Child sexual abuse and exploitation—A global glimpse

The view of what constitutes child abuse and neglect is dependent on the laws, cultural context, local thresholds and the availability. Since 1982, the International Society for the Prevention of Child Abuse and Neglect (ISPCAN) has conducted surveillance of child maltreatment and child protection every two years, published in World Perspectives on Child Abuse. It is hoped that up to date information will inform the development of laws, policies and programs to better address child abuse and neglect. This article is based on data on child sexual abuse and exploitation from 73 countries gathered online in 2015-16 for the 12 edition of World Perspectives. Respondents were key informants who were knowledgeable professionals in the child protection field. They were encouraged to consult with colleagues so as to provide accurate information. Countries were grouped into different regions of the world and into income level categories. The findings focus on definitions of abuse and neglect, laws, policies and programs to address and prevent maltreatment and barriers to prevention. It is evident that there is considerable variability across regions and country income categories, and that programs and services need to be considerably strengthened, even in high income countries.     

The pleasure imperative? Reflecting on sexual pleasure’s inclusion in sex education and sexual health

This article offers an empirically grounded contribution to scholarship exploring the ways in which pleasure is ‘put to work’ in sex and sexuality education. Such research has cautioned against framing pleasure as a normative requirement of sexual activity and hence reproducing a ‘pleasure imperative’. This paper draws on interviews with sexual health and education practitioners who engaged with Pleasure Project resources and training between 2007 and 2016. Findings suggest that practitioners tend to understand pleasure within critical frameworks that allow them to avoid normalising and (re)enforcing a pleasure imperative. Accounts also show negotiations with, and strategic deployments of, values surrounding sexual pleasure in society and culture. While some accounts suggest that a pleasure imperative does run the risk of being reproduced by practitioners, notably this is when discussing more ‘contentious’ sexual practices. Interviews also demonstrate that practitioners attempting to implement a pleasure agenda are faced with a range of challenges. While some positive, holistic, and inclusive practice has been afforded by a pleasure approach, we argue that the importance of a critical framework needs to be (re)emphasised. The paper concludes by highlighting areas for further empirical research.     

Medical students’ perceptions and preferences for sexual health education

Sexual health topics are not well-covered in US medical schools. Research has not typically asked medical students what sexual health topics they would like addressed and their preferred methods of sexual health education. This study attempted to address this deficit via an online survey of medical students at an institution where little sexual health education is offered. Participants reported receiving the most education in endocrinology and sexually transmitted infections, but they also saw the following topics as important: sexual development, child sexual abuse, healthy sexuality, male sexual dysfunction and female dysfunction. Participants were more confident in talking to adults about sexual health matters than children, and more uncomfortable talking to opposite sex patients. Perceived barriers to sexual health education in medical school included a busy curriculum, other topics being seen as more important, religious influences, discomfort with sexuality and unqualified teaching faculty. Participants favoured training strategies that included panels of experts, panels of patients and role-plays conducted by seasoned professionals in sexual health. To reduce the barriers to sexual health education in US medical schools, educators need to highlight the relevance and importance of sexual health topics to the future work of physicians.     

Embodying and resisting racialised desires in young people’s sexual imagery

Desires may be viewed as emotions that are structuring and structured by social inequalities. This paper examines how sexual desires may surface in everyday classroom interactions. It argues in particular that anti-racist sex education requires not only an awareness of a racialisation of sexuality but also of the sexualisation of race. Focusing on students’ images of desire and a selection of music video stills, the paper investigates in which ways racialised and gendered desires are relevant to students’ imagination – and how they negotiate them in the classroom. Young people’s ethnosexual imaginary reveals an affective investment on the part of adolescents in racialised sexualities in visual culture. In the context of participatory arts-based workshops, the paper analyses how images of racialised desires are transformed into material objects of boundary work. The paper concludes by proposing the re-enactment of young people’s imagery as a means to open up an affective space for negotiating desires and disdain.     

Is there a specific relationship between childhood sexual and physical abuse and repeated suicidal behavior?

OBJECTIVE: Studies show that childhood sexual and physical abuse predict repeated suicide attempts and self-mutilation. Little is known about the importance of sexual and physical abuse when compared to other severe childhood adversities with respect to chronic suicidal behavior. METHOD: Seventy-four subjects, 65% of whom were women, consecutively admitted to a general hospital after having made a suicide attempt, were interviewed as part of the intake interview about prior suicide attempts and self-mutilation and received DSM-IV diagnoses. Sexual abuse, physical abuse, neglect, antipathy from parents, loss of parents, and severe discord in the family before the age of 18, were covered by the Childhood Experience of Care and Abuse (CECA) interview schedule. RESULTS: The prevalence of severe sexual abuse was 35%, severe physical abuse 18%, neglect 27%, antipathy 34%, loss of caregiver 37% and exposure to family violence 31%. Physical and sexual abuse were independently associated with repeated suicide attempts when controlling for the effects of the other childhood adverse factors. No other childhood adversity was related to chronic suicidal behavior. The odds ratio of exposure to sexual or physical abuse was highest among those who both repeated suicide attempts and self-mutilated. CONCLUSION: Physical and sexual abuse are significantly and independently associated with repeated suicidal behavior.     

Between tradition and modernity: girls’ talk about sexual relationships and violence in Kenya,Ghana and Mozambique

This paper interrogates the influence of a tradition-modernity dichotomy on perspectives and practices on sexual violence and sexual relationships involving girls in three districts of Kenya, Ghana and Mozambique. Through deploying an analytical framework of positioning within multiple discursive sites, we argue that although the dichotomy misrepresents the complexity of contemporary communities, it is nonetheless deployed by girls, educational initiatives and researchers in their reflections on girls’ sexual practices and sexual violence. The analysis examines variations between communities in patterns of and perspectives about sexual relationships, transactional sex and sexual violence. It illuminates ways in which features of ‘modernisation’ and ‘tradition’ both exacerbate and protect girls from violence. Across contexts, girls actively positioned themselves between tradition and modernity, while positioning others at the extreme poles. Education initiatives also invoked bipolar positions in their attempts to protect girls’ rights to education and freedom from violence. The paper concludes by considering the implications for educational intervention and the potential for the analytical framing to generate richer, more contextualised understandings about girls’ perspectives, experiences and ways of resisting sexual violence.     

‘Pervy role-play and such’: girls' experiences of sexual messaging online

Sexting is one of the recurring causes of concern in public discussion of young people and network media. This paper builds on findings from a survey with 1269 Finnish female respondents aged 11–18 conducted using a popular online community for girls on their experiences of and views on online messages concerning sex and sexuality. Sixty-five per cent of respondents had received messages related to sex from either adults or minors while 20% had also sent such messages themselves. The paper asks how girls experience and make sense of sexual messaging and what motivates them to engage in such interactions. Specific attention is paid to the distinction between unwanted and wanted messages. While messages from unknown people identified as adult were often discussed as unpleasant or ‘creepy’, sexual messaging, role-play, cybersex experiments and discussions related to sex among peers were defined as fun and pleasurable. Girls display notable resilience and describe coping strategies connected to unwanted messaging but equally frame sexual messaging and role-play as issues of choice motivated by curiosity and pleasure. The paper addresses sexual messaging as a form of sexual play and learning, and argues for the importance of contextual analysis in understanding its forms and potentialities.     

“Body self” in the shadow of childhood sexual abuse: The long-term implications of sexual abuse for male and female adult survivors

Childhood sexual abuse (CSA) may have long-term negative outcomes for victims’ body representations. In this study we examined a model in which the relation between CSA and an individual’s discomfort when in close proximity to others is mediated by disrupted body boundaries, and the relation between CSA and body shame is mediated by body self-objectification. Since most of these variables were conceptualized and assessed primarily among women, gender differences regarding the proposed model were examined. Study participants were 843 college/university students (536 women and 307 men). Results from structural equation modeling analyses indicated that in both genders, disrupted body boundaries mediated the relations between CSA and an individual’s discomfort when in close proximity to others, as well as between CSA and body shame. Body self-objectification was not associated with history of CSA. Finally, we discuss the role these findings may play in the detrimental long-term effects of CSA on both male and female survivors, and refer to their common underlying mechanism.     

Agency in action – young women and their sexual relationships in a private school

Agency among young women is often understood as fleeting in nature, and studies rarely offer insights into how agency could become a more sustained position. Using data from 54 young women discussing their sexual and intimate relationships, this paper suggests a new way of understanding agency beyond that found in work which stresses agentic practice as resistance or the challenging of dominant expectations and understandings. Instead, through the notion of ‘agency in action’ we begin with young women’s conceptualisations of power. In this study, power was viewed as a resource that is shared between partners, but also a capacity of the self. These conceptualisations offer two new ways of understanding agency in intimate relations – either through ‘reacting into action’ and taking power back; or by ‘starting from’ a powerful position. Central to an understanding of young women’s agency is the role of emotions and recognition of these as motivators for change.     

Untangling the conflation of ‘young adults’ and ‘young people’ in STI and sexual health policy and sex education

Young adults, aged 18–30 years, are disproportionally mentioned in sexually transmissible infection surveillance data both in Australia and internationally. This contributes to categorising young adults as an ‘at risk’ group in health policy. How young adults are framed in policy, and what informs this, have direct implications for policy priorities and responses, including the development of health promotion programmes. In this paper, we provide a case study of Australia’s National Strategies for Blood Borne Viruses and Sexually Transmissible Infections from 2005 to 2017. We identify how ‘young adults’ as a population are masked by, and subsumed within, the broader category of ‘young people’ within these strategies. As a result, young adults become framed by default as a ‘risk category’ that requires education to correct its deficits, regardless of personal experience. For health promotion to advocate, mediate and enable better sexual health outcomes, a policy environment is needed that reflects the changing social and cultural contexts and sexual independence that young adults experience. Sexual health policies should reflect the complexity and opportunities of young adulthood if we are to offer an enabling policy environment for innovative and nuanced health promotion strategies, including adult appropriate health education.     

Educators’ understanding of young children’s typical and problematic sexual behaviour and their training in this area

As part of a wider study, this paper reports on Australian educators’ understanding of children’s typical and problematic sexual behaviour and their source of training in this area. A sample of 107 educators from government, independent and Catholic primary schools, preschools and care organisations across Australia answered an online questionnaire regarding their understanding of and experiences with children’s problematic sexual behaviours and their management strategies. The majority of educators were able to identify children’s age-appropriate typical sexual behaviour and some elements of problematic sexual behaviour; however, individual knowledge was not extensive. Approximately 35% (n = 35) of educators said they had not been trained in identifying and responding to children’s problematic sexual behaviour. Of those who said they had received training, the majority (82%, n = 53) described having participated in a compulsory course on reporting suspected abuse to government (a mandated reporting course). Ninety per cent (n = 89) of educators reported that courses specific to children’s problematic sexual behaviours should be offered. This suggests that mandated reporting courses do not offer in-depth training specific to problematic sexual behaviour. Implications for professional development are discussed.     

Where did I come from? US parents' and preschool children's participation in sexual socialisation

This paper applies a sociology of childhood approach to the study of the sexual socialisation of young children in the USA. It examines both children's and parents' active participation in this dynamic and collaborative process through conversations between 49 parents and their 54 preschool children that were audio-recorded while they read books about ‘where babies come from’. Parents also participated in a brief survey. The authors found that, while parents do foreclose such conversations as previous research has indicated, they also use a variety of other tactics, including adding information and emotion management. These findings illustrate children's active engagement in their own sexual socialisation through their questions, confusions and distractions, which affected the amount and type of information that was elicited.     

Bureaucratic constructions of sexual diversity: ‘sensitive’, ‘controversial’ and silencing

National research illustrates the high degree of discrimination that prevails against lesbian, gay, bisexual, transgender and queer (LGBTQ) students resulting in diminished educational outcomes, both academic and social. This phenomenon is influenced by the prevalence of whole-school silences around LGBTQ topics in many Australian schools. This paper presents an analysis of the New South Wales (NSW) homophobia in schools policy, as well as both NSW state and Australian federal curriculum and syllabus documents in the health and physical education key learning area. This analysis illustrates how contradictory framing and messages; silences and omission; and various discursive constructions of the LGBTQ subject together produce silencing technologies that have critical implications for the implementation of education, both in this key learning area and across the schooling sector.     

Mississippi college students’ attitudes,willingness to intervene and legal knowledge toward sexual assault

Sexual assault on college campuses has been a longstanding problem in the USA. Unfortunately, relatively little has been done to look at the characteristics of these attacks and how they might relate to knowledge of sexual assault policies, participation in sex education courses, beliefs toward sexual violence, and willingness to intervene if an attempted assault is observed. In response to this need, data were collected from college students from four universities in the state of Mississippi. A request to participate in an online, anonymous questionnaire was sent through email and listservs, and a total of 4,994 undergraduate students completed the survey. A significant relationship was found between men’s sexual attitudes and understanding of legal terms and their willingness to intervene if a sexual assault occurred; less legal knowledge and higher rape myth attitudes reduced their probability of being willing to intervene. Conversely, students who had received education at college on how to prevent a sexual assault from occurring were significantly to report being willing to intervene.     

Sexualities,teenage pregnancy and educational life histories in Portugal: experiencing sexual citizenship?

This article focuses on Portuguese working-class teenage girls’ voices and experiences concerning sexuality and pregnancy. Within a sociological, feminist and educational framework, it explores the girls’ perspective on sexual and intimate citizenship as evidence of fairer forms of regulation of teenage sexualities. Through building life histories of three pregnant and teenage mothers, this article aims to understand how girls rehearse and live out their sexualities and pregnancies as well as listen to their voices and recognise their demand for inclusion and respect. Gender power relations emerge as central in configuring girls’ pathways and shed light on youth pregnancy.