology has been concerned with social problems. This concern reflects the orientation which framed early sociologists’ conception of their emerging discipline - a blend of progressive politics, social activism and scientific method (Lynd, 1939; Smelser, 1988). Over the past century six perspectives have developed within sociology as approaches to social problems. They include: social pathology, social disorganization, value conflict, deviant behavior, labeling and social constructionism (Rubington and Weinberg, 1988). Each of these paradigms has a particular view of society, of the causes of social problems and of potential solutions. Importantly, the approaches also incorporate differing views of what constitutes a social problem. Although this study is based on only one of these orientations, I will present a brief overview of the other approaches to social problems so that the distinctness of social constructionism is clear. Social pathology, which emerged in the 18803, was one of the earliest paradigms adopted by American sociologists. Using a medical model, social pathologists, like Rosenberg, Gerver and Howton (1964) who studied mass society in crisis, defined social problems as violations of moral expectations which were caused by failures in socialization. Education alone could ameliorate the 50 effects of a sick self or society. If education failed, the moral order would erode. Following World War I and a large wave of immigration, social disorganization theory was born. This theory focuses on how social change alters people’s expectations of society, thereby producing crises of normlessness and cultural atrophy. Because of the rapidity of the changes they caused, urbanization, industrialization and technological advances were all defined as capable of creating disequilibrium for individuals and for society. Thomas and Znaniecki’s (1927) classic work on The Polish Peasant in Europe and America illustrates this point of view which argues that social problems are caused by a lack of stasis and cured by bringing the disorganized parts of the social system back into line. From 1918-1954, according to Rubington and Weinberg (1988), social disorganization was the most influential explanation for social problems. Value conflict theory, initially found in the work of Frank (1925), Waller (1936) and Fuller and Myers (1941), gained popularity after World War II and looks at the ways in which social problems result from the collision of group values with social conditions. Through coalition building, negotiating, or' power disputes, interest groups vie to have their views adapted by the majority. The lack of 51 value consensus is seen as generating social problems and is the root cause of social system failure. The deviant behavior school of thought, gaining popularity in the 19503, examines violations of normative expectations. Finding a model in Durkheim’s 1897 study Suicide, these analyses argue that social problems occur because individuals’ opportunities are blocked by society. As a result some people learn to be deviant in order to gain the rewards that others achieve through legitimate means. Deviance is identified as disruptive and harmful to social organization to the degree that it leads to the unravelling of the social fabric. Classic statements on this view first appeared in the work of Merton (1939) and Sutherland (1939). Proponents of deviant behavior theory believe that only by resocializing those who have accepted a deviant role and by creating legitimate avenues for achievement will social problems be alleviated. Beginning in the 19603 the labeling perspective started to focus on social problems as processes of social interaction and reaction. Growing out of the theoretical work of Mead (1934) and Schutz (1962), labeling theorists believe what becomes problematic depends on one’s social location and his/her ability to define others, or to be defined, as deviant. Those who hold the power to label gain advantages through the very process of definition. Those who are labeled either move to secondary deviance- 52 accepting an identity as a deviant individual - or they seek to alter the label by changing their interactions. Howard Becker’s book The Outsiders (1963) explored deviance as a process of social interaction and influenced all those who wrote after him, including' Erikson (1964), Goffman (1963) and Scheff (1966). Social constructionism shifts the study of social problems to a different plane and focuses attention on how some social situations come to be identified as problematic while others are ignored (Schneider, 1985). It is based on the assertion that although social organization inevitably gives rise to troublesome conditions, these conditions do not merit the label of social problem until the activities of groups and individuals create that specific definition (Hazelrigg, 1986). As objective facts which cause hardship, inflict harm, or create upheaval - poverty, crime, or alcoholism, for example - social problems may be experienced solely as private troubles (Mills, 1967). Until these troubles are translated into public issues, their social nature remains obscure, cloaked in the silence of individual experience and shrouded in the loneliness of victimization. According to Spector and Kitsuse (1987:75), leading proponents of the constructionist perspective, social problems are "activities of individuals or groups making assertions or grievances and claims with respect to some 53 putative conditions." In this view, members of a society are seen as agitating for the recognition of a specific problem. A problem is given a vocabulary, boundaries, a framework for understanding causes and effects and proposed solutions by ”claimsmakers" who help construct it. The conditions which are described. and. appear* to have lives and properties of their own, do not adhere naturally to the problem. They are the products of the claimsmakers (Blumer, 1971). In later stages of the natural history of a social problem these vocabularies, boundaries and frameworks will appear to take on lives of their own and will be used. to legitimate continued. attention to the problem. At the start, however, they are used to draw attention to a situation a number of people feel is harmful. The Consensus and Conflict Models of Social Construction Blumer (1971) was one of the first to identify the stages by which claimsmakers construct social problems. In his article, "Social Problems as Collective Behavior" Blumer posits a five stage process which includes: the emergence of a social problem; the legitimation of the problem; mobilization of action with regard to the problem; and formation of an official plan of action; and, transformation of the plan. Blumer’s conceptualization is helpful in that it focuses attention on 'the action of 54 groups and individuals which shape the perception of social problems and. advances ‘traditional discussions which. had examined objective social conditions as the causes of social problems. Yet, in focusing attention on the collective process of construction, Blumer presents a unilinear, static, model. He sees social problems not as the result of contested actions or discourses, but as a reflection of consensual processes. Spector and Kitsuse (1987) laud Blumer for his emphasis on social activities, and criticize him for ignoring the complexities and struggles inherent in definitional contests. In place of Blumer’s five stages, Spector and Kitsuse propose a four stage model. Stage one is the process by which a private trouble becomes a public issue. Groups with large memberships, access to money, resources and organizations are more likely to be successful. Contested definitions appear, during this stage representing the activities of opposing groups. As the claims for the problem are documented, statistics, narratives and reports will be marshalled in alternate ways by groups contending for public adaptation of their version of the problem. This study is an examination of this first stage. Stage two is entered when state agencies and other powerful institutions formally recognize the problem. Spokespeople for the problem are accorded recognition as 55 ”experts." .As the problem becomes increasingly owned by particular groups and agencies, a bureaucratized approach to the issue is instituted and the construction of the problem moves into the next stage. During stage 'three official organizations begin ‘to react to the ways in which the problem has been addressed. Changes in the management of the problem may occur or alternatives to existing policies may be proposed. As a problem moves into the fourth stage, individuals become increasingly disgruntled with the official mechanisms which have been arranged around the problem. Established channels are bypassed as challenges to existing interpretations of the problem become more powerful. Spector and Kitsuse’s model has become an essential framework for understanding how social problems are the products of individuals’ activities. Their focus on the conflictual aspects of social problem definitions speaks directly to the interests of those who become claimsmakers and the ways in which those individuals become vested in the problems they seek to uncover. Following Spector and Kitsuse, numerous studies have been conducted which embrace the constructionist view. Varied in topics, these studies have focused on such diverse issues as: alcoholism (Wiener, 1981; Schneider, 1978); battering (Wharton, 1982; Tierney, 1982); rape (Scully and Marolla, 1984); the environment (Schoenfeld, Meier and Griffin, 1979); coffee 56 drinking (Troyer and Markle, 1984); hyperkinesis (Conrad, 1975); and epilepsy (Schneider and Conrad, 1983). Each of these studies examines the process by which a pmoblem is identified and the social factors which create a context for claimsmaking activities. In the case of hyperkinesis, for example, Conrad (1975) argues that the possibility of labeling certain behaviors as diagnostically indicative of a medical problem called hyperkinesis, was predicated upon the activities of physicians, schools, drug companies and the federal government. Ultimately through the cooperation and conflict of these groups a social problem was named. Similarly, and especially pertinent to this study because of its focus, Pfohl (1977) describes the process of discovering the physical abuse of children as a product of particular social forces which allowed for the creation of the ”battered child syndrome." The social organization of medicine was the most significant contributor to this construction because it was pediatric radiologists, a low status, peripheral group with much to gain from the labeling of a social problem, who were the first to identify the physical abuse of children. as a jproblem. Pediatric radiologists became experts on the topic of battered. children, capable, through. the jpower' of X-ray technology, of defining certain injuries as the result of battering and others as caused by accidents. Although Pfohl does not pursue this issue, an argument can be made 57 that from these definitions emerge judgments about the social relationships of parents and their children, and clues about how American culture differentiates between legitimate forms of discipline and violence. As will be discussed in later chapters, similar judgments about parent/child relationships and the difference between intimacy and "appropriate" and ”inappropriate" touch became a focus of activity for those trying to delineate the parameters of child sexual abuse. Experts as Claimsmakers The significance of experts’ claims is not limited to the case of hyperkinesis or battered children. Experts, often from diverse backgrounds, emerge in the context of all social problems (Schneider, 1985). They may include those who speak officially for agencies, members of professional associations, representatives of protest groups and individuals who directly experience the condition being identified as problematic (Spector and Kitsuse, 1987). The status of expert is conferred through the process of claimsmaking. Thus, not only are experts "discovering" a problem - the idea of discovery being a claim itself - they are part of its construction. Expertise about a social problem gives a person the power to introduce interventions and propose solutions. 58 In their discussion of the battered women’s movement Loeske and Cahill (1985) point out that experts are part of the "knowledge class" whose role is to define, interpret and manage problems experienced by victims. An important aspect of these activities is the creation of a new clientele for experts’ services. In the case of battered women, experts have sought to explain why women become victims, to explore the rhythms of battering and to establish a set of patterns for interpreting the reasons why women stay in battering relationships. Women who are battered are defined as needing a variety of services from experts, particularly shelter, counseling and child care (Schecter, 1983). One additional service which experts provide battered women and other "victims" is a language for framing the various dimensions of a putative condition. Langgage as an Activity in Social Problem Construction Vocabularies of social problems are created and contested from all perspectives. The words used to identify a problem indicate the positions, politics and world view of a group. Joel Best’s (1987) examination of the missing children’s movement uses Steven Toulmin’s categories of rhetorical analysis as a mechanism for understanding how the claim of a social problem is an activity of persuasion and part of social construction. From the specifics of the missing children’s movement, Best 59 builds a general rhetorical model which makes persuasion central to claimsmaking activities. His contribution is unique because most social construction research has emphasized the substance of given issues, but has not examined how that substance has been expressed. Language has been treated as an objective condition (Best, 1987). According to Best, claimsmakers demand that a particular version of social problems be accepted by making grounds statements. These statements consist of definitions about a problem’s domain, thereby setting the boundaries of the problem and revealing the claimsmakers’ orientation towards the problem, and also shows how claimsmakers see their audiences, which may be identified as those who are converted, hostile, or persuadable (Best, 1987). From these considerations Best creates two rhetorical categories, a rhetoric of rectitude and a rhetoric of rationality. Rhetorics of rectitude appear early in the natural history of a social problem and focus on interpretations of a condition. After the problem has been legitimated, claimsmakers use a rhetoric of rationality, which focuses on social policy. The rhetorical analysis which Best offers is significant because it makes language part of the activity which is engaged in when social problems are being defined. An example of this in the case of child sexual abuse is found in the varied labels which have become attached to 60 those who have been abused. Those who speak from a child protectionist perspective or from the New Right refer to "victims" of sexual abuse. Feminists, and increasingly clinicians who treat adults, use the term "survivor." “Victim“ and "survivor" communicate different views of the meaning of sexual abuse. To be victimized is to be helpless and acted upon; it also means that one is not responsible for whatever abuse has occurred. The term survivor, evocative of the Holocaust, communicates that one has experienced great danger and endured it. Using the term survivor depicts strength and personal power. The words incorporate competing definitions of the problem of sexual abuse which will be discussed later in this analysis, but what is important to note here is that the choice of ‘term. reveals 'much. about ‘the underlying assumptions of the claimsmakers and their relationship to the problem being defined. The mass media, which carry communications and messages, also play a central role in claimsmaking. The Media as Claimsmakers Newspapers, television and films have become major actors in the definition and packaging of social problems. Blumer (1971) has stated that the media provide social problems with legitimacy and an avenue for public discussion. Gaye Tuchman (1978) has also discussed ways in 61 which the media mold ideas about social problems. Tuchman argues that newspapers or television are rarely among the first to identify a social problem because they tend to take the social world for granted and do not question existing institutions or social relations. Media do play a key role, however, in the framing and carrying of cultural messages. Framing, as Goffman (1963) noted, turns seemingly amorphous occurrences into recognizable events, thereby creating order, context and meaning. It also provides interpretation and thus structures knowledge. In the media, information is organized in ways which appear natural - as if the presentation grows inevitably out of the events themselves and is not imposed by social actions or interpretations. The media’s role--particularly newspapers, news magazines and made-for-television movies- -in framing child sexual abuse as a social problem, is part of two larger' media. processes: the documentation and depiction of family violence in general and the presentation and portrayal of childhood. Newspapers have had a leading voice in introducing the idea of family violence, and therefore child sexual abuse, to the general public. The New York Times, for example, published 27 articles on child sexual abuse in 1975, 153 in 1980 and 257 in 1985. Increased coverage of the topic, regardless of actual incidence statistics, created the 62 impression that child sexual abuse was becoming more prevalent and therefore needed to be identified as a serious social problem. Like other newspapers The New York m coverage not only reported statistics about sexual abuse, but also followed specific cases such as that of Cheryl Pierson, a local high school student who hired a classmate to kill her father who had been sexually violating her for years. These types of stories contained complex events, characterized by danger, violence and at least one identifiable victim and. villain. They also illustrated the point that child sexual abuse was reputed to occur in white, middle class homes - key factors in promoting a certain definition of a social problem. Similar formats have been followed in news magazines such as Newsweek (1983) and Time (1984),which have done a number of cover stories, as well as feature articles, on children’s sexual victimization. Like newspapers, the news magazines have looked at these children from statistical and anecdotal perspectives. They have been particularly enamored of sensational cases where the number of victims is large and the perpetrators are respectable citizens. For example, the McMartin pre-school case, where 350 children reported sexual abuse by their teachers and the Jordan, Minnesota case, where 24 parents were arrested for sexually abusing and torturing their children, received much attention, because they challenged the role and status 63 expectations the general. population. hold. about teachers and parents (Crewdson, 1988). Made-for-television movies have been an additional vehicle for providing information about intimate violence, especially battering and child abuse. The most well known films on family violence - “The Burning Bed" and "Something About Amelia" each had massive audiences. Both were presented as entertainment and as education. The non- fictional "Burning Bed“ told the story of Francine Hughes, her years of victimization, her killing of her husband and her acquittal of murder charges in court. "Amelia" was a fictional portrayal of a young, suburban, white girl, sexually abused by her father. The film focused on Amelia’s disclosure of the incest, subsequent family conflict and ultimate family reunion through the therapeutic intervention of Parent’s United. These films, and the multitudes of those like them, serve to normalize family violence and give audiences a framework for understanding the dynamics of the problem as they are perceived by the writers. Made-for-television movies have become a conduit for creating awareness about social problems. Recent films have covered such topics as: teenage suicide, bulimia, homelessness and poverty. A powerful force, these films in their initial airing are often tied to public service campaigns so that those who are affected by a specific problem can get help from a 64 national or local hotline. An example of public receptivity to these efforts is that after the showing of ”Amelia," a statewide hotline for child abuse and neglect in Michigan, whose phone number had been displayed on the screen at the end of the film, received over 100 calls- many from women over 50 who had not previously revealed that they had been sexually abused. Crewdson (1988) noted the same pattern occurring across the country. Taken together, the efforts of newspapers, magazines and television films have served to construct views of sexual violence within families. These views are often simple, presenting quick solutions to complex problems in several pages or hours. Nevertheless, the fact that these problems are being openly depicted in the media means that the silence about sexual abuse has been replaced with a number of discourses and that the media have become active participants in this process. The media’s influence has not been limited to sexual abuse or family violence, however. It has also extended to and actively shaped discussions of children and childhood. The Media’s Construction of Childhood During the past four decades infant and child development have become a focus of psychological research and popular interest (Mahler, Pine and Bergman 1975). Attention has primarily been paid to the processes which 65 children undergo on their way to achieving adulthood. This conceptualization reveals an adultcentric view of childhood as a means to an end (Speier, 1976; Thorne and Lauria, 1986). It also rests on the idea that children go through stages of growth, developing gradually and gaining more information and knowledge as their ability to think abstractly increases (Piaget, 1954). The content of these stages and the proper timing of child development have been disseminated in the academic and popular press, as well as by television. In many ways, however, the electronic media in general, and television in particular, have ceased to merely chronicle the events of childhood. They have altered the ways in which children experience stages of growth and the ways in which adults define children within these stages. Many of the early discussions of television’s influence on children focused on violence. Much of the recent analysis of the media’s impact on children has been more global in orientation and has been focused on the perception that childhood is being distorted or destroyed by the medium. Arguments about the end of childhood, such as Packard’s Our Endangered Children (1983), Postman’s The Disappearance of Childhood (1982) and Elkind’s The Hurried Child (1981), are like those concerning the "death of the family," and fail to take into account the fact that shifting historical contexts yield varying experiences of 66 social institutions, such as family, or social categories, such as age. Part of the shifting terrain of childhood has been the invention of computers, video games and 'the continuing innovations of television which have given children access to knowledge that historically had been controlled by adults. Boundaries between adult/child "informational worlds” have been broken down by media which do not restrict audience (Meyerowitz, 1985). Through this process children have become increasingly exposed to the previously hidden, backstage world of adults. A part of this world includes sex and violence. As Joshua Meyerowitz (1985) has pointed out: Young children are witness to "facts" that contradict social myths and ideals even before they learn about the myths and ideals in school. Children see politicians disgraced, police officers and teachers on strike for higher pay, parents accused of battering their children. Through television news and entertainment, children learn too much about the nature of "real" life to believe the ideals their teachers try to teach them. The result is not only that they grow up fast, but that they grow up having an image of society and roles that differs markedly from that held by children of earlier generations. If children today are growing up with different views of society and parents than those their predecessors held, they are also coming of age with complicated views of what childhood itself encompasses. A ‘variety of images of children exist in the media today among them: child as prodigy: child as innocent; child as victim, child as 67 technological product and child. as consumer; .Although some of these images are new and reflect modern post- capitalist concepts and technologies, many resonate with older views of childhood. The Historical Construction of Childhood Childhood. as a ‘world. separate and. demarcated from adulthood began to appear in the early middle ages (Aries, 1962). Prior to that time children were considered "miniature adults," with access to some of the liberties and choices now relegated to adulthood. The initial separation of children from adults began as an upper class phenomenon and later spread to the middle, working and lower classes. While the idea of childhood as a separate sphere was emerging, debates over the 1"true nature" of children, and therefore the content of childhood raged. In ‘the seventeenth. century' United. States, children were characterized as inherently sinful, but potentially redeemable, by parental socialization. By the 18603 children were seen as the redeemers of the culture and childhood itself started to be viewed as a special, unique time of life (Wishy, 1968). The early 20th century saw the emergence of an ideology which depicted children as precious resources, necessary to insure the future of society. The idea that children were individuals and that 68 childhood exists an entitlement became central to the social relations of the past century (Takanishi, 1978). Support for the emerging view that children deserved to be separate from adults because of their special characteristics was based on the idea of childhood innocence. Initially introduced by Christianity and gaining prominence in sixteenth century Europe, the ideological view of children as innocents has been institutionalized in contemporary America. Innocence is primarily born of ignorance - both intellectual and sexual. Ignorance about sex extended both to children’s experience of their own bodies - which led to negative sanctions against masturbation - and to sexual relationships with others (DeMause, 1974). The association of innocence with lack of sexual knowledge meant that 221. sexuality was equated with sexual abuse (Calderone, 1984). Thus innocence became a focal point not only for conceptualizing and idealizing childhood, and of differentiating it within the life cycle, but also became a platform for those advocating child protection (Jackson, 1982). Child.Advocacy Movements Beginning in 1875 children became the focus of child saving movements in the United States (Platt, 1969). Initially emerging from feminist concerns, upper class charity organizations and the anti-prostitution and anti- 69 alcohol campaigns of the time, these movements focused on cruelty to children. In the Progressive Era, as feminism waned, the idea of child cruelty was refined (Gordon, 1988). Physical abuse, sexual abuse and paid labor became leading targets of reform as social workers became the foremost child savers. Concerned with the decaying structure of family life, social workers sought to protect children from sexual assault by strangers, poverty resulting from unemployment and other forms of social disorganization. The premise behind child saving movements of this period was that children needed to be saved because they embodied the future of society. Numerous campaigns were launched to ensure that children would be free to play, to learn, to be nurtured, to be healthy and to not work. Professions and organizations were created to protect children’s interests including: Public Health; Social Work; Social Welfare; Pediatrics; Child Welfare; and Child Development (Takanishi, 1978; Gordon, 1988). Through the convergence of beliefs about children’s innocence and the development of institutional power to protect it, was born the idea that children have the right to childhood - an idea that was initially deployed in the battle to eliminate child labor and later used to escalate the war against child sexual abuse. 70 Children’s labor was at the center of contention in the historical reconstruction of childhood from the 18703 to the 19303. Part of a larger process of sentimentalization which affected both the family and childhood, this transition saw children move from being economically productive individuals with a limited emotional value to being emotionally priceless, but economically unproductive (Zelizer, 19850. The emergence of the sacred child and social reforms aimed at establishing and protecting this sanctity meant that the state began to assume a major role in organizing childhood (Platt, 1969). During the depression of the 19303, state involvement in regulating childhood diminished. Emphasis on family violence as a whole also dwindled during this period (Gordon, 1988). Following World War II social awareness of issues pertaining' to childhood. was almost absent. Psychiatric diagnoses replaced social activism. Interestingly, incest was one form of family violence that was addressed. Defined as a form of emotional neglect, incest was "discovered" to be a problem in seductive mother-child relationships. The role of professionals during this period. was to protect the privacy of the nuclear family and to assure conformity to its values. 71 Social Construction and the Medicalization of Deviance Parallel to the literature on social construction and important for understanding how child sexual abuse has come to be conceptualized is the body of literature on the medicalization of deviance. The medical model has been significant in shifting the view' of deviance from sin through crime to sickness. As a way of managing deviance, medicine locates problems within the individual, and sees them as caused by some physiological or organic condition. Blame for deviant behavior, such as incest, is placed on a person who must be treated by medicine, particularly psychiatry, in order to get better. This medical treatment is usually seen as necessary for both the perpetrator and the abused. Conrad and Schneider (1982) have created a sequential model for understanding deviance, and explaining the development of medical designations placed on deviants. First, a behavior is identified as deviant without a medical model imposed on it. Later medical models are employed and replace designations which have been used by earlier experts. In the second--the prospecting stage-- medical discovery itself occurs. This usually takes place through medical journals. The discovery of the "battered child syndrome," for instance, occurred within the pages of The New England Journal of Medicine (Nelson, 1984). While this attention legitimates the problem from a medical 72 perspective, it does not necessarily insure public discovery. Claimsmaking, the third stage, must occur in order for the problem to be discovered by the public. As an activity, claimsmaking is most important in the emergence of new views of deviance, party because it is in this stage that a designation becomes the province of a particular medical specialty. Other claimsmakers vie with medical personnel in shaping the definition of a social problem. The media may also play a role in this process, although Conrad and Schneider have pointed out that television and the press are less central to the dynamics of deviance than to the emergent phases of social problems. The fourth stage of deviance designations is legitimation of the medical view. Here medicine is given the "deed“ to the problem and may step in as a social control agent for the state. This process clearly occurs in child abuse cases where physicians are mandated reporters. Finally, in the fifth stage the medical designation of deviance is institutionalized through bureaucracies, like the National Center for Child Abuse and Neglect, which give support to medicine, as well as receiving support from it. Some problems achieve codification, becoming part of medical and legal classifications, including psychiatry’s Diagnostic and Statistical Manual. 73 Social problems which affect children have been particularly prone to medicalization. Two features of childhood as it is constructed in contemporary U.S. culture make it more likely that the power of medicine will be invoked either when children perform acts which are considered deviant or when they are victims of deviants. These two features are innocence and dependence, characteristics which allegedly make children vulnerable to being led astray. Because of their relative powerlessness, children are identified as in need of protection from the world of adults, a world which is marked by access to power, money and sexuality. Platt (1969) has chronicled the process that occurred during the Progressive Era when child savers used 'the juvenile courts to protect children from danger. The court served as an amalgam of medical and legal interests, guiding children with the help of the so-called psychological sciences. As medicine, particularly psychiatry, has become increasingly important in defining deviance, models of psychopathology have achieved hegemony. Conrad and Schneider (1982) have pointed out that a society which is ideologically committed to protecting children facilitates the adoption of medical models which are also "protective and preventive." The interests of medicine and the interest of children are viewed as coinciding and 74 children’s needs are incorporated into medicine’s expanding boundaries. Institutional Power to Stigmgtize In addition to the power to protect and defend, medicine, as well as religion and law, has the institutional power to impose definitions which stigmatize. Stigma, in the case of child sexual abuse, adheres both to victims and perpetrators who are perceived to have "spoiled identities." Goffman (1963), in his classic work Stigma, described the discredited - who bear visible signs of stigmatization--and the discreditable--who show no visible stigmata. Most people who have been sexually abused or who abuse have discreditable stigmas. Their task is to manage information about their identities and experiences. Many choose secrecy as a means of managing stigma. Simmel (1950) has described secrecy as a way to conceal information, and create boundaries around events, behaviors, knowledge and feelings which are identified as morally untenable by a culture. Additionally, Warren and Laslett (1977) have pointed out that secrecy is more frequently employed by less powerful individuals such as the institutionalized, the elderly, the mentally and physically ill, the morally stigmatized and children. When sexual abuse occurs, many children are coerced into secrecy by those who abuse them, but not all victims remain 75 silentt There are levels of secrecy and. places where disclosure may take place. The _id_ea of the secret in relationship to stigma, however, has become a central motif in the feminist and clinical discourses on sexual abuse. Feminists view the secrecy about sexual victimization as one aspect of a patriarchal culture which has silenced the voices of women and children who have experienced gender and generational violence (Rush, 1980; Butler, 1978). Breaking a "conspiracy of silence" became a rallying cry, and a strategy for empowerment for feminists working in the areas of rape and battering. Concern with the silence which is imposed on the victims of violence- initially by individual perpetrators and then by society- was part of a broader feminist agenda which focused on the oppression of silence and the necessity of naming. Given vivid voice by such writers and activists as Adrienne Rich (1977), the issue of naming was identified first in phenomenological terms. By breaking the intellectual and ontological hegemony of men, women could discover what it meant to be women, not simply in opposition to men, but in their own right. The dynamics of naming also included an emphasis on action which was intended to move women beyond passivity (Lorde, 1980). Learning to act on their own behalf, women could escape rape attempts, leave battering relationships, and speak about sexual abuse. 76 From a set of different concerns, clinicians have also addressed the issues of secrecy and stigmatization. As psychotherapists these constructionists focused on the negative psychological effects of keeping sexual abuse silent (Gelinas, 1983; Bass and Davis, 1988; Meiselman, 1978, Giaretto, 1982). In fact some clinicians have identified the secrecy surrounding abuse as potentially more damaging than the abuse itself. The damage is the result of psychological consequence of stifling information about events that hurt individuals and families (Courtois, 1988). Like feminists who worked out of a broader framework, linking secrecy and naming, clinicians’ analyses also had a second level of interpretation. Schooled in Freudian thought, generations of clinicians were taught that clients’ descriptions of child sexual abuse were stories about frustrated wishes and desires, not actual accounts of assaults. Freud (1953) theorized that as part of normal development processes children longed for sexual contact with the parent of the opposite gender. He called this process the Oedipal complex. As a theory, which was a basis for clinical practice, the Oedipal complex created a secrecy about sexual abuse, obscuring' the existence of coercive sexual relationships between children and adults. To interpret their clients’ reports as true incidents of incest and abuse, contemporary clinicians had to challenge 77 the dominant professional interpretation about retrospective reports of sexual abuse. Recently, Freudian ‘theory' has ibeen challenged from several avenues. ZFlorence iRush (1977), Jeffrey' Masson (1984), and Alice Miller (1984), have been leading voices in questioning Freud’s theory of childhood development and children’s experience of sexual assault. Rush, a feminist and a social worker, viewed Freud as a patriarch, silencing those less powerful than himself. She believed that Freud ignored the claims of his female patients out of sexism. Masson, a psychoanalyst and former director of the Freud archives, examined Freud’s motives for creating the Oedipal complex and depicted the founder of psychoanalysis as a moral coward, with an ambivalent relationship to his own father which blinded him to the realities and impact of sexual assault. Miller, a psychoanalyst, argued that Freud could not tolerate the idea that the narratives of sexual assault he was hearing were true and so created a theory which treated the accounts as fantasies. Miller accuses Freud of instigating and theoretically institutionalizing nearly a century of psychotherapeutic secrecy about child sexual abuse, thereby contributing t1) the stigma. which came to dominate the tOpiC. Due to the stigma imposed. by this convergence of forces, many whose lives were touched by sexual abuse and its potentially damaging impact on identities and 78 reputations, attempted to manage its disclosure. Management of a spoiled identity, however, depends on many factors, including those who tell, those who hear, and the setting in which the information is disclosed. There are people and places where one feels either safe or endangered in revealing stigmatizing information. From Goffman’s perspective, the stigmatized individual is 111:3 perpetual reactive state deciding when, if ever, to acknowledge his/her failing. The stigmatized are viewed as primarily powerless, their only hope at overcoming their condition is to become a "hero of adjustment." According to Goffman, heroes of adjustment are those who are able to transcend their stigma and carry on as if they were "normal." Their normalcy becomes an achieved characteristic which they must always strive to retain. Having violated social expectations by carrying a hidden, discreditable stigma, deviants move beyond the problem only by negating undesirable traits which make them different. Goffman’s view of stigma captures a particular moment in social history - the 19503 - and reflects the periods broader sociological concern with modes of conformity. As a way of thinking about stigma Goffman’s work is helpful because it delineates and then expands the concept. He provides a description of types of stigma, but more importantly he allows readers to see stigma as a series of perspectives one holds in relationship» to normalcy, as 79 opposed to fixed and rigid categories which some always occupy and others never do. In his work, however, Goffman fails to account for a perspective which the stigmatized could potentially take if they saw stigma not as a failing, but as a source of strength - that of expert and advocate on their own behalf. Identity Politics: Redefining Stiggg The popular social movements of the 19603 and 703 provided a forum for a new type of politics. Personal conditions which might have caused one to be stigmatized as sick (homosexuality, for example) or crippled (physically challenged) became seen as sources of strength and identity. Instead of handling stigma so that normals could be protected. and could react in a contained, socially acceptable manner, the stigmatized began to "speak bitterness." Management of difference turned to proclamations of pride, and the politics of coming out was born. John Kitsuse (1980) and Rene Anspach (1979) have each written about the process by which deviants seize the power to define themselves. Key to this redefinition is a refusal to accept labels which have been created by majority groups. Kitsuse has pointed out that: ...deviants have come out to challenge conventional conceptions and judgments of their conduct, to question "expert" assessments of their "disabilities," "handicaps" and devaluation 80 of their various conditions and their attendant prescriptions for corrective treatment, and to publicly demand their right to equal access to institutional resources. Through such activities deviants have become some of the most active and visible practitioners of the art of social problems in the 19703 (Kitsuse, 1980). By focusing on the demands that the stigmatized make for legitimacy, Kitsuse expressed a profound alteration in the power dynamics between deviants and normals. Long relegated to groups about whom claims could be made, the stigmatized now became claimsmakers. This is not to imply that "identity pride," as it is called in the new literature on homosexuality (Altman, 1982), began in the 19703. Clearly, deviant groups have (previously formed pockets of resistance to the hegemonic definitions of majority groups. Groups like the Mattachine Society and the Daughters of Bilitis, for example, which provided homosexual men and women with gathering places, literature and a feeling of community beginning in the 19503, tried to shift people’s perceptions of the homosexual from that of pervert to that of an individual with a